Skip to main content
Log in

Cortisol Rhythm in Preschoolers: Relations with Maternal Depression and Child Temperament

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

Evidence supports associations between deviations from the normative daily cortisol rhythm and depression. We examined associations between multiple indices of daily cortisol in 146 preschool-aged children and two well-established risk factors for depression: maternal depression and early child temperament (negative emotionality/NE and positive emotionality/PE). Offspring of mothers with current depression demonstrated lower waking cortisol and lower total post-awakening cortisol. Child PE was negatively associated with waking cortisol. The combination of maternal depression history and high child NE was associated with higher levels of evening cortisol. Findings suggest that an interplay between familial risk for depression and child temperamental vulnerability may be related to neuroendocrine functioning in young children and highlight important methodological considerations in the assessment of children’s basal cortisol activity. It will be critical for future research to map the developmental progression from early disruptions in children’s cortisol rhythm to the emergence of psychopathology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. No significant interactions were observed between maternal lifetime depression and maternal lifetime anxiety on these indices of child cortisol.

References

  • Adam, E. K., & Kumari, M. (2009). Assessing salivary cortisol in largescale epidemiological research. Psychoneuroendocrinology, 34, 1423–1436.

    PubMed  Google Scholar 

  • Adam, E. K., Hawkley, L. C., Kudielka, B. M., & Cacioppo, J. T. (2006). Day-to-day dynamics of experience–cortisol associations in a population-based sample of older adults. Proceedings of the National Academy of Sciences, 103(45), 17058–17063.f.

    Google Scholar 

  • Adam, E. K., Doane, L. D., Zinbarg, R. E., Mineka, S., Craske, M. G., & Griffith, J. W. (2010). Prospective prediction of major depressive disorder from cortisol awakening responses in adolescence. Psychoneuroendocrinology, 35, 921–931.

    PubMed  PubMed Central  Google Scholar 

  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.

    Google Scholar 

  • Anthony, J. L., Lonigan, C. J., Hooe, E. S., & Phillips, B. M. (2002). An affect-based, hierarchical model of temperament and its relations with internalizing symptomatology. Journal of Clinical Child and Adolescent Psychology, 31(4), 480–490.

    PubMed  Google Scholar 

  • Bartels, M., de Geus, E. J., Kirschbaum, C., Sluyter, F., & Boomsma, D. I. (2003a). Heritability of daytime cortisol levels in children. Behavior Genetics, 33(4), 421–433.

    PubMed  Google Scholar 

  • Bartels, M., Van den Berg, M., Sluyter, F., Boomsma, D. I., & de Geus, E. J. (2003b). Heritability of cortisol levels: review and simultaneous analysis of twin studies. Psychoneuroendocrinology, 28(2), 121–137.

    PubMed  Google Scholar 

  • Bäumler, D., Kirschbaum, C., Kliegel, M., Alexander, N., & Stalder, T. (2013). The cortisol awakening response in toddlers and young children. Psychoneuroendocrinology, 38(11), 2485–2492.

    PubMed  Google Scholar 

  • Bhagwagar, Z., Hafizi, S., & Cowen, P. J. (2003). Increase in concentration of waking salivary cortisol in recovered patients with depression. The American Journal of Psychiatry, 160, 1890–1891.

    PubMed  Google Scholar 

  • Bhagwagar, Z., Hafizi, S., & Cowen, P. J. (2005). Increased salivary cortisol after waking in depression. Psychopharmacology, 182, 54–57.

    PubMed  Google Scholar 

  • Bockting, C. L., Lok, A., Visser, I., Assies, J., Koeter, M. W., Schene, A. H., & DELTA Study Group. (2012). Lower cortisol levels predict recurrence in remitted patients with recurrent depression: a 5.5 year prospective study. Psychiatry Research, 200(2), 281–287.

    PubMed  Google Scholar 

  • Broderick, J. E., Arnold, D., Kudielka, B. M., & Kirschbaum, C. (2004). Salivary cortisol sampling compliance: comparison of patients and healthy volunteers. Psychoneuroendocrinology, 29, 636–650.

    PubMed  Google Scholar 

  • Burke, L. (2003). The impact of maternal depression on familial relationships. International Review of Psychiatry, 15(3), 243–255.

