Associations between cumulative family environmental stress exposures and hair cortisol concentrations among 2.5- and 5-year-olds with different social competences.

BackgroundThe transition to adolescence implicates heightened vulnerability alongside increased opportunities for resilience. Contexts of early life stress (ELS) exacerbate risk; still, little research addressed biobehavioral mediators of risk and resilience across the adolescent transition following ELS. Utilizing a unique cohort, we tested biosocial moderators of chronicity in adolescents’ internalizing disorders v. resilience.MethodFamilies exposed to chronic war-related trauma, v. controls, were followed. We utilized data from three time-points framing the adolescent transition: late childhood (N = 177, Mage = 9.3 years ± 1.41), early adolescence (N = 111, Mage = 11 0.66 years ± 1.23), and late adolescence (N = 138, Mage = 15.65 years ± 1.31). In late childhood and late adolescence children's internalizing disorders were diagnosed. At early adolescence maternal and child's hair cortisol concentrations (HCC), maternal sensitivity, and mothers’ post-traumatic symptoms evaluated.ResultsWar-exposed children exhibited more internalizing disorders of chronic trajectory and mothers were less sensitive and more symptomatic. Three pathways elucidated the continuity of psychopathology: (a) maternal sensitivity moderated the risk of chronic psychopathology, (b) maternal post-traumatic symptoms mediated continuity of risk, (c) trauma exposure moderated the association between child internalizing disorders at late childhood and maternal HCC, which linked with child HCC. Child HCC linked with maternal post-traumatic symptoms, which were associated with child disorders in late adolescence.ConclusionResults demonstrate the complex interplay of maternal and child's biosocial factors as mediators and moderators of risk chronicity across the adolescent transition following trauma. Findings are first to utilize maternal and child's HCC as biomarkers of chronic stress v. resilience during adolescence, a period of neural reorganization and personal growth that shapes the individual's lifetime adaptation.

Determinants of hair cortisol concentration in children: A systematic review

Previous research has suggested that children who are exposed to chronic stress are at greater risk for childhood obesity, however little research has examined the mechanism of this association. This study aimed to investigate the association between family and household stress during the COVID-19 pandemic and children's BMIz, and whether children's hair cortisol concentration (HCC) mediates this association. This study used baseline data from 228 children 2-6 years from the Family Stress Study, a prospective cohort study of families with children 2-6 years. Parents responded to an online survey which assessed family and household stressors including family functioning, home chaos, financial insecurity, food insecurity, parental depression, parenting stress, stressful life events, and COVID-19 stressors. A total family chronic stress index score was calculated from parents' responses on these measures. Hair samples were collected from children to assess their HCC. The Hayes PROCESS mediation macro was used to assess the total, direct, and indirect effect of the family chronic stress index on child BMIz, adjusting for household income and child ethnicity/race. We found that the family chronic stress index was associated with higher child BMIz (b = 0.815, 95% CI = 0.181-1.449), but this association was not mediated by children's HCC (b = 0.004, CI = -0.042-0.076). Future research should continue to investigate hair cortisol as a measure of chronic stress among children younger than 6 years and explore other mechanisms of how chronic stress is associated with children's weight outcomes, such as through parenting practices that influence children's eating behaviour or physical activity, or children's weight-related behaviours.

Familial associations in hair cortisol concentration: A cross-sectional analysis based on the Healthy Start study

Elevated hair cortisol concentrations in children have been linked to several stress-related conditions, including school-related demands. However, little is known about changes in hair testosterone in children. The present study investigated changes in hair cortisol and hair testosterone concentrations in the time course of four months – from summer holidays until mid of autumn of the following school year – in 60, 10–12-year-old (11.31 ± 0.63) school children (29 girls). Children’s mental health was assessed by the strengths and difficulties questionnaire (SDQ) and related to hair cortisol and hair testosterone levels. Body mass index, waist-to-height ratio, and parental education were evaluated as potential confounders. In girls, the expected increase of hair cortisol concentrations was observed during school as compared to summer holidays, partly accounted for by peer- and emotional problems and the increase of HTC. In boys, hair cortisol and testosterone concentrations were significantly higher. Hair cortisol increased only slightly, while hair testosterone decreased significantly during school. The findings suggest a reciprocal influence of the hypothalamic-pituitary-adrenal and hypothalamic-pituitary-gonadal axis, differentially affecting girls’ and boys’ hormone production in response to environmental changes.

