TY  - JOUR
A1  - Send, Tabea Sarah
A1  - Bardtke, Svenja
A1  - Gilles, Maria
A1  - Wolf, Isabella Germaine
A1  - Sütterlin, Marc W.
A1  - Kirschbaum, Clemens
A1  - Laucht, Manfred
A1  - Witt, Stephanie H.
A1  - Rietschel, Marcella
A1  - Streit, Fabian
A1  - Deuschle, Michael
T1  - Stress reactivity in preschool-aged children
BT  - Evaluation of a social stress paradigm and investigation of the impact of prenatal maternal stress
JF  - Psychoneuroendocrinology
N2  - Prenatal maternal stress is an established risk factor for somatic and psychological health of the offspring. A dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis in offspring has been suggested as an important mechanism. However, the impact of prenatal stress on stress reactivity in preschool-aged children is not yet well understood. This is partly due to the fact that for this age group there is no stress test as well established as for older children and adults. In the present work a previously published stress test (Kryski et al., 2011) was evaluated in a large sample of 45-month-old children (n = 339). Furthermore, the relation between measures of prenatal maternal stress and cortisol reactivity was investigated. Prenatal stress was defined as psychopathology (self-report available for n = 339; expert-rating available for a subsample of n = 246) and perceived stress (n = 244) during pregnancy. The stress paradigm elicited significant increases in salivary cortisol 30 and 40 min after the test, and 60.8% of the children were classified as responders. Lower cortisol levels after the stress test were observed in the group of children with prenatal stress defined as maternal psychopathology (both self-reported and expert-rated). Maternal perceived stress as a continuous measure was not significantly associated with cortisol levels. However, when comparing children in the highest quartile of maternal perceived stress to all other children, significantly lower cortisol values were observed in the prenatally stressed group. The present study confirms the paradigm by Kryski et al. as an effective stress test for preschool-aged children. Moreover, it provides further evidence that prenatal stress impacts HPA axis reactivity. Future studies should target the timing, nature, and intensity of prenatal stressors and their effect on the stress response in offspring at different developmental stages.
KW  - Stress test
KW  - Children
KW  - Prenatal stress
KW  - Cortisol
KW  - HPA axis reactivity
KW  - Psychopathology
Y1  - 2018
U6  - https://doi.org/10.1016/j.psyneuen.2018.11.002
SN  - 0306-4530
VL  - 101
SP  - 223
EP  - 231
PB  - Elsevier
CY  - Oxford
ER  - 
TY  - JOUR
A1  - Send, Tabea
A1  - Bardtke, S.
A1  - Gilles, M.
A1  - Wolf, I. A. C.
A1  - Sütterlin, Marc Wolf
A1  - Wudy, S. A.
A1  - Wang, R.
A1  - Laucht, Manfred
A1  - Witt, Stephanie H.
A1  - Rietschel, Marcella
A1  - Streit, Fabian
A1  - Deuschle, Michael
T1  - Prenatal maternal stress is associated with lower cortisol and cortisone levels in the first morning urine of 45-month-old children
JF  - Psychoneuroendocrinology
N2  - Prenatal stress (PS) has been related to altered hypothalamic-pituitary-adrenal (HPA) axis activity later in life. So far, studies in children assessing HPA axis functioning have focused on salivary cortisol, reflecting daytime activity. The present work is part of a prospective study and aims to extend knowledge about the association between PS and HPA axis regulation in children. To do so, we investigated cortisol, cortisone, and the ratio cortisone/(cortisone + cortisol) in the first morning urine of 45-month-old children in relation to several measures of maternal stress during pregnancy. Urinary cortisol and cortisone were measured by online turbulent flow chromatography coupled with high performance liquid chromatography-tandem mass spectrometry. PS was defined as: perceived stress for aim 1 (Perceived Stress Scale; n = 280); presence of self-reported (n = 371) and expert-rated psychopathology for aim 2 (Mini International Neuropsychiatric Interview; n = 281); continuous measures of anxiety and depression for exploratory aim 3 (State-Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale; n = 280). The ratio cortisone/(cortisone + cortisol) as a global marker for the balance between the enzymes metabolizing cortisol to cortisone and vice versa (11 beta-hydroxysteroid dehydrogenases type 1 and 2; 11 beta-HSD1 and 2) was not associated with any measure of maternal PS (aims 1-3). The present study provides insight into possible programming effects of PS on nocturnal HPA axis activity and a proxy of 11 beta-HSD in a large sample. The results suggest that the nocturnal rate of cortisol production is lower in children exposed to PS, but do not support the hypothesis of divergent 11 beta-HSD activity.
KW  - Prenatal stress
KW  - Cortisol
KW  - Cortisone
KW  - HPA axis
KW  - Perceived stress
KW  - Psychopathology
Y1  - 2019
U6  - https://doi.org/10.1016/j.psyneuen.2019.01.017
SN  - 0306-4530
VL  - 103
SP  - 219
EP  - 224
PB  - Elsevier
CY  - Oxford
ER  -