Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)?


Christiansen, Hanna, Oades, Robert D., Psychogiou, Lamprini, Hauffa, Berthold and Sonuga-Barke, Edmund (2010) Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)? Behavioral and Brain Functions, 6, 45. (doi:10.1186/1744-9081-6-45).

Download

Full text not available from this repository.

Description/Abstract

Background: Expressed Emotions (EE) are associated with oppositional behavior (OPB) in children with Attention Deficit/Hyperactivity Disorder (ADHD). EE has been linked to altered stress responses in some disorders, but ADHD has not been studied. We test the hypothesis that OPB in ADHD is mediated by altered stress-related cortisol reactivity to EE.

Methods: Two groups of children (with/without ADHD) and their respective parents wererandomly assigned to two different conditions with/without negative emotion and participated in an emotion provocation task. Parents’ EE, their ratings of their children’s OPB and theirchildren’s salivary cortisol levels were measured.

Results: Low parental warmth was associated with OPB in ADHD. High levels of parental EE elicited a larger cortisol response. Stress-related cortisol reactivity mediated the EE-OPB link for all children. This highlights the general importance of parent-child interactions on externalizing behavior problems.

Conclusion: High EE is a salient stressor for ADHD children that leads to increased levels of cortisol and OPB. The development of OPB might be mediated by the stress-response to high EE.

Item Type: Article
ISSNs: 1744-9081 (print)
Related URLs:
Subjects: H Social Sciences > HQ The family. Marriage. Woman
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: University Structure - Pre August 2011 > School of Psychology > Division of Clinical Neuroscience
ePrint ID: 160775
Date Deposited: 19 Jul 2010 15:11
Last Modified: 27 Mar 2014 19:16
URI: http://eprints.soton.ac.uk/id/eprint/160775

Actions (login required)

View Item View Item