Cardiovascular and neuroendocrine activity in preschool children: comparison between day-care and home levels

Associations Among Academic Achievement, Attention, and Adrenocortical Reactivity in Caribbean Village Children

This study examined associations among academic achievement problems, attention problems, and cortisol levels in 86 children (ages 5 to 12) in St. Vincent, the West Indies. Findings revealed that morning cortisol levels were more elevated at school than at home. Attention problems contributed negatively to academic scores. Children with the most attention problems showed greater school relative to home cortisol elevations than did other children. Once the variance due to attention problems was accounted for, the interaction between attention problems and cortisol elevation explained additional variance in academic scores. There was some evidence that attention problems and cortisol reactivity were associated. Furthermore, greater cortisol reactivity was correlated with the academic difficulties of children who exhibited more attention problems.

Child care setting affects salivary cortisol and antibody secretion in young children

Elevated afternoon levels of cortisol have been found repeatedly in children during child care. However, it is unclear whether these elevations have any consequences. Because physiologic stress systems and the immune system are functionally linked, we examined the relationship between salivary cortisol concentration and antibody secretion across the day at home and in child care, and their relationships with parent-reported illnesses. Salivary antibody provides a critical line of defense against pathogens entering via the mouth, but little is known about its diurnal rhythm in young children or the effect of different environmental contexts. Saliva samples were taken at approximately 10:30 a.m., 3:30 p.m. and 8:00 p.m. on two child care and two home days in a sample of 65 3-5-year-old children attending very high quality, full time child care centers. Results indicated that (1) a rising cortisol profile at child care, driven by higher afternoon levels, predicted lower antibody levels on the subsequent weekend, (2) higher cortisol on weekend days was related to greater parent-reported illness, and (3) a declining daily pattern in sIgA was evident on weekend and child care days for older preschoolers, but only on weekend days for younger preschoolers. The results suggest that elevated cortisol in children during child care may be related to both lowered antibody levels and greater illness frequency.

Diurnal cortisol secretion at home and in child care: a prospective study of 2-year-old toddlers

BACKGROUND

Previous studies indicate that children may experience disrupted cortisol secretion in child care. The extent to which this is a transient or long-term disruption is not known, as most studies have relied on cross-sectional designs, and age-heterogeneous small sample sizes. This study aims to (a) compare cortisol secretion measured at home and in child care at 2 and 3 years of age, (b) investigate cortisol changes from 2 to 3 years of age, (c) examine whether age at initiation of child care is associated with cortisol secretion, and (d) investigate whether cortisol secretion in child care is linked to behavioural problems.

METHODS

Saliva samples were collected in a cohort of children recruited at 2 years of age from a larger population sample composed of women seen for the first time during pregnancy. Saliva was sampled twice a day (morning and afternoon) over two consecutive days at home and in child care at 2 (n = 155) and 3 years of age (n = 116). Interviews regarding the familial socioeconomic background and child care history were conducted with the mothers.

RESULTS

At 2 years of age, children showed a flat diurnal cortisol pattern in child care and a decreasing pattern at home. At age 3 years, children showed decreasing patterns both at home and in child care. Also at 3 years, children with less child care experience (i.e., entry after 16 months) had higher cortisol levels in child care and lower levels at home. In contrast, those with more experience (i.e., entry prior to 8 months) had lower cortisol in child care and higher cortisol at home.

CONCLUSION

The different patterns of diurnal secretion observed in child care as compared to home is transient for most children, diminishing as they get older, whereas home and child care overall levels later on may be influenced by the cumulated experience with child care.

Cortisol response to inoculation in 4-year-old children

This study examined whether there was a cortisol response to inoculation or if pre-inoculation levels were already elevated due to an anticipatory response to going to the doctors' office. For 4-year-old children, a base saliva sample was obtained in the home on a non-stress day, and a pre-inoculation saliva sample was obtained in the doctors' office prior to the stress. Doctors' office pre-inoculation cortisol was higher than home-based cortisol, suggesting the occurrence of an anticipatory cortisol response to the impending stress. Post-inoculation cortisol levels (+20 min) were comparable to home-based cortisol, indicating that there was no cortisol response to the inoculation itself. While there was no mean increase in cortisol, individual differences in cortisol response existed. Cortisol increases were related to important aspects of child behavioral functioning, including internalizing and externalizing behavior ratings.

A new short self-rating questionnaire to assess stress in children

We constructed a test to assess stress in children and compared it with established measures of depression, anxiety, angel; disruptive behavior, and negative self-perception. A total of 181 children aged between 9 and 12 years were enrolled at various stages of the construction of a new short questionnaire; Stress in Children (SiC). Baseline data, completed questionnaires, salivary cortisol (SC)five times during (1 day), and 24-h urinary catecholamines were collected during an ordinary school week. The SiC was validated using the Beck Youth Inventories of Emotional andnt (BYI). Associations with self-reported psychosomatic symptoms for urinary catecholamines and cortisol concentrations were assessed. Cronbach's 6 used in this study for the entire SiC questionnaire is 0.86. Statistically significant associations were found between the SiC Global Mean Score (GMS) and all of the five BYI subscales. Spearman's rho coefficient for the association of SiC GMS with the first SC sample is 0.30 (p = 0.01). When stratified by sex, the magnitude of the association between SC and SiC was higher in girls, while there was no significant association among boys. No significant associations with catecholamine levels were observed for self-rating scores from the SiC or BYI. This study demonstrated that the SiC questionnaire has satisfactory reliability and its ratings are associated with those generated by the BYI. The SiC GMS was associated with higher morning saliva cortisol in girls. Our results demonstrate that it is possible to screen for stress in schoolchildren using an easily administered self-rating instrument.