Coral reefs are significantly threatened by multiple environmental stressors associated with climate change. While there is growing recognition of the importance of interacting stressors on coral reefs, so far this has been primarily limited to in situ studies. Satellite remote sensing has potential for investigating coral reef exposure to multiple environmental stressors at a global scale over multiple years; however, current satellite monitoring is primarily focused on thermal stress. Here we collate nine environmental variables (cloud cover, current, depth, salinity, wind, and four sea surface temperature‐based metrics) from readily available satellite datasets using the Google Earth Engine geospatial processing platform. Using ecological and health‐based thresholds obtained from the literature, we developed, using fuzzy logic (discontinuous functions), a Reef Environmental Stress Exposure Toolbox (RESET) for monitoring environmental stress exposure at multiple scales. Stress exposure scores for 3157 reefs were generated and mapped globally across 12 coral reef ecosystem regions. RESET was also applied to three case‐study reefs, previously well monitored for stress and disturbance using other methods. PCA analysis indicated that depth, current, sea surface temperature (SST) and SST anomaly accounted for the greatest contribution to the variance in environmental stress exposure in these three regions. Depth, degree heating weeks, and SST anomaly were identified as the potential drivers of inter‐ and intra‐region variation in environmental stress exposure. Individual variables were then integrated into a multi‐metric index of combined stress exposure which corroborated temporal and spatial differences due to known disturbance events. RESET provides a open access, easily interpretable set of tools and associated indices for monitoring environmental stress exposure on coral reefs, designed to inform conservation and management decisions. As such RESET has broad potential to assist in the monitoring of our increasingly imperilled coral ecosystems, in particular, those that are remote or inaccessible.

Associations between chronic stress and hair cortisol in children: A systematic review and meta-analysis

Mother and child hair cortisol during the COVID-19 pandemic: Associations among physiological stress, pandemic-related behaviors, and child emotional-behavioral health

Child biological stress and maternal caregiving style are associated with school readiness

The experiment was aimed to evaluate the usefulness of hair cortisol concentrations (HCC) in revealing the activation of the hypothalamic-pituitary-adrenal (HPA) axis due to the passage of young bulls from genetic rearing stations to artificial insemination (AI) centre and the influence of this passage on hair testosterone concentrations (HTC). Hair samples on 33 yearling bulls were collected at the time of arrival (ST1) to the AI centre and 3 more hair samples (ST2, ST3, ST4) were collected at monthly intervals. After the end of quarantine each animal was submitted to the standard procedures for collection and production of semen. Overall HCC were significantly affected by period of collection (p < .01). In particular, HCC was higher in samples obtained after finishing the quarantine period (ST2) compared with those obtained on ST1. After ST2, the HCC decreased reaching at ST4 a value similar to that recorded at ST1. An effect of sampling time on HTC was not found (p > .05). The effect of breed was observed only for HTC that was higher in PRI than BS (p < .01). The HCC group have not influenced the semen variables (p > .05). On the contrary, the effect of breed was evident. The results of this study replicated the effects of a major environmental stressor on mean cortisol concentrations assessed in hair, and add to the growing body of evidence that HCC is an effective and simply collected marker for long-term activity of the HPA system in response to persistent environmental challenge.

Successful emotion regulation facilitates children's coping with everyday stress. It develops rapidly in the early preschool period. However, no work has been done to investigate the potential buffering role of emotion regulation from cumulative physiological effects of stress. In this study, we examined hair cortisol concentration (HCC), an early marker of chronic physiological stress, socioeconomic status (SES), parental sensitivity, and emotion regulation and reactivity in a sample of 3.5-year-old children (N=86). Emotion regulation and emotional reactivity were independent of child HCC. However, emotion regulation moderated the relationship between parent and child HCC. For children with better emotion regulation, there was no association between parent and child HCC, suggesting that emotion regulation skills buffered the transgenerational effects of chronic physiological stress. Emotional reactivity moderated the relationship between SES and child HCC, and attenuated the association between parental sensitivity and child HCC. Taken together, these findings demonstrate that children who were less emotionally reactive were less susceptible to their environments. Results provide support that child emotion regulation and emotional reactivity can reduce or strengthen the relationship between established risk factors and levels of chronic physiological stress in early childhood.

