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Published on: December 18, 2013
Salivary cortisol reactivity in preschoolers is associated with hair cortisol and behavioral problems
Katie Kao1, Stacey N Doan2, Ashley M St John1
1a Department of Psychological and Brain Sciences , Boston University , Boston , MA , USA.
Insights
Children's acute cortisol reactivity to stress is linked to higher cumulative cortisol exposure and increased externalizing behaviors. This suggests cortisol reactivity may impact long-term health and development.
Area of Science:
- Child Psychology
- Endocrinology
- Neuroscience
Background:
- The relationship between acute cortisol responses and long-term cortisol exposure in children is unclear.
- Understanding cortisol reactivity in early childhood is crucial for identifying mechanisms of chronic stress and behavioral issues.
Purpose of the Study:
- To investigate the association between salivary cortisol reactivity to challenges and hair cortisol concentration (HCC) in preschool children.
- To examine how these stress biomarkers relate to internalizing and externalizing behaviors.
Main Methods:
- Assessed salivary cortisol reactivity in response to challenging tasks in 65 preschool-aged children.
- Measured hair cortisol concentration (HCC) as a biomarker for cumulative cortisol exposure.
- Correlated stress biomarkers with parent-reported internalizing and externalizing problems.
Main Results:
- Salivary cortisol reactivity was positively associated with higher HCC.
- Increased salivary cortisol reactivity correlated with more externalizing behaviors.
- Child HCC was positively correlated with parent HCC.
Conclusions:
- Salivary cortisol reactivity contributes to cumulative cortisol exposure in children, potentially increasing biological risk for future health problems.
- The link between externalizing behaviors and salivary cortisol reactivity suggests a concordance between behavioral and physiological stress responses.
- Early childhood cortisol reactivity plays a role in cumulative cortisol exposure and behavioral development, influencing long-term physical and mental health outcomes.
Abstract:
The interplay between children's cortisol reactivity to challenge and cumulative cortisol exposure is not well understood. Examining the role of cortisol reactivity in early childhood may elucidate biological mechanisms that contribute to children's chronic physiological stress and behavioral dysregulation. In a sample of 65 preschool-aged children, we examined the relation between children's salivary cortisol reactivity to challenging tasks and their hair cortisol concentration (HCC). While both are biomarkers of the hypothalamic-pituitary-adrenal (HPA) axis, salivary cortisol reactivity reflects an acute cortisol response to a stressor and HCC reflects cumulative cortisol exposure. In addition, we examined the relations of these stress biomarkers with internalizing and externalizing problems. Salivary cortisol reactivity was associated with higher HCC and with increased externalizing behaviors. Child HCC also was positively correlated with parent HCC. Results highlight the contributions of salivary cortisol reactivity to children's cumulative cortisol exposure, which may add to their biological risk for health problems later. The observed association between externalizing problems and salivary cortisol reactivity indicates concordances between dysregulated behavioral reactions and dysregulated cortisol responses to challenges. The finding that salivary cortisol reactivity to challenge in early childhood plays a role in children's cumulative cortisol exposure and behavioral development suggests pathways through which cortisol reactivity may influence long-term physical and mental health.
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