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.

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