Bridging the Gap Between Chronic Pain and Mental Health in Childhood: A Genetically-Informed Study Examining the Etiology Underlying Co-occurring Symptomologies and Mechanisms of Intergenerational Transmission

168281-Thumbnail Image.png
Description
Pediatric chronic pain is pervasive and associated with myriad adverse consequences, yet due consideration has not been given to the mental health disturbances that often present alongside chronic pain and the etiological mechanisms that potentially underlie both. The current study

Pediatric chronic pain is pervasive and associated with myriad adverse consequences, yet due consideration has not been given to the mental health disturbances that often present alongside chronic pain and the etiological mechanisms that potentially underlie both. The current study examined the etiology underlying chronic pain and internalizing symptomology in middle childhood, considering both independent and co-occurring symptom presentations. Phenotypic parent-offspring associations across chronic pain and internalizing symptomology were also examined. Lastly, nuclear twin family models were tested to determine the extent to which genetic and environmental factors underlie parent-offspring transmission. The sample comprised 795 children (399 families; Mage= 9.7 years; SD = 0.92) and their parents drawn from the Arizona Twin Project. Results indicated that chronic pain was highly heritable (78%), whereas internalizing symptomology was modestly heritable (32%) and further subject to moderate shared environmental influence (50%). Moreover, 9% of the variance in chronic pain was explained by additive genetic factors shared with internalizing symptomology. Maternal chronic pain and internalizing symptomology were positively associated with both child chronic pain and internalizing symptomology. The association between maternal chronic pain and child chronic pain was more pronounced for girls than boys, whereas the association between maternal internalizing symptomology and child internalizing symptomology was more pronounced for boys than girls. Paternal chronic pain was not significantly associated with child chronic pain but was unexpectedly associated with lower child internalizing symptomology. The negative association between paternal chronic pain and child internalizing symptomology was more pronounced for boys than girls. Paternal internalizing symptomology was not significantly associated with child chronic pain but was positively associated with child internalizing symptomology. Lastly, the best fitting reduced nuclear twin family models for both chronic pain and internalizing symptomology retained additive genetic, sibling-specific shared environmental, and nonshared environmental parameters, where parent-offspring transmission was solely explained by shared genetics and sibling-specific shared environmental factors further accounted for co-twin resemblance. Results provide novel insight into common liabilities underlying chronic pain and internalizing symptomology in middle childhood, parent-offspring associations across chronic pain and internalizing symptomology, and the etiological mechanisms that explain symptom aggregation across generations.
Date Created
2021
Agent

Diet, Physical Activity, and ADHD Symptoms in Middle Childhood: Shared and Unique Environmental and Genetic Influences

162319-Thumbnail Image.png
Description

Attention-deficit hyperactivity disorder (ADHD) is a developmental disorder categorized by symptoms of inattention, impulsivity, and/or hyperactivity. The onset of ADHD symptoms begin to appear in childhood, tend to be persistent into adulthood, and are associated with adverse physical and mental

Attention-deficit hyperactivity disorder (ADHD) is a developmental disorder categorized by symptoms of inattention, impulsivity, and/or hyperactivity. The onset of ADHD symptoms begin to appear in childhood, tend to be persistent into adulthood, and are associated with adverse physical and mental health outcomes (Caye et al., 2016; Yoshimasu et al., 2018). The current study examined the effects of health-promoting behavior (i.e., diet and physical activity) on ADHD symptoms in middle childhood. The sample consisted of 670 twins (30.1% monozygotic, 36.5% same-sex dizygotic, 32.3% opposite-sex dizygotic) from the ongoing longitudinal study, the Arizona Twin Project. The twin’s (51% female) diet, physical activity, and ADHD symptoms were assessed at age 8 (M = 8.45, SD = 0.69) and ADHD symptoms were assessed again at age 9 (M = 9.70, SD = 0.92). Mixed model regression analyses revealed that aspects of diet (i.e., protein, carbohydrates, and fiber) at age 8 negatively predicted ADHD symptoms at age 9. Similarly, sedentary behavior at age 8 negatively predicted ADHD symptoms at age 9, whereas moderate-to-vigorous activity at age 8 positively predicted ADHD symptoms at age 9. Univariate twin analyses revealed that certain aspects of diet (i.e., sugar, vegetable, and fruit consumption) were influenced by environmental factors whereas other aspects of diet (i.e., protein, carbohydrates, calories, fat, and fiber consumption) were influenced by both genetic and environmental factors. Both children’s sedentary behavior and moderate-to-vigorous activity were influenced primarily by genetic factors, with the remaining variance being attributed to non-shared environmental factors. Additive genetic influences explained the majority of the variance in ADHD symptoms. Future research should examine bidirectional effects of activity and diet on ADHD symptoms across childhood.

