Morning cortisol Levels in preschool-aged foster children: differential effects of maltreatment type

Abstract

Maltreated foster children are subjected to a range of early adverse experiences, including neglect, abuse, and multiple caregiver disruptions. Research suggests that such disturbances alter the development and subsequent functioning of the hypothalamic-pituitary-adrenocortical system. The current study was designed to investigate morning cortisol levels in 117 foster children and 60 low-income, nonmaltreated children. Maltreatment and foster care placement experiences were coded from official records. Analyses revealed that the foster children were significantly more likely than the nonmaltreated children to have low morning cortisol levels. Additionally, specific maltreatment experiences were significantly associated with the foster children's morning cortisol levels. Foster children with low morning cortisol levels experienced more severe physical neglect than the other foster children. In contrast, foster children with high morning cortisol levels experienced more severe emotional maltreatment. These results suggest that specific early adverse experiences have differential effects on the functioning of the hypothalamic-pituitary-adrenocortical system.

Figures

Figure 1

Distributions of the untransformed, uncensored cortisol values for the foster care (FC) and community comparison (CC) children. (The circle indicates a cortisol value more than 3 times the interquartile range away from the upper quartile.)

Figure 2

Percentage of foster care (FC) and community comparison (CC) children in the low (FC n = 37; CC n = 8), average (FC n = 49; CC n = 36), and high (FC n = 31; CC n = 15) cortisol classification groups.