Evidence map›Paper›PMID 30747450›Full record

ArticleDevelopmental psychobiology2019

Hair cortisol in the perinatal period mediates associations between maternal adversity and disrupted maternal interaction in early infancy.

Maja Nyström-Hansen, Marianne S Andersen, Jennifer E Khoury, Kirstine Davidsen, Andrew Gumley, Karlen Lyons-Ruth, Angus MacBeth, Susanne Harder

Abstract read
In one paragraph

Article in Developmental psychobiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Using Machine Learning to Identify Predictors of Maternal and Infant Hair Cortisol Concentration Before and During the COVID-19 Pandemic.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  4. Emotional Availability as a Moderator of Stress for Young Children and Parents in Two Diverse Early Head Start Samples.Prevention science : the official journal of the Society for Prevention Research · 2025
    Article
  5. Article
  6. Chronic stress and hair cortisol concentration in mothers: A two-study investigation.Stress and health : journal of the International Society for the Investigation of Stress · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Integrative Review of Early Life Adversity and Cortisol Regulation in Pregnancy.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2021
    Review
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Maja Nyström-HansenDepartment of Psychology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-0504-303X
Marianne S AndersenDepartment of Endocrinology, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-4603-9504
Jennifer E KhouryDepartment of Psychiatry, Harvard Medical School, Cambridge Hospital, Cambridge.ORCID 0000-0002-6703-4198
Kirstine DavidsenDepartment of Child and Adolescent Mental Health Odense, Research Unit, Mental Health Services in the Region of Southern Denmark, Odense, Denmark.ORCID 0000-0002-3262-6097
Andrew GumleyInstitute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UK.ORCID 0000-0002-8888-938X
Karlen Lyons-RuthDepartment of Psychiatry, Harvard Medical School, Cambridge Hospital, Cambridge.ORCID 0000-0001-9799-976X
Angus MacBethSchool of Health in Social Science, University of Edinburgh, Edinburgh, Scotland, UK.ORCID 0000-0002-0618-044X
Susanne HarderDepartment of Psychology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-2074-9097

Funding

Neurobiology of Mothering and Infant StressR01HD079484 · NICHD · MCLEAN HOSPITAL · PI BOSQUET ENLOW, MICHELLE A, GRANT, PATRICIA ELLEN · 2015 to 2019
$3.6M
Chief Scientist Office CGA/19/13NICHD NIH HHS R01 HD079484
6 · The paper itself

Abstract

Existing literature points to the possibility that cortisol could be one link between maternal adversity and poorer parenting quality, but most studies have examined salivary cortisol concentrations rather than hair cortisol concentrations. The current study examined hair cortisol concentration (HCC) during the third trimester of pregnancy as a mediator between maternal adversity indicators (childhood abuse, severe mental illness, symptomatic functioning) and maternal caregiving behavior at 4 months postpartum. Forty-four women participated in the study: 30 with severe mental disorders, and 14 nonclinical controls. HCC was assessed during the third trimester of pregnancy (HCC-P) and at 4 months postpartum (HCC-4M). Sexual, physical, and emotional abuse were assessed by the Adverse Childhood Experiences Study Questionnaire. Maternal disrupted interaction was reliably coded from mother-infant video interactions during a Still-Face Procedure. Mediation models indicated that maternal HCC-P and HCC-4M mediated associations between maternal psychopathology (severe mental illness, symptomatic functioning) and maternal disrupted interaction at 4 months. Maternal HCC at 4 months also mediated associations between experienced childhood abuse and overall disrupted interaction. Our findings indicate that HCC may be a potential early biomarker for future caregiving challenges among mothers with severe mental illness and histories of childhood abuse.

Indexed as

Adverse Childhood ExperiencesMaternal BehaviorFemaleHairHumansHydrocortisoneHypothalamo-Hypophyseal SystemInfantMental DisordersMother-Child RelationsMothersPituitary-Adrenal SystemPregnancyHydrocortisonedisrupted maternal behaviorhair cortisolmaternal childhood abuseperinatal periodsevere mental illness

Identifiers

PMID30747450
PMCPMC6545887

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.