“…For example, atypical patterns of cortisol secretion characterised by flatter cortisol slopes (Seltzer et al, 2009), greater CAR magnitude (Ruiz-Robledillo & Moya-Albiol, 2013) and hypo-secretion of cortisol across the day (Bella et al, 2011;Seltzer et al, 2010) have been observed in parental caregivers of children with a 5 DD. Moreover, alterations in basal HPA activity have been implicated as one physiological indicator for downstream disease outcomes such as infectious disease (Edwards, Hucklebridge, Clow, & Evans, 2003), cardiovascular pathologies (Seldenrijk, Hamer, Lahiri, Penninx, & Steptoe, 2012) and sleep problems (Lasikiewicz, Hendrickx, Talbot, & Dye, 2008).…”