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患有高度抑郁症状的低收入女性的子女的唾液皮质醇水平。

Salivary cortisol levels in children of low-income women with high depressive symptomatology.

作者信息

Fernald Lia C H, Burke Heather M, Gunnar Megan R

机构信息

University of California, Berkeley, 50 University Hall, MC 7360, Berkeley, CA94720-7360, USA.

出版信息

Dev Psychopathol. 2008 Spring;20(2):423-36. doi: 10.1017/S0954579408000205.

Abstract

Children (N = 324 boys, 315 girls) between the ages of 2.5 and 6 (mean age = 3.63) were identified in a house to house survey in low-income areas (income <20th percentile nationally) of urban Mexico. The Center for Epidemiologic Studies-Depression Scale was administered to mothers of all children. Salivary cortisol samples were taken in children as a measure of hypothalamic-pituitary-adrenocortical (HPA) system activity at time of arrival (baseline, Time 0), 25 min after arrival (Time 1), and 50 min after arrival (Time 2). Between Time 0 and Time 1, children were administered several cognitive tests. Results of hierarchical linear modeling analyses revealed that higher levels of maternal depressive symptoms were associated with lower baseline cortisol levels in their children (p < .05), while controlling for age, gender, and time since awakening. Higher levels of maternal depressive symptoms were associated with less of an increase in salivary cortisol to the arrival of the experimenters and subsequent cognitive testing (p < .05). All results were moderated by gender, with enhanced cortisol response in girls and no response in boys. These results suggest that among very low-income families, high maternal depressive symptoms are associated with hypoactivity of the HPA system in children, particularly boys.

摘要

在墨西哥城低收入地区(全国收入处于第20百分位以下)进行的挨家挨户调查中,确定了年龄在2.5岁至6岁之间(平均年龄 = 3.63岁)的儿童(324名男孩,315名女孩)。对所有儿童的母亲进行了流行病学研究中心抑郁量表测试。采集了儿童的唾液皮质醇样本,以测量到达时(基线,时间0)、到达后25分钟(时间1)和到达后50分钟(时间2)下丘脑-垂体-肾上腺皮质(HPA)系统的活动。在时间0和时间1之间,对儿童进行了多项认知测试。分层线性模型分析结果显示,在控制年龄、性别和醒来后的时间后,母亲抑郁症状水平较高与孩子较低的基线皮质醇水平相关(p < 0.05)。母亲抑郁症状水平较高与实验人员到来及随后的认知测试后唾液皮质醇增加较少相关(p < 0.05)。所有结果都受到性别的调节,女孩的皮质醇反应增强,男孩则无反应。这些结果表明,在极低收入家庭中,母亲的高抑郁症状与儿童尤其是男孩的HPA系统活动不足有关。

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