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Association between parental well-being and preschooler stress measured as hair cortisol concentration: A prospective
Yun-Shiang Kang1, Ling-Chu Chien1,2,3, Jian-Pei Huang4
1School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
Insights
Hair cortisol concentration (HCC) in preschoolers is linked to parental stress and mental health. Parental stress and depression increase children's HCC, while maternal well-being decreases it, highlighting family influences on early stress responses.
Area of Science:
- Endocrinology
- Developmental Psychology
- Public Health
Background:
- Hair cortisol concentration (HCC) is an established biomarker for chronic stress.
- Limited research exists on early life HCC and its determinants.
- Understanding factors influencing preschooler HCC is crucial for early intervention.
Purpose of the Study:
- To investigate the association between parental HCC and child HCC in preschoolers.
- To examine the relationship between parental mental health and child HCC.
- To explore early life stress markers in a Taiwanese cohort.
Main Methods:
- Prospective cohort study (Longitudinal Examination Across Prenatal and Postpartum Health in Taiwan - LEAPP-HIT).
- Hair samples collected from 177 families (parents and children aged 6-48 months).
- Parental mental health assessed via questionnaires; statistical analysis using multiple linear regression.
Main Results:
- Significant positive correlation found between parental and preschooler HCC.
- Maternal depression and perceived stress were positively associated with child HCC.
- Maternal eudaimonia (well-being) was negatively associated with child HCC.
Conclusions:
- Parental mental health and stress levels significantly impact children's physiological stress responses.
- Hair cortisol concentration serves as a valuable indicator of stress in early childhood.
- Early detection of stress markers in preschoolers can facilitate timely interventions.
Abstract:
Hair cortisol concentration (HCC) is a valuable biomarker for evaluating chronic stress in preschoolers. However, few studies have explored early life HCC and its associated factors. This prospective cohort study analysed the HCC in children aged 6-48 months and its associations with parental HCC as well as positive and negative parental mental health outcomes. We used data from the ongoing Longitudinal Examination Across Prenatal and Postpartum Health in Taiwan (LEAPP-HIT) project, conducted in Taipei between 2020 and 2024. Hair samples were collected from both parents and children in 177 families (91 samples obtained during pregnancy and 86 during the postpartum period). The parents also completed self-reported questionnaires. Multiple linear regression was conducted to analyse the data. We observed a significant positive correlation between parents' and preschoolers' HCC. Furthermore, maternal depression (adjusted beta coefficient [aβ] = 0.09, 95% confidence interval [CI] = 0.02, 0.16) and perceived stress (aβ = 0.15, 95% CI = 0.02, 0.26) were positively associated with preschoolers' HCC. By contrast, higher maternal eudaimonia was associated with lower HCC in preschoolers (aβ = -0.11, 95% CI = -0.20, -0.01). For parents, maternal depression, anxiety, and perceived stress were independently associated with an increased HCC during the postnatal period, whereas maternal eudaimonia was negatively associated with HCC. Our results indicate that both mothers and fathers affect children's responses to stress. Assessment of cortisol stress hormone concentrations through hair samples can be a key means of detecting preschoolers' stress levels and enabling early intervention.
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