The influence of parent–infant cosleeping, nursing, and childcare on cortisol and SIgA immunity in a sample of british children

Substantial variation in childcare arrangements exists both within and between populations. Research has suggested negative stress-related outcomes for children who regularly attend daycare facilities. In the present study, 122 cortisol and 94 secretory immunoglobulin A (SIgA) samples from 32 British children aged between 3 and 8 were analyzed using multilevel modeling to assess effects of daycare attendance and other childcare-related variables on children's stress and SIgA immune function. Parents' reports of children's aggression and family discord within 2 hr of saliva collection were associated with elevated cortisol levels in children. With these acute stressors statistically controlled, retrospective data on parent-child cosleeping showed that children who had coslept in their parent(s) room had lower cortisol levels, as did children who had attended less daycare in the first 4 years of life. The parenting-related variables did not predict SIgA immunity. The results are discussed in the context of theories of parenting strategies.

Daycare attendance, stress, and mental health

OBJECTIVE

Daycare stress can be indexed by cortisol, and elevated levels of cortisol have been implicated in the onset and development of mental health disorders. Our objective was to quantify the associations between daycare and cortisol and to identify individual and environmental conditions under which daycare attendance is associated with cortisol concentrations.

METHODS

We used Cohen effect size statistics to quantify these associations and to compare them across 11 published studies that were identified with MEDLINE and PsycINFO.

RESULTS

Cortisol levels increased during the daycare day, whereas they decreased when children stayed at home. The mean effect size was d = 0.72. The magnitude of the daycare-stress relation seemed to vary under 3 specific conditions. First, the effect size was larger for children in low-quality daycare (d = 1.15), whereas there was essentially little or no effect for children in high-quality daycare (d = 0.10). Second, the effect size was larger for preschoolers (aged 39 to 59 months) (d = 1.17) than for infants (aged 3 to 16 months) (d = 0.11) or school-aged children (aged 84 to 106 months) (d = 0.09). Third, children with difficult temperaments in daycare were more likely to exhibit a rising pattern of cortisol, compared with children who were not difficult.

CONCLUSIONS

Our review suggests that daycare attendance in relatively low-quality daycare conditions and for children with difficult temperaments may result in atypical cortisol elevation. Although the link between atypical cortisol elevation and mental health requires further study, programs aimed at improving the quality of daycare services during the preschool years are expected to lead to better physiological adaptation to daycare and to reduce the risks of mental health problems.

Childcare as a stabilizing influence on HPA axis functioning: A reevaluation of maternal occupational patterns and familial relations

The influence of family relations, maternal occupational characteristics, and childcare1The UK terms "childcare," childcare centres' and "nurseries" are used throughout this paper to define group care for children prior to starting their first year of formal schooling at age 4 years and are used synonymously with the American terms "day-care" and "preschool." This form of group care is provided in a formal setting, outside the family home and excludes "childminding" (i.e., childcare that may be group based and offered at the home of the care provider/childminder). In the UK, this form of childcare is offered from zero to 4 years old. Children are separated according to their age into small groups usually consisting of 10-15 children. In the present study, all children were in the preschool-aged group (3-4 years old). Where childcare of a different or more generic form is referred to, then this has been made clear in the context or stated in the text. utilization on preschool children's cortisol production were investigated in 56 mother-child dyads. Family characteristics and maternal employment, childcare and child temperament were reported by mothers. Morning and evening levels of children's salivary cortisol were obtained. Children in highly expressive or reserved families exhibited higher cortisol levels compared to children in moderately expressive families. Elevated levels of cortisol were detected in children of mothers reporting low levels of job role quality or high levels of emotional exhaustion. Frequent childcare use was found to protect children against the physiological effects of low maternal job role quality and emotional exhaustion. Findings underscore the pervasive role of the family as set within an external support system and highlight the potential physiological impact of these interacting contexts for children. Further research is needed to fully understand current findings and to develop appropriate psycho-physiological interventions.

