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Huang X, Hu L, Tao S, Xue T, Li J, Wang X. Association between cardiometabolic index and testosterone levels in adult men: NHANES 2011-2016. PLoS One 2024; 19:e0306401. [PMID: 39196919 PMCID: PMC11355538 DOI: 10.1371/journal.pone.0306401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Accepted: 06/17/2024] [Indexed: 08/30/2024] Open
Abstract
OBJECTIVE Exploring the relationship between the cardiometabolic index (CMI) and serum testosterone levels as well as testosterone deficiency in American adult males. Additionally, comparing the diagnostic value of the CMI with several common obesity and metabolism indices for identifying testosterone deficiency. METHODS This cross-sectional study was conducted using data from the National Health and Nutrition Examination Survey (NHANES) from 2011 to 2016. Serum testosterone levels and testosterone deficiency were used as dependent variables, with the cardiometabolic index as the independent variable. Multivariable regression was used to assess the relationship between the independent and dependent variables, while subgroup analyses were performed to ensure the stability of the results. Smooth curve fitting was utilized to evaluate the nonlinear relationship between the CMI and testosterone levels. Receiver operating characteristic curves (ROC) were plotted for several obesity and metabolism prediction indices and the area under the curve was calculated to compare the specificity and sensitivity of each diagnostic index in the diagnosis of testosterone deficiency. RESULTS Among 3541 adult male participants, CMI is negatively associated with serum testosterone levels and positively associated with testosterone deficiency. In the fully adjusted model, for every unit increase in CMI, serum testosterone decreased by 14.89 ng/dl. Comparing the highest quartile to the lowest quartile of CMI, each unit increase in CMI, serum testosterone decreased by 98.58 ng/dl. Furthermore, each unit increase in CMI was associated with a 16% increase in incidence of testosterone deficiency. By plotting the ROC curves, we found that the AUCs for Lipid Accumulation Product (LAP), Body Mass Index (BMI), Weight Adjusted Waist Index (WWI), CMI, Visceral Adiposity Index (VAI) and Triglyceride glucose index (TyG) were 0.73, 0.72, 0.71, 0.69, 0.66, and 0.66 respectively. CONCLUSION Elevated levels of CMI are associated with lower testosterone levels and an increased risk of testosterone deficiency. The predictive value of the LAP was superior to that of CMI, while the predictive value of CMI was higher than VAI and TyG.
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Affiliation(s)
- Xuanchun Huang
- Guang’anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing, China
| | - Lanshuo Hu
- Xiyuan Hospital, China Academy of Traditional Chinese Medicine, Beijing, China
| | - Shiyi Tao
- Guang’anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing, China
| | - Tiantian Xue
- Guang’anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing, China
| | - Jun Li
- Guang’anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing, China
| | - Xuejiao Wang
- Guang’anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing, China
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2
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Romero-Martínez Á, Blanco-Gandía MC, Rodriguez-Arias M, Lila M, Moya-Albiol L. Hormonal Differences in Intimate Partner Violence Perpetrators When They Cope with Acute Stress: A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115831. [PMID: 34071628 PMCID: PMC8198212 DOI: 10.3390/ijerph18115831] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 05/25/2021] [Accepted: 05/26/2021] [Indexed: 02/01/2023]
Abstract
BACKGROUND Only a few studies have paid attention to the ability of perpetrators of intimate partner violence (IPVAW) against women to cope with acute stress, including hormonal parameters. In fact, previous studies assessed how salivary testosterone (Tsal) and cortisol (Csal) changed after coping with an acute emotional stressor (directly related to IPVAW), and they concluded that an imbalance between the two hormones might be characteristic of these men. Nevertheless, they neglected to examine the role of other hormones, such as salivary oxytocin (OXsal), which also seemed to play an important role in behavioral regulation, and whether this response could be generalized to other types of stress not directly related to IPVAW. METHODS This study aims to assess whether IPVAW perpetrators (n = 19) present differential hormonal (Tsal, Csal, OXsal and their ratios) and psychological state (anxiety, anger, and general affect) responses when coping with an acute cognitive laboratory stressor (a set of neuropsychological tests performed in front of an expert committee) in comparison with non-violent men (n = 16). This quasi-experimental study also assessed whether the psychological state variables drive this different hormonal response. RESULTS Our results revealed that IPVAW perpetrators had lower Csal and higher Tsal/Csal ratio levels during the post-task period, as well as higher total levels (average) of OXsal than controls. We also found that, only in IPVAW perpetrators, high levels of baseline anxiety and negative affect were related to high rises in Csal during the stress task. CONCLUSIONS These data present a background showing that IPVAW perpetrators and non-violent men cope differently with stress. These findings might help to identify idiosyncratic profiles of IPVAW perpetrators that can then be employed to establish their therapeutic needs. Moreover, we reinforced the importance of combining biological markers with self-reports, thus increasing the reliability of these forensic assessments.
