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Child's stress hormone levels correlate with mother's socioeconomic status and depressive state
Abstract
Background Individuals with lower socioeconomic status report greater exposure to stressful life events and a greater impact of these events on their lives than individuals with higher socioeconomic status, and this relationship between socioeconomic status and health begins at the earliest stages of life. To extend on these results, we performed a psychoneuroendocrine study of 217 children and 139 mothers.Methods Salivary cortisol levels and cognitive function were assessed in children, and a semistructured phone interview measuring symptoms of stress and depression was conducted with their mothers.Results Children with low socioeconomic status present significantly higher salivary cortisol levels than children with high socioeconomic status, and this socioeconomic status effect emerges as early as age 6. We also report that a child's cortisol level is significantly correlated with his or her mother's extent of depressive symptomatology.Conclusions These results offer a neurobiological determinant to the well-known association between socioeconomic status and health that begins early in life.
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“A study of school children in Quebec varying in age from 6 to 10 years shows that children of low SES have significantly higher salivary cortisol levels than those with high SES, with the largest differences becoming apparent at about age 10 (39).”
From Cortisol response to stress in female youths exposed to childhood maltreatment: results of the youth mood project (2009) · cites this paper as [39]
In the citing paper
“Indeed, a large body of evidence documents SES gradients for nearly all major peripheral biological parameters, including those reflecting HPA axis regulation, 60,62,66,70,72,[81][82][83][84][85] SNS activity, 60,71,72,81,83,85 heart rate variability (an index of autonomic balance), 60,[86][87][88] resting blood pressure, 61,66,69,83,89- and reaction to challenge (see Ref. 93 for review), lipids/m”
From Socio‐economic differentials in peripheral biology: Cumulative allostatic load (2010) · cites this paper as [62]
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“Although the correlations between low SES and poor health outcomes are familiar, neither the causal connection nor the mechanisms that produce these connections are fully understood.”
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“This effect of SES on basal cortisol secretion is established very early in life, since elevated morning cortisol concentrations are seen in low SES children as young as six years old (Lupien et al. 2000).”
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“It is important to emphasize that while some of the literature discusses primarily extreme situations, such as abuse or abandonment, other literature discusses stressors that a significant number of children are exposed to, including low socioeconomic status (Lupien et al., 2000), stress due to maternal depression (e.”
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“…that typically regulates glucocorticoid production, such that chronically elevated glucocorticoid levels may predispose individuals toward exhibiting a heightened stress response to future adversity (e.g., Dobrova-Krol et al., 2008; Gunnar et al., 2001; Lupien et al., 2000; Tarullo & Gunnar, 2006).”
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“The increased incidences of diseases and disorders associated with low SES has been hypothesized to arise from higher levels of stress associated with such environments resulting in a chronic elevation of cortisol (Munck et al., 1984; Lupien et al., 2000; Lupien et al., 2001; Cohen et al., 2006).”
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“Data supporting this latter relationship come from a later study which examined a group of 6–16 year olds and found morning cortisol levels to be significantly higher in children with low SES but only for those children aged up to 10 years, a finding which appears linked to the mothers’ level of depressive symptoms (L…”
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BackgroundCortisol and Socioeconomic Status in Early Childhood: A Multidimensional Assessment
Tarullo, A., Tuladhar, C. T., Kao, K., Drury, E., & Meyer, J. S. (2020) · Development and Psychopathology · doi:10.1017/s0954579420001315 · Cited by 52
D’Angiulli, A., Weinberg, J., Oberlander, T. F., GRUNAU, R. E., Hertzman, C., & Maggi, S. (2012) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2012.00306 · Cited by 61
“Following this preliminary ERP analysis, the different electrodes were aggregated (i.e., EEG signal was collapsed over electrodes by averaging) to reflect coarsely the main subdivision of the attentional networks (Posner and Rothbart, 2007).”
BackgroundAcculturation, childhood trauma and the cortisol awakening response in Mexican–American adults
Mangold, D. L., Wand, G. S., Javors, M. A., & Mintz, J. (2010) · Hormones and Behavior · doi:10.1016/j.yhbeh.2010.06.010 · Cited by 64
“Moreover, the effects of socioeconomic parameters on cortisol secretion and the CAR generally indicate an inverse relationship (Lupien et al., 2000, 2001; Rosmond and Bjorntorp, 2000; Kapuku et al., 2002; Bennett et al., 2004; Kunz-Ebrecht et al., 2004; Wright and Steptoe, 2005).”
BackgroundMcClure, H. H., Martínez, C. R., Snodgrass, J. J., Eddy, J. M., Jiménez, R. A., Isiordia, L. E., & McDade, T. W. (2010) · Journal of Biosocial Science · doi:10.1017/s0021932010000039 · Cited by 61
“Latino immigrants’ contact with dominant society may also bring its share of discriminatory experiences (Finch & Vega, 2003; Pérez et al., 2008), the physical health effects of which are just beginning to be investigated.”
