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

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dc.contributor.authorMello, Andrea Feijo [UNIFESP]
dc.contributor.authorJuruena, Mario Francisco
dc.contributor.authorMaciel, Mariana Range [UNIFESP]
dc.contributor.authorCavalcante-Nobrega, Luciana Porto [UNIFESP]
dc.contributor.authorCividanes, Giuliana Claudia [UNIFESP]
dc.contributor.authorFossaluza, Victor
dc.contributor.authorCalsavara, Vinicius
dc.contributor.authorMello, Marcelo Feijo [UNIFESP]
dc.contributor.authorCleare, Anthony James
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionKings Coll London
dc.date.accessioned2016-01-24T14:40:00Z
dc.date.available2016-01-24T14:40:00Z
dc.date.issued2015-02-01
dc.description.abstractThe 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.en
dc.description.affiliationUniversidade Federal de São Paulo, Paulista Med Sch, Dept Psychiat, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Med Ribeirao Preto, Dept Neurosci & Behav, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Math & Stat Inst, São Paulo, Brazil
dc.description.affiliationKings Coll London, Inst Psychiat, Dept Psychol Med, London WC2R 2LS, England
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Paulista Med Sch, Dept Psychiat, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipFAEPA
dc.description.sponsorshipKing's College London
dc.description.sponsorshipIDCAPES: 02772/09-4
dc.description.sponsorshipIDCNPq: 575114/2008-8
dc.format.extent625-630
dc.identifierhttp://dx.doi.org/10.1016/j.psychres.2014.11.034
dc.identifier.citationPsychiatry Research. Clare: Elsevier B.V., v. 225, n. 3, p. 625-630, 2015.
dc.identifier.doi10.1016/j.psychres.2014.11.034
dc.identifier.issn0165-1781
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/38704
dc.identifier.wosWOS:000350181500060
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofPsychiatry Research
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectHypothalamic-pituitary-adrenal axisen
dc.subjectChild worken
dc.subjectChild maltreatmenten
dc.subjectStreet childrenen
dc.titleFactors related to the cortisol awakening response of children working on the streets and siblings, before and after 2 years of a psychosocial interventionen
dc.typeinfo:eu-repo/semantics/article
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