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成年男性童年时期父母离世与皮质醇水平

Childhood parental loss and cortisol levels in adult men.

作者信息

Nicolson Nancy A

机构信息

Department of Psychiatry & Neuropsychology/EURON, Maastricht University, Maastricht, The Netherlands.

出版信息

Psychoneuroendocrinology. 2004 Sep;29(8):1012-8. doi: 10.1016/j.psyneuen.2003.09.005.

Abstract

Although data from animal studies show that early rearing experiences can have lasting effects on the hypothalamic-pituitary-adrenal (HPA) axis, little is known about the relationship between childhood parental loss and adult cortisol levels in humans. In the current study, 57 healthy adult men completed a telephone interview concerning parental loss or separations before age 17. Salivary cortisol measures, taken 10 times a day for 5 days in the daily environment, were available from an earlier study. Nine subjects had experienced the death of a parent during childhood. Compared to levels in 38 subjects who had experienced neither loss nor a separation > two weeks, parental loss by death was associated with higher cortisol throughout the day (F(1,44) = 4.73, p = 0.035). Men who had lost a parent scored no higher than those with no loss or separation on trait anxiety or current depressive symptoms, and the effect of parental loss on cortisol remained significant after controlling for these variables. Cortisol patterns in men who had been temporarily separated from one or both parents (n = 10) were inconsistent. Limitations include a lack of systematic information concerning the quality of care after parental death and other forms of childhood adversity. The sample was too small to assess effects of maternal vs. paternal loss or age at loss. Results suggest that parental death during childhood may have lasting effects on the HPA axis, even in the absence of psychopathology.

摘要

尽管动物研究数据表明早期养育经历会对下丘脑-垂体-肾上腺(HPA)轴产生持久影响,但对于人类童年时期父母丧亡与成年后皮质醇水平之间的关系却知之甚少。在当前研究中,57名健康成年男性完成了一项关于17岁之前父母丧亡或分离情况的电话访谈。唾液皮质醇测量数据来自一项早期研究,在日常环境中连续5天每天测量10次。9名受试者在童年时期经历过父母一方死亡。与38名既未经历丧亡也未经历超过两周分离的受试者相比,因父母死亡导致的丧亲与全天较高的皮质醇水平相关(F(1,44) = 4.73,p = 0.035)。在特质焦虑或当前抑郁症状方面,丧亲男性的得分并不高于未经历丧亡或分离的男性,在控制这些变量后,父母丧亡对皮质醇的影响仍然显著。与父母一方或双方暂时分离的男性(n = 10)的皮质醇模式并不一致。局限性包括缺乏关于父母死亡后照料质量及其他童年逆境形式的系统信息。样本量太小,无法评估母亲或父亲丧亲的影响或丧亲时的年龄。结果表明,童年时期父母死亡可能会对HPA轴产生持久影响,即使在没有精神病理学症状的情况下也是如此。

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