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Prevention Science

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18.04.2020

The Physiological Regulation of Emotion During Social Interactions: Vagal Flexibility Moderates the Effects of a Military Parenting Intervention on Father Involvement in a Randomized Trial

verfasst von: Na Zhang, John Hoch, Abigail H. Gewirtz

Erschienen in: Prevention Science | Ausgabe 5/2020

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Abstract

To make prevention programs more effective and understand “what works for whom,” evidence regarding what individual characteristics predict intervention responsiveness is needed. Previous studies have evaluated a military parent training program known as After Deployment Adaptive Parenting Tools/ADAPT, yet less is understood about the program’s varying effects for fathers. We tested the physiological regulation of emotion during social interactions as a moderator predicting fathers’ responsiveness in a randomized trial of ADAPT, in which emotion regulation was operationally measured through vagal flexibility (VF; dynamic changes in cardiac vagal tone). Families with a child aged between 4 and 13 years for whom physiological data were gathered (n = 145) were randomly assigned to ADAPT (14-week face-to-face group intervention) or a control group (services as usual). Fathers in these families were National Guard/Reserve members who had been deployed to war in Iraq and/or Afghanistan and recently returned. Prior to the intervention, cardiac data was collected in-home throughout a set of family interaction tasks and VF was operationalized as the changes in high frequency (HF) power of heart rate variability (HRV) from a reading task to a problem-solving task. Parenting behaviors were observed and coded based on theory-driven indicators pre-intervention and at 1-year follow-up. Results of structural equation modeling showed that VF significantly moderated fathers’ intervention responsiveness, such that fathers with higher vs. lower VF exhibited more effective parenting at 1-year follow-up if they were randomized into ADAPT vs. the control group. This study is the first to demonstrate that parasympathetic vagal functioning may be a biomarker to predict response to a military parenting intervention to enhance parenting in combat deployed fathers. The implications for precision-based prevention are discussed.

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Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The Alcohol Use Disorders Identification Test (AUDIT): Guidelines for use in primary care. World Health Organization: Department of Mental Health and Substance Dependence.

Bagner, D. M., Graziano, P. A., Jaccard, J., Sheinkopf, S. J., Vohr, B. R., & Lester, B. M. (2012). An initial investigation of baseline respiratory sinus arrhythmia as a moderator of treatment outcome for young children born premature with externalizing behavior problems. Behavior Therapy. https://doi.org/10.1016/j.beth.2011.12.002.

Balzarotti, S., Biassoni, F., Colombo, B., & Ciceri, M. R. (2017). Cardiac vagal control as a marker of emotion regulation in healthy adults: A review. Biological Psychology. https://doi.org/10.1016/j.biopsycho.2017.10.008.

Biglan, A. (2004). Contextualism and the development of effective prevention practices. Prevention Science. https://doi.org/10.1023/B:PREV.0000013977.07261.5a.

Brockman, C., Snyder, J., Gewirtz, A. H., Gird, S. R., Quattlebaum, J., Schmidt, N., et al. (2016). Relationship of service members’ deployment trauma, PTSD symptoms, and experiential avoidance to postdeployment family reengagement. Journal of Family Psychology. https://doi.org/10.1037/fam0000152.

Butler, E. A., Wilhelm, F. H., & Gross, J. J. (2006). Respiratory sinus arrhythmia, emotion, and emotion regulation during social interaction. Psychophysiology. https://doi.org/10.1111/j.1469-8986.2006.00467.x.

Card, N. A., Bosch, L., Casper, D. M., Wiggs, C. B., Hawkins, S. A., Schlomer, G. L., & Borden, L. M. (2011). A meta-analytic review of internalizing, externalizing, and academic adjustment among children of deployed military service members. Journal of Family Psychology. https://doi.org/10.1037/a0024395.

Chalmers, J. A., Quintana, D. S., Abbott, M. J., & Kemp, A. H. (2014). Anxiety disorders are associated with reduced heart rate variability: A meta-analysis. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2014.00080.

Chesmore, A. A., Piehler, T. F., & Gewirtz, A. H. (2018). PTSD as a moderator of a parenting intervention for military families. Journal of Family Psychology. https://doi.org/10.1037/fam0000366.

Connell, A., Dawson, G., Danzo, S., & Mckillop, H. (2017). The psychophysiology of parenting: Individual differences in autonomic reactivity to positive and negative mood inductions and observed parental affect during dyadic interactions with children. Journal of Family Psychology. https://doi.org/10.1037/fam0000278.

Crandall, A., Deater-Deckard, K., & Riley, A. W. (2015). Maternal emotion and cognitive control capacities and parenting: A conceptual framework. Developmental Review. https://doi.org/10.1016/j.dr.2015.01.004.