Date Created
2021-12
Agent

Activity Level as a Mechanism in the Relation Between Neighborhood Danger and Children’s Sleep

162308-Thumbnail Image.png
Description

This study sought to determine if perceived neighborhood danger impacted children's sleep. The current study asks: how does perceived neighborhood danger impact children’s sleep both quantity and quality (duration and efficiency), could children’s physical activity mediate these associations, and how

This study sought to determine if perceived neighborhood danger impacted children's sleep. The current study asks: how does perceived neighborhood danger impact children’s sleep both quantity and quality (duration and efficiency), could children’s physical activity mediate these associations, and how do genetic and environmental factors play into these relationships? Questionnaires, biological measurements, and actigraphy watch data were collected from 709 8-year-old Arizonan twins and their parents in order to calculate neighborhood safety, sedentary physical activity, moderate to vigorous physical activity, sleep duration, and sleep efficiency as well as covariates. It was concluded that perceived neighborhood danger does not directly impact children’s sleep duration and efficiency, children’s physical activity does not mediate the relation of perceived neighborhood danger and children’s sleep, but rather, perceived neighborhood danger indirectly impacts children’s sleep duration and efficiency through moderate to vigorous activity, and finally, that both sedentary and moderate to vigorous activity are heavily influenced by genetics.

Date Created
2021-12
Agent

Familial Transmission of Chronic Pain: The Prospective Relations Among Parent Chronic Pain, Pain-Related Parent Coping Behaviors, and General Parenting Style with Pediatric Chronic Pain

162288-Thumbnail Image.png
Description

Pediatric chronic pain is common and costly to children, their families, and society. Importantly, pediatric pain often persists into adulthood. Prior research suggests that parent chronic pain, particularly maternal pain, is a risk factor for the development of chronic pain

Pediatric chronic pain is common and costly to children, their families, and society. Importantly, pediatric pain often persists into adulthood. Prior research suggests that parent chronic pain, particularly maternal pain, is a risk factor for the development of chronic pain in children. Existing evidence also suggests that parenting, including parental pain-related pain catastrophizing and general parenting style, are all associated with greater levels of chronic pain in children. The present study examined whether the prospective relations between parent and child pain differed between mothers and fathers, and whether parenting mediated or moderated the parent pain--child pain relations. It was hypothesized that 1a) both maternal and paternal chronic pain prospectively predicts child chronic pain, but that maternal pain would be a stronger predictor; 1b) having 0, 1, or 2 parents will increase the child’s risk of developing chronic pain; 2) maternal pain catastrophizing about their own (a) and their children’ pain (b) would mediate the relations between maternal and child pain; and 3) authoritarian parenting style (a) and negative parenting behaviors (b) would mediate the relationship between parent and child pain. Exploratory analyses tested the whether parental warmth predicted child pain, independent of mom pain. Regression models that account for twin dependency used longitudinal data collected from a sample of 895 twin children showed that maternal pain but not paternal pain predicted child pain. Maternal catastrophizing of her own pain, but not her child’s pain, significantly mediated the relation between maternal and child pain. However, maternal catastrophizing of her child’s pain predicted child pain at age 9, when controlling for child pain at age 8. All proposed relations between general parenting styles as well as warm parenting and child pain were not significant.

Date Created
2021-12
Agent

Examining Parents’ Personality within a Five Factor Model Predicting Negative and Positive Urgency in Their Adolescent Children

161993-Thumbnail Image.png
Description
Negative Urgency and Positive Urgency are important subfacets of a propensity to rash action. There is currently limited research on parental antecedents of Negative Urgency and Positive Urgency. The current study investigated whether parent personality and parenting behaviors predict adolescent

Negative Urgency and Positive Urgency are important subfacets of a propensity to rash action. There is currently limited research on parental antecedents of Negative Urgency and Positive Urgency. The current study investigated whether parent personality and parenting behaviors predict adolescent Negative Urgency and Positive Urgency. Data were taken from a community sample with parent personality, positive parenting behaviors, and child Negative Urgency and Positive Urgency measured at separate timepoints. Structural equation models were used to examine whether parent personality predicted adolescent Negative Urgency and Positive Urgency and whether positive parenting mediated this relationship. There was no evidence for a relationship between parent personality and children’s Negative Urgency and Positive Urgency. In addition, there was no relationship between parenting behaviors and child Negative and Positive Urgency in cross-reporter models, but child-reported parenting predicted later adolescent-reported Negative and Positive Urgency. Greater positive parenting, as perceived by children, was related to less Negative and Positive Urgency when they were adolescents. More research is needed to understand whether the current results are due to reporter bias or whether child-perceived parenting behaviors influence the development of adolescent Negative and Positive Urgency.
Date Created
2022
Agent