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Affiliation(s)
- Ángel Romero-Martínez
- Department of Psychobiology, University of Valencia, 46010 València, Spain; (M.R.-A.); (L.M.-A.)
- Correspondence:
| | | | - Marta Rodriguez-Arias
- Department of Psychobiology, University of Valencia, 46010 València, Spain; (M.R.-A.); (L.M.-A.)
| | - Marisol Lila
- Department of Social Psychology, University of Valencia, 46010 València, Spain;
| | - Luis Moya-Albiol
- Department of Psychobiology, University of Valencia, 46010 València, Spain; (M.R.-A.); (L.M.-A.)
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Constantino RE, Angosta AD, Reyes AT, Kameg B, Wu L, Cobb J, Hui V, Palompon D, Safadi R, Daibes M, Schlenk E. Is Intimate Partner Violence a Risk Factor for Cardiovascular Disease in Women? A Review of the Preponderance of the Evidence. Health (London) 2019. [DOI: 10.4236/health.2019.116067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Crowley JP, Denes A, Makos S, Whitt J. Threats to Courtship and the Physiological Response: Testosterone Mediates the Association Between Relational uncertainty and Disclosure for Dating Partner Recipients of Relational Transgressions. ADAPTIVE HUMAN BEHAVIOR AND PHYSIOLOGY 2018. [DOI: 10.1007/s40750-018-0092-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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5
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Dariotis JK, Chen FR, Granger DA. Latent trait testosterone among 18-24 year olds: Methodological considerations and risk associations. Psychoneuroendocrinology 2016; 67:1-9. [PMID: 26852415 DOI: 10.1016/j.psyneuen.2016.01.019] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2015] [Revised: 01/17/2016] [Accepted: 01/19/2016] [Indexed: 11/19/2022]
Abstract
The study investigated the relationship between latent trait testosterone (LTT) and risk-taking among 126 youth (M age=21.34years; 56% female; 52% African American). Latent state-trait (LST) modeling isolates observed variance of samples via their correlations into (1) a latent trait testosterone (LTT) factor capturing individual differences, and (2) a component of state testosterone factor (LST) capturing state-specific situational or environmental influences and random error variances. Participants provided four laboratory (20min apart) and four home (waking, 20-min post-waking, noon, evening) salivary samples (later assayed for testosterone). Participants reported risk-taking tendencies and behaviors via an Audio Computer Assisted Self-Interview. Behavioral risk was measured using the Balloon Analog Risk Task. Results revealed: (1) LTT model invariance (operated similarly) for females and males; (2) LTT accounted for 18-89% (home samples) and 61-95% (lab samples) of the variance in testosterone levels, and (3) LTT was associated with risk-seeking behaviors and the strength of this association was similar across males and females. LST Modeling has potential to advance our understanding of testosterone-behavior associations to new limits by estimating stable trait-like components of the variance in testosterone levels.
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Affiliation(s)
- Jacinda K Dariotis
- College of Education, Criminal Justice, and Human Services, Evaluation Services Center, University of Cincinnati Cincinnati, OH 45221-0175, USA; Department of Population, Family, and Reproductive Health, The Johns Hopkins University Bloomberg School of Public Health Baltimore, MD 21205, USA.
| | - Frances R Chen
- Department of Criminology, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Douglas A Granger
- Department of Population, Family, and Reproductive Health, The Johns Hopkins University Bloomberg School of Public Health Baltimore, MD 21205, USA; Institute for Interdisciplinary Salivary Bioscience Research Arizona State University Tempe, AZ 85287-3604, USA; Department of Acute and Chronic Care, Johns Hopkins University School of Nursing & Department of Pediatrics, Johns Hopkins School of Medicine Department of Pediatrics, Baltimore, MD 21218, USA; Salivary Bioscience Laboratory and Department of psychology, University of Nebraska, Lincoln, Lincoln, NE 68588, USA
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6
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Bobadilla L, Asberg K, Johnson M, Shirtcliff EA. Experiences in the military may impact dual-axis neuroendocrine processes in veterans. Dev Psychobiol 2014; 57:719-30. [PMID: 25273377 DOI: 10.1002/dev.21259] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2014] [Revised: 09/03/2014] [Accepted: 09/09/2014] [Indexed: 12/19/2022]
Abstract
Military stressors such as survival training can affect endocrine functioning in the short term, and combat has been associated with endocrine changes linked to psychopathology. However, studies with military samples examining whether there are individual differences in these changes as part of normal development, or as an adaptive mechanism in adulthood are lacking. This study examined whether exposure to combat in a sample of veterans was associated with differential endocrine activity to a laboratory frustration task. Results indicated that Army veterans demonstrated significant testosterone reactivity to frustration and negative coupling between cortisol and testosterone. Alternatively, Navy and Marine veterans demonstrated little testosterone reactivity to frustration and positive coupling between cortisol and testosterone. Positive cortisol-testosterone coupling was stronger among individuals who had more dangerous combat experiences. This latter pattern may better prepare individuals for stressful life experiences and supports the contention that adulthood stressors may calibrate endocrine systems. Results are explained in the context of the Adaptive Calibration Model (Ellis et al., 2012, Developmental Psychology, 48(3), 598-623) which proposes that exposure to key environmental dimensions during endocrinologically malleable life stages (e.g., puberty) can change stress responsivity, resulting in a faster life history trajectory (e.g., increased risk-taking and aggression).
