Daily parent-adolescent cortisol associations: Unpacking the direction of effects

Empathic stress in the family: Does diurnal cortisol covariation between adolescents and their parents influence adolescent empathic stress in the laboratory?

Empathic stress is the reproduction of psychological and physiological stress activation in an observer of a directly stressed target individual. It likely allows us to allocate the energy necessary to jointly alleviate a stressor at hand. The tendency to show such an empathic or "second-hand" stress response depends on the relationship between target and observer. Here, we investigated whether adolescents' empathic stress responses to their parents' acute stress experience were associated with the diurnal cortisol covariation the parent-adolescent dyad shared in everyday life. Fathers and mothers (N = 77) were confronted with a standardized laboratory stressor, the Trier Social Stress Test, while their adolescent children (13-16 years old) were watching. In the laboratory, parents and their adolescent children simultaneously provided multiple samples of salivary cortisol. On the weekend following the testing session, dyads provided diurnal cortisol samples over two days. These were used to gain a measure of the dyads' adrenocortical physiological attunement in everyday life. We found that the degree to which dyads covaried in their diurnal cortisol activity significantly increased adolescents' tendency for empathic stress responding in the laboratory. The amount of time that dyads spent together over the weekend, adolescents' attachment experiences, dyad type (father-daughter, mother-daughter, father-son, mother-son), and adolescents' puberty status did not significantly alter this relationship. Adolescent attachment avoidance, however, was negatively correlated with both adolescents' cortisol stress reactivity in the laboratory and the degree to which they covaried with their parents' diurnal cortisol release. We conclude that diurnal cortisol covariation between parents and adolescents is positively associated with stress resonance in the laboratory.

Youth daily stressors predict their parents' wellbeing

The experiences of family members are intertwined and the stressors of one family member may crossover to affect the wellbeing of others in the family as well. Prior studies have established that the stress experienced by one marital spouse can affect the wellbeing of their spouse and that parent stress can affect their children's wellbeing. This study used daily diary data from 318 parent-youth dyads (Mean age parent = 41.34, adolescent = 13.18) to examine whether youth daily stressors (i.e., interpersonal conflicts and demands), were associated with parent wellbeing and cortisol levels. Parents report more negative affect, more physical symptoms (i.e., headaches/fatigue/stomach problems), and exhibit higher bedtime cortisol levels on days when youth experience stressors. These effects were consistent across different types of youth stressors, including parent, family, and non-family stressors. Youth stress may have important implications for parent wellbeing.

Adolescent borderline personality traits and dyadic behavior shape mother-adolescent cortisol synchrony

BACKGROUND

Associations between parent and child cortisol levels ("cortisol synchrony") are often reported and positive synchrony may mark dyadic regulation on a physiological level. Although dyadic behavior during interaction and adolescent borderline personality disorder (BPD) traits are linked with individual and dyadic regulatory capacities, little is known about how both factors influence parent-adolescent cortisol synchrony. We hypothesized that cortisol synchrony would differ depending on behavioral synchrony, i.e., smooth reciprocal dyadic interaction patterns, adolescent BPD traits, and their interactions.

METHODS

Multilevel state-trait modeling was implemented to investigate associations between concurrent mother-adolescent state cortisol and mother-adolescent average cortisol levels in a community sample of 76 mother-adolescent dyads. Three saliva samples were collected across interaction paradigms. Behavioral synchrony was observed, and adolescent BPD traits were evaluated using clinical interviews.

RESULTS

First, behavioral synchrony and absence of BPD traits were linked with positive associations between adolescent and maternal state cortisol (positive synchrony), BPD traits with negative associations (negative synchrony). When interaction effects were examined, results were more nuanced. In low-risk dyads (higher behavioral synchrony, no BPD traits) asynchrony was found. When risk (BPD traits) and resource (higher behavioral synchrony) were combined, synchrony was positive. Lastly, in high-risk dyads (lower behavioral synchrony, adolescent BPD traits), negative synchrony was observed. Average adolescent and maternal cortisol levels were consistently positively associated in dyads with higher risk.

CONCLUSIONS

Positive dyadic interaction patterns are associated with positive state cortisol synchrony in mother-adolescent dyads and could buffer the effect of BPD traits, possibly supporting the process of physiological regulation.

