Document Type

Article

Publication Date

4-15-2019

Publication Title

Journal of Abnormal Child Psychology

Abstract

Childhood abuse is a potent risk factor for psychopathology, including posttraumatic stress disorder (PTSD). Research has shown high resting vagal tone, a measure of parasympathetic nervous system function, protects abused youth from developing internalizing psychopathology, but potential mechanisms explaining this effect are unknown. We explored fear extinction learning as a possible mechanism underlying the protective effect of vagal tone on PTSD symptoms among abused youth. We measured resting respiratory sinus arrhythmia (RSA) and skin conductance responses (SCR) during a fear conditioning and extinction task in youth with variability in abuse exposure (N = 94; aged 6–18 years). High RSA predicted lower PTSD symptoms and enhanced extinction learning among abused youths. In a moderated-mediation model, extinction learning mediated the association of abuse with PTSD symptoms only among youth with high RSA. These findings highlight extinction learning as a possible mechanism linking high vagal tone to decreased risk for PTSD symptoms among abused youth.

Keywords

Child abuse, Fear extinction, Posttraumatic stress disorder, Respiratory sinus arrhythmia, Resting vagal tone

Volume

47

Issue

4

First Page

659

Last Page

670

DOI

10.1007/s10802-018-0464-0

ISSN

00910627

Comments

Peer reviewed accepted manuscript.

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