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Early deprivation and home basal cortisol levels: a study of internationally adopted children
Journal article   Open access   Peer reviewed

Early deprivation and home basal cortisol levels: a study of internationally adopted children

Darlene A Kertes, Megan R Gunnar, Nicole J Madsen and Jeffrey D Long
Development and psychopathology, Vol.20(2), pp.473-491
2008
DOI: 10.1017/S0954579408000230
PMCID: PMC5863229
PMID: 18423090
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5863229View
Open Access

Abstract

Animal studies reveal that early deprivation impairs regulation of the hypothalamic-pituitary-adrenocortical (HPA) axis, potentially increasing vulnerability to stressors throughout life. To examine early deprivation effects on basal HPA axis activity in humans, basal cortisol levels were examined in 164 internationally adopted children who had experienced varying degrees of preadoption deprivation. Duration of institutional care, age at adoption, and parent ratings of preadoption neglect indexed a latent factor of Deprived Care. Adoption measures of height and weight standardized to World Health Organisation norms indexed a latent factor of Growth Delay that was viewed as another reflection of deprivation. Cortisol samples were collected 3.3-11.6 years postadoption (Md = 7.3 years) at home on 3 days approximately 30 min after wakeup and before bedtime. Both early a.m. levels and the decrease in cortisol across the day were examined. A structural equation model revealed that preadoption Deprived Care predicted Growth Delay at adoption and Growth Delay predicted higher morning cortisol levels and a larger diurnal cortisol decrease.
Adoption - psychology Arousal - physiology Body Height - physiology Body Weight - physiology Child Child Abuse - psychology Child Behavior Disorders - blood Child Behavior Disorders - psychology Child, Preschool Circadian Rhythm - physiology Cross-Cultural Comparison Developmental Disabilities - blood Developmental Disabilities - psychology Emigrants and Immigrants - psychology Female Foster Home Care - psychology Humans Hydrocortisone - blood Internal-External Control International Agencies Likelihood Functions Longitudinal Studies Male Models, Psychological Orphanages Personality Assessment Personality Development Psychosocial Deprivation Risk Factors Social Environment Statistics as Topic

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