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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]
Citations
Cited by
Sorted by citations
Role of genotype in the cycle of violence in maltreated children
Caspi, A., McClay, J., Moffitt, T. E., Mill, J., Martin, J., Craig, I. W., Taylor, A., & Poulton, R. (2002) · Science · doi:10.1126/science.1072290 · Cited by 4,842
Miller, G. E., Chen, E., & Zhou, E. S. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.1.25 · Cited by 2,467
Adverse childhood experiences, allostasis, allostatic load and age-related disease
Danese, A., & McEwen, B. S. (2012) · Physiology & Behavior · doi:10.1016/j.physbeh.2011.08.019 · Cited by 2,140
“Maltreated children with significant emotional problems showed higher morning, afternoon, and average daily cortisol levels across 1 week [79].”
BackgroundThe neurobiology of stress and development.
Gunnar, M., & Quevedo, K. (2007) · Annual Review of Psychology · doi:10.1146/annurev.psych.58.110405.085605 · Cited by 2,011
Temperament and developmental psychopathology
Nigg, J. T. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01612.x · Cited by 971
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
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