    PubMed  Google Scholar 

  • Caspi, A., Moffitt, T. E., Newman, D. L., & Silva, P. A. (1996). Behavioral observations at age 3 years predict adult psychiatric disorders. Archives of General Psychiatry, 53, 1033–1039.

    PubMed  Google Scholar 

  • Clow, A., Thorn, L., Evans, P., & Hucklebridge, F. (2004). The awakening cortisol response: methodological issues and significance. Stress, 7, 29–37.

    PubMed  Google Scholar 

  • Connell, A. M., & Goodman, S. H. (2002). The association between psychopathology in fathers versus mothers and children's internalizing and externalizing behavior problems: a meta-analysis. Psychological Bulletin, 128(5), 746–773.

    PubMed  Google Scholar 

  • De Moor, M. H., Van Den Berg, S. M., Verweij, K. J., Krueger, R. F., Luciano, M., Vasquez, A. A., et al. (2015). Meta-analysis of genome-wide association studies for neuroticism, and the polygenic association with major depressive disorder. JAMA Psychiatry, 72(7), 642–650.

    PubMed  PubMed Central  Google Scholar 

  • Degnan, K. A., Hane, A. A., Henderson, H. A., Moas, O. L., Reeb-Sutherland, B. C., & Fox, N. A. (2011). Longitudinal stability of temperamental exuberance and social–emotional outcomes in early childhood. Developmental Psychology, 47(3), 765–780.

    PubMed  PubMed Central  Google Scholar 

  • Dettling, A. C., Gunnar, M. R., & Donzella, B. (1999). Cortisol levels of young children in full-day childcare centers: Relations with age and temperament. Psychoneuroendocrinology, 24, 519–536.

    PubMed  Google Scholar 

  • Dougherty, L. R., Klein, D. N., Olino, T. M., Dyson, M., & Rose, S. (2009). Increased waking salivary cortisol and depression risk in preschoolers: the role of maternal history of melancholic depression and early child temperament. Journal of Child Psychology and Psychiatry, 50, 1495–1503.

    PubMed  Google Scholar 

  • Dougherty, L. R., Klein, D. N., Durbin, C. E., Hayden, E. P., & Olino, T. M. (2010). Temperamental positive and negative emotionality and children's depressive symptoms: a longitudinal prospective study from age three to age ten. Journal of Social and Clinical Psychology, 29, 462–488.

    Google Scholar 

  • Dougherty, L. R., Bufferd, S. J., Carlson, G. A., Dyson, M., Olino, T. M., Durbin, C. E., & Klein, D. N. (2011). Preschoolers' observed temperament and psychiatric disorders assessed with a parent diagnostic interview. Journal of Clinical Child & Adolescent Psychology, 40(2), 295–306.

    Google Scholar 

  • Dougherty, L. R., Smith, V. C., Olino, T. M., Dyson, M. W., Bufferd, S. J., Rose, S. A., & Klein, D. N. (2013). Maternal psychopathology and early child temperament predict young children’s salivary cortisol 3 years later. Journal of Abnormal Child Psychology, 41, 531–542.

    PubMed  Google Scholar 

  • Durbin, C. E., Klein, D. N., Hayden, E. P., Buckley, M. E., & Moerk, K. C. (2005). Temperamental emotionality in preschoolers and parental mood disorders. Journal of Abnormal Psychology, 114, 28–37.

    PubMed  Google Scholar 

  • Durbin, C. E., Hayden, E. P., Klein, D. N., & Olino, T. M. (2007). Stability of laboratory-assessed temperamental emotionality traits from ages 3 to 7. Emotion, 7(2), 388–399.

    PubMed  Google Scholar 

  • Egger, H. L., Ascher, B. H., & Angold, A. (1999). The preschool age psychiatric assessment: Version 1.1. Durham: Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center.

    Google Scholar 

  • Elder, G. J., Ellis, J. G., Barclay, N. L., & Wetherell, M. A. (2016). Assessing the daily stability of the cortisol awakening response in a controlled environment. BMC Psychology, 4(1), 3–13.

    PubMed  PubMed Central  Google Scholar 

  • Ertel, K. A., Rich-Edwards, J. W., & Koenen, K. C. (2011). Maternal depression in the United States: nationally representative rates and risks. Journal of Women's Health, 20(11), 1609–1617.

