Early deprivation and home basal cortisol levels: a study of internationally adopted children

Darlene A Kertes1, Megan R Gunnar, Nicole J Madsen

  • 1Institute of Child Development, 51 East River Road, University of Minnesota, Minneapolis, MN 55455, USA.

Insights

Early childhood deprivation in adopted children was linked to growth delays and altered cortisol patterns. These findings highlight the long-term impact of early adversity on stress system regulation.

Area of Science:

  • Endocrinology
  • Developmental Psychology
  • Human Biology

Background:

  • Early life stress and deprivation can disrupt the hypothalamic-pituitary-adrenocortical (HPA) axis.
  • Animal studies suggest long-term consequences of impaired HPA axis regulation, increasing stress vulnerability.

Purpose of the Study:

  • To investigate the effects of pre-adoption deprivation on basal HPA axis activity in humans.
  • To examine the relationship between early deprivation, growth, and cortisol levels in internationally adopted children.

Main Methods:

  • Studied 164 internationally adopted children with varying pre-adoption deprivation.
  • Assessed deprivation through institutional care duration, age at adoption, and neglect ratings (Deprived Care factor).
  • Measured growth (height, weight) and cortisol levels (morning and diurnal) years post-adoption.

Main Results:

  • Preadoption deprivation significantly predicted growth delays.
  • Growth delays were associated with higher morning cortisol levels.
  • Growth delays also predicted a larger decrease in cortisol throughout the day.

Conclusions:

  • Early deprivation, reflected in growth delays, impacts basal HPA axis activity in humans.
  • These findings suggest lasting effects of early adversity on the human stress response system.
  • Growth and cortisol patterns may serve as indicators of long-term HPA axis dysregulation due to early deprivation.

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