BackgroundIs high socioeconomic status a risk factor for multiple sclerosis? A systematic review
Goulden, R., Ibrahim, T., & Wolfson, C. M. (2014) · European Journal of Neurology · doi:10.1111/ene.12586 · Cited by 60
The effects of SES on infant and maternal diurnal salivary cortisol output
Clearfield, M. W., Carter-Rodriguez, A. M., Merali, A.-R., & Shober, R. N. (2014) · Infant Behavior and Development · doi:10.1016/j.infbeh.2014.04.008 · Cited by 60
McLachlan, K., Rasmussen, C., Oberlander, T. F., Loock, C., Pei, J. R., Andrew, G., Reynolds, J. N., & Weinberg, J. (2016) · Alcohol · doi:10.1016/j.alcohol.2016.03.003 · Cited by 62
Blunted cortisol stress reactivity in low–income children relates to lower memory function
Raffington, L., Prindle, J., Keresztes, A., Binder, J., Heim, C. C., & Shing, Y. L. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.02.002 · Cited by 59
Social Stratification, Health, and Violence in the Very Young
BOYCE, W. T. (2004) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1330.003 · Cited by 59
Peripartum cortisol levels and mother‐infant interactions in Japanese macaques
Bardi, M., Shimizu, K., Barrett, G. M., Borgognini‐Tarli, S. M., & Huffman, M. A. (2003) · American Journal of Physical Anthropology · doi:10.1002/ajpa.10150 · Cited by 57
Prenatal Cocaine Exposure Related to Cortisol Stress Reactivity in 11-Year-Old Children
Lester, B. M., LaGasse, L. L., Shankaran, S., Bada, H. S., Bauer, C. R., Lin, R., Das, A., & Higgins, R. D. (2010) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2010.02.039 · Cited by 56
Role of the Bed Nucleus of the Stria Terminalis in PTSD: Insights From Preclinical Models
Miles, O. W., & Maren, S. (2019) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2019.00068 · Cited by 59
“Data from human women who were pregnant on September 11, 2001 and in/near the World Trade Center who developed PTSD show lower cortisol (Lupien et al., 2000) levels than women who did not develop PTSD (Yehuda et al.”
BackgroundInteractions of lifetime lead exposure and stress: Behavioral, neurochemical and HPA axis effects
Rossi‐George, A., Virgolini, M. B., Weston, D., Thiruchelvam, M. J., & Cory‐Slechta, D. A. (2010) · NeuroToxicology · doi:10.1016/j.neuro.2010.09.004 · Cited by 55
“…sustained elevation of glucocorticoids have been postulated to account for the increased incidence of many diseases and disorders found in low socioeconomic status (SES) communities (Flaherty et al., 2009; Lupien et al., 2001, 2000; Munck et al., 1984; Cohen et al., 2006; Pallares et al., 2007).”
BackgroundCortisol function among early school-aged homeless children
Cutuli, J. J., Wiik, K. L., Herbers, J. E., Gunnar, M. R., & Masten, A. S. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.11.008 · Cited by 58
Sheridan, M. A., How, J., Araujo, M., Schamberg, M. A., & Nelson, C. A. (2013) · Developmental Science · doi:10.1111/desc.12087 · Cited by 57
Perceived stress is associated with smaller hippocampal volume in adolescence
Piccolo, L. D. R., Noble, K. G., & for the Pediatric Imaging, N. (2017) · Psychophysiology · doi:10.1111/psyp.13025 · Cited by 61
“…2016; Evans, 2004), and are more likely to exhibit dysregulation of physiological and neuroendocrine mechanisms responsible for stress response modulation (Evans & Kim, 2007; Hair, Hanson, Wolfe, & Pollak, 2015; Lupien et al., 2000, 2001, 2016; Sripada, Swain, Evans, Welsh, & Liberzon, 2014).”
BackgroundSéguin, L., Xu, Q., Gauvin, L. I., Zunzunegui, M. V., Potvin, L., & Frohlich, K. L. (2004) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2004.020438 · Cited by 53
Maldonado, E., Fernandez, F. J., Trianes, M. V., Wesnes, K. A., Petrini, O., Zangara, A., Engüix, A., & Ambrosetti, L. (2008) · The Spanish Journal of Psychology · doi:10.1017/s1138741600004066 · Cited by 55
“For instance, Evans & English (2002) employed 12-h overnight (8 PM8 AM) urine samples for cortisol determination while Lupien et al. (2000; 2001) and Flinn & England (1997) examined levels of morning salivary cortisol without strict reference to awakening and its circadian pattern.”