Getting to the Heart of the Matter: The Role of Infants’ Vagal Tone in Emotion Regulation and Coregulation During Mother-Infant Interactions

161240-Thumbnail Image.png
Description
Examining processes that characterize the ebb and flow of emotions offers insight into how infants modulate their own emotional experience as well as how both mothers and infants jointly regulate their emotional states. Drawing from polyvagal theory, which posits that

Examining processes that characterize the ebb and flow of emotions offers insight into how infants modulate their own emotional experience as well as how both mothers and infants jointly regulate their emotional states. Drawing from polyvagal theory, which posits that vagal tone supports the capacity to quickly, flexibly, and adaptively respond to contextual demands (Porges, 2003, 2007), I hypothesized that infants with greater vagal tone (indexed by respiratory sinus arrhythmia; RSA) would show stronger evidence of emotion regulation and coregulation processes during free play and a frustrating task at 24 weeks child age. To evaluate these hypotheses, I used dynamic structural equation modeling (DSEM; Asparouhov, Hamaker, & Muthén, 2018) to examine biologically-based differences in second-by-second infant emotion regulation (equilibria, volatility, carryover, and feedback loops in positive and negative affect engagement) and mother- and infant-driven coregulation processes, among a sample of 210 low-income, Mexican-origin mother-infant dyads. Results offered evidence of both mother-driven and infant-driven emotion coregulatory processes during free play, which did not differ based on infant RSA. Results offered limited support for RSA-based differences in infant self-regulation processes during the teaching task, such that infants with below average RSA tended to respond to increased negative affect with subsequent increases in positive affect engagement. Prenatal maternal depressive symptoms also accounted for greater infant emotional volatility and weaker mother-driven emotion coregulation. Results highlight the unique roles mothers and infants play in achieving emotion regulation, as well as between-dyad differences in these processes, suggesting multiple pathways towards resilience among low-income, Mexican-origin families.
Date Created
2021
Agent

Re-Conceptualizing Genetic Influence in GxE Studies: Does Inherited Sensitivity to Environmental Influence Moderate the Indirect Effect of Parent Knowledge on Future Drinking?

161239-Thumbnail Image.png
Description
Excessive drinking in adolescence is a public health issue with major consequences on both an individual and societal level. Elucidating genetic and environmental influences could be particularly informative for prevention efforts. One potential source of genetic influence is sensitivity to

Excessive drinking in adolescence is a public health issue with major consequences on both an individual and societal level. Elucidating genetic and environmental influences could be particularly informative for prevention efforts. One potential source of genetic influence is sensitivity to environmental influences. It was hypothesized that parent knowledge would interact with genetic sensitivity to the environment to indirectly reduce risk for alcohol problems through less adolescent rule breaking behavior. Participants (N=316) provided genetic data and reported their rule breaking behavior and past year frequency of heavy drinking, and participants’ custodial parents reported their perceived knowledge of their child’s activities. A novel index of genetic sensitivity to environmental influence was created using published methylation quantitative trait locus data from the frontal lobe. Study hypotheses were mostly not supported. The study results likely reflect the poor distribution of study variables and the limitations of the current study’s sensitivity gene score. The current study underscored the importance of adhering to methodological rigor and explored alternate conceptualizations and methods that future research could use to elucidate the role of inherited to sensitivity to environmental influences in adolescent drinking.
Date Created
2020
Agent

The Interdependent Nature of Mother’s and Children’s Temperament and Approach to Food and its Impact on Weight

161238-Thumbnail Image.png
Description
Obesity is associated with many well-established health risks as well as high annual public health costs. Intervening in the trajectory of obesity becomes significantly more difficult after a child has reached obesity. Therefore, it is crucial to understand the processes

