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Cognitive and affective control for adolescents in care versus their peers: implications for mental health.

Published version
Peer-reviewed

Repository DOI


Change log

Authors

McGuire, Rosie 
Halligan, Sarah L 
Schweizer, Susanne 
Leung, Jovita T 
Hiller, Rachel M 

Abstract

BACKGROUND: Many adolescents who have been removed from the care of their biological parent(s) and placed in State or Local Authority care have experienced significant adversity, including high rates of maltreatment and other trauma(s). As a group, these young people experience far higher rates of mental health difficulties compared to their peers. While their mental health outcomes are well-documented, little is known about mechanisms that may drive this. One potential mechanism, linked to both trauma and adversity exposure and mental health, is affective control (the application of cognitive control in affective contexts). METHODS: We compared cognitive and affective control in 71 adolescents (65% girls) in care aged 11-18 (M = 14.82, SD = 2.10) and 71 age and gender-matched peers aged 11-19 years (M = 14.75, SD = 1.95). We measured cognitive and affective control using standard experimental tasks, and for those in care, we also examined associations with self-reported emotion regulation, mental health, and school well-being. RESULTS: After controlling for IQ, there was a significant group difference in affective control performance, with those in care on average performing worse across all tasks. However, further analyses showed this was driven by deficits in overall cognitive control ability, and was not specific to, or worsened by, affective stimuli. Further, we found no evidence that either cognitive or affective control was associated with emotion regulation abilities or the mental health and well-being of young people in care. CONCLUSIONS: Results suggest that cognitive and affective control may not underlie mental health for young people in care, though limitations should be considered. We discuss implications for theory and intervention development, and avenues for further research. TRIAL REGISTRATION: https://doi.org/10.17605/OSF.IO/QJVDA.

Description

Acknowledgements: The authors wish to sincerely thank all of the staff at the participating social care sites for their enthusiasm and commitment to this project. Most importantly, we wish to thank the young people who volunteered their time to take part.

Keywords

Affective control, Care-experience, Emotion regulation, Mental health, Post-traumatic stress

Journal Title

Child Adolesc Psychiatry Ment Health

Conference Name

Journal ISSN

1753-2000
1753-2000

Volume Title

17

Publisher

Springer Science and Business Media LLC
Sponsorship
Economic and Social Research Council (ES/P000630/1)