    PubMed  PubMed Central  Google Scholar 

  • Feldman, R., Granat, A., Pariente, C., Kanety, H., Kuint, J., & Gilboa-Schechtman, E. (2009). Maternal depression and anxiety across the postpartum year and infant social engagement, fear regulation, and stress reactivity. Journal of the American Academy of Child & Adolescent Psychiatry, 48(9), 919–927.

    Google Scholar 

  • Fernald, L. C., Burke, H. M., & Gunnar, M. R. (2008). Salivary cortisol levels in children of low-income women with high depressive symptomatology. Development and Psychopathology, 20(2), 423–436.

    PubMed  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured clinical interview for DSM-IV Axis I disorders: non-patient edition (version 2.0). New York: New York State Psychiatric Institute, Biometrics Research.

    Google Scholar 

  • Foland-Ross, L. C., Kircanski, K., & Gotlib, I. H. (2014). Coping with having a depressed mother: The role of stress and coping in hypothalamic-pituitary-adrenal axis dysfunction in girls at familial risk for major depression. Development and Psychopathology, 26, 1401–1409.

    PubMed  Google Scholar 

  • Fries, E., Dettenborn, L., & Kirschbaum, C. (2009). The cortisol awakening response (CAR): Facts and future directions. International Journal of Psychophysiology, 72, 67–73.

    PubMed  Google Scholar 

  • Gagne, J. R., Van Hulle, C. A., Aksan, N., Essex, M. J., & Goldsmith, H. H. (2011). Deriving childhood temperament measures from emotion-eliciting behavioral episodes: Scale construction and initial validation. Psychological Assessment, 23(2), 337–353.

    PubMed  PubMed Central  Google Scholar 

  • Garde, A. H., & Hansen, Å. M. (2005). Long-term stability of salivary cortisol. Scandinavian Journal of Clinical and Laboratory Investigation, 65(5), 433–436.

    PubMed  Google Scholar 

  • Gillespie, C. F., Phifer, J., Bradley, B., & Ressler, K. J. (2009). Risk and resilience: genetic and environmental influences on development of the stress response. Depression and Anxiety, 26(11), 984–992.

    PubMed  PubMed Central  Google Scholar 

  • Gold, P. W., & Chrousos, G. P. (2002). Organization of the stress system and its dysregulation in melancholic and atypical depression: high vs low CRH/NE states. Molecular Psychiatry, 7, 254–275.

    PubMed  Google Scholar 

  • Goldsmith, H. H., Reilly, J., Lemery, K.S., Longley, S., & Prescott, A. (1995). The laboratory temperament assessment battery: Preschool version. Unpublished manuscript.

  • Goldstein, B. L., Perlman, G., Kotov, R., Broderick, J. E., Liu, K., Ruggero, C., & Klein, D. N. (2017). Etiologic specificity of waking cortisol: links with maternal history of depression and anxiety in adolescent girls. Journal of Affective Disorders, 208, 103–109.

    PubMed  Google Scholar 

  • Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychological Review, 106(3), 458–490.

    PubMed  Google Scholar 

  • Goodyer, I. M., Herbert, J., Altham, P. M. E., Pearson, J., Secher, S. M., & Shiers, H. M. (1996). Adrenal secretion during major depression in 8-to 16-year-olds, I. Altered diurnal rhythms in salivary cortisol and dehydroepiandrosterone (DHEA) at presentation. Psychological Medicine, 26(02), 245–256.

    PubMed  Google Scholar 

  • Goodyer, I. M., Herbert, J., Tamplin, A., & Altham, P. M. E. (2000). Recent life events, cortisol, dehydroepiandrosterone and the onset of major depression in high-risk adolescents. The British Journal of Psychiatry, 177(6), 499–504.

    PubMed  Google Scholar 

  • Goodyer, I. M., Park, R. J., & Herbert, J. (2001). Psychosocial and endocrine features of chronic first-episode major depression in 8–16 year olds. Biological Psychiatry, 50(5), 351–357.

    PubMed  Google Scholar 

  • Granger, D. A., Hibel, L. C., Fortunato, C. K., & Kapelewski, C. H. (2009). Medication effects on salivary cortisol: Tactics and strategy to minimize impact in behavioral and developmental science. Psychoneuroendocrinology, 34, 1437–1448.

