Corticotropin-releasing hormone and cortisol: longitudinal associations with depression and antisocial behavior in pregnant adolescents

J Am Acad Child Adolesc Psychiatry. 1999 Apr;38(4):460-7. doi: 10.1097/00004583-199904000-00020.

Abstract

Objective: To examine the concurrent and longitudinal associations between corticotropin-releasing hormone (CRH) and cortisol concentrations and depression and antisocial behavior (conduct disorder symptoms) in pregnant adolescents.

Method: Fifty-nine adolescents were evaluated in early pregnancy (9-21 weeks' gestation), late pregnancy (32-34 weeks' gestation), and the postpartum period (4-5 weeks postpartum). Symptoms of depression and conduct disorder were obtained from the Diagnostic Interview Schedule for Children.

Results: Lower concentrations of CRH were related to a greater number of depression symptoms in early pregnancy (p < .05) and in late pregnancy (p < .05). Lower concentrations of CRH also were related to a greater number of conduct disorder symptoms in early pregnancy (p < .06) and in the postpartum period (p < .05).

Conclusion: The findings support the long-standing hypothesis that stress-related products of the hypothalamic-pituitary-adrenal axis are associated with emotions and behavior during pregnancy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Antisocial Personality Disorder / blood*
  • Antisocial Personality Disorder / psychology
  • Corticotropin-Releasing Hormone / blood*
  • Depressive Disorder / blood*
  • Female
  • Humans
  • Hydrocortisone / blood*
  • Longitudinal Studies
  • Pregnancy

Substances

  • Corticotropin-Releasing Hormone
  • Hydrocortisone