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June 2, 2022Frontiers in PsychiatryOpen Access

Childhood Maltreatment Influences Autonomic Regulation and Mental Health in College Students

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Key result

Childhood maltreatment linked to ~11% lower vagal efficiency, mediating associations with anxiety and depression.

  • Cohen's d 0.37
  • P=0.028
  • n=167

Why the study?

To explore whether vagal efficiency mediates the relationship between childhood maltreatment history and psychiatric symptoms, and investigate autonomic regulation in response to stressors.

Does childhood maltreatment history reduce vagal efficiency and alter autonomic regulation in college students?

Population

167 college students

Comparison

Maltreatment history vs no maltreatment history

Authors

LDLourdes P. DaleJKJacek KołaczJMJennifer Mazmanyan

Discussion

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Overview

Childhood maltreatment history was associated with lower vagal efficiency mediating anxiety/depression symptoms in students; hypothesis-generating and should not yet change practice.

Study Design

Type

Cross-Sectional (n=167)

Structured PICO

Does childhood maltreatment history reduce vagal efficiency and alter autonomic regulation in college students?

P
Population
167 college students, 18-25 years old (mean 19.18), 65.9% female, without cardiovascular disorders. 25.1% had a prior psychiatric diagnosis.
I
Intervention
Childhood maltreatment history (assessed via self-report Childhood Trauma Questionnaire)
C
Comparator
No childhood maltreatment history
O
Outcome
Vagal efficiency (VE) and its mediation of the relationship between maltreatment history and psychiatric symptomssurrogate

Main Result

Effect estimate: Cohen's d 0.37

Absolute Event Rate: 61.7% vs 69.56%

p-value: p=0.028

Childhood maltreatment is associated with blunted vagal efficiency, which may serve as a neurophysiological pathway increasing the risk for anxiety and depression.

Limitations

  • Use of a non-clinical sample of college students
  • Maltreatment history and symptom data were obtained via self-report measures subject to recall inaccuracies
  • Cross-sectional design prevents determining causal relationships
  • Lack of an independent measure of sympathetic activation limits interpretation of autonomic dynamics

Cite This Study

Dale et al. (2022) conducted a cross-sectional in Childhood Maltreatment (n=167). Childhood maltreatment history vs. No childhood maltreatment history was evaluated on Vagal efficiency (VE) (Cohen's d 0.37, p=0.028). College students with a history of childhood maltreatment exhibited significantly lower vagal efficiency compared to those without maltreatment (61.70 vs 69.56, p=0.028), which mediated the association with anxiety and depression.

synapsesocial.com/papers/6a15459079ff98d0de4e5b74https://doi.org/10.3389/fpsyt.2022.841749
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Also Consider

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