HPA-axis activation as a key moderator of childhood trauma exposure and adolescent mental health
Open accessAbstract
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.
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Childhood stress and trauma alter the HPA axis.
“Childhood stress and trauma alter the HPA axis (98) and the long-term dysregulation of the HPA axis induced by childhood stress/trauma has been associated with increased risk of adverse health outcomes.”
From Epigenetic Modifications in Stress Response Genes Associated With Childhood Trauma (2019) · cites this paper as [98]
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ДЕЯКІ ОСОБЛИВОСТІ ЗМІНИ ГІСТАМІНОВОГО СТАТУСУ У ДІТЕЙ ПІД ЧАС ВІЙНИ
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- Authors
- Kuhlman, K. R., Geiss, E. G., Vargas, I., & Lopez-Duran, N.
- Affiliations
- University of California, Los Angeles (US)
- The University of Olivet (US)
- Corresponding author
- Kuhlman, Kate R.
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2017-02-18
- Volume
- 46
- Issue
- 1
- Pages
- 149-157
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- PMC
- PMC10588887
- OpenAlex
- W2588697840
- Cited by
- 62
- References
- 50
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 3 · 2023: 8 · 2022: 10 · 2021: 9 · 2020: 6 · 2019: 3 · 2018: 1 · 2017: 1
- FWCI
- 3.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (15750)
- Blue Cross Blue Shield of Michigan Foundation (1792.SAP)
- American Psychological Foundation
- Barbara A. Oleshansky Memorial Award
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- HPA axis reactivity, childhood trauma, adolescent mental health, emotional abuse, physical abuse, internalizing problems, externalizing problems, salivary cortisol, acute stress response, stress sensitivity, psychopathology risk factors
- MeSH terms
- Psychological Trauma, Adolescent, Adolescent Behavior, Aggression, Anxiety, Behavioral Symptoms, Child, Child Abuse, Child Behavior, Depression, Female, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Male, Pituitary-Adrenal System, Saliva, Stress, Psychological
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