Factors related to the cortisol awakening response of children working on the streets and siblings, before and after 2 years of a psychosocial intervention

Factors related to the cortisol awakening response of children working on the streets and siblings, before and after 2 years of a psychosocial intervention

Author Mello, Andrea Feijo Autor UNIFESP Google Scholar
Juruena, Mario Francisco Google Scholar
Maciel, Mariana Range Autor UNIFESP Google Scholar
Cavalcante-Nobrega, Luciana Porto Autor UNIFESP Google Scholar
Cividanes, Giuliana Claudia Autor UNIFESP Google Scholar
Fossaluza, Victor Google Scholar
Calsavara, Vinicius Google Scholar
Mello, Marcelo Feijo Autor UNIFESP Google Scholar
Cleare, Anthony James Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Kings Coll London
Abstract The study objective was to observe the cortisol awakening response (CAR) pattern before and after a psychosocial intervention with children from dysfunctional families who had at least one child working on the streets, and to verify factors related to it. Two hundred and eleven children between 7 and 14 years old were selected and 191 were included, 178 were re-evaluated 2 years after, of whom 113 had cortisol measures completed. Besides cortisol, they were evaluated at baseline and at end point regarding: abuse/neglect, mental health symptoms, exposure to urban violence and family environment. There was no significant difference between the CAR area under the curve (AUC) before and after the intervention. Two regression analysis models were built to evaluate factors related to the CAR before and after intervention. Before the intervention, working on the streets (vs. not) was related to a greater cortisol increase after awakening, at follow-up, having suffered physical punishment (vs. not) was related to a flattened cortisol response. the intervention was not associated with changes in the magnitude of the CAR AUC, though the CAR was associated with psychosocial stressors pre- and post-intervention. Effective interventions for children at risk that might shape a physiological cortisol response are still needed. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
Keywords Hypothalamic-pituitary-adrenal axis
Child work
Child maltreatment
Street children
Language English
Sponsor Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
King's College London
Grant number CAPES: 02772/09-4
CNPq: 575114/2008-8
Date 2015-02-01
Published in Psychiatry Research. Clare: Elsevier B.V., v. 225, n. 3, p. 625-630, 2015.
ISSN 0165-1781 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 625-630
Origin http://dx.doi.org/10.1016/j.psychres.2014.11.034
Access rights Closed access
Type Article
Web of Science ID WOS:000350181500060
URI http://repositorio.unifesp.br/handle/11600/38704

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