학술논문

HPA-Axis Activation as a Key Moderator of Childhood Trauma Exposure and Adolescent Mental Health.
Document Type
journal article
Source
Journal of Abnormal Child Psychology; Jan2018, Vol. 46 Issue 1, p149-157, 9p, 2 Charts, 1 Graph
Subject
Individual differences
Child psychology
Aggression (Psychology)
Anxiety
Child Behavior Checklist
Child abuse
Child behavior
Mental depression
Behavior disorders
Hypothalamic-pituitary-adrenal axis
Mental health of teenagers
Children's injuries
Mental health
Pathological psychology
Endocrine glands
Hydrocortisone
Hypothalamus
Research funding
Saliva
Psychological stress
Teenagers' conduct of life
Language
ISSN
00910627
Abstract
Individual differences in a child's sensitivity to stress may influence whether youth exposed to trauma develop symptoms of psychopathology. We examined the interaction between HPA-axis reactivity to an acute stressor and exposure to different types of childhood trauma as predictors of mental health symptoms in a sample of youth. Youth (n = 121, ages 9-16; 47% female) completed a standardized stress task, including 5 post-stress salivary cortisol samples. Parents also completed the Child Behavior Checklist as a measure of child internalizing and externalizing symptoms in the past month, and completed the Early Trauma Inventory (ETI) as a measure of their child's trauma exposure. More emotional abuse and non-intentional trauma were associated with greater internalizing symptoms. Youth exposed to physical abuse who demonstrated slower HPA-axis reactivity had elevated internalizing and externalizing symptoms. Youth exposed to emotional abuse or non-intentional traumatic events who demonstrated faster HPA-axis reactivity had elevated internalizing and externalizing symptoms. Profiles of exaggerated or attenuated HPA-axis reactivity to acute stress may be risk factors for psychopathology in children facing different stressful social environments. [ABSTRACT FROM AUTHOR]