Skip to main content
Top
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Alterations of hair cortisol and dehydroepiandrosterone in mother-infant-dyads with maternal childhood maltreatment

Authors: K. Schury, A. M. Koenig, D. Isele, A. L. Hulbert, S. Krause, M. Umlauft, S. Kolassa, U. Ziegenhain, A. Karabatsiakis, F. Reister, H. Guendel, J. M. Fegert, I.-T. Kolassa

Published in: BMC Psychiatry | Issue 1/2017

Login to get access

Abstract

Background

Child maltreatment (CM) has severe effects on psychological and physical health. The hypothalamic-pituitary-adrenal (HPA) axis, the major stress system of the body, is dysregulated after CM. The analysis of cortisol and dehydroepiandrosterone (DHEA) in scalp hair presents a new and promising methodological approach to assess chronic HPA axis activity. This study investigated the effects of CM on HPA axis activity in the last trimester of pregnancy by measuring the two important signaling molecules, cortisol and DHEA in hair, shortly after parturition. In addition, we explored potential effects of maternal CM on her offspring’s endocrine milieu during pregnancy by measuring cortisol and DHEA in newborns’ hair.

Methods

CM was assessed with the Childhood Trauma Questionnaire (CTQ). Cortisol and DHEA were measured in hair samples of 94 mothers and 30 newborns, collected within six days after delivery. Associations of maternal CM on her own and her newborn’s cortisol as well as DHEA concentrations in hair were analyzed with heteroscedastic regression models.

Results

Higher CM was associated with significantly higher DHEA levels, but not cortisol concentrations in maternal hair. Moreover, maternal CM was positively, but only as a non-significant trend, associated with higher DHEA levels in the newborns’ hair.

