Abstract
We examined daytime salivary cortisol and salivary alpha-amylase (sAA) secretion levels and variability in preschool-aged children with autism (AUT) and typically developing children (TYP). Fifty-two subjects (26 AUT and 26 TYP) were enrolled. Salivary samples were obtained at waking, midday, and bedtime on two consecutive days at three phases (baseline, 3 months later, 6 months later). There were modest increases in waking cortisol and sAA levels in AUT relative to TYP, but the increases were not statistically significant. Important differences were observed in cortisol and sAA variability between AUT and TYP. There was also a graded response among AUT by functional status—cortisol and sAA secretion levels were higher when IQ was lower.
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Achenbach, T. (1992). Manual for the Child Behavior Checklist/2–3 and 1992 profile. Burlington, VT: University of Vermont Department of Psychiatry.
Ahern, J., Hubbard, A., & Galea, S. (2009). Estimating the effects of potential public health interventions on population disease burden: A step-by-step illustration of causal inference methods. American Journal of Epidemiology, 169(9), 1140–1147.
American Psychiatric Association. (1994). The diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: American Psychiatric Publishing, Inc.
Bauer, A. M., Quas, J. A., & Boyce, W. T. (2002). Associations between physiological reactivity and children’s behavior: Advantages of a multisystem approach. Journal of Developmental and Behavioral Pediatrics, 23(2), 102–113.
Beltzer, E. K., Fortunato, C. K., Guaderrama, M. M., Peckins, M. K., Garramone, B. M., & Granger, D. A. (2010). Salivary flow and alpha-amylase: Collection technique, duration, and oral fluid type. Physiology & Behavior, 101(2), 289–296.
Bremner, J. D., Krystal, J. H., Southwick, S. M., & Charney, D. S. (1996). Noradrenergic mechanisms in stress and anxiety: I. Preclinical studies. Synapse (New York, N. Y.), 23(1), 28–38.
Bremner, J. D., & Vermetten, E. (2001). Stress and development: Behavioral and biological consequences. Development and Psychopathology, 13(3), 473–489.
Cicchetti, D., & Rogosch, F. A. (2001). The impact of child maltreatment and psychopathology on neuroendocrine functioning. Development and Psychopathology, 13(4), 783–804.
Corbett, B. A., Mendoza, S., Abdullah, M., Wegelin, J. A., & Levine, S. (2006). Cortisol circadian rhythms and response to stress in children with autism. Psychoneuroendocrinology, 31(1), 59–68.
Corbett, B. A., Mendoza, S., Wegelin, J. A., Carmean, V., & Levine, S. (2008). Variable cortisol circadian rhythms in children with autism and anticipatory stress. Journal of Psychiatry and Neuroscience, 33(3), 227–234.
Fitzmaurice, G. M., Laird, N. M., & Ware, J. H. (2004). Applied longitudinal analysis (1st ed.). Hoboken, NJ: Wiley.
Fortunato, C. K., Dribin, A. E., Granger, D. A., & Buss, K. A. (2008). Salivary alpha-amylase and cortisol in toddlers: Differential relations to affective behavior. Developmental Psychobiology, 50(8), 807–818.
Gill, R. D., & Robins, J. M. (2001). Causal inference for complex longitudinal data: The continuous case. The Annals of Statistics, 29(6), 1785–1811.
Goodlin-Jones, B. L., Tang, K., Liu, J., & Anders, T. F. (2008). Sleep patterns in preschool-age children with autism, developmental delay, and typical development. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 930–938.
Granger, D. A., Kivlighan, K. T., el-Sheikh, M., Gordis, E. B., & Stroud, L. R. (2007). Salivary alpha-amylase in biobehavioral research: Recent developments and applications. Annals of the New York Academy of Sciences, 1098, 122–144.
Gunnar, M. R., & Vazquez, D. M. (2001). Low cortisol and a flattening of expected daytime rhythm: Potential indices of risk in human development. Development and Psychopathology, 13(3), 515–538.
Hill, S. D., Wagner, E. A., Shedlarski, J. G., Jr, & Sears, S. P. (1977). Diurnal cortisol and temperature variation of normal and autistic children. Developmental Psychobiology, 10(6), 579–583.
