Preventing Internalizing in Preadolescents Exposed to Chronic Stress

Preventing Internalizing in Preadolescents Exposed to Chronic Stress

Detailed Description:

Mental health problems disproportionately affect racial and ethnic minority populations, as well as populations that face chronic economic hardship. There is clear evidence that (1) the processes that lay the groundwork for mental health disparities is laid during childhood and (2) that damage to and dysregulation of the physiologic stress response is a powerful mechanism of the effects of chronic stress such as that associated with poverty on psychopathology. To contribute solutions to mental health disparities, interventions need to be capable of affecting the systems that confer the risk. Since the psychobiologic stress response system (e.g., hypothalamic-pituitary-adrenal axis; HPA) is a central mechanism linking health disparities to chronic stress, the stress response is a critical system to target. Improving children's ability to cope with stress and regulate their reactivity has the potential to break the cycle of damage, especially if the coping strategies and regulatory processes that we target have effects at the physiologic level. New evidence has emerged showing that different types of coping are evident at the level of the HPA—it is, therefore, time to evaluate whether a coping intervention designed for children facing chronic stress will both (a) improve children's ability to use primary and secondary control coping, and (b) have sustained effects at the physiologic level. The BaSICS intervention is designed to address core underlying mechanisms of risk and repair in the highly stressful context of poor, urban youths' lives.

Preadolescence is a crucial time during which children's ability to recognize stress and its causes matures, and repertoires for coping with stress grow in both size and complexity. In addition, preadolescence is a time of increased brain changes and growth in key self-regulatory organs and systems. Preadolescents are, therefore, at a ripe stage to benefit from coping-based prevention and the plasticity of this developmental period suggests that such changes have the potential to be long-lasting. BaSICS is designed to prevent the onset of anxiety, depression, and post-traumatic stress symptoms in preadolescent children facing chronic stress. Two mechanisms of action are targeted in this project. First, the project seeks to demonstrate that children facing chronic stress stemming from poverty, discrimination, and violence exposure can acquire and utilize new ways of coping that are adaptive in a wide variety of circumstances. Second, the project will examine the extent to which improved coping resulting from the intervention engages the physiologic intermediate mechanism of the HPA. Finally, the project aims to link changes in coping and the HPA to changes in internalizing symptoms that would signal prevention of the emergence of new or worsening of existing symptoms. Discovery of ways to prevent and/or halt this progression of damage to a child's stress response system that leads to psychopathology can offer new directions for combatting health disparities.

 

 Eligibility
 

Ages Eligible for Study:  

11 Years to 12 Years   (Child)

Sexes Eligible for Study:  

All

Accepts Healthy Volunteers:  

Yes

 

Criteria

Inclusion Criteria:

·         Child age 11 or 12 at intake

·         Family income at or below 200% Federal Poverty Level

·         Child speaks English

·         Parent speaks English or Spanish

Exclusion Criteria:

·         Intellectual disability

·         Autism diagnosis

·         Exceeds clinical cutoff for anxiety or depressive disorder

 

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies. 

Please refer to this study by its ClinicalTrials.gov identifier: NCT02764138
 

Contacts

Contact: Martha E Wadsworth, Ph.D.

814-865-2878

mew27@psu.edu

Contact: Jarl A Ahlkvist, Ph.D.

720-220-7736

jua22@psu.edu
 

Locations

United States, Pennsylvania

Hamilton Health Center

Recruiting

Harrisburg, PennsylvaniaUnited States, 17104

Contact: Brad Gebhart, MA    717-232-9971    

bgebhart@hamiltonhealthcenter.com   

Sponsors and Collaborators

Penn State University

Investigators

Principal Investigator:

Martha E Wadsworth, Ph.D.

Penn State University