MethodSaliva Cortisol and Response to Dexamethasone in Children of Depressed Parents
Young, E. A., Vázquez, D. M., Jiang, H., & Pfeffer, C. R. (2006) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.03.077 · Cited by 53
Määttä, S., Lehto, R., Nislin, M. A., Ray, C., Erkkola, M., Sajaniemi, N. K., & Roos, E. (2015) · BMC Public Health · doi:10.1186/s12889-015-1744-z · Cited by 59
“Combining alpha-amylase measurement (from the same saliva samples), an indicator of sympathetic-adrenal-medullary axis functioning, with the cortisol measurement provides a more complete picture of stress regulation [27].”
BackgroundThe impact of COVID ‐19 lockdown on children's and adolescents' mental health in Greece
Magklara, K., Lazaratou, H., Barbouni, A., Poulas, K. A., & Farsalinos, K. E. (2022) · Children & Society · doi:10.1111/chso.12605 · Cited by 53
“While unemployed parents tend to spend more time with their offspring, this may have a negative impact on children, since unemployment correlates with parental stress and mental health problems, which are, in turn, associated with child stress (Lupien et al., 2000).”
BackgroundExogenous glucocorticoids and adverse cerebral effects in children
Damsted, S. K., Born, A. P., Paulson, O. B., & Uldall, P. (2011) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2011.05.002 · Cited by 51
Séguin, L., Nikièma, B., Gauvin, L. I., Zunzunegui, M. V., & Xu, Q. (2007) · PEDIATRICS · doi:10.1542/peds.2006-1750 · Cited by 51
Hagan, M. J., Roubinov, D. S., Adler, N. E., Boyce, W. T., & Bush, N. R. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000379 · Cited by 48
“Prior studies of poverty exposure and physical health in childhood have focused on the role of proinflammatory processes (51), elevated HPA-axis activity (52), and blood pressure responses to stress (25).”
BackgroundUngar, M. T., Theron, L. C., & Höltge, J. (2023) · Development and Psychopathology · doi:10.1017/s0954579423000469 · Cited by 71
“Environmental stressors like socioeconomic status (Li et al., 2007; Lupien et al., 2000) influence cortisol secretion patterns.”
BackgroundKao, K., Doan, S. N., John, A. M. S., Meyer, J. S., & Tarullo, A. R. (2017) · Stress · doi:10.1080/10253890.2017.1391210 · Cited by 50
Poverty and Single Parenting: Relations with Preschoolers' Cortisol and Effortful Control
Zalewski, M., Lengua, L. J., Fisher, P. A., Trancik, A., Bush, N. R., & Meltzoff, A. N. (2012) · Infant and Child Development · doi:10.1002/icd.1759 · Cited by 54
Kelly, S., Young, R., Sweeting, H. N., Fischer, J. E., & West, P. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.06.010 · Cited by 49
Nuru‐Jeter, A., Sarsour, K., Jutte, D. P., & Boyce, W. T. (2010) · Issues in Comprehensive Pediatric Nursing · doi:10.3109/01460861003663953 · Cited by 49
Negative Rainfall Shocks Increase Levels of the Stress Hormone Cortisol Among Poor Farmers in KenyaPreprint
Chemin, M., de Laat, J., & Haushofer, J. (2013) · SSRN Electronic Journal · doi:10.2139/ssrn.2294171 · Cited by 49
“…studies find significant correlations between socio-economic status (SES), self-reported stress, and the stress hormone cortisol (Cohen et al. 2006a; 2006b; Evans and Kim 2007; Evans and English 2002; Li et al. 2007; Lupien et al. 2000; Arnetz et al. 1991; see Dowd et al. 2009 for a review).”
Metadata
- Authors
- Lupien, S. J., King, S., Meaney, M. J., & McEwen, B. S.
- Affiliations
- Douglas Mental Health University Institute (CA)
- Rockefeller University (US)
- Corresponding author
- Lupien, Sonia J
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-11
- Volume
- 48
- Issue
- 10
- Pages
- 976-980
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2047909845
- Cited by
- 532
- References
- 46
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 10 · 2023: 8 · 2022: 18 · 2021: 22 · 2020: 16 · 2019: 17 · 2018: 20 · 2017: 26 · 2016: 27 · 2015: 32 · 2014: 33 · 2013: 24 · 2012: 41
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- socioeconomic status, salivary cortisol, childhood stress, maternal depression, depressive symptoms, psychoneuroendocrinology, cognitive function, early childhood, stress hormones
- MeSH terms
- Age Factors, Canada, Child, Depressive Disorder, Female, Hormones, Humans, Hydrocortisone, Male, Saliva, Social Class, Stress, Psychological
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