The differential impacts of early physical and sexual abuse and internalizing problems on daytime cortisol rhythm in school-aged children.

The differential impacts of early physical and sexual abuse and internalizing problems on daytime cortisol rhythm in school-aged children.
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DOI:
10.1111/j.1467-8624.2009.01393.x
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发表时间:
2010-01
期刊:
影响因子:
4.6
通讯作者:
Toth SL
Toth SL
中科院分区:
心理学1区
文献类型:
--
作者:
Cicchetti D;Rogosch FA;Gunnar MR;Toth SL

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在生命的前五年发生的早期身体和性虐待(EPA/SA)的影响进行了调查,与抑郁和内化的神经病学和昼夜皮质醇调节。在夏令营的背景下,学龄虐待(n = 265)和nonmaltreated(n = 288)的儿童提供上午和下午晚些时候的唾液样本连续五天。儿童自我报告和成人观察报告的儿童内化和抑郁症状。经历EPA/SA和高度抑郁或内化症状的儿童独特地表现出皮质醇的减弱昼夜下降,表明神经内分泌失调。这些结果是特定的EPA/SA,而不是后来发生的身体或性虐待或早期发生的忽视或情感虐待。
The impact of early physical and sexual abuse (EPA/SA) occurring in the first five years of life was investigated in relation to depressive and internalizing symptomatology and diurnal cortisol regulation. In a summer camp context, school-aged maltreated (n = 265) and nonmaltreated (n = 288) children provided morning and late afternoon saliva samples on five consecutive days. Child self-report and adult observer reports of child internalizing and depressive symptoms were obtained. Children experiencing EPA/SA and high depressive or internalizing symptoms uniquely exhibited an attenuated diurnal decrease in cortisol, indicative of neuroendocrine dysregulation. These results were specific to EPA/SA, rather than later onset physical or sexual abuse or early occurring neglect or emotional maltreatment.
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