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      Diurnal Cortisol in Left-Behind Adolescents: Relations to Negative Family Expressiveness and Internalizing Problems

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          Abstract

          Despite the accumulating evidence for increased risks for behavioral problems in left-behind adolescents in China, little research has explored their HPA axis functioning, which is hypothesized to play a central role in the association between early adversity and health. In the present study, we designed a longitudinal study to examine HPA axis function in left-behind adolescents and its mediating role in the association between family emotional expressiveness and internalizing problems. Participants were 81 adolescents (44 female; 37 male) aged 11–16 years. Salivary cortisol samples were collected six times a day for two consecutive days on regular school days. Negative family expressiveness (NFE) and internalizing problems were measured using self-report questionnaires. The results showed that NFE was negatively associated with diurnal cortisol, and diurnal cortisol was negatively associated with internalizing problems. Further analysis showed that diurnal cortisol secretion measured by AUC (area under the curve) mediated the association between NFE and internalizing problems. Our findings extended the existing literature about left-behind children via a psychoneuroendocrinological perspective, documenting the negative consequences of the family environment for youth health and development.

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          Effects of stress throughout the lifespan on the brain, behaviour and cognition.

          Chronic exposure to stress hormones, whether it occurs during the prenatal period, infancy, childhood, adolescence, adulthood or aging, has an impact on brain structures involved in cognition and mental health. However, the specific effects on the brain, behaviour and cognition emerge as a function of the timing and the duration of the exposure, and some also depend on the interaction between gene effects and previous exposure to environmental adversity. Advances in animal and human studies have made it possible to synthesize these findings, and in this Review a model is developed to explain why different disorders emerge in individuals exposed to stress at different times in their lives.
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            The Ecology of Human Development : Experiments by Nature and Design

            <p>Here is a book that challenges the very basis of the way psychologists have studied child development. According to Urie Bronfenbrenner, one of the world’s foremost developmental psychologists, laboratory studies of the child’s behavior sacrifice too much in order to gain experimental control and analytic rigor. Laboratory observations, he argues, too often lead to “the science of the strange behavior of children in strange situations with strange adults for the briefest possible periods of time.” To understand the way children actually develop, Bronfenbrenner believes that it will be necessary to observe their behavior in natural settings, while they are interacting with familiar adults over prolonged periods of time.<br><br>This book offers an important blueprint for constructing such a new and ecologically valid psychology of development. The blueprint includes a complete conceptual framework for analysing the layers of the environment that have a formative influence on the child. This framework is applied to a variety of settings in which children commonly develop, ranging from the pediatric ward to daycare, school, and various family configurations. The result is a rich set of hypotheses about the developmental consequences of various types of environments. Where current research bears on these hypotheses, Bronfenbrenner marshals the data to show how an ecological theory can be tested. Where no relevant data exist, he suggests new and interesting ecological experiments that might be undertaken to resolve current unknowns.<br><br>Bronfenbrenner’s groundbreaking program for reform in developmental psychology is certain to be controversial. His argument flies in the face of standard psychological procedures and challenges psychology to become more relevant to the ways in which children actually develop. It is a challenge psychology can ill-afford to ignore.</p>
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              Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change.

              Study protocols in endocrinological research and the neurosciences often employ repeated measurements over time to record changes in physiological or endocrinological variables. While it is desirable to acquire repeated measurements for finding individual and group differences with regard to response time and duration, the amount of data gathered often represents a problem for the statistical analysis. When trying to detect possible associations between repeated measures and other variables, the area under the curve (AUC) is routinely used to incorporate multiple time points. However, formulas for computation of the AUC are not standardized across laboratories, and existing differences are usually not presented when discussing results, thus causing possible variability, or incompatibility of findings between research groups. In this paper, two formulas for calculation of the area under the curve are presented, which are derived from the trapezoid formula. These formulas are termed 'Area under the curve with respect to increase' (AUCI) and 'Area under the curve with respect to ground' (AUCG). The different information that can be derived from repeated measurements with these two formulas is exemplified using artificial and real data from recent studies of the authors. It is shown that depending on which formula is used, different associations with other variables may emerge. Consequently, it is recommended to employ both formulas when analyzing data sets with repeated measures.
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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                10 May 2022
                2022
                : 10
                : 844014
                Affiliations
                [1] 1Key Research Base of Humanities and Social Sciences of the Ministry of Education, Tianjin Normal University, Academy of Psychology and Behavior , Tianjin, China
                [2] 2Faculty of Psychology, Tianjin Normal University , Tianjin, China
                [3] 3Tianjin Social Science Laboratory of Students' Mental Development and Learning , Tianjin, China
                [4] 4School of Psychological and Cognitive Science, Beijing Key Laboratory of Behavior and Mental Health, Peking University , Beijing, China
                [5] 5Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University , Beijing, China
                Author notes

                Edited by: Junfeng Zhao, Henan University, China

                Reviewed by: Qiong Wang, Zhengzhou University, China; Chong Chen, Yamaguchi University Graduate School of Medicine, Japan

                *Correspondence: Linlin Zhang linlin.zhang@ 123456cnu.edu.cn

                This article was submitted to Public Mental Health, a section of the journal Frontiers in Public Health

                Article
                10.3389/fpubh.2022.844014
                9127735
                149fa5db-6015-4e32-be80-7d5f80148ed0
                Copyright © 2022 Li, Lan, Qiu, Yuan, He, Zhang and Zhang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 27 December 2021
                : 04 April 2022
                Page count
                Figures: 3, Tables: 2, Equations: 0, References: 62, Pages: 10, Words: 6666
                Categories
                Public Health
                Original Research

                hpa axis,diurnal cortisol,left-behind adolescents,family expressiveness,internalizing problems

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