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Affiliation(s)
- Leonardo Bobadilla
- Charles George VA Medical Center, Asheville, NC.,Oregon State Hospital, Salem, OR
| | - Kia Asberg
- Charles George VA Medical Center, Asheville, NC.,Western Carolina University, Cullowhee, NC
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Edelstein RS, van Anders SM, Chopik WJ, Goldey KL, Wardecker BM. Dyadic associations between testosterone and relationship quality in couples. Horm Behav 2014; 65:401-7. [PMID: 24650800 DOI: 10.1016/j.yhbeh.2014.03.003] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2013] [Revised: 01/31/2014] [Accepted: 03/07/2014] [Indexed: 11/18/2022]
Abstract
Testosterone is thought to be positively associated with "mating effort", or the initiation and establishment of sexual relationships (Wingfield et al., 1990). Yet, because testosterone is negatively associated with nurturance (van Anders et al., 2011), high levels of testosterone may be incompatible with relationship maintenance. For instance, partnered men with high testosterone report lower relationship quality compared to partnered men with low testosterone (e.g., Booth and Dabbs, 1993). Findings for women are inconsistent, however, and even less is known about potential dyadic associations between testosterone and relationship quality in couples. In the current report, we assessed relationship satisfaction, commitment, and investment in heterosexual couples and tested the hypothesis that these aspects of relationship quality would be negatively associated with an individual's own and his/her partner's testosterone levels. We found that testosterone was in fact negatively associated with relationship satisfaction and commitment in both men and women. There was also evidence for dyadic associations: Participants' satisfaction and commitment were negatively related to their partners' levels of testosterone, and these associations were larger for women's than men's testosterone. Our findings are consistent with the idea that high testosterone may be incompatible with the maintenance of nurturant relationships. The current findings also provide some of the first evidence for dyadic associations between testosterone and relationship quality in couples, highlighting the interdependent nature of close relationship processes and the importance of considering this interdependence in social neuroendocrine research.
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Affiliation(s)
- Robin S Edelstein
- Department of Psychology, University of Michigan, 530 Church Street, Ann Arbor, MI 48109, USA.
| | - Sari M van Anders
- Department of Psychology, University of Michigan, 530 Church Street, Ann Arbor, MI 48109, USA; Department of Women's Studies, University of Michigan, Ann Arbor, MI, USA; Program in Reproductive Sciences, University of Michigan, Ann Arbor, MI, USA; Program in Neuroscience, University of Michigan, Ann Arbor, MI, USA; Program in Science, Technology, and Society, University of Michigan, Ann Arbor, MI, USA.
| | - William J Chopik
- Department of Psychology, University of Michigan, 530 Church Street, Ann Arbor, MI 48109, USA.
| | - Katherine L Goldey
- Department of Psychology, University of Michigan, 530 Church Street, Ann Arbor, MI 48109, USA.
| | - Britney M Wardecker
- Department of Psychology, University of Michigan, 530 Church Street, Ann Arbor, MI 48109, USA.
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Granger DA, Fortunato CK, Beltzer EK, Virag M, Bright MA, Out D. Focus on methodology: salivary bioscience and research on adolescence: an integrated perspective. J Adolesc 2012; 35:1081-95. [PMID: 22401843 DOI: 10.1016/j.adolescence.2012.01.005] [Citation(s) in RCA: 128] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2010] [Revised: 01/25/2012] [Accepted: 01/29/2012] [Indexed: 01/06/2023]
Abstract
The characterization of the salivary proteome and advances in biotechnology create an opportunity for developmental scientists to measure multi-level components of biological systems in oral fluids and identify relationships with developmental processes and behavioral and social forces. The implications for developmental science are profound because from a single oral fluid specimen, information can be obtained about a broad array of biological systems and the genetic polymorphisms related to their function. The purpose of this review is to provide a conceptual and tactical roadmap for investigators interested in integrating these measurement tools into research on adolescent health and development.
