Meta-analysis of associations between childhood adversity and diurnal cortisol regulation / Laura PERRONE in Development and Psychopathology, 36-3 (August 2024)  

Public ISBD [article]  inDevelopment and Psychopathology > 36-3 (August 2024) . - p.1323-1355 Titre : Meta-analysis of associations between childhood adversity and diurnal cortisol regulation Type de document : Texte imprimé et/ou numérique Auteurs : Laura PERRONE, Auteur ; Daneele THORPE, Auteur ; Grace SHARIAT PANAHI, Auteur ; Yukihiro KITAGAWA, Auteur ; Oliver LINDHIEM, Auteur ; Kristin BERNARD, Auteur Article en page(s) : p.1323-1355 Langues : Anglais (eng) Mots-clés : Childhood adversity  Cortisol  Hypothalamic-pituitary-adrenal axis  Meta-analysis Index. décimale : PER Périodiques Résumé : Childhood adversity has been associated with hypothalamic-pituitary-adrenal axis dysregulation, which is associated with mental and physical health consequences. However, associations between childhood adversity and cortisol regulation in the current literature vary in magnitude and direction. This multilevel meta-analysis examines the association between childhood adversity and diurnal cortisol measures, as well as potential moderators of these effects (adversity timing and type, study or sample characteristics). A search was conducted in online databases PsycINFO and PubMed for papers written in English. After screening for exclusion criteria (papers examining animals, pregnant women, people receiving hormonal treatment, people with endocrine disorders, cortisol before age 2 months, or cortisol after an intervention), 303 papers were identified for inclusion. In total, 441 effect sizes were extracted from 156 manuscripts representing 104 studies. A significant overall effect was found between childhood adversity and bedtime cortisol, r = 0.047, 95% CI [0.005, 0.089], t = 2.231, p = 0.028. All other overall and moderation effects were not significant. The lack of overall effects may reflect the importance of the timing and nature of childhood adversity to adversity?s impact on cortisol regulation. Thus, we offer concrete recommendations for testing theoretical models linking early adversity and stress physiology. En ligne : https://dx.doi.org/10.1017/S0954579423000561 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=539 [article] Meta-analysis of associations between childhood adversity and diurnal cortisol regulation [Texte imprimé et/ou numérique] / Laura PERRONE, Auteur ; Daneele THORPE, Auteur ; Grace SHARIAT PANAHI, Auteur ; Yukihiro KITAGAWA, Auteur ; Oliver LINDHIEM, Auteur ; Kristin BERNARD, Auteur . - p.1323-1355. Langues : Anglais (eng) in Development and Psychopathology > 36-3 (August 2024) . - p.1323-1355 Mots-clés : Childhood adversity  Cortisol  Hypothalamic-pituitary-adrenal axis  Meta-analysis Index. décimale : PER Périodiques Résumé : Childhood adversity has been associated with hypothalamic-pituitary-adrenal axis dysregulation, which is associated with mental and physical health consequences. However, associations between childhood adversity and cortisol regulation in the current literature vary in magnitude and direction. This multilevel meta-analysis examines the association between childhood adversity and diurnal cortisol measures, as well as potential moderators of these effects (adversity timing and type, study or sample characteristics). A search was conducted in online databases PsycINFO and PubMed for papers written in English. After screening for exclusion criteria (papers examining animals, pregnant women, people receiving hormonal treatment, people with endocrine disorders, cortisol before age 2 months, or cortisol after an intervention), 303 papers were identified for inclusion. In total, 441 effect sizes were extracted from 156 manuscripts representing 104 studies. A significant overall effect was found between childhood adversity and bedtime cortisol, r = 0.047, 95% CI [0.005, 0.089], t = 2.231, p = 0.028. All other overall and moderation effects were not significant. The lack of overall effects may reflect the importance of the timing and nature of childhood adversity to adversity?s impact on cortisol regulation. Thus, we offer concrete recommendations for testing theoretical models linking early adversity and stress physiology. En ligne : https://dx.doi.org/10.1017/S0954579423000561 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=539

Understanding the Association Between Neighborhood Resources and Trauma-Informed Care Among Providers Who Serve Autistic Youth / Daneele THORPE in Autism Research, 18-3 (March 2025)  