    PubMed  Google Scholar 

  • Gunnar, M. R., & Donzella, B. (2002). Social regulation of the cortisol levels in early human development. Psychoneuroendocrinology, 27(1), 199–220.

    PubMed  Google Scholar 

  • Gunnar, M. R., & Talge, N. M. (2007). Neuroendocrine measures in developmental research. In L. A. Schmidt & S. J. Segalowitz (Eds.), Developmental psychophysiology: Theory, systems, and methods (pp. 343–366). Cambridge: University Press.

    Google Scholar 

  • Gunnar, M. R., & White, B. (2001). Salivary cortisol measures in infant and child assessment. In L. T. Singer & P. S. Zeskind (Eds.), Biobehavioral assessment of the newborn (pp. 167–189). New York: Guilford Press.

    Google Scholar 

  • Gunnar, M. R., Broderson, L., Krueger, K., & Rigatuso, J. (1996). Dampening of adrenocortisol responses during infancy: Normative changes and individual differences. Child Development, 67(3), 877–889.

    PubMed  Google Scholar 

  • Halligan, S. L., Herbert, J., Goodyer, I. M., & Murray, L. (2004). Exposure to postnatal depression predicts elevated cortisol in adolescent offspring. Biological Psychiatry, 55, 376–381.

    PubMed  Google Scholar 

  • Halligan, S. L., Herbert, J., Goodyer, I., & Murray, L. (2007). Disturbances in morning cortisol secretion in association with maternal postnatal depression predict subsequent depressive symptomatology in adolescents. Biological Psychiatry, 62(1), 40–46.

    PubMed  Google Scholar 

  • Harris, T. O., Borsanyi, S., Messari, S., Standord, K., Cleary, S. E., Shiers, H. M., et al. (2000). Morning cortisol as a risk factor for subsequent major depressive disorder in adult women. British Journal of Psychiatry, 177, 505–510.

    PubMed  Google Scholar 

  • Hauner, K. K., Adam, E. K., Mineka, S., Doane, L. D., DeSantis, A. S., Zinbarg, R., et al. (2008). Neuroticism and introversion are associated with salivary cortisol patterns in adolescents. Psychoneuroendocrinology, 33(10), 1344–1356.

    PubMed  PubMed Central  Google Scholar 

  • Hayden, E. P., Klein, D. N., & Durbin, C. E. (2005). Parent reports and laboratory assessments of child temperament: a comparison of their associations with risk for depression and externalizing disorders. Journal of Psychopathology and Behavioral Assessment, 27(2), 89–100.

    Google Scholar 

  • Hayden, E. P., Klein, D. N., Durbin, C. E., & Olino, T. M. (2006). Positive emotionality at age 3 predicts cognitive styles in 7-year-old children. Development and Psychopathology, 18(2), 409–423.

    PubMed  Google Scholar 

  • Hayes, A. F., & Matthes, J. (2009). Computational procedures for probing interactions in OLS and logistic regression: SPSS and SAS implementations. Behavior Research Methods, 41(3), 924–936.

    PubMed  Google Scholar 

  • Heim, C., Ehlert, U., & Hellhammer, D. H. (2000). The potential role of hypocortisolism in the pathophysiology of stress-related bodily disorders. Psychoneuroendocrinology, 25(1), 1–35.

    PubMed  Google Scholar 

  • Hellhammer, J., Fries, E., Schweisthal, O. W., Schlotz, W., Stone, A. A., & Hagemann, D. (2007). Several daily measurements are necessary to reliably assess the cortisol rise after awakening: State-and trait components. Psychoneuroendocrinology, 32(1), 80–86.

    PubMed  Google Scholar 

  • Hettema, J. M., Neale, M. C., Myers, J. M., Prescott, C. A., & Kendler, K. S. (2006). A population-based twin study of the relationship between neuroticism and internalizing disorders. American Journal of Psychiatry, 163(5), 857–864.

    PubMed  Google Scholar 

  • Kagan, J., Reznick, J. S., & Snidman, N. (1987). The physiology and psychology of behavioral inhibition in children. Child Development, 58, 1459–1473.

