Cortisol Production Patterns in Young Children Living With Birth Parents vs Children Placed in Foster Care Following Involvement of Child Protective Services
Cortisol Production Patterns in Young Children Living With Birth Parents vs Children Placed in Foster Care Following Involvement of Child Protective Services
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DOI：
10.1001/archpediatrics.2010.54
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发表时间：
2010-05-01
影响因子：
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通讯作者：
Dozier, Mary
中科院分区：
文献类型：
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作者：
Bernard, Kristin;Butzin-Dozier, Zachary;Dozier, Mary
目的：研究在儿童保护服务（CPS）的参与下，留在亲生父母身边的儿童与寄养儿童在醒来到就寝时皮质醇产生的差异。设计：两组儿童皮质醇模式的受试者间比较。背景：从儿童福利系统转介的儿童。参与者：339名2.9至31.4个月的儿童，他们与亲生父母生活在一起（n = 155）或在CPS参与后被寄养（n = 184），以及96名来自低风险环境的不匹配的儿童。主要接触：儿童服务中心的参与和寄养。主要结局指标：2天儿童醒着和就寝时唾液皮质醇样本。结果：儿童保护服务——继续与亲生父母生活在一起的儿童和cps——参与寄养的儿童在皮质醇产生方面存在差异，与亲生父母生活在一起的儿童在醒来到就寝时间方面表现出更平缓的斜率。结论：与养父母生活在一起相比，继续与亲生父母生活在一起对皮质醇日生成模式的扰动更大。寄养可能对受过虐待的儿童的皮质醇有调节作用。
Objective: To examine differences in waking to bedtime cortisol production between children who remained with birth parents vs children placed in foster care following involvement of Child Protective Services (CPS).Design: Between-subject comparison of cortisol patterns among 2 groups of children.Setting: Children referred from the child welfare system.Participants: Three hundred thirty-nine children aged 2.9 to 31.4 months who were living with birth parents (n = 155) or placed in foster care (n = 184) following CPS involvement as well as 96 unmatched children from low-risk environments.Main Exposures: Involvement by CPS and foster care.Main Outcome Measure: Salivary cortisol samples obtained at waking and bedtime for children on 2 days.Results: Child Protective Services-involved children who continued to live with birth parents and CPS-involved children placed in foster care differed in cortisol production, with children living with their birth parents showing flatter slopes in waking to bedtime values.Conclusions: Continuing to live with birth parents following involvement of CPS is associated with greater perturbation to the diurnal pattern of cortisol production than living with foster parents. Foster care may have a regulating influence on children's cortisol among children who have experienced maltreatment.