Public ISBD [article]  inAutism Research > 18-3 (March 2025) . - p.553-569 Titre : Understanding the Association Between Neighborhood Resources and Trauma-Informed Care Among Providers Who Serve Autistic Youth Type de document : Texte imprimé et/ou numérique Auteurs : Daneele THORPE, Auteur ; Connor M. KERNS, Auteur ; Lauren J. MOSKOWITZ, Auteur ; Amy DRAHOTA, Auteur ; Matthew LERNER, Auteur ; Ucas Consortium THE, Auteur Article en page(s) : p.553-569 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  neighborhood resources  trauma-informed care Index. décimale : PER Périodiques Résumé : ABSTRACT A growing body of literature suggests that youth with autism spectrum disorders (ASD), herein, autistic youth, face an increased risk of being exposed to adverse childhood experiences (ACEs). However, trauma-informed approaches to care among autistic youth remain limited. In a large cross-sectional survey of ASD providers (N?=?670) recruited from five U.S. locations, we examined the association between neighborhood resources using the Child Opportunity Index (i.e., educational, health/environmental, and social/economic opportunities) and the frequency at which providers engaged in trauma-informed care (i.e., inquire about, screen for, treat, and provide referrals for trauma diagnosis and treatment) and the types of adverse childhood experiences (ACEs) they screen for (i.e., maltreatment/neglect and household dysfunction). The latent model revealed that providers in neighborhoods with fewer resources engaged in more trauma-informed care and were more likely to screen for ACEs related to household dysfunction. Follow-up exploratory analyses indicated that providers in the lowest 20% of opportunity neighborhoods made the greatest efforts in trauma screening for maltreatment and household dysfunction, followed closely by those in the lowest 40%, compared to higher-opportunity areas. Sensitivity analyses, controlling for potential nesting effects, confirmed similar results. These findings may suggest a concerted effort to ensure that autistic youth in highly disadvantaged areas receive adequate trauma screening. However, lower screening rates in higher-resourced neighborhoods may mean trauma-exposed autistic youth in these areas are overlooked. Expanding provider training to emphasize trauma inquiry across all neighborhoods could help address this gap. Limitations, implications for policy and practice, and future directions are discussed. En ligne : https://doi.org/10.1002/aur.3305 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550 [article] Understanding the Association Between Neighborhood Resources and Trauma-Informed Care Among Providers Who Serve Autistic Youth [Texte imprimé et/ou numérique] / Daneele THORPE, Auteur ; Connor M. KERNS, Auteur ; Lauren J. MOSKOWITZ, Auteur ; Amy DRAHOTA, Auteur ; Matthew LERNER, Auteur ; Ucas Consortium THE, Auteur . - p.553-569. Langues : Anglais (eng) in Autism Research > 18-3 (March 2025) . - p.553-569 Mots-clés : autism spectrum disorder  neighborhood resources  trauma-informed care Index. décimale : PER Périodiques Résumé : ABSTRACT A growing body of literature suggests that youth with autism spectrum disorders (ASD), herein, autistic youth, face an increased risk of being exposed to adverse childhood experiences (ACEs). However, trauma-informed approaches to care among autistic youth remain limited. In a large cross-sectional survey of ASD providers (N?=?670) recruited from five U.S. locations, we examined the association between neighborhood resources using the Child Opportunity Index (i.e., educational, health/environmental, and social/economic opportunities) and the frequency at which providers engaged in trauma-informed care (i.e., inquire about, screen for, treat, and provide referrals for trauma diagnosis and treatment) and the types of adverse childhood experiences (ACEs) they screen for (i.e., maltreatment/neglect and household dysfunction). The latent model revealed that providers in neighborhoods with fewer resources engaged in more trauma-informed care and were more likely to screen for ACEs related to household dysfunction. Follow-up exploratory analyses indicated that providers in the lowest 20% of opportunity neighborhoods made the greatest efforts in trauma screening for maltreatment and household dysfunction, followed closely by those in the lowest 40%, compared to higher-opportunity areas. Sensitivity analyses, controlling for potential nesting effects, confirmed similar results. These findings may suggest a concerted effort to ensure that autistic youth in highly disadvantaged areas receive adequate trauma screening. However, lower screening rates in higher-resourced neighborhoods may mean trauma-exposed autistic youth in these areas are overlooked. Expanding provider training to emphasize trauma inquiry across all neighborhoods could help address this gap. Limitations, implications for policy and practice, and future directions are discussed. En ligne : https://doi.org/10.1002/aur.3305 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550

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