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Altered neuroendocrine activity in maltreated children related to symptoms of depression

Published online by Cambridge University Press:  04 March 2009

Jordan Hart
Affiliation:
Institute of Child Development, University of Minnesota
Megan Gunnar*
Affiliation:
Institute of Child Development, University of Minnesota
Dante Cicchetti
Affiliation:
Mt. Hope Family Center, University of Rochester
*
Megan Gunnar, Institute of Child Development, 51 East River Road, University of Minnesota, Minneapolis, MN 55455.

Abstract

This study examined the effects of stressful environments on physiological and affective functioning among 131 maltreated school-aged children attending a summer day camp. Sixty-six nonmaltreated children also attending the camp served as a comparison group. Salivary Cortisol measures were obtained daily at 10:00 a.m. and at 4:00 p.m. Depression was measured using the Child Depression Inventory. Children with scores of 19 or higher were classified as depressed. Internalizing and externalizing behavior problems were determined from the Teacher Report Form of the Child Behavior Checklist. Children with t scores of 70 or higher were classified as having clinical levels of these problems. Maltreated children had slightly elevated afternoon Cortisol concentrations, but their morning concentrations did not differ significantly from those of nonmaltreated children. Neither clinical levels of depression, internalizing, or externalizing problems were predictive of the elevated afternoon values. Depression among maltreated children was, however, associated with altered activity of the hypothalamic-pituitary-adrenocortical (HPA) axis. Depressed maltreated children had lower morning Cortisol concentrations compared to nondepressed maltreated children and were more likely to show a rise rather than the expected decrease in Cortisol from morning to afternoon. These data replicated earlier findings. There was no evidence that depressed, nonmaltreated children exhibited this change in diurnal Cortisol activity.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

