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Decreased Amygdala Reactivity to Parent Cues Protects Against Anxiety Following Early Adversity: An Examination Across 3 Years

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Abstract

Background

The human brain remains highly plastic for a protracted developmental period. Thus, although early caregiving adversities that alter amygdala development can result in enduring emotion regulation difficulties, these trajectories should respond to subsequent enriched caregiving. Exposure to high-quality parenting can regulate (i.e., decrease) children’s amygdala reactivity, a process that, over the long term, is hypothesized to enhance emotion regulation. We tested the hypothesis that even following adversity, the parent–child relationship would be associated with decreases in amygdala reactivity to parent cues, which would in turn predict lower future anxiety.

Methods

Participants were 102 children (6–10 years of age) and adolescents (11–17 years of age), for whom data were collected at one or two time points and who either had experienced institutional care before adoption (n = 45) or had lived always with their biological parents (comparison; n = 57). We examined how amygdala reactivity to visual cues of the parent at time 1 predicted longitudinal change (from time 1 to time 2) in parent-reported child anxiety across 3 years.

Results

At time 1, on average, amygdala reactivity decrements to parent cues were not seen in children who had received institutional care but were seen in children in the comparison group. However, some children who previously experienced institutional care did show decreased amygdala reactivity to parent cues (∼40%), which was associated with greater child-reported feelings of security with their parent. Amygdala decreases at time 1 were followed by steeper anxiety reductions from time 1 to time 2 (i.e., 3 years).

Conclusions

These data provide a neurobiological mechanism by which the parent–child relationship can increase resilience, even in children at significant risk for anxiety symptoms.

Section snippets

Participants

fMRI data were collected from 109 youths. The final sample that provided usable data were 102 participants (mean 10.25 years of age, range 5–16 years of age) (see Supplemental Table S1 and Supplemental Figure 1 for demographics and exclusion criteria). Age was grouped into children versus adolescents because there was no expectation of linear age-related changes in amygdala response to parent cues, and our previous publication showed that typically raised children, but not adolescents, showed

Response in Right Anatomical Amygdala Region of Interest (Parent–Stranger Contrast)

There was a significant caregiving group × age group interaction, F1,93 = 5.63, p = .020, η2p = .06 (Figure 2; see Supplemental Figure S2 for the effect broken down into parent and stranger contrasts). Post hoc t tests showed that children in the PI group did not exhibit decreased amygdala reactivity to pictures of the parent, t22 = 0.61, p = .726, and Bayesian analyses (one-sided, one-sample t test) in JASP (44) indicated that the data from the children in the PI group were 6.82 times more

Discussion

We tested three hypotheses generated from the neuroenvironmental loop model (17). First, we tested whether, on average, early caregiver deprivation would reduce the likelihood of children’s right amygdala showing decreased reactivity to parental stimuli. Second, we examined within the PI group whether more secure parent–child relationships (characterized by higher child-reported feelings of security in the attachment relationship) were associated with amygdala reactivity decreases to parent

Acknowledgments and Disclosures

This research was supported by National Institute of Mental Health (Grant No. R01MH091864 [to NT] and Grant No. 1K99MH113821 [to BLC]), the Dana Foundation (to NT), the National Science Foundation (Conference Grant No. BCS-1439258 [to NT and coinvestigators Megan Gunnar, Regina Sullivan, Mar Sanchez, and Camelia Hostinar]), the National Health and Medical Research Council (Early Career Fellowship No. 1091571 [to BLC]), the American Australian Association (to BLC), and the Brain Behavior

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