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Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition

While the negative effects of early life stress (ELS) are well-documented, non-invasive biomarkers that can be used to aid early detection of vulnerable groups and overcome some of the limitations of self-report tools are not readily available. Recently, pupillometry has been recognised as a novel,...

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Main Author: Buenk, Caitlin
Other Authors: Solms, Mark
Format: Thesis
Language:English
Published: Department of Psychology 2025
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access_status_str Open Access
author Buenk, Caitlin
author2 Solms, Mark
author_browse Buenk, Caitlin
Solms, Mark
author_facet Solms, Mark
Buenk, Caitlin
author_sort Buenk, Caitlin
collection Thesis
description While the negative effects of early life stress (ELS) are well-documented, non-invasive biomarkers that can be used to aid early detection of vulnerable groups and overcome some of the limitations of self-report tools are not readily available. Recently, pupillometry has been recognised as a novel, non-invasive approach to identify potential abnormalities in cognitive and emotional functioning linked to ELS and stress-induced alterations in the locus coeruleus-norepinephrine (LC-NE) pathway. However, to date, no studies have investigated the relationship between pupil dilation (PD) and blink rate (EBR), and ELS. In this study, we therefore explored the utility of pupillometry for distinguishing between groups of participants with histories of high versus low ELS. We investigated to what extent ELS predicts PD during cognitive processing in adulthood and the potential roles of cognitive ability, mood, and emotion regulation style in these relationships. Participants (N = 94) completed the Traumatic Antecedents Questionnaire, Emotion Regulation Questionnaire, and Beck Depression and Anxiety Inventories. PD in response to a challenging cognitive task was used as a proxy for active coping or cognitive effort. Heart rate variability served as a physiological biomarker of emotional regulation. A battery of cognitive tests were utilised to assess core domains of cognition. We hypothesised that PD responses would differ between ELS groups under the baseline and cognitive conditions and depression would be associated with a reduced EBR. Our results indicated that the high ELS group had more depressive symptoms, lower levels of dopamine, and poorer cognitive outcomes, irrespective of education and age. There was evidence to suggest that emotional disturbance may be linked to alterations in the LC-NE pathway as a more rapid decline in pupil size was observed in participants with more depressive symptoms during the memory recall task condition. However, contrary to our hypothesis, there were no anomalies in PD directly related to ELS. While self-report tools that assess mood disturbances appear to offer more predictive power, the clinical utility of pupillometry as a biomarker of the effects of ELS is still under debate due to methodological limitations.
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language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2025
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spelling oai:open.uct.ac.za:11427/40811 Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition Buenk, Caitlin Solms, Mark Psychological Research While the negative effects of early life stress (ELS) are well-documented, non-invasive biomarkers that can be used to aid early detection of vulnerable groups and overcome some of the limitations of self-report tools are not readily available. Recently, pupillometry has been recognised as a novel, non-invasive approach to identify potential abnormalities in cognitive and emotional functioning linked to ELS and stress-induced alterations in the locus coeruleus-norepinephrine (LC-NE) pathway. However, to date, no studies have investigated the relationship between pupil dilation (PD) and blink rate (EBR), and ELS. In this study, we therefore explored the utility of pupillometry for distinguishing between groups of participants with histories of high versus low ELS. We investigated to what extent ELS predicts PD during cognitive processing in adulthood and the potential roles of cognitive ability, mood, and emotion regulation style in these relationships. Participants (N = 94) completed the Traumatic Antecedents Questionnaire, Emotion Regulation Questionnaire, and Beck Depression and Anxiety Inventories. PD in response to a challenging cognitive task was used as a proxy for active coping or cognitive effort. Heart rate variability served as a physiological biomarker of emotional regulation. A battery of cognitive tests were utilised to assess core domains of cognition. We hypothesised that PD responses would differ between ELS groups under the baseline and cognitive conditions and depression would be associated with a reduced EBR. Our results indicated that the high ELS group had more depressive symptoms, lower levels of dopamine, and poorer cognitive outcomes, irrespective of education and age. There was evidence to suggest that emotional disturbance may be linked to alterations in the LC-NE pathway as a more rapid decline in pupil size was observed in participants with more depressive symptoms during the memory recall task condition. However, contrary to our hypothesis, there were no anomalies in PD directly related to ELS. While self-report tools that assess mood disturbances appear to offer more predictive power, the clinical utility of pupillometry as a biomarker of the effects of ELS is still under debate due to methodological limitations. 2025-01-17T09:38:24Z 2025-01-17T09:38:24Z 2024 2025-01-17T09:24:24Z Thesis / Dissertation Masters MA http://hdl.handle.net/11427/40811 eng application/pdf Department of Psychology Faculty of Humanities University of Cape Town
spellingShingle Psychological Research
Buenk, Caitlin
Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition
thesis_degree_str Master's
title Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition
title_full Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition
title_fullStr Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition
title_full_unstemmed Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition
title_short Exploring the utility of pupillometry as a biomarker for relationships between early life stress, emotion regulation, and cognition
title_sort exploring the utility of pupillometry as a biomarker for relationships between early life stress emotion regulation and cognition
topic Psychological Research
url http://hdl.handle.net/11427/40811
work_keys_str_mv AT buenkcaitlin exploringtheutilityofpupillometryasabiomarkerforrelationshipsbetweenearlylifestressemotionregulationandcognition