    PubMed  Google Scholar 

  • Kendler, K. S., Gatz, M., Gardner, C. O., & Pedersen, N. L. (2006). Personality and major depression: a Swedish longitudinal, population-based twin study. Archives of General Psychiatry, 63(10), 1113–1120.

    PubMed  Google Scholar 

  • Kendler, K. S., Gatz, M., Gardner, C. O., & Pedersen, N. L. (2007). Clinical indices of familial depression in the Swedish twin registry. Acta Psychiatrica Scandinavica, 115(3), 214–220.

    PubMed  Google Scholar 

  • Klein, D. N., Durbin, C. E., & Shankman, S. A. (2009). Personality and mood disorders. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression (2nd ed., pp. 93–112). New York: Guilford.

    Google Scholar 

  • Knorr, U., Vinberg, M., Kessing, L. V., & Wetterslev, J. (2010). Salivary cortisol in depressed patients versus control persons: a systematic review and meta-analysis. Psychoneuroendocrinology, 35, 1275–1286.

    PubMed  Google Scholar 

  • Kudielka, B. M., & Kirschbaum, C. (2003). Awakening cortisol responses are influenced by health status and awakening time but not by menstrual cycle phase. Psychoneuroendocrinology, 28(1), 35–47.

    PubMed  Google Scholar 

  • Kudielka, B. M., Hawkley, L. C., Adam, E. K., & Cacioppo, J. T. (2007). Compliance with ambulatory saliva sampling in the Chicago health, aging, and social relations study and associations with social support. Annals of Behavioral Medicine, 34, 209–216.

    PubMed  Google Scholar 

  • Kudielka, B. M., Gierens, A., Hellhammer, D. H., Wüst, S., & Schlotz, W. (2012). Salivary cortisol in ambulatory assessment—some dos, some don’ts, and some open questions. Psychosomatic Medicine, 74(4), 418–431.

    PubMed  Google Scholar 

  • Kunz-Ebrecht, S. R., Kirschbaum, C., Marmot, M., & Steptoe, A. (2004). Differences in cortisol awakening response on work days and weekends in women and men from the Whitehall II cohort. Psychoneuroendocrinology, 29, 516–528.

    PubMed  Google Scholar 

  • Kushner, M. R., Barrios, C., Smith, V. C., & Dougherty, L. R. (2016). Physiological and behavioral vulnerability markers increase risk to early life stress in preschool-aged children. Journal of Abnormal Child Psychology, 44(5), 859–870.

    PubMed  Google Scholar 

  • Laceulle, O. M., Nederhof, E., van Aken, M. A. G., & Ormel, J. (2015). Adolescent personality: Associations with basal, awakening, and stress-induced cortisol responses. Journal of Personality, 83(3), 262–273.

    PubMed  Google Scholar 

  • LeMoult, J., Chen, M. C., Foland-Ross, L. C., Burley, H. W., & Gotlib, I. H. (2015). Concordance of mother–daughter diurnal cortisol production: Understanding the intergenerational transmission of risk for depression. Biological Psychology, 108, 98–104.

    PubMed  PubMed Central  Google Scholar 

  • Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73(1), 13–22.

    Google Scholar 

  • Lippold, M. A., Davis, K. D., McHale, S. M., Buxton, O. M., & Almeida, D. M. (2016a). Daily stressor reactivity during adolescence: The buffering role of parental warmth. Health Psychology, 35(9), 1027–1035.

    PubMed  PubMed Central  Google Scholar 

  • Lippold, M. A., McHale, S. M., Davis, K. D., Almeida, D. M., & King, R. B. (2016b). Experiences with parents and youth physical health symptoms and cortisol: A daily diary investigation. Journal of Research on Adolescence, 26(2), 226–240.

    PubMed  Google Scholar 

  • Lo, S. L., Vroman, L. N., & Durbin, C. E. (2015). Ecological validity of laboratory assessments of child temperament: evidence from parent perspectives. Psychological Assessment, 27(1), 280–290.

    PubMed  Google Scholar 

  • Lovejoy, M. C., Graczyk, P. A., O'Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: a meta-analytic review. Clinical Psychology Review, 20(5), 561–592.

