Enhancing diurnal cortisol regulation among young children adopted internationally: A randomized controlled trial of a parenting-based intervention.
Enhancing diurnal cortisol regulation among young children adopted internationally: A randomized controlled trial of a parenting-based intervention.
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DOI：
10.1017/s0954579420001303
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发表时间：
2020-12
影响因子：
3.3
通讯作者：
Dozier M
中科院分区：
文献类型：
--
作者：
Raby KL;Bernard K;Gordon MK;Dozier M
在国际上被收养的儿童在收养之前通常会经历机构照顾和其他形式的逆境，这可能会改变下丘脑-垂体-肾上腺（HPA）轴的功能。特别是，国际收养的孩子往往有钝化的昼夜下降相比，在他们的亲生家庭抚养的孩子。依恋和生物行为追赶（ABC）干预的发展，以提高幼儿的生物和行为调节，促进敏感的父母。目前的研究使用了一项随机对照试验，以评估ABC是否改善了85名4至33个月（M = 16.12）的国际收养儿童的HPA轴的昼夜功能。在干预之前，父母被随机分配接受ABC的儿童和父母被随机分配接受对照干预的儿童之间的昼夜皮质醇产生没有显着差异。干预后，父母接受ABC干预的儿童全天皮质醇水平下降幅度比父母接受对照干预的儿童更大。这些结果表明，ABC干预是有效的，在提高健康的模式，昼夜HPA轴调节的幼儿谁已被国际采用。
Children who have been adopted internationally commonly experience institutional care and other forms of adversity prior to adoption that can alter the functioning of the hypothalamic–pituitary–adrenal (HPA) axis. In particular, internationally adopted children tend to have blunted diurnal declines compared to children raised in their birth families. The Attachment and Biobehavioral Catch-Up (ABC) intervention was developed to enhance young children’s biological and behavioral regulation by promoting sensitive parenting. The current study used a randomized controlled trial to assess whether ABC improved the diurnal functioning of the HPA axis among 85 children who had been adopted internationally when they were between the ages of 4 and 33 months (M = 16.12). Prior to the intervention, there were no significant differences in diurnal cortisol production between children whose parents were randomly assigned to receive ABC and children whose parents were randomly assigned to receive a control intervention. After the intervention, children whose parents had received the ABC intervention exhibited steeper declines in cortisol levels throughout the day than children whose parents had received the control intervention. These results indicate that the ABC intervention is effective in enhancing a healthy pattern of diurnal HPA axis regulation for young children who have been adopted internationally.