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Blunted neurobiological reactivity and attentional bias to threat underlie stress-related disorders in women survivors of intimate partner violence

Published online by Cambridge University Press:  17 May 2023

X. Goldberg*
Affiliation:
Mental Health Department, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, CIBERSAM, Sabadell, Spain ISGlobal, Barcelona, Spain
C. Espelt
Affiliation:
Mental Health Department, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, CIBERSAM, Sabadell, Spain
R. Nadal
Affiliation:
Psychobiology Unit (School of Psychology), Institut de Neurociències, Universitat Autònoma de Barcelona, CIBERSAM, Cerdanyola del Vallès, Barcelona, Spain Institut de Neurociències, Barcelona, Spain Unitat de Neurociència Traslacional, Barcelona, Spain
Y. Alon
Affiliation:
School of Psychological Sciences and Sagol Schoold of Neuroscience, Tel Aviv University, Tel Aviv, Israel
D. Palao
Affiliation:
Mental Health Department, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, CIBERSAM, Sabadell, Spain Institut de Neurociències, Barcelona, Spain Unitat de Neurociència Traslacional, Barcelona, Spain
Y. Bar-Haim
Affiliation:
School of Psychological Sciences and Sagol Schoold of Neuroscience, Tel Aviv University, Tel Aviv, Israel
A. Armario
Affiliation:
Institut de Neurociències, Barcelona, Spain Unitat de Neurociència Traslacional, Barcelona, Spain Animal Physiology Unit (School of Biosciences), Universitat Autònoma de Barcelona, CIBERSAM, Cerdanyola del Vallès, Barcelona, Spain
*
Corresponding author: X. Goldberg; Email: xlgoldberg@tauli.cat

Abstract

Background

Intimate partner violence (IPV) alters women's neurobiological stress response systems. We propose that individual differences early in the attentional processing of threats are associated with these neurobiological mechanisms and contribute to mental illness in this population.

Methods

We assessed attentional bias in relation to threat (AB) in women survivors of IPV (n = 69) and controls (n = 36), and examined overall cortisol secretion using hair cortisol (HC), and stress responsiveness measuring salivary cortisol and α-amylase (sAA) before (T0), and after (T1, T2) an acute psychosocial stress task (Trier Social Stress Test). We used repeated-measures ANCOVAs to explore the associations between Group (IPV, control) and AB with acute stress response, and regression models to examine the associations with mental health symptoms.

Results

There were no between-group differences in HC levels. An interaction between Group and AB was found regarding cortisol reactivity (p < 0.05). IPV women with threat avoidance AB showed a blunted cortisol response compared to controls and to IPV participants with threat vigilance AB. The association between sAA reactivity and the interaction between Group, AB, and time approached significance (p = 0.07), with a trend to lower sAA levels particularly in IPV women with threat avoidance AB. Group and cortisol reactivity were associated with symptoms of depression, generalized anxiety, and post-traumatic stress disorder (8–20% explained variance).

Conclusions

Threat avoidance AB is associated with blunted acute cortisol response among women exposed to chronic stress (IPV). Experiencing IPV and acute cortisol response appear to be clearly implicated in long-term mental health problems.

Type
Original Article
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press

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