    PubMed  Google Scholar 

  • Lupien, S. J., King, S., Meaney, M. J., & McEwen, B. S. (2000). Child’s stress hormone levels correlate with mother’s socioeconomic status and depressive state. Biological Psychiatry, 48(10), 976–980.

    PubMed  Google Scholar 

  • Lupien, S. J., King, S., Meaney, M. J., & McEwen, B. S. (2001). Can poverty get under your skin? Basal cortisol levels and cognitive function in children from low and high socioeconomic status. Development and Psychopathology, 13(3), 653–676.

    Google Scholar 

  • Mannie, Z. N., Harmer, C. J., & Cowen, P. J. (2007). Increased waking salivary cortisol levels in young people at familial risk of depression. American Journal of Psychiatry, 164, 617–621.

    PubMed  Google Scholar 

  • McMakin, D. L., Burkhouse, K. L., Olino, T. M., Siegle, G. J., Dahl, R. E., & Silk, J. S. (2011). Affective functioning among early adolescents at high and low familial risk for depression and their mothers: a focus on individual and transactional processes across contexts. Journal of Abnormal Child Psychology, 39(8), 1213–1225.

    PubMed  Google Scholar 

  • Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989.

    PubMed  PubMed Central  Google Scholar 

  • Mikolajewski, A. J., Allan, N. P., Hart, S. A., Lonigan, C. J., & Taylor, J. (2013). Negative affect shares genetic and environmental influences with symptoms of childhood internalizing and externalizing disorders. Journal of Abnormal Child Psychology, 41(3), 411–423.

    PubMed  PubMed Central  Google Scholar 

  • Morris, B. H., Bylsma, L. M., & Rottenberg, J. (2009). Does emotion predict the course of major depressive disorder? A review of prospective studies. British Journal of Clinical Psychology, 48, 255–273.

    PubMed  Google Scholar 

  • Naragon-Gainey, K., Watson, D., & Markon, K. E. (2009). Differential relations of depression and social anxiety symptoms to the facets of extraversion/positive emotionality. Journal of Abnormal Psychology, 118(2), 299–310.

    PubMed  PubMed Central  Google Scholar 

  • O’Donnell, K. J., Glover, V., Jenkins, J., Browne, D., Ben-Shlomo, Y., Golding, J., & O’Connor, T. G. (2013). Prenatal maternal mood is associated with altered diurnal cortisol in adolescence. Psychoneuroendocrinology, 38(9), 1630–1638.

    PubMed  PubMed Central  Google Scholar 

  • O’Neal, C. R., Brotman, L. M., Huang, K. Y., Gouley, K. K., Kamboukos, D., Calzada, E. J., & Pine, D. S. (2010). Understanding relations among early family environment, cortisol response, and child aggression via a prevention experiment. Child Development, 81(1), 290–305.

    PubMed  PubMed Central  Google Scholar 

  • Olino, T. M., Klein, D. N., Dyson, M. W., Rose, S. A., & Durbin, C. E. (2010). Temperamental emotionality in preschool-aged children and depressive disorders in parents: associations in a large community sample. Journal of Abnormal Psychology, 119, 468–478.

    PubMed  PubMed Central  Google Scholar 

  • Olino, T. M., Lopez-Duran, N. L., Kovacs, M., George, C. J., Gentzler, A. L., & Shaw, D. S. (2011). Developmental trajectories of positive and negative affect in children at high and low familial risk for depressive disorder. Journal of Child Psychology and Psychiatry, 52, 792–799.

    PubMed  Google Scholar 

  • Polk, D. E., Cohen, S., Doyle, W. J., Skoner, D. P., & Kirschbaum, C. (2005). State and trait affect as predictors of salivary cortisol in healthy adults. Psychoneuroendocrinology, 30, 261–272.

    PubMed  Google Scholar 

  • Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003). Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology, 28, 916–931.

    PubMed  Google Scholar 

  • Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1997). Comparability of telephone and face-to-face interviews in assessing Axis I and II disorders. American Journal of Psychiatry, 154, 1593–1598.

    PubMed  Google Scholar 

  • Ross, K. M., Murphy, M. L., Adam, E. K., Chen, E., & Miller, G. E. (2014). How stable are diurnal cortisol activity indices in healthy individuals? Evidence from three multi-wave studies. Psychoneuroendocrinology, 39, 184–193.