Cuthbert, B. N., & Insel, T. R. (2013). Toward the future of psychiatric diagnosis: The seven pillars of RDoC. BMC Medicine. https://doi.org/10.1186/1741-7015-11-126.

Department of Defense. (2016). 2016 demographics: Profile of the military community. Retrieved from http://download.militaryonesource.mil/12038/MOS/Reports/2016-Demographics-Report.pdf.

Fishbein, D., & Dariotis, J. (2017). Personalizing and optimizing preventive intervention models via a translational neuroscience framework. Prevention Science. https://doi.org/10.1007/s11121-017-0851-8.

Flake, E. M., Davis, B. E., Johnson, P. L., & Middleton, L. S. (2009). The psychosocial effects of deployment on military children. Journal of Developmental and Behavioral Pediatrics. https://doi.org/10.1097/DBP.0b013e3181aac6e4.

Forgatch, M. S., & Gewirtz, A. H. (2017). The evolution of the Oregon Model of Parent Management Training: An intervention for antisocial behavior in children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence based psychotherapies for children and adolescents (pp. 85–102). New York: Guilford Press.

Forgatch, M. S., Knutson, N., & Mayne, T. (1992). Coder impressions of ODS lab tasks. Eugene: Oregon Social Learning Center.

Friard, O., Gamba, M., & Fitzjohn, R. (2016). BORIS: A free, versatile open-source event-logging software for video/audio coding and live observations. Methods in Ecology and Evolution. https://doi.org/10.1111/2041-210x.12584.

Gardner, F., Hutchings, J., Bywater, T., & Whitaker, C. (2010). Who benefits and how does it work? Moderators and mediators of outcome in an effectiveness trial of a parenting intervention. Journal of Clinical Child & Adolescent Psychology. https://doi.org/10.1080/15374416.2010.486315.

Gewirtz, A. H., DeGarmo, D. S., & Zamir, O. (2018). After deployment, adaptive parenting tools: 1-year outcomes of an evidence-based parenting program for military families following deployment. Prevention Science. https://doi.org/10.1007/s11121-017-0839-4.

Glenn, A. L., Lochman, J. E., Dishion, T., Powell, N. P., Boxmeyer, C., Kassing, F., ... & Romero, D. (2018). Toward tailored interventions: Sympathetic and parasympathetic functioning predicts responses to an intervention for conduct problems delivered in two formats. Prevention Science, DOI https://doi.org/10.1007/s11121-017-0859-0.

Gorman, G. H., Eide, M., & Hisle-Gorman, E. (2010). Wartime military deployment and increased pediatric mental and behavioral health complaints. Pediatrics. https://doi.org/10.1542/peds.2009-2856.

Hastings, P. D., Sullivan, C., McShane, K. E., Coplan, R. J., Utendale, W. T., & Vyncke, J. D. (2008). Parental socialization, vagal regulation, and preschoolers’ anxious difficulties: Direct mothers and moderated fathers. Child Development, 79, 45–64. https://doi.org/10.1111/j.1467-8624.2007.01110.x.CrossRefPubMed

Hoge, C. W., et al. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine. https://doi.org/10.1056/NEJMoa040603.

Insel, T. R. (2014). The NIMH research domain criteria (RDoC) project: Precision medicine for psychiatry. American Journal of Psychiatry. https://doi.org/10.1176/appi.ajp.2014.14020138.

Krygier, J. R., Heathers, J. A., Shahrestani, S., Abbott, M., Gross, J. J., & Kemp, A. H. (2013). Mindfulness meditation, well-being, and heart rate variability: A preliminary investigation into the impact of intensive Vipassana meditation. International Journal of Psychophysiology. https://doi.org/10.1016/j.ijpsycho.2013.06.017.

Lester, P., Peterson, K., Reeves, J., Knauss, L., Glover, D., Mogil, C., et al. (2010). The long war and parental combat deployment: Effects on military children and at-home spouses. Journal of the American Academy of Child and Adolescent Psychiatry. https://doi.org/10.1016/j.jaac.2010.01.003.

Martínez, C. A. G., Quintana, A. O., Vila, X. A., Touriño, M. J. L., Rodríguez-Liñares, L., Presedo, J. M. R., & Penín, A. J. M. (2017). Heart rate variability analysis with the R package RHRV. DOI https://doi.org/10.1007/978-3-319-65355-6.

McDonald, R. P., & Ho, M. H. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods. https://doi.org/10.1037/1082-989X.7.1.64.

Millegan, J., Engel, C., Liu, X., & Dinneen, M. (2013). Parental Iraq/Afghanistan deployment and child psychiatric hospitalization in the US military. General Hospital Psychiatry. https://doi.org/10.1016/j.genhosppsych.2013.04.015.

Mills-Koonce, W. R., Propper, C., Gariepy, J. L., Barnett, M., Moore, G. A., Calkins, S., & Cox, M. J. (2009). Psychophysiological correlates of parenting behavior in mothers of young children. Developmental Psychobiology. https://doi.org/10.1002/dev.20400.

