HPA stability for children in foster care: Mental health implications and moderation by early intervention

Laurent, Heidemarie K.; Gilliam, Kathryn S.; Bruce, Jacqueline; Fisher, Philip A.

doi:10.1002/dev.21226

Cited by 33 publications

(24 citation statements)

References 47 publications

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“…Researchers should use developmental cascade models to test changes in the strength of transactional and interactive effects among physiology, self‐regulation, and environment across time. Since the effect of biological sensitivity on adaptation differs along the continuum of adversity , we need to use analyses such as moderated mediation and multilevel modeling to identify how both the stability of physiological response and its time‐varying effect differ for low‐ and high‐risk groups .…”

Section: The Importance Of Caregiving and Educational Contextsmentioning

confidence: 99%

Physiological Responsivity and Executive Functioning: Implications for Adaptation and Resilience in Early Childhood

Obradović

2016

Child Dev Perspectives

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Knowledge of how physiological responsivity and executive functioning relate to adaptation and resilience in early childhood has improved dramatically over the last decade, yet most studies focus on only one of these processes. By highlighting new findings and ongoing research, in this article, I advocate for investigating the dynamic interplay among physiological arousal, executive functions, and contextual experiences. New analytic approaches advance the conceptualization and measurement of physiological response as a process that comprises both reactivity and recovery. I also offer strategies for capturing complexities in contextual influences through examination of stimulating experiences, unique proximal and distal pathways, nonlinear effects, and longitudinal cascade models. This work can improve our understanding of how young children cope with stressors, engage with challenges, and achieve the optimal arousal and well‐regulated behavior that supports development and learning.

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Section: The Importance Of Caregiving and Educational Contextsmentioning

confidence: 99%

Physiological Responsivity and Executive Functioning: Implications for Adaptation and Resilience in Early Childhood

Obradović

2016

Child Dev Perspectives

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“…However, to the best or our knowledge, there are only few studies targeting individuals in residential care (e.g. [81]). Our study shows that neurobiological research is feasible in this field and offers new insight into physiological changes that accompany TIC.…”

Section: Resultsmentioning

confidence: 99%

Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

et al. 2020

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Background: Professional caregivers working in child and youth welfare institutions are frequently faced with the complex mental health issues, emotional needs and challenging coping strategies of clients with cumulated traumatic experiences, leaving them prone to developing high levels of stress, burn-out and compassion fatigue. Trauma-informed care (TIC) is a milieu-therapeutic approach that aims to promote the self-efficacy and self-care of youth welfare staff by guiding them to a better understanding of their own and their clients' stress symptoms and countertransference. Despite increasing efforts to implement TIC practices, and more widespread recognition of their value in youth welfare systems, there is a lack of studies evaluating the effectiveness of this approach. The aim of this study was to assess the effects of TIC practices in youth welfare institutions on both the physiological stress of staff members and clients' physical aggression towards their caregivers. . Methods:Data was obtained from a longitudinal study investigating the effectiveness of TIC in 14 residential youth welfare institutions. Our sample consisted of 47 youth welfare employees (66.0% female) aged from 23 to 60 years (M = 37.4, SD = 10.4 years). Hair cortisol concentration (HCC) and occurrences of client physical aggression were assessed at four annual measurement time points (T1 to T4). Results: Participants in five institutions employing TIC practices (intervention group) showed significantly lower HCC at T4 than staff members from institutions who did not receive training in TIC (control group), indicating reduced physiological stress levels. At T4, the intervention group reported significantly less physical aggression than the control group.Conclusions: TIC might be a promising approach for reducing the emotional burden of employees and institutions should invest in training their staff in TIC practices. More research is necessary, to investigate the benefits and efficacy of TIC, both to youths and staff members, and to foster a better understanding of which specific factors may contribute to stress reduction.

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“…Child refusal or resistance to participation in saliva sampling was reported by a number of research teams, and refusal or resistance varied by age, sampling procedure, and child characteristics (Bair‐Merritt et al, ; Fisher et al, ; Laurent, Gilliam, Bruce, & Fisher, ; Saridjan et al, ; Vermeer et al, ). Groschl, Rauh and Dorr () noted that salivettes may be inappropriate for saliva collection in young infants because they are unable to keep a large swab in their small mouths.…”

Section: Resultsmentioning

confidence: 99%

Psychosocial Influences on Acceptability and Feasibility of Salivary Cortisol Collection From Community Samples of Children

Condon

2016

Research in Nursing & Health

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Salivary cortisol is considered to be a safe and noninvasive measure of hypothalamic-pituitary-adrenal axis functioning, and is a commonly measured biomarker of the human stress response in pediatric research. However, cortisol is highly variable and sensitive to a wide range of factors, creating a challenge for reliable salivary cortisol collection in the community setting. Furthermore, the acceptability of salivary cortisol collection in community samples of children is largely unknown. The purpose of this integrative review was to investigate current evidence on the acceptability and feasibility of salivary cortisol collection in community samples of children. In an analysis framed by the Theory of Planned Behavior, data extracted from 31 studies revealed six categories of psychosocial influences on acceptability and feasibility: uncertainty and misconceptions, cultural and ethnic values, family rules and values, difficulty following protocols and procedures, burden of multiple samples, and child refusal or resistance. Further research is required to fully understand the factors that influence acceptability and feasibility of salivary cortisol collection in community samples of children. Understanding individual, family, and community perceptions of biobehavioral research will lead to more culturally sensitive and feasible community-based research methods.

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HPA stability for children in foster care: Mental health implications and moderation by early intervention

Cited by 33 publications

References 47 publications

Physiological Responsivity and Executive Functioning: Implications for Adaptation and Resilience in Early Childhood

Physiological Responsivity and Executive Functioning: Implications for Adaptation and Resilience in Early Childhood

Effect of trauma-informed care on hair cortisol concentration in youth welfare staff and client physical aggression towards staff: results of a longitudinal study

Psychosocial Influences on Acceptability and Feasibility of Salivary Cortisol Collection From Community Samples of Children

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