    PubMed  Google Scholar 

  • Rotenberg, S., McGrath, J. J., Roy-Gagnon, M. H., & Tu, M. T. (2012). Stability of the diurnal cortisol profile in children and adolescents. Psychoneuroendocrinology, 37(12), 1981–1989.

    PubMed  PubMed Central  Google Scholar 

  • Rousseeuw, P. J., & Van Zomeren, B. C. (1990). Unmasking multivariate outliers and leverage points. Journal of the American Statistical Association, 85(411), 633–651.

    Google Scholar 

  • Schmidt, L. A., Fox, N. A., Rubin, K. H., Sternberg, E. M., Gold, P. W., Smith, C. C., & Schulkin, J. (1997). Behavioral and neuroendocrine responses in shy children. Developmental Psychobiology, 30(2), 127–140.

    PubMed  Google Scholar 

  • Shankman, S. A., & Klein, D. N. (2003). The relation between depression and anxiety: an evaluation of the tripartite, approach-withdrawal and valence-arousal models. Clinical Psychology Review, 23(4), 605–637.

    PubMed  Google Scholar 

  • Shankman, S. A., Tenke, C. E., Bruder, G. E., Durbin, C. E., Hayden, E. P., & Klein, D. N. (2005). Low positive emotionality in young children: association with EEG asymmetry. Development and Psychopathology, 17(1), 85–98.

    PubMed  Google Scholar 

  • Shankman, S. A., Klein, D. N., Torpey, D. C., Olino, T. M., Dyson, M. W., Kim, J., et al. (2013). Do positive and negative temperament traits interact in predicting risk for depression? A resting EEG study of 329 preschoolers. Development and Psychopathology, 23(2), 551–562.

    Google Scholar 

  • Silk, J. S., Shaw, D. S., Forbes, E. E., Lane, T. L., & Kovacs, M. (2006). Maternal depression and child internalizing: the moderating role of child emotion regulation. Journal of Clinical Child and Adolescent Psychology, 35(1), 116–126.

    PubMed  Google Scholar 

  • Smith, V. C., & Dougherty, L. R. (2014). Noisy spit: parental noncompliance with child salivary cortisol sampling. Developmental Psychobiology, 56, 647–656.

    PubMed  Google Scholar 

  • Stalder, T., Bäumler, D., Miller, R., Alexander, N., Kliegel, M., & Kirschbaum, C. (2013). The cortisol awakening response in infants: ontogeny and associations with development-related variables. Psychoneuroendocrinology, 38(4), 552–559.

    PubMed  Google Scholar 

  • Stalder, T., Kirschbaum, C., Kudielka, B. M., Adam, E. K., Pruessner, J. C., Wüst, S., et al. (2016). Assessment of the cortisol awakening response: expert consensus guidelines. Psychoneuroendocrinology, 63, 414–432.

    PubMed  Google Scholar 

  • Stetler, C., & Miller, G. E. (2005). Blunted cortisol response to awakening in mild to moderate depression: Regulatory influences of sleep patterns and social contacts. Journal of Abnormal Psychology, 114, 697–705.

    PubMed  Google Scholar 

  • Stifter, C. A., Putnam, S., & Jahromi, L. (2008). Exuberant and inhibited toddlers: stability of temperament and risk for problem behavior. Development and Psychopathology, 20(2), 401–421.

    PubMed  PubMed Central  Google Scholar 

  • Stone, A. A., Schwartz, J. E., Smyth, J., Kirschbaum, C., Cohen, S., Hellhammer, D., & Grossman, S. (2001). Individual differences in the diurnal cycle of salivary free cortisol: a replication of flattened cycles for some individuals. Psychoneuroendocrinology, 26, 295–306.

    PubMed  Google Scholar 

  • Thorn, L., Hucklebridge, F., Evans, P., & Clow, A. (2009). The cortisol awakening response, seasonality, stress and arousal: a study of trait and state influences. Psychoneuroendocrinology, 34(3), 299–306.

    PubMed  Google Scholar 

  • Toone, R. J., Peacock, O. J., Smith, A. A., Thompson, D., Drawer, S., Cook, C., & Stokes, K. A. (2013). Measurement of steroid hormones in saliva: effects of sample storage condition. Scandinavian Journal of Clinical and Laboratory Investigation, 73(8), 615–621.