Hollingshead, A. B. (1975). Four factor index of social status. New Haven: Working Paper. Yale University.
Hoshino, Y., Ohno, Y., Murata, S., Yokoyama, F., Kaneko, M., & Kumashiro, H. (1984). Dexamethasone suppression test in autistic children. Folia Psychiatrica et Neurologica Japonica, 38(4), 445–449.
Hoshino, Y., Yokoyama, F., Watanabe, M., Murata, S., Kaneko, M., & Kumashiro, H. (1987). The diurnal variation and response to dexamethasone suppression test of saliva cortisol level in autistic children. The Japanese Journal of Psychiatry and Neurology, 41(2), 227–235.
Jansen, L. M., Gispen-de Wied, C. C., van der Gaag, R. J., & van Engeland, H. (2003). Differentiation between autism and multiple complex developmental disorder in response to psychosocial stress. Neuropsychopharmacology, 28(3), 582–590.
Kern, J. K., Trivedi, M. H., Grannemann, B. D., Garver, C. R., Johnson, D. G., Andrews, A. A.,… Schroeder, J. L. (2007). Sensory correlations in autism. Autism, 11(2), 123–134.
Leekam, S. R., Nieto, C., Libby, S. J., Wing, L., & Gould, J. (2007). Describing the sensory abnormalities of children and adults with autism. Journal of Autism and Developmental Disorders, 37(5), 894–910.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr., Leventhal, B. L., DiLavore, P. C.,… Rutter, M. (2000). The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.
Lord, C., Storoschuk, S., Rutter, M., & Pickles, A. (1993). Using the ADI-R to diagnose autism in preschool children. Infant Mental Health Journal, 14(3), 234–252.
Loyd, B. H., & Abidin, R. R. (1985). Revision of the Parenting Stress Index. Journal of Pediatric Psychology, 10(2), 169–177.
Lupien, S. J., Fiocco, A., Wan, N., Maheu, F., Lord, C., Schramek, T., et al. (2005). Stress hormones and human memory function across the lifespan. Psychoneuroendocrinology, 30(3), 225–242.
Maldonado, E. F., Fernandez, F. J., Trianes, M. V., Wesnes, K., Petrini, O., Zangara, A.,… Ambrosetti, L. (2008). Cognitive performance and morning levels of salivary cortisol and alpha-amylase in children reporting high versus. low daily stress perception. The Spanish Journal of Psychology, 11(1), 3–15.
Maldonado, G., & Greenland, S. (2002). Estimating causal effects. International Journal of Epidemiology, 31(2), 422–429.
Marinovic-Curin, J., Marinovic-Terzic, I., Bujas-Petkovic, Z., Zekan, L., Skrabic, V., Dogas, Z., et al. (2008). Slower cortisol response during ACTH stimulation test in autistic children. European Child and Adolescent Psychiatry, 17(1), 39–43.
McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England Journal of Medicine, 338(3), 171–179.
Mullen, E. (1997). Mullen scales of early learning. Los Angeles: Western Psychological Services.
Nater, U. M., & Rohleder, N. (2009). Salivary alpha-amylase as a non-invasive biomarker for the sympathetic nervous system: Current state of research. Psychoneuroendocrinology, 34(4), 486–496.
Nater, U. M., Rohleder, N., Schlotz, W., Ehlert, U., & Kirschbaum, C. (2007). Determinants of the diurnal course of salivary alpha-amylase. Psychoneuroendocrinology, 32(4), 392–401.
Nir, I., Meir, D., Zilber, N., Knobler, H., Hadjez, J., & Lerner, Y. (1995). Brief report: circadian melatonin, thyroid-stimulating hormone, prolactin, and cortisol levels in serum of young adults with autism. Journal of Autism and Developmental Disorders, 25(6), 641–654.
Oitzl, M. S., Champagne, D. L., van der Veen, R., & de Kloet, E. R. (2010). Brain development under stress: Hypotheses of glucocorticoid actions revisited. Neuroscience and Biobehavioral Reviews, 34(6), 853–866.