Obesity is associated with many well-established health risks as well as high annual public health costs. Intervening in the trajectory of obesity becomes significantly more difficult after a child has reached obesity. Therefore, it is crucial to understand the processes that influence weight early in life. Parents serve as one of the main influences on child health, have a significant impact on the weight of their offspring, and are often incorporated into childhood obesity prevention programs. However, the mutual influence that parents and children have on each other is not accounted for. Using an Actor-Partner Interdependence model, the current study 1) examined the effect of children’s and mother’s temperament (e.g., negative affectivity, effortful control, and impulsivity) on their own weight as well as the weight of the other dyad member, 2) explored the effect of the interaction between mother and child temperament on both members’ weight, 3) assessed the effect of mother’s approach to food on mother and child weight, and 4) investigated how temperament might moderate the relationships between mother’s approach to food and mother and child weight. The sample consisted of 220 mother-child dyads. Children ranged from 4 to 6 years of age. Mothers completed self-report questionnaires on their own temperament and approach to food as well as their child’s temperament. Weight measures were assessed in the laboratory for both mother and child. Results indicated children’s impulsivity was related to their mother’s higher weight. The interaction between mother and child temperament was not significantly associated with weight. However, the interaction between child impulsivity and mother’s approach to food was significant; the effect of the mother’s approach to food on her own weight depended on their child’s impulsivity behaviors. Specifically, mothers’ approach to food on her own weight was nonsignificant when her child showed higher levels of impulsivity. The association of mother’s approach to food with her own weight was stronger when her child exhibited average to low impulsivity levels. This investigation of the influence of mother and child on each other’s weight is well-placed for translation into later obesity preventative and intervention efforts for family systems.
Date Created
2021
Agent

The Associations of Positive and Negative Parenting with Executive Functioning Outcomes During Middle Childhood: Moderation by Early Life Socioeconomic Status

148469-Thumbnail Image.png
Description

Executive functioning (EF) is the cognitive processing of goal-oriented actions that are predictive of important life functioning skills. Middle childhood is an important time for academic achievement and social development. Positive and negative parenting practices were examined in the prediction

Executive functioning (EF) is the cognitive processing of goal-oriented actions that are predictive of important life functioning skills. Middle childhood is an important time for academic achievement and social development. Positive and negative parenting practices were examined in the prediction of several child executive functioning outcomes in middle childhood, this thesis further examined whether early life socioeconomic status moderated such associations. This sample consisted of 708 twins (32% monozygotic, 36% same-sex dizygotic, and 32% opposite-sex dizygotic) with ethnically and socioeconomically diverse backgrounds at two age points, 12 months old (M = 12.5 months, SD = 1.06) and 8 years old (M = 8.41, SD = .40).There was a significant negative main effect between negative parenting and CPT. Further, positive parenting interacted with SES to predict CPT and Digit Span Forward. A significant positive effect was identified between positive parenting and CPT in low SES families, but not high SES families. Interestingly, greater positive parenting was associated with lower Digit Span Forward in high SES families, but not low SES families. These findings suggest that while negative parenting was associated with worse EF across the entire sample, the relationship between positive parenting practices and executive functioning outcomes differed based on early life socioeconomic status. Future research should examine whether various domains of executive functioning may follow different developmental patterns.

Date Created
2021-05
Agent

Genetic and Environmental Contributions to the Relation Between Parenting and Child Psychopathology

130866-Thumbnail Image.png
Description

Prior research has established a relation between parenting behaviors and symptoms of child psychopathology, and this association may be influenced by both genetic and environmental factors. Gene-environment correlation, or the influence of a child’s genes on the environment they receive,

Prior research has established a relation between parenting behaviors and symptoms of child psychopathology, and this association may be influenced by both genetic and environmental factors. Gene-environment correlation, or the influence of a child’s genes on the environment they receive, represents one possible mechanism through which genes and environment combine to influence child outcomes. This study examined evocative gene-environment correlation in the relation between parenting and symptoms of child psychopathology in a sample of 676 twins (51.5% female, 58.5% Caucasian, 23.7% Hispanic/Latinx, primarily middle class, MAge=8.43, SD=.62) recruited from Arizona birth records. Using univariate ACE twin biometric models, genetic influences were found to moderately contribute to internalizing symptoms (A=.47, C=.25, E=.28), while externalizing (A=.86, E=.14) and ADHD (A=.84, E=.16) symptoms were found to be highly heritable. The genetic influences for positive (C=.54, E=.46) and negative (C=.44, E=.56) parenting were smaller and found to be nonsignificant. The correlations between parenting and types of psychopathology were examined and bivariate Cholesky decompositions were conducted for statistically significant correlations. Negative parenting was moderately positively correlated with externalizing and ADHD symptoms; the relation between externalizing symptoms and negative parenting was found to be due to shared genetics, whereas the relation between negative parenting and ADHD symptoms was due to the shared environment. The mixed results regarding the role of gene environment correlation in relations between parenting and child psychopathology indicate that further research on the mechanisms of this relation is needed.

Date Created
2021-05
Agent