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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.
Abstract:
Animal studies reveal that early deprivation impairs regulation of the hypothalamic-pituitary-adrenocortical (HPA) axis, potentially increasing vulnerability to stressors throughout life. To examine early deprivation effects on basal HPA axis activity in humans, basal cortisol levels were examined in 164 internationally adopted children who had experienced varying degrees of preadoption deprivation. Duration of institutional care, age at adoption, and parent ratings of preadoption neglect indexed a latent factor of Deprived Care. Adoption measures of height and weight standardized to World Health Organisation norms indexed a latent factor of Growth Delay that was viewed as another reflection of deprivation. Cortisol samples were collected 3.3-11.6 years postadoption (Md = 7.3 years) at home on 3 days approximately 30 min after wakeup and before bedtime. Both early a.m. levels and the decrease in cortisol across the day were examined. A structural equation model revealed that preadoption Deprived Care predicted Growth Delay at adoption and Growth Delay predicted higher morning cortisol levels and a larger diurnal cortisol decrease.
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