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References

Aber, J. L., Allen, J. P., Carlson, V., & Cicchetti, D. (1989). The effects of maltreatment on development during early childhood: Recent studies and their theoretical, clinical, and policy implications. In Cicchetti, D. & Carlson, V. (Eds.), Child maltreatment: Theory and research on the causes and consequences of child abuse and neglect (pp. 579619). New York: Cambridge University Press.CrossRefGoogle Scholar
Achenbach, T. M., & Edelbrock, C. (1991). Manual for the Teachers Report Form and teacher version of the Child Behavior Profile. Burlington: University of Vermont, Department of Psychiatry.Google Scholar
Allen, D. M., & Tarnowski, K. J. (1989). Depressive characteristics of physically abused children. Journal of Abnormal Child Psychology, 17, 111.CrossRefGoogle ScholarPubMed
Bertalanffy, L. von. (1968). General systems theory: Foundations, development, applications. New York: Braziller.Google Scholar
Carlson, M., Dragomir, C., Earls, F., Farrell, M., Macovei, O., Nystrom, P., & Sparling, J. (in press). Effects of social deprivation on Cortisol regulation in institutionalized Romanian infants. Society of Neuroscience Abstracts.Google Scholar
Chambers, W., Puig-Antich, J., Hirsch, M., Paez, P., Ambrosini, P., Tabrizi, M., & Dares, M. (1985). The assessment of affective disorders in children and adolescents by semistructured interview. Archives of General Psychiatry, 11, 3155.Google Scholar
Chrousos, G. P., & Gold, P. W. (1992). The concepts of stress and stress system disorders: Overview of physical and behavioral homeostasis. Journal of the American Medical Association, 267, 12441252.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Barnett, D. (1991). Toward the development of a scientific nosology of child maltreatment. In Grove, W. & Cicchetti, D. (Eds.), Thinking clearly about psychology: Essays in honor of Paul E. Meehl: Vol. 2. Personality and psychopathology (pp. 346377). Minneapolis: University of Minnesota Press.Google Scholar
Cicchetti, D., & Lynch, M. (1995). Failures in the expectable environment and their impact on individual development: The case of child maltreatment. In Cicchetti, D. & Cohen, D. (Eds.), Developmental psychopathology: Vol. 2. Risk, disorder, and adaptation (pp. 369420). New York: Wiley.Google Scholar
Cicchetti, D., & Manly, J. T. (1990). A personal perspective on conducting research with maltreating families: Problems and solutions. In Brody, G. & Sigel, I. (Eds.), Methods of family research: Vol. 2. Families at risk (pp. 87133). Hillsdale, NJ: Erlbaum.Google Scholar
Cicchetti, D., & Rizley, R. (1981). Developmental perspectives on the etiology, intergenerational transmission and sequelae of child maltreatment. New Directions for Child Development, 11, 3259.Google Scholar
Cicchetti, D., Rogosch, F., Lynch, M., & Holt, K. (1993). Resilience in maltreated children: Processes leading to adaptive outcome, Development and Psychopathology, 5, 629647.Google Scholar
Cicchetti, D., & Toth, S. L. (1995). A developmental perspective on child abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 541565.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Tucker, D. (1994). Development and self-rcgulatory structures of the mind. Development and Psychopathology, 6, 533549.CrossRefGoogle Scholar
Dahl, R. E., Kaufman, J., Ryan, N. D., Perel, J., Al-Shabbout, M., Birmaher, B., Nelson, B., & Puig-Antich, J. (1992). The dexamethasone suppression test in children and adolescents: A review and controlled study. Biological Psychiatry, 32, 109126.Google Scholar
DeBellis, M. D., Chrousos, G. P., Dorn, L. D., Burke, L., Helmers, K., Kling, M. A., Trickett, P., & Putnam, F. W. (1994). Adrenal axis dysregulation in sexually abused girls. Journal of Clinical Endocrinology and Metabolism, 78, 249255.Google Scholar
DeKloet, E. R. (1991). Brain corticosteroid receptor and balance homeostatic control. Frontiers in Neu-roendocrinology, 12, 95164.Google Scholar
Famularo, R., Kinscherff, R., & Fenton, T. (1992). Psychiatric diagnoses of maltreated children: Preliminary findings. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 863867.CrossRefGoogle ScholarPubMed
Gold, P. W., Goodwin, F. K., & Chrousos, G. P. (1988). Clinical and biochemical manifestations of depression: Relation to the neurobiology of stress. New England Journal of Medicine, 314, 348353.CrossRefGoogle Scholar
Halbreich, V., Asnis, G. M., Shindledecker, R., Zumoff, B., & Nathan, R. S. (1985). Cortisol secretion in endogenous depression II: Time related functions. Archives of General Psychiatry, 42, 909915.CrossRefGoogle ScholarPubMed
Hart, J., Gunnar, M., & Cicchetti, D. (1995). Salivary Cortisol in maltreated children: Evidence of relations between neuroendocrine activity and social competence. Development and Psychopathology, 7, 1126.Google Scholar
Herrenkohl, R. C., & Herrenkohl, E. C. (1981). Some antecedents and developmental consequences of child maltreatment. In Rizley, R. & Cicchetti, D. (Eds.), Developmental perspectives on child maltreatment (pp. 5776). San Francisco: Jossey-Bass.Google Scholar
Jaffe, P., Wolfe, D., Wilson, S., & Zak, L. (1986). Similarities in behavioral and social adjustment among child victims and witnesses to family violence. American Journal of Orthopsychiatry, 56, 142146.CrossRefGoogle ScholarPubMed
Kathol, R. G., Jaeckle, R. S., Lopez, J. F., & Meller, W. H. (1989). Pathophysiology of HPA axis abnormalities in patients with major depression: An update. American Journal of Psychiatry, 146, 311317.Google ScholarPubMed
Kaufman, J. (1991). Depressive disorders in maltreated children. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 257265.Google Scholar
Kaufman, J., Brent, D., Birmaher, B., Dahl, R., Perel, J., Ryan, N., Puig-Antich, J., & Williamson, D. (1993, 02). Measures of family adversity, clinical symptomatology, and Cortisol secretion in a sample of preadolescent, depressed children. Paper presented at the Annual Meeting of the American Academy of Child and Adolescent Psychiatry, Santa Fe NM.Google Scholar