Conclusions

Results suggest that the steroid milieu of the mother, at least on the level of DHEA, is altered after CM, possibly leading to non-genomic transgenerational effects on the developing fetus in utero. Indeed, we observed on an explorative level first hints that the endocrine milieu for the developing child might be altered in CM mothers. These results need extension and replication in future studies. The measurement of hair steroids in mothers and their newborns is promising, but more research is needed to better understand the effects of a maternal history of CM on the developing fetus.
Appendix
Available only for authorised users
Literature
1.
3.
6.
go back to reference Smith SM, Vale WW. The role of the hypothalamic-pituitary-adrenal axis in neuroendocrine responses to stress. Dialogues Clin Neurosci. 2006;8:383–95.PubMedPubMedCentral Smith SM, Vale WW. The role of the hypothalamic-pituitary-adrenal axis in neuroendocrine responses to stress. Dialogues Clin Neurosci. 2006;8:383–95.PubMedPubMedCentral
7.
go back to reference Buoso E, Lanni C, Molteni E, Rousset F, Corsini E, Racchi M. Opposing effects of cortisol and dehydroepiandrosterone on the expression of the receptor for activated C kinase 1: implications in immunosenescence. Exp Gerontol. 2011;46:877–83. doi:10.1016/j.exger.2011.07.007.CrossRefPubMed Buoso E, Lanni C, Molteni E, Rousset F, Corsini E, Racchi M. Opposing effects of cortisol and dehydroepiandrosterone on the expression of the receptor for activated C kinase 1: implications in immunosenescence. Exp Gerontol. 2011;46:877–83. doi:10.​1016/​j.​exger.​2011.​07.​007.CrossRefPubMed
17.
go back to reference Doom JR, Cicchetti D, Rogosch FA. Longitudinal patterns of cortisol regulation differ in maltreated and nonmaltreated children. Journal of the American Academy of Child & Adolescent Psychiatry. 2014;53:1206–15. doi:10.1016/j.jaac.2014.08.006.CrossRef Doom JR, Cicchetti D, Rogosch FA. Longitudinal patterns of cortisol regulation differ in maltreated and nonmaltreated children. Journal of the American Academy of Child & Adolescent Psychiatry. 2014;53:1206–15. doi:10.​1016/​j.​jaac.​2014.​08.​006.CrossRef
25.
go back to reference Bicanic IAE, Postma RM, Sinnema G, Roos C de, Olff M, van Wesel F, van de Putte EM. Salivary cortisol and dehydroepiandrosterone sulfate in adolescent rape victims with post traumatic stress disorder. Psychoneuroendocrinology 2013;38:408–415. doi:10.1016/j.psyneuen.2012.06.015. Bicanic IAE, Postma RM, Sinnema G, Roos C de, Olff M, van Wesel F, van de Putte EM. Salivary cortisol and dehydroepiandrosterone sulfate in adolescent rape victims with post traumatic stress disorder. Psychoneuroendocrinology 2013;38:408–415. doi:10.​1016/​j.​psyneuen.​2012.​06.​015.
27.
go back to reference Yehuda R, Engel SM, Brand SR, Seckl J, Marcus SM, Berkowitz GS. Transgenerational effects of posttraumatic stress disorder in babies of mothers exposed to the world trade center attacks during pregnancy. The Journal of Clinical Endocrinology & Metabolism. 2005;90:4115–8. doi:10.1210/jc.2005-0550.CrossRef Yehuda R, Engel SM, Brand SR, Seckl J, Marcus SM, Berkowitz GS. Transgenerational effects of posttraumatic stress disorder in babies of mothers exposed to the world trade center attacks during pregnancy. The Journal of Clinical Endocrinology & Metabolism. 2005;90:4115–8. doi:10.​1210/​jc.​2005-0550.CrossRef
28.
29.
go back to reference Entringer S, Buss C, Wadhwa PD. Prenatal stress, development, health and disease risk: a psychobiological perspective - 2015 Curt Richter award paper. Psychoneuroendocrinology. 2015;62:366–75.CrossRefPubMedPubMedCentral Entringer S, Buss C, Wadhwa PD. Prenatal stress, development, health and disease risk: a psychobiological perspective - 2015 Curt Richter award paper. Psychoneuroendocrinology. 2015;62:366–75.CrossRefPubMedPubMedCentral
32.
go back to reference Rainey WE, Rehman KS, Carr BR. The human fetal adrenal: making adrenal androgens for placental estrogens. Semin Reprod Med. 2004;22:327–36.CrossRefPubMed Rainey WE, Rehman KS, Carr BR. The human fetal adrenal: making adrenal androgens for placental estrogens. Semin Reprod Med. 2004;22:327–36.CrossRefPubMed
34.
go back to reference Pasqualini JR, Chetrite GS. The formation and transformation of hormones in maternal, placental and fetal compartments: biological implications. Horm Mol Biol Clin Investig. 2016;27:11–28. doi:10.1515/hmbci-2016-0036.PubMed Pasqualini JR, Chetrite GS. The formation and transformation of hormones in maternal, placental and fetal compartments: biological implications. Horm Mol Biol Clin Investig. 2016;27:11–28. doi:10.​1515/​hmbci-2016-0036.PubMed
