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Neural Reactivity to Emotional Stimuli Prospectively Predicts the Impact of a Natural Disaster on Psychiatric Symptoms in Children

Published on Sep 1, 2016in Biological Psychiatry11.50
· DOI :10.1016/j.biopsych.2015.09.008
Autumn Kujawa19
Estimated H-index: 19
(UIC: University of Illinois at Chicago),
Greg Hajcak64
Estimated H-index: 64
(SBU: Stony Brook University)
+ 5 AuthorsDaniel N. Klein72
Estimated H-index: 72
(SBU: Stony Brook University)
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Abstract
Abstract Background Natural disasters expose entire communities to stress and trauma, leading to increased risk for psychiatric symptoms. Yet, the majority of exposed individuals are resilient, highlighting the importance of identifying underlying factors that contribute to outcomes. Methods The current study was part of a larger prospective study of children in Long Island, New York ( n = 260). At age 9, children viewed unpleasant and pleasant images while the late positive potential (LPP), an event-related potential component that reflects sustained attention toward salient information, was measured. Following the event-related potential assessment, Hurricane Sandy, the second costliest hurricane in United States history, hit the region. Eight weeks after the hurricane, mothers reported on exposure to hurricane-related stress and children's internalizing and externalizing symptoms. Symptoms were reassessed 8 months after the hurricane. Results The LPP predicted both internalizing and externalizing symptoms after accounting for prehurricane symptomatology and interacted with stress to predict externalizing symptoms. Among children exposed to higher levels of hurricane-related stress, enhanced neural reactivity to unpleasant images predicted greater externalizing symptoms 8 weeks after the disaster, while greater neural reactivity to pleasant images predicted lower externalizing symptoms. Moreover, interactions between the LPP and stress continued to predict externalizing symptoms 8 months after the hurricane. Conclusions Results indicate that heightened neural reactivity and attention toward unpleasant information, as measured by the LPP, predispose children to psychiatric symptoms when exposed to higher levels of stress related to natural disasters, while greater reactivity to and processing of pleasant information may be a protective factor.
  • References (72)
  • Citations (17)
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References72
Newest
#1Autumn Kujawa (UIC: University of Illinois at Chicago)H-Index: 19
#2Annmarie MacNamara (UIC: University of Illinois at Chicago)H-Index: 16
Last.K. Luan Phan (UIC: University of Illinois at Chicago)H-Index: 52
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#1William E. Copeland (Duke University)H-Index: 37
#2Dieter Wolke (Warw.: University of Warwick)H-Index: 69
Last.E. Jane Costello (Duke University)H-Index: 76
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#1Brittany C. Speed (SBU: Stony Brook University)H-Index: 4
#2Brady D. Nelson (SBU: Stony Brook University)H-Index: 17
Last.Greg Hajcak (SBU: Stony Brook University)H-Index: 64
view all 6 authors...
#1Agnes van Minnen (Radboud University Nijmegen)H-Index: 24
#2Lori A. Zoellner (UW: University of Washington)H-Index: 34
Last.Katherine L. Mills (UNSW: University of New South Wales)H-Index: 29
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#1Johnna R. Swartz (UNC: University of North Carolina at Chapel Hill)H-Index: 12
#2Annchen R. Knodt (Duke University)H-Index: 10
Last.Ahmad R. Hariri (Duke University)H-Index: 71
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#1Katie A. McLaughlin (UW: University of Washington)H-Index: 1
#2Daniel S. Busso (Harvard University)H-Index: 1
Last.Margaret A. Sheridan (Boston Children's Hospital)H-Index: 1
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#1Betty Pfefferbaum (University of Oklahoma Health Sciences Center)H-Index: 38
#2Mary A. Noffsinger (Irving Convention and Visitors Bureau)H-Index: 1
Last.James R. Allen (University of Oklahoma Health Sciences Center)H-Index: 8
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Cited By17
Newest
#1Samantha Pegg (Vandy: Vanderbilt University)
#2Lindsay Dickey (Vandy: Vanderbilt University)
Last.Autumn Kujawa (Vandy: Vanderbilt University)H-Index: 19
view all 6 authors...
#1Kiera M. James (Binghamton University)H-Index: 2
#2Max Owens (USFSP: University of South Florida St. Petersburg)H-Index: 8
Last.Brandon E. Gibb (Binghamton University)H-Index: 35
view all 5 authors...
#1Ellen M. Kessel (SBU: Stony Brook University)H-Index: 9
#2Brady D. Nelson (SBU: Stony Brook University)H-Index: 17
Last.Daniel N. Klein (SBU: Stony Brook University)H-Index: 72
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