Hair cortisol moderates the association between obstetric complications and child wellbeing
Obstetric complications (OC) may have implications for later health outcomes. However, there is a lack of research examining the association between OC and behavior problems or quality of life (HRQoL). We aimed to close this gap and further investigate functioning of the hypothalamus-pituitary-adren...
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| Hauptverfasser: | , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
18 August 2020
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| In: |
Psychoneuroendocrinology
Year: 2020, Jahrgang: 121 |
| ISSN: | 1873-3360 |
| DOI: | 10.1016/j.psyneuen.2020.104845 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.psyneuen.2020.104845 Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0306453020302675 
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| Verfasserangaben: | Anna Fuchs, Katja Dittrich, Corinne Neukel, Sibylle Winter, Anna-Lena Zietlow, Dorothea Kluczniok, Sabine C. Herpertz, Catherine Hindi Attar, Eva Möhler, Thomas Fydrich, Felix Bermpohl, Michael Kaess, Franz Resch, Katja Bödeker |
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| 245 | 1 | 0 | |a Hair cortisol moderates the association between obstetric complications and child wellbeing |c Anna Fuchs, Katja Dittrich, Corinne Neukel, Sibylle Winter, Anna-Lena Zietlow, Dorothea Kluczniok, Sabine C. Herpertz, Catherine Hindi Attar, Eva Möhler, Thomas Fydrich, Felix Bermpohl, Michael Kaess, Franz Resch, Katja Bödeker |
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| 520 | |a Obstetric complications (OC) may have implications for later health outcomes. However, there is a lack of research examining the association between OC and behavior problems or quality of life (HRQoL). We aimed to close this gap and further investigate functioning of the hypothalamus-pituitary-adrenal (HPA)-axis as a potential physiological vulnerability moderating the association between OC and behavior problems and HRQoL. We investigated 232 mothers and their five to 12-year-old children. Presence of OC during the pre-, peri-, and postnatal phases was determined by interviewing mothers. Children’s behavior problems (CBCL, TRF) and HRQoL (Kidscreen rated by mothers and children) were assessed. Children gave 3 cm strands of hair for analysis of hair cortisol (HC). Structural equation modeling analyses with a latent variable of child outcome (“distress”), OC as predictor and HC as a potential moderator were conducted. OC significantly predicted distress (β = .33, p < .01). The model showed a good fit to the data: χ2(14)=15.66, p < .33, CFI=.99, TLI=.99, RMSEA=.02, 90 %CI [.00, .06], SRMR=.04. In addition, HC moderated the association between OC and distress (β=-.32, p < .01). The moderation model also showed a good fit: χ2(14) =7.13, p = .93, CFI=1.00, TLI=1.06, RMSEA=.00, 90 %CI [.00, .02], SRMR=.03. Results indicated that the association between OC and distress was significant only when children had low HC-levels. This was also the case for both externalizing and internalizing behavior problems. Our results underline the notion of OC as a risk factor for child behavior problems and wellbeing and point to an important role of the children’s physiological set-up such as HPA-functioning. | ||
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