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Stress and hypothalamic–pituitary–adrenal (HPA) axis dysregulation have been associated with externalizing behavior in adolescence, but few studies have examined these factors in a treatment context. This study investigated the relationship between stress, cortisol, and externalizing behavior among 120 adolescent males (mean age = 15) receiving Multisystemic Therapy (MST). To examine the differential relationship of cortisol with various types of stressors, self-report measures assessed lifetime stress, current episodic stress, and daily hassles. Morning and afternoon cortisol samples were collected to examine whether the relationship between stress and treatment outcome depended on the youth’s biological stress levels. Regression analyses indicated that awakening cortisol levels moderated the relationship between daily hassles and externalizing behaviors at post-treatment. More specifically, higher levels of daily hassles predicted worse outcomes only among adolescents with high levels of morning cortisol. In addition, lifetime stressors and afternoon measures of cortisol interacted to predict changes in caretaker reports of externalizing problems and youth arrests following treatment; lifetime stressors were positively associated with externalizing behavior when adolescents had low levels of afternoon cortisol. Implications for theory and future directions for evidence-based treatment are discussed.
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Achenbach, T. M. (1991). Manual for the child behavior checklist/4-18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry.
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. California Sage: Thousand Oaks.
Alink, L. R. A., Van Ijzendoorn, M. H., Bakermans-Kranenburg, M. J., Mesman, J., Juffer, F., & Koot, H. M. (2008). Cortisol and externalizing behavior in children and adolescents: Mixed meta-analytic evidence for the inverse relation of basal cortisol and cortisol reactivity with externalizing behavior. Developmental Psychobiolgy, 50(5), 427–450. CrossRef
Bevans, K., Cerbone, A., & Overstreet, S. (2008). Relations between recurrent trauma exposure and recent life stress and salivary cortisol among children. Developmental Psychopathology, 20(01), 1–16. CrossRef
Brand, A., & Johnson, J. (1982). Note on the reliability of the Life Events Checklist. Psychological Reports, 50, 1274. CrossRef
Brand, S. R., Schechter, J. C., Hammen, C. L., Brocque, R. L., & Brennan, P. A. (2011). Do adolescent offspring of women with PTSD experience higher levels of chronic and episodic stress? Journal of Traumatic Stress, n/a-n/a.
Cicchetti, D., & Rogosch, F. A. (2001). Diverse patterns of neuroendocrine activity in maltreated children. Developmental Psychopathology, 13(3), 677–693. CrossRef
Cohen, M. A., Piquero, A. R., & Jennings, W. G. (2010). Studying the costs of crime across offender trajectories. Criminology & Public Policy, 9(2), 279–305. CrossRef
Fischer, J., & Corcoran, K. (2006). Measures for clinical practice and research: A sourcebook (4th ed.). New York: Oxford University Press.
Gunnar, M. R., Morison, S. J., Chisholm, K., & Schuder, M. (2001). Salivary cortisol levels in children adopted from Romanian orphanages. Development and Psychopathology, 13(3), 611–628. CrossRef
Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (2009). Multisystemic therapy for antisocial behavior in children and adolescents (2nd ed.). New York: Guilford.
Hollingshead, A. B. (1975). Four factor index of social status.
Ingram, R. E., & Luxton, D. D. (2005). Vulnerability-stress models. In B. L. Hankin & J. R. Z. Abela (Eds.), Development of psychopathology (pp. 32–47). Thousand Oaks, CA: Sage. CrossRef
Kirschbaum, C., Wust, S., & Hellhammer, D. (1992). Consistent sex differences in cortisol responses to psychological stress. Psychosomatic Medicine, 54(6), 648. PubMed
Mathijssen, J. J. J. P., Koot, H. M., & Verhulst, F. C. (1999). Predicting change in problem behavior from child and family characteristics and stress in referred children and adolescents. Developmental Psychopathology, 11(02), 305–320. CrossRef
Miller, D. B., & Townsend, A. (2005). Urban hassles as chronic stressors and adolescent mental health: the Urban Hassles Index. Brief Treatment and Crisis Intervention, 5(1), 85–94. CrossRef
Nock, M. K. (2003). Progress review of the psychosocial treatment of child conduct problems. Clinical Psychology: Science and Practice, 10(1), 1–28. CrossRef
Petersen, A. C., Crockett, L., Richards, M., & Boxer, A. (1988). A self-report measure of pubertal status: reliability, validity, and initial norms. Journal of Youth and Adolescence, 17(2), 117–133. CrossRef
Post, R. M. (1992). Transduction of psychosocial stress into the neurobiology of recurrent affective disorder. The American Journal of Psychiatry, 149(8), 999–1010. PubMed
Raine, A. (1993). The psychopathology of crime: Criminal behavior as a clinical disorder. San Diego: Academic.
Sapolsky, R. M. (1994). Why zebras don’t get ulcers: An updated guide to stress, stress-related diseases, and coping. New York: W.H. Freeman.
Scerbo, A., & Kolko, D. J. (1994). Salivary testosterone and cortisol in disruptive children: relationship to aggressive. Hyperactive, and Internalizing Behaviors, 33(8), 1174–1184.
Shirtcliff, E. A., Granger, D. A., Booth, A., & Johnson, D. (2005). Low salivary cortisol levels and externalizing behavior problems in youth. Developmental Psychopathology, 17(01), 167–184. CrossRef
U.S. Public Health Service (1999). Mental health: a report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health.
Van Goozen, S., Matthys, W., Cohen-Kettenis, P., Buitelaar, J., & van Engeland, H. (2000a). Hypothalamic-pituitary-adrenal axis and autonomic nervous system activity in disruptive children and matched controls. Journal of the American Academy of Child and Adolescent Psychiatry, 39(11), 1438–1445. CrossRef
Van Goozen, S. H., Van Den Ban, E., Matthys, W., Cohen-Kettenis, P. T., Thijssen, J. H., & Van Engeland, H. (2000b). Increased adrenal androgen functioning in children with oppositional defiant disorder: a comparison with psychiatric and normal controls. Journal of the American Academy of Child & Adolescent Psychiatry, 39(11), 1446–1451.
Webster-Stratton, C., & Hammond, M. (1997). Treating children with early-onset conduct problems: a comparison of child and parent training interventions* 1,* 2. Journal of Consulting and Clinical Psychology.
Willemen, A. M., Koot, H. M., Ferdinand, R. F., Goossens, F. A., & Schuengel, C. (2008). Change in psychopathology in referred children: the role of life events and perceived stress (pp. 1175–1183). Psychiatry: Journal of Child Psychology and.
Williams, R. J., & Chang, S. Y. (2000). A comprehensive and comparative review of adolescent substance abuse treatment outcome. Clinical Psychology: Science and Practice, 7(2), 138–166. CrossRef
Zuckerman, M. (1978). Sensation seeking and psychopathy. In R. D. Hare & D. Schalling (Eds.), Psychopathic behaviour: Approaches to research (pp. 165–186.). London: Wiley.
- Stress, Cortisol, and Externalizing Behavior in Adolescent Males: An Examination in the Context of Multisystemic Therapy
Julia C. Schechter
Patricia A. Brennan
Phillippe B. Cunningham
Sharon L. Foster
- Springer US