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Childhood adversities and salivary cortisol responses to the trier social stress test: A systematic review of studies using the children trauma questionnaire (CTQ)

Lai, JCL; Lee, DYH; Leung, MOY; (2021) Childhood adversities and salivary cortisol responses to the trier social stress test: A systematic review of studies using the children trauma questionnaire (CTQ). International Journal of Environmental Research and Public Health , 18 (1) , Article 29. 10.3390/ijerph18010029. Green open access

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Abstract

Alteration in cortisol response to acute social stressors has been hypothesized to mediate childhood adversities (CA) and increased morbidity in adulthood. However, the evidence supporting an association between CA and cortisol response to social stressors is inconclusive. The present review addressed this issue by reviewing the literature on CA and cortisol response to acute social stressors, with a focus on studies with adolescents or adults, using the Childhood Trauma Questionnaire (CTQ) to assess CA, and examining salivary cortisol response to the Trier Social Stress Test (TSST). Systematic searches of relevant articles in PsycINFO, PubMed, Web of Science and ScienceDirect in February and March 2020 identified 12 articles including 1196 participants with mean ages ranging from 15.3 to 52.3 yrs. across studies. CTQ scores were significantly associated with cortisol response in 2 studies. In addition, the physical abuse and emotional neglect subscales were associated with cortisol response respectively in 2 separate studies. The lack of association between CA and cortisol response calls for more longitudinal studies, and the use of formal records of maltreatment or informant reports in future research to complement information collected by retrospective measures. In addition, increased attention to biological mechanisms other than that associated with the regulation of cortisol in explaining the connection between CA and psychiatry morbidity is warranted.

Type: Article
Title: Childhood adversities and salivary cortisol responses to the trier social stress test: A systematic review of studies using the children trauma questionnaire (CTQ)
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/ijerph18010029
Publisher version: http://dx.doi.org/10.3390/ijerph18010029
Language: English
Additional information: © 2020 by the Authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Keywords: childhood adversities; Childhood Trauma Questionnaire (CTQ); cortisol response; Trier Social Stress Test (TSST)
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Experimental Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10190779
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