35.
37.
go back to reference Isele D, Teicher MH, Ruf-Leuschner M, Elbert T, Kolassa I-T, Schury K, et al. KERF–Ein Instrument zur umfassenden Ermittlung belastender Kindheitserfahrungen. Z Klin Psychol Psychother. 2014;43:121–30. doi:10.1026/1616-3443/a000257. Isele D, Teicher MH, Ruf-Leuschner M, Elbert T, Kolassa I-T, Schury K, et al. KERF–Ein Instrument zur umfassenden Ermittlung belastender Kindheitserfahrungen. Z Klin Psychol Psychother. 2014;43:121–30. doi:10.​1026/​1616-3443/​a000257.
38.
go back to reference Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.CrossRefPubMed Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.CrossRefPubMed
42.
go back to reference R Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for; 2015. R Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for; 2015.
43.
go back to reference Rana S, Midi H, Imon AHMR. Robust wild bootstrap for stabilizing the variance of parameter estimates in heteroscedastic regression models in the presence of outliers. Math Probl Eng. 2012;2012:1–14. doi:10.1155/2012/730328.CrossRef Rana S, Midi H, Imon AHMR. Robust wild bootstrap for stabilizing the variance of parameter estimates in heteroscedastic regression models in the presence of outliers. Math Probl Eng. 2012;2012:1–14. doi:10.​1155/​2012/​730328.CrossRef
44.
go back to reference Xiao-Feng Wang. fANCOVA: nonparametric analysis of covariance; 2010. Xiao-Feng Wang. fANCOVA: nonparametric analysis of covariance; 2010.
47.
48.
52.
go back to reference Gill J, Vythilingam M, Page GG. Low cortisol, high DHEA, and high levels of stimulated TNF-α, and IL-6 in women with PTSD. J Traum Stress. 2008;21:530–9. doi:10.1002/jts.20372.CrossRef Gill J, Vythilingam M, Page GG. Low cortisol, high DHEA, and high levels of stimulated TNF-α, and IL-6 in women with PTSD. J Traum Stress. 2008;21:530–9. doi:10.​1002/​jts.​20372.CrossRef
54.
55.
go back to reference Yehuda R, Teicher MH, Seckl J, Grassman RA, Morris A, Bierer LM. Parental posttraumatic stress disorder as a vulnerability factor for low cortisol trait in offspring of holocaust survivors. Arch Gen Psychiatry. 2007;64:1040–8.CrossRefPubMed Yehuda R, Teicher MH, Seckl J, Grassman RA, Morris A, Bierer LM. Parental posttraumatic stress disorder as a vulnerability factor for low cortisol trait in offspring of holocaust survivors. Arch Gen Psychiatry. 2007;64:1040–8.CrossRefPubMed
64.
go back to reference Ghaemmaghami P, Dainese SM, La Marca R, Zimmermann R, Ehlert U. The association between the acute psychobiological stress response in second trimester pregnant women, amniotic fluid glucocorticoids, and neonatal birth outcome. Dev Psychobiol. 2014;56:734–47. doi:10.1002/dev.21142.CrossRefPubMed Ghaemmaghami P, Dainese SM, La Marca R, Zimmermann R, Ehlert U. The association between the acute psychobiological stress response in second trimester pregnant women, amniotic fluid glucocorticoids, and neonatal birth outcome. Dev Psychobiol. 2014;56:734–47. doi:10.​1002/​dev.​21142.CrossRefPubMed
68.
go back to reference Russell E, Kirschbaum C, Laudenslager ML, Stalder T, de Rijke Y , van Rossum EF, Elisabeth FC, et al. Toward standardization of hair cortisol measurement; Results of the first international inter-laboratory round robin Ther Drug Monit 2015;37:71–75. doi:10.1097/FTD.0000000000000148. Russell E, Kirschbaum C, Laudenslager ML, Stalder T, de Rijke Y , van Rossum EF, Elisabeth FC, et al. Toward standardization of hair cortisol measurement; Results of the first international inter-laboratory round robin Ther Drug Monit 2015;37:71–75. doi:10.​1097/​FTD.​0000000000000148​.
70.
go back to reference Wippert P-M, Wang HV, Kirschbaum C. Assessment of chronic stress: comparison of hair biomarkers and allostatic load indices. Psychol Res. 2014;4:517–24. Wippert P-M, Wang HV, Kirschbaum C. Assessment of chronic stress: comparison of hair biomarkers and allostatic load indices. Psychol Res. 2014;4:517–24.
Metadata
Title
Alterations of hair cortisol and dehydroepiandrosterone in mother-infant-dyads with maternal childhood maltreatment
Authors
K. Schury
A. M. Koenig
D. Isele
A. L. Hulbert
S. Krause
M. Umlauft
S. Kolassa
U. Ziegenhain
A. Karabatsiakis
F. Reister
H. Guendel
J. M. Fegert
I.-T. Kolassa
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1367-2

Other articles of this Issue 1/2017

BMC Psychiatry 1/2017 Go to the issue