Orekhova, E. V., Stroganova, T. A., Prokofyev, A. O., Nygren, G., Gillberg, C., & Elam, M. (2008). Sensory gating in young children with autism: Relation to age, IQ, and EEG gamma oscillations. Neuroscience Letters, 434(2), 218–223.
Peeters, F., Nicolson, N. A., & Berkhof, J. (2004). Levels and variability of daily life cortisol secretion in major depression. Psychiatry Research, 126(1), 1–13.
Richdale, A. L., & Prior, M. R. (1992). Urinary cortisol circadian rhythm in a group of high-functioning children with autism. Journal of Autism and Developmental Disorders, 22(3), 433–447.
Robins, J. M. (1999). Association, causation, and marginal structural models. Synthese, 121, 151–179.
Sapolsky, R. M., Krey, L. C., & McEwen, B. S. (1986). The neuroendocrinology of stress and aging: The glucocorticoid cascade hypothesis. Endocrine Reviews, 7(3), 284–301.
Schwartz, E. B., Granger, D. A., Susman, E. J., Gunnar, M. R., & Laird, B. (1998). Assessing salivary cortisol in studies of child development. Child Development, 69(6), 1503–1513.
Sinisi, S. E., & van der Laan, M. J. (2004). Deletion/substitution/addition algorithm in learning with applications in genomics. Statistical Applications in Genetics and Molecular Biology, 3, Article 18.
Snowden, J. M., Rose, S., & Mortimer, K. M. (2011). Implementation of G-computation on a simulated data set: Demonstration of a causal inference technique. American Journal of Epidemiology, 173(7), 731–738.
Steptoe, A., Cropley, M., Griffith, J., & Kirschbaum, C. (2000). Job strain and anger expression predict early morning elevations in salivary cortisol. Psychosomatic Medicine, 62(2), 286–292.
Varadhan, R., Walston, J., Cappola, A. R., Carlson, M. C., Wand, G. S., & Fried, L. P. (2008). Higher levels and blunted diurnal variation of cortisol in frail older women. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 63(2), 190–195.
Volkmar, F. R., State, M., & Klin, A. (2009). Autism and autism spectrum disorders: diagnostic issues for the coming decade. Journal of Child Psychology and Psychiatry, 50(1–2), 108–115.
Wolf, J. M., Nicholls, E., & Chen, E. (2008). Chronic stress, salivary cortisol, and alpha-amylase in children with asthma and healthy children. Biological Psychology, 78(1), 20–28.
Yehuda, R., Teicher, M. H., Trestman, R. L., Levengood, R. A., & Siever, L. J. (1996). Cortisol regulation in posttraumatic stress disorder and major depression: a chronobiological analysis. Biological Psychiatry, 40(2), 79–88.
Zinke, K., Fries, E., Kliegel, M., Kirschbaum, C., & Dettenborn, L. (2010). Children with high-functioning autism show a normal cortisol awakening response (CAR). Psychoneuroendocrinology, 35(10), 1578–1582.
Acknowledgments
The most heartfelt thank you goes to the families and their children who generously participated in the study. We also would like to thank the research staff on the Sleep in Children with Autism Study (Karen Tang, Anny Wu, Stephanie Sitnick, Sara Waters, and Shacunda Burton) who graciously assisted with the families. Melissa Amacher volunteered her time on data entry and other tasks. We are grateful for the management of samples by Mary Curran at Salimetrics, LLC and Alan Hubbard for statistical advice on causal methodology. Some of the infrastructure support for the study was provided by NIMH RO1 MH068232 (PI: Thomas Anders) and the M.I.N.D. Institute. This paper was prepared in part from the dissertation of the corresponding author.
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Kidd, S.A., Corbett, B.A., Granger, D.A. et al. Daytime Secretion of Salivary Cortisol and Alpha-Amylase in Preschool-Aged Children with Autism and Typically Developing Children. J Autism Dev Disord 42, 2648–2658 (2012). https://doi.org/10.1007/s10803-012-1522-z
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DOI: https://doi.org/10.1007/s10803-012-1522-z