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Published on: July 10, 2017
Intervention effects on foster parent stress: associations with child cortisol levels
Philip A Fisher1, Mike Stoolmiller
1Oregon Social Learning Center, Eugene, OR 97401, USA. philf@oslc.org
Insights
Therapeutic interventions reduce caregiver stress in foster families, positively impacting children's hypothalamic-pituitary-adrenal (HPA) axis regulation. This study shows interventions can buffer children from the effects of caregiver stress.
Area of Science:
- Neuroendocrinology
- Developmental Psychology
- Child Welfare
Background:
- Foster children often show atypical neuroendocrine functioning, particularly blunted diurnal hypothalamic-pituitary-adrenal (HPA) axis activity.
- Caregiver stress is a significant factor influencing HPA axis regulation in foster children.
- Specific intervention components affecting HPA axis activity in foster children require further elucidation.
Purpose of the Study:
- To examine the association between diurnal cortisol activity and caregiver-reported stress in response to child problem behaviors within a randomized trial.
- To evaluate the impact of a therapeutic intervention on caregiver stress and its relationship with HPA axis activity in foster preschoolers.
Main Methods:
- A randomized trial involving foster preschoolers (intervention, comparison, and community comparison groups).
- Measurement of caregiver-reported stress and salivary cortisol levels (diurnal activity).
- Assessment of stress sensitivity to child problem behaviors over 12 months postbaseline.
Main Results:
- The therapeutic intervention led to immediate and sustained reductions in caregiver stress.
- Caregivers in the regular foster care condition reported higher stress and increased sensitivity to child problem behaviors.
- In regular foster care, higher caregiver stress correlated with lower morning cortisol and blunted diurnal cortisol activity in children.
Conclusions:
- Therapeutic interventions can effectively reduce caregiver stress in foster families.
- Interventions can mitigate the negative effects of caregiver stress on children's HPA axis regulation.
- Addressing caregiver stress is crucial for improving neuroendocrine outcomes in foster children.
Abstract:
Foster children exhibit high rates of atypical neuroendocrine functioning compared to children in the general population. In particular, alterations in the daytime diurnal activity of the hypothalamic-pituitary-adrenal (HPA) axis have been observed in foster children, often characterized by blunted salivary cortisol levels (i.e., low morning levels that remain low throughout the day). There is emerging evidence that therapeutic interventions for foster children can affect this pattern of HPA axis activity, but the specific intervention components responsible for change have not been fully explicated. Within a randomized trial to evaluate a therapeutic intervention for foster preschoolers (n = 57 intervention condition; n = 60 comparison condition; n = 60 community comparison condition), the present study examined whether diurnal cortisol activity was associated with caregiver self-reported stress in response to child problem behavior. Results showed immediate reductions in caregiver stress that were sustained through 12 months postbaseline in the intervention condition. In contrast, caregivers in the regular foster care condition showed higher rates of stress across time and increased stress sensitivity to child problem behaviors. In addition, among caregivers in regular foster care, higher self-reported stress was associated with lower morning cortisol levels and more blunted diurnal cortisol activity. These results provide evidence that interventions can simultaneously impact caregiver stress and buffer children from the negative impacts of caregiver stress on HPA axis regulation.
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