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The impact of child maltreatment and psychopathology on neuroendocrine functioning
Abstract
Cortisol regulation was investigated in a sample of school-aged maltreated (n = 167) and demographically comparable low-income nonmaltreated (n = 204) boys and girls in the context of a day camp research program. The presence of clinical-level internalizing and clinical-level externalizing symptomatology was determined through adult report and child self report. Children who exhibited clinical-level internalizing problems only, clinical-level externalizing problems only, and comorbid clinical-level internalizing and extemalizing problems were identified. Clinical-level cases were more prevalent among the maltreated children. Maltreated children with clinical-level internalizing problems were distinguished by higher morning, afternoon, and average daily cortisol levels across the week of camp attendance. In contrast, nonmaltreated boys with clinical-level externalizing problems emerged as distinct in terms of low levels of morning and average daily levels of cortisol. Maltreated children with comorbid clinical-level internalizing and externalizing problems were more likely not to show the expected diumal decrease in cortisol. The findings are discussed in terms of the joint impact of maltreatment and different forms of psychopathology on neuroendocrine regulation.
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In the citing paper
“Differential HPA patterns have been linked to internalizing and externalizing behaviors in maltreated children (Cicchetti & Rogosch 2001).”
From Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms (2021) · cites this paper as Cicchetti & Rogosch 2001
In the citing paper
“In other words, no association between externalizing and cortisol patterns among maltreated youth has been identified (Cicchetti and Rogosch, 2001;Dozier et al, 2006).”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Cicchetti and Rogosch, 2001
In the citing paper
“the ability to respond to acute stressors by raising cortisol is important for health (40).”
From Cortisol response to stress in female youths exposed to childhood maltreatment: results of the youth mood project (2009) · cites this paper as [40]
In the citing paper
“The clinical relevance of the blunted cortisol response in this group of maltreated youth is not clear but may put them at risk for impairment in both physical and emotional health; the ability to respond to acute stressors by raising cortisol is important for health (40).”
From Cortisol response to stress in female youths exposed to childhood maltreatment: results of the youth mood project (2009) · cites this paper as [40]
In the citing paper
“Our results suggest that the blunted cortisol response is related to the exposure to maltreatment and not the presence of internalizing symptoms, an important finding in view of the evidence for the association between internalizing problems and increased basal cortisol levels among maltreated children (15,40).”
From Cortisol response to stress in female youths exposed to childhood maltreatment: results of the youth mood project (2009) · cites this paper as [40]
In the citing paper
“an important finding in view of the evidence for the association between internalizing problems and increased basal cortisol levels among maltreated children (15,40).”
From Cortisol response to stress in female youths exposed to childhood maltreatment: results of the youth mood project (2009) · cites this paper as [40]
In the citing paper
“Of note, however, in a sample of children (average age 9 years) attending a summer camp, those with a history of maltreatment and comorbid internalizing and externalizing problems of a clinical level were more likely not to show the typical diurnal decrease in cortisol compared with maltreated youth without such comorbidity (40).”
From Cortisol response to stress in female youths exposed to childhood maltreatment: results of the youth mood project (2009) · cites this paper as [40]
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Metadata
- Authors
- CICCHETTI, D., & ROGOSCH, F. A.
- Affiliations
- University of Rochester (US)
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2001-12
- Volume
- 13
- Issue
- 4
- Pages
- 783-804
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2106657507
- Cited by
- 444
- References
- 0
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 6 · 2023: 4 · 2022: 12 · 2021: 14 · 2020: 11 · 2019: 17 · 2018: 16 · 2017: 15 · 2016: 31 · 2015: 36 · 2014: 38 · 2013: 20 · 2012: 35
- FWCI
- 11.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH60766, R03MH060766)
- 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
- child abuse, cortisol, diurnal cortisol rhythm, neuroendocrine regulation, internalizing problems, externalizing problems, comorbid psychopathology, low-income children, day camps, psychopathology
- MeSH terms
- Arousal, Child, Child Abuse, Female, Humans, Hydrocortisone, Internal-External Control, Male, Personality Assessment, Reference Values, Saliva
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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