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ERIC Number: EJ1470182
Record Type: Journal
Publication Date: 2025-Mar
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1389-4986
EISSN: EISSN-1573-6695
Available Date: 2022-05-23
Parameterizing Toxic Stress in Early Childhood: Maternal Depression, Maltreatment, and HPA-Axis Variation in a Pilot Intervention Study
Rachael E. Wagner1; Melissa Jonson-Reid2; Brett Drake2; Patricia L. Kohl2; Laura Pons1; Yi Zhang1; Robert T. Fitzgerald1; Mark L. Laudenslager3; John N. Constantino1
Prevention Science, v26 suppl 1 p78-89 2025
Adverse experiences superseding a child's capacity to sustain regulation of emotion and adaptive function are theorized to constitute "toxic stressors" when they induce a deleterious biological response within an individual. We ascertained presumptive parameters of toxic stress among 164 low-income infants and toddlers (ages 4-48 months) from 132 families enrolled in Early Head Start (EHS). We randomized a subset of these families into a pilot intervention arm of parenting education (the Incredible Years, TIY), which supplemented the EHS curriculum. Official report child abuse and neglect (CAN) and child behavior were serially ascertained over the course of the study. We observed relatively low associations among maternal depression, CAN, caregiver-child relationship quality, hair cortisol, and adverse child behavioral outcomes. Moreover, despite poverty and the high prevalence (51%) of CAN in this sample, the frequency of clinical-level internalizing and externalizing behavior among the children did not exceed that of the general population, by their parents' report. The pilot supplementation of EHS with TIY improved attendance in group meetings but did not significantly reduce adverse behavioral outcomes or CAN. This study revealed marked independence of standard indices of toxic stress (child maltreatment, maternal depression, caregiver emotional unavailability) which have been presumed to be risk factors for the development of psychopathology. That they were weakly inter-correlated, and only modestly predictive of child behavioral outcomes in this EHS sample, caution against presumptions about the toxicity of individual stressors, highlight the importance of ascertaining risk (and compensatory influences) comprehensively, suggest buffering effects of programs like EHS, and demonstrate the need for greater understanding of what parameterizes resilience in early childhood.
Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link-springer-com.bibliotheek.ehb.be/
Publication Type: Journal Articles; Reports - Research
Education Level: Adult Education
Audience: N/A
Language: English
Sponsor: Administration for Children and Families (ACF) (DHHS)
Authoring Institution: N/A
Identifiers - Laws, Policies, & Programs: Early Head Start
Grant or Contract Numbers: 90YR0054
Author Affiliations: 1Washington University School of Medicine in St. Louis, Department of Psychiatry, Division of Child and Adolescent Psychiatry, St. Louis, USA; 2Washington University in St. Louis, School of Social Work, St. Louis, USA; 3University of Colorado Anschutz Medical Campus, Denver, USA