Adolescent effects on mothers’ bedtime cortisol: Cognitive interference as a mediating mechanism

Prior studies have shown that parent and adolescent cortisol are associated across days and that this covariation may be adolescent-driven. This study extends this literature by (a) testing whether parents' cognitive interference (i.e., distracting and ruminative thoughts potentially due to worry) mediates the linkages between adolescent and next-day parent cortisol and (b) whether these linkages were moderated by parent gender or warmth. Daily diary data, including bedtime cortisol, were collected on two samples of employees and their adolescent-aged children (N = 318 dyads, M_{youth age}  = 13.18 years, 74% mothers). We tested mediation with autoregressive cross-lagged models. Moderated mediation by parent gender was found in our bedtime cortisol models. Higher adolescent bedtime cortisol levels were associated with higher next-day levels of mothers' cognitive interference. In turn, higher levels of mothers' cognitive interference were linked to higher mothers' same-day bedtime cortisol levels. These linkages were not significant for fathers. Cognitive interference did not mediate the associations between child and parent area under the curve or cortisol awakening response. No moderation was evident for parental warmth. Results suggest that mothers' cognitions play a key role in the transmission of elevated bedtime cortisol levels from adolescents to their mothers.

The School-Ladder Effect: Subjective Socioeconomic Status and Diurnal Cortisol Profile Among Adolescents

OBJECTIVE

Subjective socioeconomic status (SES) is a well-established psychosocial determinant of adolescents' self-report health. However, whether low subjective SES is associated with stress-related physiological risks (e.g., dysregulations in the hypothalamic-pituitary-adrenal axis activity) remains uncertain. This study examined the impact of subjective SES with different reference groups (i.e., perception of family SES relative to other students in the school versus other people in the city) on adolescents' diurnal cortisol profiles.

METHODS

A sample of 255 adolescents (aged 11-14 years; 53.7% boys) completed a battery of psychological scales, including school-referenced subjective SES and city-referenced subjective SES. Diurnal cortisol was assessed by collecting saliva samples four times a day across two consecutive days. Four cortisol parameters (cortisol at awakening, cortisol awakening response [CAR], cortisol slope, and total cortisol secretion [area under the curve with respect to ground {AUCg}]) were derived.

RESULTS

Higher levels of school-referenced subjective SES were associated with higher cortisol levels at awakening (β = 0.0483, standard error [SE] = 0.0219, p = .028), steeper cortisol slopes (β = -0.0036, SE = 0.0017, p = .034), and higher cortisol AUCg (b = 0.50, SE = 0.24, p = .036), but not with CAR (p = .77), after adjusting for covariates. In contrast, city-referenced subjective SES was not associated with any of the cortisol parameters (cortisol at awakening [p = .90], CAR [p = .74], cortisol slope [p = .84], and cortisol AUCg [p = .68]).

CONCLUSIONS

Our findings highlight the importance of the reference group for subjective SES and provide a further understanding of socioeconomic disparities in adolescents' stress physiology.

Political context is associated with everyday cortisol synchrony in older couples

Prior research with predominantly younger to middle-aged samples has demonstrated that couples' cortisol levels covary throughout the day (cortisol synchrony). Not much is known about cortisol synchrony in old age, and its potential broader societal correlates. The current study investigates associations between the socio-political context and cortisol synchrony as observed in older couples' daily lives. 160 older German couples (M_age = 72 years, range: 56-89) provided salivary cortisol samples 7 times daily for a 7-day period. Socio-political context was quantified using state-specific voting data from the 2017 German federal election along the left-right political spectrum. Multilevel models controlling for diurnal cortisol rhythm, food intake, sex, age, body mass index, education, and individual-level political orientation revealed evidence for synchrony in partners' cortisol fluctuations (b = 0.03, p < .001). The extent of cortisol synchrony was moderated by left-right political context, such that older couples living in a federal state placed further right exhibited greater cortisol synchrony than couples living in a federal state placed further left (b = 0.01, p = .015). Findings point to the importance of considering the socio-political context of health-relevant biopsychosocial dynamics in old age. Future research needs to investigate mechanisms underlying such associations, including how politics shape opportunities and motivation for interdependencies that promote better or worse health.