Minassian, A., Geyer, M. A., Baker, D. G., Nievergelt, C. M., O'Connor, D. T., Risbrough, V. B., & Marine Resiliency Study, T. (2014). Heart rate variability characteristics in a large group of active-duty marines and relationship to posttraumatic stress. Psychosomatic Medicine. https://doi.org/10.1097/PSY.0000000000000056.

Muhtadie, L., Koslov, K., Akinola, M., & Mendes, W. B. (2015). Vagal flexibility: A physiological predictor of social sensitivity. Journal of Personality and Social Psychology. https://doi.org/10.1037/pspp0000016.

Muthén, L. K., & Muthén, B. O. (1998 –2017). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén.

Patterson, G. R. (1982). Coercive family process (Vol. 3). Castalia Publishing Company.

Porges, S. W. (2007). The polyvagal perspective. Biological Psychology. https://doi.org/10.1016/j.biopsycho.2006.06.009.

Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication and self-regulation. New York: W. W. Norton & Company.

Pyne, J. M., Constans, J. I., Wiederhold, M. D., Gibson, D. P., Kimbrell, T., Kramer, T. L., … McCune, T. R. (2016). Heart rate variability: Pre-deployment predictor of post-deployment PTSD symptoms. Biological Psychology, https://doi.org/10.1016/j.biopsycho.2016.10.008.

Quintana, D. S., Heathers, J. A., & Kemp, A. H. (2012). On the validity of using the polar RS800 heart rate monitor for heart rate variability research. European Journal of Applied Physiology. https://doi.org/10.1007/s00421-012-2453-2.

R Core Team. (2020). R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.Rproject.org

Rottenberg, J. (2007). Cardiac vagal control in depression: A critical analysis. Biological Psychology 74(2):200–211

Rottenberg, J., Salomon, K., Gross, J. J., & Gotlib, I. H. (2005). Vagal withdrawal to a sad film predicts subsequent recovery from depression. Psychophysiology. https://doi.org/10.1111/j.1469-8986.2005.00289.x.

Rottenberg, J., Clift, A., Bolden, S., & Salomon, K. (2007). RSA fluctuation in major depressive disorder. Psychophysiology. https://doi.org/10.1111/j.1469-8986.2007.00509.x.

Sandler, I. N., Schoenfelder, E. N., Wolchik, S. A., & MacKinnon, D. P. (2011). Long-term impact of prevention programs to promote effective parenting: Lasting effects but uncertain processes. Annual Review of Psychology. https://doi.org/10.1146/annurev.psych.121208.131619.

Shahrestani, S., Stewart, E. M., Quintana, D. S., Hickie, I. B., & Guastella, A. J. (2015). Heart rate variability during adolescent and adult social interactions: A meta-analysis. Biological Psychology. https://doi.org/10.1016/j.biopsycho.2014.12.012.

Supplee, L. H., Parekh, J., & Johnson, M. (2018). Principles of precision prevention science for improving recruitment and retention of participants. Prevention Science 19(5):689–694.

Tan, G., Dao, T. K., Farmer, L., Sutherland, R. J., & Gevirtz, R. (2011). Heart rate variability (HRV) and posttraumatic stress disorder (PTSD): A pilot study. Applied Psychophysiology and Biofeedback. https://doi.org/10.1007/s10484-010-9141-y.

Tarvainen, M. P., Niskanen, J.-P., Lipponen, J. A., Ranta-aho, P. O., & Karjalainen, P. A. (2014). Kubios HRV – heart rate variability analysis software. Computer Methods and Programs in Biomedicine. https://doi.org/10.1016/j.cmpb.2013.07.024.

Wadsworth, S. M., Bailey, K. M., & Coppola, E. C. (2017). U.S. military children and the wartime deployments of family members. Child Development Perspectives. https://doi.org/10.1111/cdep.12210.

Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.

Zhang, N., Hoch, J., Gewirtz, A., Barnes, A., & Snyder, J. (2020). Are psychological and physiological flexibility both associated with male veterans’ parenting?: Testing a moderation effect. Manuscript under review.

Titel: The Physiological Regulation of Emotion During Social Interactions: Vagal Flexibility Moderates the Effects of a Military Parenting Intervention on Father Involvement in a Randomized Trial
verfasst von: Na Zhang
John Hoch
Abigail H. Gewirtz
Publikationsdatum: 18.04.2020
Verlag: Springer US
Erschienen in: Prevention Science / Ausgabe 5/2020
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-020-01122-6

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

The Physiological Regulation of Emotion During Social Interactions: Vagal Flexibility Moderates the Effects of a Military Parenting Intervention on Father Involvement in a Randomized Trial

Abstract

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

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