Neuroendocrine predictors of emotional and behavioral adjustment in boys: Longitudinal follow-up of a community sample

PSYCHONEUROENDOCRINOLOGY

卷:37

Article

Tyrka, Audrey R.^1,2,3  Lee, Janet K.^1,2  Graber, Julia A.⁴  Clement, Ashley M.^1,2  Kelly, Megan M.^5,6  DeRose, Laura⁷  Warren, Michelle P.⁸  Brooks-Gunn, Jeanne^8,9 

[1] Butler Hosp, Mood Disorders Res Program, Providence, RI 02906 USA

[2] Butler Hosp, Lab Clin Neurosci, Providence, RI 02906 USA

[3] Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USA

[4] Univ Florida, Dept Psychol, Gainesville, FL 32611 USA

[5] Univ Massachusetts, Sch Med, Dept Psychiat, Worcester, MA 01655 USA

[6] Edith Nourse Rogers Mem Vet Hosp, Bedford, MA USA

[7] Adelphi Univ, Derner Inst Psychol, Garden City, NY 11530 USA

[8] Columbia Univ, Coll Phys & Surg, New York, NY USA

[9] Columbia Univ, Teachers Coll, New York, NY 10027 USA

关键词: Children;    Adolescents;    Boys;    Depression;    Anxiety;    HPA axis;    Cortisol;    Stress reactivity;    Longitudinal;    Prospective;   

DOI  :  10.1016/j.psyneuen.2012.04.004

来源: Elsevier

【 摘 要 】

Background: Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis has been observed in adults and children with mood and anxiety disorders and is thought to be involved in the pathogenesis of these disorders. We recently studied a diverse community sample of boys and found associations of behavioral problems, including symptoms of depression and anxiety, with basal and stress-induced cortisol concentrations. Here we examine cortisol-emotional/behavioral associations at a two-year follow-up and test whether initial cortisol is predictive of worsening emotional/behavioral problems two years later. Method: Seventy-eight 10-14-year-old boys and their mothers completed a battery of psychosocial assessments, provided morning and afternoon saliva samples, and participated in a home visit involving mildly stressful tasks and saliva collection for cortisol assay during a two-year follow-up assessment. Results: Consistent with the findings from our time 1 assessment, greater declines in cortisol across the home-visit challenge task were significantly associated with internalizing and externalizing behaviors as well as attention problems and social problems at the two-year follow-up. In addition, morning and afternoon cortisol concentrations at the initial assessment were significant positive predictors of the later development of child depressive symptoms at follow-up after controlling for initial depressive symptoms. Conclusion: These findings demonstrate that children in the community with internalizing and externalizing behavior problems have altered patterns of HPA axis stress reactivity. In addition, our prospective findings suggest that elevated cortisol concentrations may influence the later development of emotional/behavioral problems in boys. (C) 2012 Elsevier Ltd. All rights reserved.

【 授权许可】

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