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Ecological, Biological, and Developmental Studies of Self-Regulation and Stress

Introduction

1. Experiencing 4 or more ACES dramatically increases the odds of an individual being all of the following, except:

A. A current smoker

B. In an abusive relationship

C. Obese

D. An alcoholic


2. Caregiver support, including which of the following, is believed to serve a protective or buffering role for the impact of stressors on children?

A. Warmth

B. Responsiveness

C. Scaffolding

D. All of the above


3. All of the following are occurrences of chronic stress, which may have detrimental effects on the brain and behavior, except for:

A. The body’s stress system is activated very frequently.

B. The body’s stress system is activated for a prolonged period of time.

C. The body’s stress system is activated for a short period of time in response to a temporary stimulus.

D. The body’s stress system is activated in response to persistent stimuli.


4. Stressors that may induce toxic stress responses include:

A. Physical or emotional abuse

B. Chronic neglect

C. Caregiver substance abuse or mental illness

D. Any of the above


5. Acute trauma can have chronic effects if consequences are long-lasting.

A. True

B. False


6. Chronic hyper-stimulation of the stress system has chemically toxic effects on brain regions involved with all of the following, except:

A. Emotional or affective response

B. Planning

C. The orientation of behavior toward a goal

D. Cognitive control of behavior


7. Adverse conditions that are unpredictable, or over which individuals have insufficient control to ameliorate them, may be especially toxic.

A. True

B. False


8. Stress may impact self-regulation development through the psychology of scarcity, where all of the following scarcities interfere with self-regulation because of the ‘mental bandwith’ consumed by these pressing concerns, except for:

A. Time

B. Money

C. Sleep

D. Companionship


Findings

9. All of the following have been found for rats whose mothers were exposed to stressful conditions while they were gestating (prenatal stress), except for:

A. Aggressive behavior

B. Impaired fear extinction

C. Hyperactive behavior

D. Reckless behavior


10. In rats, stress in adolescence leads to physiological and behavioral changes in adulthood that are consistent with impaired stress response and increased activity in areas of the brain that are involved in:

A. Cognition

B. Emotion

C. Behavior

D. All of the above


11. Several studies suggest that a relatively short burst of stress, if traumatic enough, can have long lasting effects on which of the following?

A. The anatomy of the brain.

B. The physiology of the brain.

C. The biochemistry of the brain.

D. All of the above.


12. Long after an original stressor is taken away, exposure to high levels of stress can do which of the following?

A. Distort one’s approach to problem-solving.

B. Interfere with their ability to successfully orient their behavior toward a goal.

C. Reduce their ability to engage with new or uncertain conditions.

D. All of the above.


13. Rodents’ exposure to nicotine in adolescence and to prolonged stress each have a negative impact on their goal-oriented behavior, but the combined effects of nicotine and stress are less harmful than the sum of the two independent effects.

A. True

B. False


14. There is evidence that stress may turn toxic for female rodents more quickly than for males.

A. True

B. False


15. Experimentally manipulating which specific brain region involved in self-regulation impacts the behavioral and biochemical effects of environmental stressors, and in turn, stress also affects the function of this same brain region?

A. The medial prefrontal cortex

B. The lateral frontopolar cortex

C. The anterior premotor cortex

D. The ventrolateral prefrontal cortex


16. The effects of different doses of stress hormones has been shown to vary based on underlying genetic differences in brain chemistry.

A. True

B. False


17. When adolescent-stress-then-standard-cage rats were compared with the control group, it was found that the brains of the adolescent-stressed rats had been rewired, that the biochemistry of their stress had been altered, and that their behavior was affected in a manner that might be viewed as homologous with which of the following in humans?

A. Anxiety

B. Depression

C. Post-traumatic stress disorder

D. Attention deficit disorder


18. Rodent studies link stress to aggression, hyperactivity, and impulsivity, which may reflect a lack of behavioral self-regulation, as well as to attention, planning, and emotional regulation.

A. True

B. False


19. The relationship between childhood stress or trauma and brain structure and functioning have been observed in older adults and in children, where such findings correlate with social problems in everyday life.

A. True

B. False


20. Relative to those whose parents report higher socioeconomic status, children of lower socioeconomic status do not demonstrate differences in volume in areas of the brain involved in social-emotional processing and cognitive control.

A. True

B. False


21. Adults who are prone to risky behavior tend to display the kind of blunted stress response that is consistent with the toxic effects of:

A. Acute stress exposure

B. Chronic stress exposure

C. Both acute and chronic stress exposure

D. Neither acute nor chronic stress exposure


22. Those with a history of maltreatment or exposure to a parent’s intimate partner violence have been observed to be less effective at all of the following, except:

A. Controlling their attention

B. Regulating their emotions

C. Fear extinction

D. Planning


23. Young adults whose parents are assessed by external observers to be more “controlling” and less “warm” have been observed to be less effective at emotion regulation.

A. True

B. False


24. Among low-income children, all of the following have been found to predict emotion regulation and delay of gratification, except for:

A. Parental warmth

B. Emotional responsiveness

C. Parental role modeling

D. Support


25. If a mother’s stress response is activated while she is with her infant, the infant’s stress system activates in parallel.

A. True

B. False


26. Which of the following were found to be true?

A. Children’s externalizing behavior was found to predict parents’ sense of competence.

B. Parents’ sense of competence was found to predict child behavior.

C. Children’s externalizing behavior did not predict parents’ sense of competence.

D. None of the above were found to be true.


27. Which of the following predict changes in child adjustment?

A. Parenting cooperation

B. Parenting agreement

C. Parenting conflict

D. All of the above


28. Poverty and neighborhood disadvantage are associated with failures in behavioral regulation, including impulsivity and risk-taking, with effects seen as early as:

A. 3 months of age

B. 6 months of age

C. 12 months of age

D. 2 years of age


29. Parent-reported food insecurity predicted all of the following, except:

A. Lower self-control.

B. Attention and task persistence as rated by teachers.

C. Interpersonal skills and disruptive behavior.

D. Food insecurity predicted all of the above.


30. It is suggested that the risk of experiencing trauma, and therefore PTSD, is higher for children than for either adolescents or adults.

A. True

B. False


31. Which of the following are associated with diagnoses of ADHD or ODD?

A. Negative life experiences.

B. Adverse neighborhood conditions such as violence.

C. Weak social support.

D. All of the above.


32. Risk of ADHD appears to be higher for girls who are maltreated compared to those who are not, whereas the opposite may be true for boys.

A. True

B. False


33. Behavioral effects of harsh parenting appear to vary by sex, with girls who experience harsh parenting at higher risk of externalizing problem behaviors and boys who experience harsh parenting at higher risk for internalizing.

A. True

B. False


34. Informal mentoring by other adults may be protective in young adults who have low parental support.

A. True

B. False


Summary and Implications

35. Self-regulation interventions should attend to chronic stressors that can add up to produce toxic effects such as living in poverty, experiencing maltreatment, or having multiple adverse childhood experiences.

A. True

B. False


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