Maternal psychopathology during pregnancy is associated with negative outcomes in offspring. Increased placental transfer of maternal cortisol may contribute to mediate this association. Hair cortisol concentrations (HCCs) appear to be a good biomarker of long-term prenatal stress exposure. Little is known about the associations between severe maternal psychopathology and perinatal infant HCCs. We assessed HCCs in the perinatal period in mother-infant dyads with and without severe psychiatric disorders. We examined group differences in HCCs of mother-infant dyads (n = 18) subjected to severe maternal psychiatric disorders versus healthy control dyads (n = 27). We assessed the correlation of HCCs between mother and infant within both groups, and the association between current maternal symptoms and HCCs in patient dyads. Median (interquartile range) and distribution of HCC differed in patients compared with control mothers (U = 468.5, P = 0.03). HCCs in infants of patients did not differ from control infants (U = 250.0, P = 0.67). Subsequently, we found that HCCs within healthy control dyads were correlated (n = 27, r 0.55 (0.14), P = 0.003), but were not within patient dyads (n = 18, r 0.082 (0.13), P = 0.746). HCCs in infants of patients showed a positive correlation with maternal symptoms (n = 16, r = 0.63 (0.06), P = 0.008). These preliminary findings suggest that infant HCC reflect perinatal stress exposure. In infants, these early differences could influence lifetime hypothalamic-pituitary-adrenal axis functioning, which might be associated with increased susceptibility to later disease.

Glucocorticoid replacement therapy in patients with adrenal insufficiency needs to be tailored to the individual patient based on body composition and clinical signs and symptoms as no objective method for assessment of treatment adequacy is available. Current treatment regimens are often not satisfactory, which is shown by the adverse metabolic profile and doubled mortality rates in treated adrenal insufficiency patients. Measurement of cortisol concentrations in hair reflect the long-term systemic cortisol exposure and may be of use in refinement of hydrocortisone treatment. We aimed to study whether long-term cortisol (hydrocortisone) levels, as measured in scalp hair, are similar in children with adrenal insufficiency and healthy children. We set up a case control study, measuring anthropometric characteristics and hair cortisol concentrations (HCC) in 54 hydrocortisone substituted children with adrenal insufficiency (AI patients) in the age of 4-18years and 54 healthy children matched for gender and age. Mean HCC were significantly higher in AI patients compared with healthy controls (mean 13·3 vs 8·2pg/mg, P=0·02). AI patients also had a higher BMI (P<0·001) and waist circumference (WC) (P=0·02). HCC was significantly associated with BMI (P=0·002) and WC (P=0·002). HCC explained 13% of the difference in BMI and 29% of the difference in WC between AI patients and controls. Hydrocortisone-treated AI patients have increased HCC and adverse anthropometric characteristics compared with healthy controls. HCC measurement may be of value in identifying overtreatment and thereby improve hydrocortisone replacement therapy.

Assessment of hair cortisol as a potential biomarker for possible adrenal suppression due to inhaled corticosteroid use in children with asthma: A retrospective observational study

BackgroundCharacterizing stress can inform our understanding of direct and indirect pathways impacting mental and physical health outcomes, including age‐related cognitive decline. Chronic stress has been strongly associated with increased risk for cognitive decline, and hair cortisol concentration (HCC) has emerged as a viable neuroendocrine biomarker for its quantification. Cognitive appraisal of stress (CAS) provides key insight into the cognitive framework for responding to a given stressor. We implemented a multi‐pronged approach to evaluate chronic stress and examined its relation to cognition in older adults.MethodParticipants were 22 cognitively normal individuals (x̄ MMSE = 29.33, 0.92; x̄ age: 67.3 ± 8.8 years old, 17.0 ± 2.9 years of education, 54.5% female, 92.6% Non‐Hispanic White). Participants completed the Stress and Adversity Inventory (STRAIN) assessing lifetime stressor exposure and the Primary and Secondary Cognitive Appraisal Scale (PSCAS). HCC was used as a neuroendocrine biomarker of chronic stress. A brief cognitive battery assessing episodic memory and executive functions (Digit Span, HVLT‐R, Trail Making Test, Letter Fluency) and mood/anxiety measures were completed. To correct for skewness, log‐transformed HCC values were used for Pearson and partial correlation analyses controlling for age and education.ResultLifetime stressor exposure and CAS were not significantly related to cognitive performance (all ps &gt; 0.05). There was a marginally significant association between HCC and executive functions (r = ‐0.41, p = 0.08). Total lifetime stressor count, chronicity, and severity were unrelated to symptoms of depression and anxiety (all ps &gt; 0.05). Although lifetime stressor exposure and mood were not significantly related to HCC, higher HCC was associated with higher perceived control of stress (r = 0.45, p = 0.03).ConclusionHCC may be more sensitive to CAS rather than to objective stressor exposure. This highlights the potential of interventions targeted at improving coping in those with chronic stress. Results are preliminary, and the present study will explore impact of social and structural determinants of health on chronic stressor exposure, appraisal, and cognition.