Citation

Cicchetti D, Rogosch FA, Gunnar MR, Toth SL. Child Dev. 2010; 81(1): 252-269.

Copyright

(Copyright © 2010, John Wiley and Sons)

DOI

10.1111/j.1467-8624.2009.01393.x

PMID

unavailable

Abstract

The impact of early physical and sexual abuse (EPA/SA) occurring in the first 5 years of life was investigated in relation to depressive and internalizing symptomatology and diurnal cortisol regulation. In a summer camp context, school‐aged maltreated (n = 265) and nonmaltreated (n = 288) children provided morning and late afternoon saliva samples on 5 consecutive days. Child self‐report and adult observer reports of child internalizing and depressive symptoms were obtained. Children experiencing EPA/SA and high depressive or internalizing symptoms uniquely exhibited an attenuated diurnal decrease in cortisol, indicative of neuroendocrine dysregulation. These results were specific to EPA/SA rather than later onset physical or sexual abuse or early occurring neglect or emotional maltreatment.