Protector and Casualty

Meg J. Dennison, K. McLaughlin
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Abstract

Early-life adversity is associated with elevated risk for a wide range of mental disorders across the lifespan, including those that involve disruptions in positive emotionality. Although extensive research has evaluated heightened negative emotionality and threat processing as developmental mechanisms linking early-life adversity with mental health problems, emerging evidence suggests that positive emotions play an integral, but complex, role in the association of early-life adversity with psychopathology. This chapter identifies two pathways through which positive emotion influences risk for psychopathology following early-life adversity. First, experiences of early-life adversity may alter the development of the “positive valence system”, which in turn increases risk for psychopathology. Second, the association between adversity and psychopathology may vary as a function of individual differences in positive emotionality. We consider how the development of positive emotionality—measured at psychological, behavioral and neurobiological levels—may be altered by early-life adversity, creating a diathesis for psychopathology. We additionally review evidence for the role of positive emotion, measured at multiple levels, as a protective factor that buffers against the adverse impacts of adversity. In integrating these two roles, it is proposed that characteristics of environmental adversity, including developmental timing, duration, and type of adversity, may differentially impact the development of positive emotionality, leading to a better understanding of risks associated with specific adverse experiences. Methodological issues regarding the measurement of adverse environments as well as implications for early intervention and treatment are discussed.
保护人及意外事故
早年的逆境与一生中各种精神障碍的风险增加有关,包括那些涉及积极情绪中断的疾病。尽管广泛的研究已经评估了负面情绪和威胁处理作为将早期生活逆境与心理健康问题联系起来的发展机制,但新出现的证据表明,积极情绪在早期生活逆境与精神病理的关联中起着不可或缺但复杂的作用。本章确定了积极情绪影响早期生活逆境后精神病理风险的两条途径。首先,早年的逆境经历可能会改变“正效价系统”的发展,从而增加精神病理的风险。其次,逆境与精神病理之间的联系可能会随着积极情绪的个体差异而变化。我们考虑积极情绪的发展——在心理、行为和神经生物学水平上进行测量——如何被早期生活中的逆境所改变,从而为精神病理学创造一种素质。我们还回顾了积极情绪在多个层面上作为缓冲逆境不利影响的保护因素所起作用的证据。在整合这两个角色的过程中,我们提出环境逆境的特征,包括发展时间、持续时间和逆境类型,可能会对积极情绪的发展产生不同的影响,从而更好地理解与特定不良经历相关的风险。关于测量不利环境的方法学问题以及对早期干预和治疗的影响进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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