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

<p>Abstract</p> <p>Background</p> <p>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...

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Main Authors: Psychogiou Lamprini, Oades Robert D, Christiansen Hanna, Hauffa Berthold P, Sonuga-Barke Edmund J
Format: Article
Language:English
Published: BMC 2010-07-01
Series:Behavioral and Brain Functions
Online Access:http://www.behavioralandbrainfunctions.com/content/6/1/45
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author Psychogiou Lamprini
Oades Robert D
Christiansen Hanna
Hauffa Berthold P
Sonuga-Barke Edmund J
author_facet Psychogiou Lamprini
Oades Robert D
Christiansen Hanna
Hauffa Berthold P
Sonuga-Barke Edmund J
author_sort Psychogiou Lamprini
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>Two groups of children (with/without ADHD) and their respective parents were randomly 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 their children's salivary cortisol levels were measured.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>
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spelling doaj.art-b8b49d9f19cc444182964516de3cdd282022-12-22T03:17:30ZengBMCBehavioral and Brain Functions1744-90812010-07-01614510.1186/1744-9081-6-45Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)?Psychogiou LampriniOades Robert DChristiansen HannaHauffa Berthold PSonuga-Barke Edmund J<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>Two groups of children (with/without ADHD) and their respective parents were randomly 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 their children's salivary cortisol levels were measured.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>http://www.behavioralandbrainfunctions.com/content/6/1/45
spellingShingle Psychogiou Lamprini
Oades Robert D
Christiansen Hanna
Hauffa Berthold P
Sonuga-Barke Edmund J
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
title Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)?
title_full Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)?
title_fullStr Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)?
title_full_unstemmed Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)?
title_short Does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in Attention-Deficit/Hyperactivity-Disorder (ADHD)?
title_sort does the cortisol response to stress mediate the link between expressed emotion and oppositional behavior in attention deficit hyperactivity disorder adhd
url http://www.behavioralandbrainfunctions.com/content/6/1/45
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