Kazdin, A. E., Moser, J., Colbus, D., & Bell, R. (1985). Depressive symptoms among physically abused and psychiatrically disturbed children. Journal of Abnormal Psychology, 94, 298307.CrossRefGoogle ScholarPubMed
Kendall-Tackctt, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse in children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164180.Google Scholar
Kirschbaum, C., & Hellhammer, D. H. (1989). Salivary Cortisol in psychobiological research: An overview. Neuropsychobiology, 22, 150169.CrossRefGoogle ScholarPubMed
Kiser, L. J., Heston, J., Millsap, P. A., & Pruitt, D. B. (1991). Physical and sexual abuse in childhood: Relationships with post-traumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 776783.Google Scholar
Kovacs, M. (1992). Children's Depression Inventory Manual. Toronto: Multi-Health Systems.Google Scholar
Manly, J. T., Cicchetti, D., & Barnett, D. (1994). The impact of subtype, frequency, chronicity, and severity of child maltreatment on social competence and behavior problems. Development and Psycho-pathology, 6, 121143.Google Scholar
Mason, J. W., Giller, E. L., Kosten, T. R., & Yehuda, R. (1990). Psychoendocrine approaches to the diagnosis and pathogenesis of Posttraumatic Stress Disorder. In Giller, E. L. (Ed.), Biological assessment and treatment of posttraumatic stress disorder (pp. 6586). Washington, DC: American Psychiatric Press.Google Scholar
Meaney, M. J., Aitken, D. H., Viau, V., Sharma, S., & Sarieau, A. (1989). Neonatal handling alters adrenocortical negative feedback sensitivity and hippocampal Type II glucocorticoid binding in the rat. Neuroendocrinology, 50, 597604.CrossRefGoogle ScholarPubMed
McEwen, B. S., Angulo, J., Cameron, H., Chao, H. M., Daniels, D., Gannon, M. N., Gould, E., Mendelson, S., Sakai, R., Spencer, R., & Woolley, C. (1992). Paradoxical effects of adrenal steroids on the brain: Protection versus degeneration. Biological Psychiatry, 31, 177199.CrossRefGoogle ScholarPubMed
Mueller, N., & Silverman, N. (1989). Peer relations in maltreated children. In Cicchetti, D. & Carlson, V. (Eds.), Child maltreatment: Theory and research on the causes and consequences of child abuse and neglect (pp. 529578). New York: Cambridge University Press.CrossRefGoogle Scholar
Munck, A., Guyre, P. M., & Holbrook, N. J. (1984). Physiological functions of glucocorticoids in stress and their relation to pharmacological actions. Endocrine Reviews, 5, 2544.CrossRefGoogle ScholarPubMed
Perry, B. D., Southwick, S. M., Yehuda, R., & Giller, E. L. (1990). Adrenergic receptor regulation in posttraumatic stress disorder. In Giller, E. L. (Ed.), Biological assessment and treatment of posttraumatic stress disorder (pp. 87114). Washington, DC: American Psychiatric Press.Google Scholar
Putnam, F. W., Trickett, P. K., Hclmers, K., Dorn, L., & Everett, B. (1991). Cortisol abnormalities in sexually abused girls. Proceedings of the 144th Annual Meeting of the American Psychiatric Association, 107.Google Scholar
Quay, H. (1993). The psychobiology of undersocialized aggressive conduct disorder: A theoretical perspective. Development and Psychopathology, 5 (1&2). 165180.Google Scholar
Rogosch, F., Cicchetti, D., & Aber, J. L. (in press). The role of child maltreatment in early deviations in cognition and affective processing abilities and later peer relationship problems. Development and Psychopathology, 7.CrossRefGoogle Scholar
Sapolsky, R. M., Krey, L. C., & McEwen, B. S. (1984). Stress downregulates corticosterone receptors in a site-specific manner in the brain. Endocrinology, 114, 287292.Google Scholar
Sapolsky, R. M., Krey, L. C., & McEwen, B. S. (1985). Prolonged glucocorticoid exposure reduces hippocampal neuron number: Implications for aging. Journal of Neuroscience, 5, 12211226.CrossRefGoogle ScholarPubMed
Schulkin, J., McEwen, B. S., & Gold, P. S. (1994). Allostasis, amygdala, and anticipatory angst. Neuroscience and Behavioral Review, 18(3), 385396.CrossRefGoogle ScholarPubMed
Shields, A., Cicchetti, D., & Ryan, R. (1994). The development of emotional and behavioral self regulation and social competence among maltreated school-age children. Development and Psycho-pathology, 6, 5775.CrossRefGoogle ScholarPubMed
Smith, M. A., Davidson, J., Ritchie, J. C., Kudler, H., Upper, S., Chappel, P., & Ncmeroff, C. B. (1989). The corticotropin releasing hormone test in patients with post-traumatic stress disorder. Biological Psychiatry, 26, 349355.Google Scholar
Sternberg, K. J., Lamb, M. E., Greenbaum, C., Cicchetti, D., Dawud, S., Cortes, R. M., Krispin, O., & Lorey, F. (1993). Effects of domestic violence on children's behavior problems and depression. Developmental Psychology, 29(1), 4452.CrossRefGoogle Scholar
Toth, S. L., Manly, J. T., & Cicchetti, D. (1982). Child maltreatment and vulnerability to depression. Development and Psychopathology, 4, 97112.Google Scholar
Waddington, C. H. (1957). The strategy of genes. London: Allen and Unwin.Google Scholar
Wolff, C. T., Friedman, S. B., Hofer, M. A., & Mason, J. W. (1964). Relationship between psychological defenses and mean urinary 17-OHCS excretion rates: A predictive study of parents of fatally ill children. Psychosomatic Medicine, 26, 576591.Google Scholar
Wolkowitz, O. M., Reus, V. I., Weingartner, H., Thompson, K., Breier, A., Doran, A., Rubinow, D., & Pickar, P. (1990). Cognitive effects of corticosteroids. American Journal of Psychiatry, 147, 12971303.Google Scholar
Yehuda, R., Giller, E. L., Southwick, S. M., Lowy, M. T., & Mason, J. W. (1991). Hypothalamic-pituitary-adrenal dysfunction in posttraumatic stress disorder. Biological Psychiatry, 30, 10311048.CrossRefGoogle ScholarPubMed
Yehuda, R., Southwick, S. M., Perry, B. D., Mason, J. W., & Giller, E. L. (1990). Interactions of the hypothalamic-pituitary-adrenal axis and the cate-cholaminergic system in posttraumatic stress disorder. In Giller, E. L. (Ed.), Biological assessment and treatment of posttraumatic stress disorder (pp. 115134). Washington, DC: American Psychiatric Press.Google Scholar