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Early Help Urged for Childhood Behavioral Problems

Early Intervention for Childhood Behavioral ProblemsResearch on the stress hormone cortisol has led experts to recommend early intervention for childhood behavioral problems.

Scientists have known that cortisol influences behavior in children, but the association between cortisol and behavioral problems has been paradoxical.

For example, some youngsters with behavioral problems have abnormally high levels of cortisol, while others with identical problems have abnormally low levels.

Psychological scientists at Concordia University in Montreal, Canada, and the Centre for Research in Human Development believe they may have resolved the cortisol paradox.

In a paper published in the journal Hormones and Behavior they linked cortisol levels not simply to behavior problems, but to the length of time individuals have experienced behavior problems.

“We studied the relationship between cortisol levels in young people with problematic behavior such as aggression or depression, and the length of time since the onset of these behaviors,” said doctoral student and lead author Paula Ruttle.

“Cortisol levels were abnormally high around the time problem behaviors began, but abnormally low when they had been present for a long time.”

To obtain subjects’ cortisol levels, researchers analyzed saliva samples taken from 96 young people during early adolescence. They then matched cortisol levels to behavioral assessments taken in childhood and again during adolescence.

Problem behaviors were classified as either “internalizing” (depression and anxiety) or “externalizing” (aggression, attentional problems).

Youngsters who developed depression-like symptoms or anxiety problems in adolescence had high levels of cortisol. However, those who developed symptoms earlier had abnormally low cortisol levels.

The conclusion? Cortisol levels go up when individuals are first stressed by depression or anxiety, but then decline again if they experience stress for an extended period.

“It seems the body adapts to long-term stress, such as depression, by blunting its normal response,” said coauthor Dr. Lisa Serbin, Concordia University Research Chair in Human Development.

“To take an extreme example, if someone sees a bear in the yard, that person experiences a ‘flight or fight’ reaction,” said Serbin. “Stress levels and therefore cortisol levels go up. However, if the same person sees bears in the yard every day for a year, the stress response is blunted. Eventually, cortisol levels become abnormally low.”

Aggressive Behavior In Early Childhood

At first glance, study results from children with aggressive behavior and attentional problems seem to contradict this theory.

In this group they found that low levels of cortisol were related to aggressive behavior both during childhood and adolescence. However, the authors contend that since aggressive behavior often begins in the second year of life or earlier, subjects may have been stressed for years before entering the study, resulting in abnormally low cortisol levels.

“This blunted response makes sense from a physiological point of view,” said Ruttle.

“In the short term, high levels of cortisol help the body respond to stress. However, in the long term, excessive levels of cortisol are linked to a range of physical and mental health problems. So, to protect itself, the body shuts down the cortisol system – but research shows that’s not good either.”

What, me worry?

Individuals with a blunted response to stress may not respond to things that would – and should – make other people nervous. For example, children with long-term behavior problems perform poorly in school.

Because of their blunted stress response, these youngsters may not be worried about exams, so they don’t bother to prepare as much as their peers.

The study has many significant implications, according to Serbin.

“This research suggests interventions should begin as soon as a behavioral problem appears,” she said. “For children with severe externalizing problems, this may be very early, perhaps even when they are preschoolers or toddlers.

“We now have evidence that behavioral problems in children are linked to mental and physical health. Taking a ‘wait-and-see’ attitude may not be the right approach.”

Source: Concordia University

Early Help Urged for Childhood Behavioral Problems

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Early Help Urged for Childhood Behavioral Problems. Psych Central. Retrieved on September 30, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 10 Feb 2011)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.