    PubMed  Google Scholar 

  • Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320–333.

    PubMed  PubMed Central  Google Scholar 

  • Ulrike, S., Reinhold, L., & Dirk, H. (2013). Major depression in young girls is related to altered cortisol awakening response. European Child & Adolescent Psychiatry, 22(6), 379–384.

    Google Scholar 

  • Vreeburg, S. A., Hoogendijk, W. J., van Pelt, J., DeRijk, R. H., Verhagen, J. C., van Dyck, R., et al. (2009). Major depressive disorder and hypothalamic-pituitary-adrenal axis activity: results from a large cohort study. Archives of General Psychiatry, 66(6), 617–626.

    PubMed  Google Scholar 

  • Vreeburg, S. A., Hartman, C. A., Hoogendijk, W. J., van Dyck, R., Zitman, F. G., Ormel, J., & Penninx, B. W. (2010). Parental history of depression or anxiety and the cortisol awakening response. The British Journal of Psychiatry, 197(3), 180–185.

    PubMed  Google Scholar 

  • Vreeburg, S. A., Hoogendijk, W. J., DeRijk, R. H., van Dyck, R., Smit, J. H., Zitman, F. G., & Penninx, B. W. (2013). Salivary cortisol levels and the 2-year course of depressive and anxiety disorders. Psychoneuroendocrinology, 38, 1494–1502.

    PubMed  Google Scholar 

  • Watamura, S. E., Donzella, B., Alwin, J., & Gunnar, M. R. (2003). Morning-to-afternoon increases in cortisol concentrations for infants and toddlers at child care: age differences and behavioral correlates. Child Development, 74(4), 1006–1020.

    PubMed  Google Scholar 

  • Weissman, M. M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006). Offspring of depressed parents: 20 years later. American Journal of Psychiatry, 163, 1001–1008.

    PubMed  Google Scholar 

  • Weissman, M. M., Wickramaratne, P., Gameroff, M. J., Warner, V., Pilowsky, D., Kohad, R. G., et al. (2016). Offspring of depressed parents: 30 years later. American Journal of Psychiatry, 173(10), 1024–1032.

    PubMed  Google Scholar 

  • Wichers, M., Jacobs, N., Derom, C., Thiery, E., & van Os, J. (2007). Depression: Too much negative affect or too little positive affect? Twin Research and Human Genetics, 10(S1), 19–20.

    Google Scholar 

  • Wust, S., Federenko, I., Hellhammer, D., & Kirschbaum, C. (2000a). Genetic factors, perceived chronic stress and the free cortisol response to awakening. Psychoneuroendocrinology, 25, 707–720.

    PubMed  Google Scholar 

  • Wust, S., Wolf, J., Hellhammer, D. H., Federenko, I., Schommer, N., & Kirschbaum, C. (2000b). The cortisol awakening response-normal values and confounds. Noise and Health, 2(7), 79–88.

    PubMed  Google Scholar 

  • Young, E. A., Vazquez, D., Jiang, H., & Pfeffer, C. R. (2006). Saliva cortisol and response to dexamethasone in children of depressed parents. Biological Psychiatry, 60(8), 831–836.

    PubMed  Google Scholar 

Download references

Acknowledgements

This research was supported by the University of Maryland (UMD) College of Behavioral and Social Sciences Dean’s Research Initiative Award (LRD) and the UMD Research and Scholars Award (LRD). We are indebted to the families and staff who made this study possible. We are especially grateful to Caitlin Condit for all her efforts in recruiting families and running participants.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lea R. Dougherty.

Ethics declarations

Conflict of Interest

Katherine A. Leppert, Victoria C. Smith, Stephanie M. Merwin, Marissa Kushner, and Lea Rose Dougherty declare that they have no conflict of interest.

Experiment Participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Leppert, K.A., Smith, V.C., Merwin, S.M. et al. Cortisol Rhythm in Preschoolers: Relations with Maternal Depression and Child Temperament. J Psychopathol Behav Assess 40, 386–401 (2018). https://doi.org/10.1007/s10862-018-9650-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10862-018-9650-1

Keywords

Navigation