Stress hormones in health and illness: the roles of work and gender

Two neuroendocrine systems are of specific interest in the study of stress and health; the sympathetic adrenomedullary system with the secretion of epinephrine and norepinephrine, and the hypothalamic pituitary adrenocortical (HPA) system with the secretion of cortisol. These hormones have often been used as objective indicators of stress in the individual. However, through their bodily effects, they are also a link between the psychosocial environment and various health outcomes. From a series of studies of women and men, it was concluded that gender roles and psychological factors are more important than biological factors for the sex differences in stress responses. The stress responses have been important for human and animal survival and for protection of the body. However, in modern society, some of these bodily responses may cause harm rather than protection. The catecholamines have been linked to cardiovascular disorders such as hypertension, myocardial infarction and stroke, cortisol to cardiovascular disease, Type 2 diabetes, reduced immune function and cognitive impairment. An adequate balance between catabolic (mobilization of energy) and anabolic processes (growth, healing) is considered necessary for long term health and survival. In modern society, which is characterized by a rapid pace of life, high demands, efficiency and competitiveness in a global economy, it is likely that lack of rest, recovery and restitution is a greater health problem than the absolute level of stress.

Social regulation of the cortisol levels in early human development

Other papers in this special edition provide evidence to implicate activity of the limbic hypothalamic-pituitary-adrenocortical (L-HPA) system in the etiology of drug and alcohol abuse. Furthermore, studies in rodents and primates suggest that responsivity and regulation of this system later in life may be shaped by social experiences during early development. Cortisol is the major hormonal product of the L-HPA system in humans. Although it provides only a partial understanding of the activity of this neuroendocrine axis, its regulation may bear importantly on human growth and development. We review developmental studies of cortisol and behavior in human children, birth to approximately 5 years of age. We describe the development of social buffering of cortisol responses that produces a functional analogue of the rodent stress hyporesponsive period by the time children are about 12 months of age. We further describe the sensitivity of cortisol activity to variations in care quality among infants and toddlers, along with evidence that children with negative emotional temperaments may be most likely to exhibit elevations in cortisol under conditions of less than optimal care. Finally, the few studies of cortisol activity under conditions of neglectful and abusive care of young children are considered, noting that these often have yielded evidence of reduced rather than increased cortisol levels.

Cortisol and vagal tone responses to competitive challenge in preschoolers: associations with temperament

Sixty-one 3- to 5-year-old nursery school children participated in a study of tempera ment and stress responses to competition. Each child individually participated in a competition against a familiar adult experimenter to determine who would win enough games to receive a prize. After initially winning three games (Win Period), the children lost the next three games (Lose Period), before winning the final games and receiving the prize. Salivary cortisol, vagal tone, affect and turn-taking behavior were measured in response to the competition and examined in relation to child temperament using a teacher-report version of the Child Behavior Questionnaire. Behavioral measures indicated that the procedures were emotionally engaging and the threat of losing was aversive. Surgency (extroversion) was positively correlated with positive affect during Win periods and tense/angry affect during the Lose period of the competition. Vagal tone decreased as the children began to play against the adult and children who were more tense/angry while losing showed additional suppression of vagal tone when they began to lose the competition. Most of the children did not show a cortisol response to the competition; however, the 15% who increased cortisol (responses >1 SD of classroom baselines) were described by teachers as more surgent and lower in effortful control. All but one of these children who increased in cortisol was male. Cortisol responsive children also displayed higher levels of tense/angry affect during the Lose period. Surgent, extroverted children appear to be vulnerable to competition stress.

Quality of care and temperament determine changes in cortisol concentrations over the day for young children in childcare

The current study investigated whether patterns of cortisol production in preschool-aged children in group care were influenced by characteristics such as group size, adult:child ratio, separation from family/parents, and quality of attention and stimulation from the childcare provider. Data were obtained from preschoolers attending home-based childcare. Cortisol levels were sampled at home and at childcare. Parents and teachers assessed the child's temperament (CBQ, TBQ). At childcare, the children were observed using the Observational Ratings of the Caregiving Environment (ORCE). Childcare characteristics were independent of family or child characteristics. In home-based childcare, children's cortisol patterns over the day correlated significantly with the amount of attention and stimulation provided by the childcare provider. Using a median split on the quality index measure of focused attention/stimulation, children in settings that were above the median exhibited no change in cortisol from home to childcare, while those in settings below the median exhibited a reversal of the typical pattern of cortisol production from morning to afternoon. At home these children exhibited the expected decrease in cortisol from morning to afternoon. Patterns of cortisol production at childcare were also correlated with child temperament with larger increases from morning to afternoon for more emotionally negative children and those with less self-control. Finally, cortisol production in home-based childcare was compared to data from children in center-based childcare and children not enrolled in full-day childcare.

Cortisol levels of young children in full-day childcare centers: relations with age and temperament

Cortisol levels of 70 children, aged 39-106 months, were sampled at home and at their full-day childcare centers at two times of day, mid-morning and mid-afternoon. Parents and teachers completed questionnaires assessing child temperament (negative affectivity, surgency or extroversion, and effortful control) and aggressive behavior. The results replicated a previous study showing increases in cortisol levels over the day at childcare for preschool-aged children, while home levels followed the expected circadian decrease in cortisol from morning to afternoon for most children regardless of age. At childcare, 3- and 4-year olds were more likely to show elevations in cortisol by mid-afternoon than were older children. Controlling statistically for age, shyness for boys, and poor self-control and aggression for both sexes were associated with increases in cortisol over the day at childcare. The results suggest that younger children and those with more immature social skills may frequently experience elevations in cortisol as the day progresses in group care contexts.