Time‐dependent association between prenatal hair glucocorticoid levels and child behavior problems.

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Title: Time‐dependent association between prenatal hair glucocorticoid levels and child behavior problems.
Authors: Künzel, Richard G. (AUTHOR), Chen, Yinxian (AUTHOR), Rondon, Marta B. (AUTHOR), Juvinao‐Quintero, Diana (AUTHOR), Duncan, Laramie E. (AUTHOR), Sanchez, Sixto E. (AUTHOR), Nateros, Luz G. (AUTHOR), Basu, Archana (AUTHOR), Ametaj, Amantia (AUTHOR), Kirschbaum, Clemens (AUTHOR), Levey, Elizabeth J. (AUTHOR), Gelaye, Bizu (AUTHOR)
Source: Journal of Child Psychology & Psychiatry. Aug2026, Vol. 67 Issue 8, p1297-1306. 10p.
Subjects: Pearson correlation (Statistics), Prenatal exposure delayed effects, Research funding, Interviewing, Fisher exact test, Hydrocortisone, Descriptive statistics, Mann Whitney U Test, Chi-squared test, Behavior disorders in children, Longitudinal method, Cortisone, Research methodology, Liquid chromatography, Mass spectrometry, Child Behavior Checklist, Hair, Mother-child relationship, Data analysis software, Confidence intervals, First trimester of pregnancy, Glucocorticoids, Time, Regression analysis, Pregnancy
Geographic Terms: Peru
Abstract: Background: Child internalizing and externalizing behavioral problems are highly prevalent psychiatric symptoms worldwide, for which maternal prenatal stress is a known risk factor. However, underlying neuroendocrine mechanisms remain largely unclear. We investigated whether maternal hair cortisol (HCC) and cortisone concentration (HCNC) are associated with offspring's internalizing and externalizing behavior problems in a prospective pre‐birth cohort study from Perú. Methods: N = 271 mother–child dyads were included in this analysis. Recruitment and data collection took place at the Instituto Nacional Materno Perinatal in Lima, Perú. HCC and HCHC were obtained from hair segments representing up to 3 months pre‐pregnancy and first trimester, respectively, and were quantified via liquid chromatography tandem mass spectrometry. The Child Behavior Checklist was used to assess internalizing and externalizing behavioral problems of children (mean age at follow‐up = 6.98 years (SD = 1.05)). Marginal structural models estimated population average associations between HCC, HCNC, and internalizing and externalizing problems, adjusting for established covariates. Results: At pre‐pregnancy, logHCNC was positively associated with offspring internalizing (β = 2.21, 95% CI: 0.46; 3.96, p =.013) and externalizing problems (β = 1.87, 95% CI: 0.34; 3.40, p =.016). At the first trimester, logHCNC was negatively associated with internalizing (β = −2.51, 95%CI: −4.37; −0.64, p =.008), and externalizing problems (β = −2.73, 95% CI: −4.18; −1.28, p <.001). Associations were stronger for females and not apparent for logHCC. Conclusions: We found time‐dependent associations between stress‐related prenatal hair glucocorticoid concentration and offspring behavioral problems. Modeling biomarker data time‐dependently may prove critical to identifying the underlying mechanisms of transgenerational stress transmission. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Background: Child internalizing and externalizing behavioral problems are highly prevalent psychiatric symptoms worldwide, for which maternal prenatal stress is a known risk factor. However, underlying neuroendocrine mechanisms remain largely unclear. We investigated whether maternal hair cortisol (HCC) and cortisone concentration (HCNC) are associated with offspring&#39;s internalizing and externalizing behavior problems in a prospective pre‐birth cohort study from Per&#250;. Methods: N = 271 mother–child dyads were included in this analysis. Recruitment and data collection took place at the Instituto Nacional Materno Perinatal in Lima, Per&#250;. HCC and HCHC were obtained from hair segments representing up to 3 months pre‐pregnancy and first trimester, respectively, and were quantified via liquid chromatography tandem mass spectrometry. The Child Behavior Checklist was used to assess internalizing and externalizing behavioral problems of children (mean age at follow‐up = 6.98 years (SD = 1.05)). Marginal structural models estimated population average associations between HCC, HCNC, and internalizing and externalizing problems, adjusting for established covariates. Results: At pre‐pregnancy, logHCNC was positively associated with offspring internalizing (β = 2.21, 95% CI: 0.46; 3.96, p =.013) and externalizing problems (β = 1.87, 95% CI: 0.34; 3.40, p =.016). At the first trimester, logHCNC was negatively associated with internalizing (β = −2.51, 95%CI: −4.37; −0.64, p =.008), and externalizing problems (β = −2.73, 95% CI: −4.18; −1.28, p &lt;.001). Associations were stronger for females and not apparent for logHCC. Conclusions: We found time‐dependent associations between stress‐related prenatal hair glucocorticoid concentration and offspring behavioral problems. Modeling biomarker data time‐dependently may prove critical to identifying the underlying mechanisms of transgenerational stress transmission. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Child Psychology &amp; Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1111/jcpp.70131
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        Text: English
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      – SubjectFull: Prenatal exposure delayed effects
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              Text: Aug2026
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