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Affiliation(s)
- Douglas A Granger
- Center for Interdisciplinary Salivary Bioscience Research, Johns Hopkins University, Baltimore, MD 21205-2110, USA.
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Glenn AL, Raine A, Schug RA, Gao Y, Granger DA. Increased testosterone-to-cortisol ratio in psychopathy. JOURNAL OF ABNORMAL PSYCHOLOGY 2011; 120:389-99. [PMID: 21133509 DOI: 10.1037/a0021407] [Citation(s) in RCA: 95] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Only a few studies have examined hormones in psychopathy, and results have been mixed. It has been suggested that because hormone systems are highly interconnected, it may be important to examine multiple systems simultaneously to gain a clearer picture of how hormones work together to predispose for a certain construct. In the present study, we attempt to clarify the role of the hormones cortisol and testosterone in psychopathy by examining both hormones in a community sample of 178 adults demonstrating a wide range of psychopathy scores. Results showed that psychopathy scores were associated with an increased ratio of testosterone (baseline) to cortisol responsivity to a stressor. Psychopathy was not associated with either of these measures independently or with baseline cortisol levels. These findings suggest that these highly interconnected hormone systems may work in concert to predispose to psychopathy.
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Affiliation(s)
- Andrea L Glenn
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA.
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10
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Pinto LA, Sullivan EL, Rosenbaum A, Wyngarden N, Umhau JC, Miller MW, Taft CT. Biological Correlates of Intimate Partner Violence Perpetration. AGGRESSION AND VIOLENT BEHAVIOR 2010; 15:387-398. [PMID: 23393423 PMCID: PMC3564655 DOI: 10.1016/j.avb.2010.07.001] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
An extensive literature documents biological correlates of general aggression, but there has been less focus on biological correlates of intimate partner violence (IPV). The purpose of this review is to summarize the research literature to date that has reported on biological factors in IPV perpetration. We review the existing literature on four domains of biological processes that have been examined with respect to IPV perpetration, including: head injury and neuropsychology; psychophysiology; neurochemistry, metabolism and endocrinology; and genetics. We critique the literature, discuss the clinical relevance of research findings, and provide some recommendations for future biologically-oriented IPV research.
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Affiliation(s)
- Lavinia A. Pinto
- National Center for PTSD, Behavioral Sciences Division, VA Boston Healthcare System, Boston, MA
| | | | - Alan Rosenbaum
- Department of Psychology, Northern Illinois University, DeKalb, Illinois
| | - Nicole Wyngarden
- Department of Psychology, Northern Illinois University, DeKalb, Illinois
| | - John C. Umhau
- Laboratory of Clinical and Translational Studies, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD
| | - Mark W. Miller
- National Center for PTSD, Behavioral Sciences Division, VA Boston Healthcare System, Boston, MA
- Department of Psychiatry, Boston University School of Medicine, Boston, MA
| | - Casey T. Taft
- National Center for PTSD, Behavioral Sciences Division, VA Boston Healthcare System, Boston, MA
- Department of Psychiatry, Boston University School of Medicine, Boston, MA
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11
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Androgen-promoted physiological traits and criminality: A test of the evolutionary neuroandrogenic theory. PERSONALITY AND INDIVIDUAL DIFFERENCES 2008. [DOI: 10.1016/j.paid.2007.10.003] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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12
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Gray PB, Yang CFJ, Pope HG. Fathers have lower salivary testosterone levels than unmarried men and married non-fathers in Beijing, China. Proc Biol Sci 2006; 273:333-9. [PMID: 16543176 PMCID: PMC1560035 DOI: 10.1098/rspb.2005.3311] [Citation(s) in RCA: 147] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
A growing body of evidence, almost entirely from North America, has found that male testosterone levels are positively associated with mating effort (male-male competition and mate-seeking behaviour), while lower testosterone levels have been associated with affiliative pair bonding and paternal care. To expand the cross-cultural scope of this research, here we investigate variation in salivary testosterone levels among Chinese men in relation to marital and parenting variables. One hundred and twenty-six men drawn from a Beijing university setting between the ages of 21 and 38 completed a questionnaire and provided both morning and late afternoon saliva samples from which testosterone levels were measured. The 66 unmarried men had slightly higher levels of testosterone than the 30 married non-fathers, but this difference was not statistically significant. However, the 30 fathers exhibited significantly lower testosterone levels than both unmarried men and married non-fathers. Among married non-fathers, marital relationship quality was not significantly related to testosterone levels. Among married fathers, men with children aged less than 4 years of age did not have lower testosterone levels than men with older children. These data are the first outside of North America to show lower testosterone levels among fathers, and lend support to the theoretical view that male testosterone levels differ according to mating and parenting effort.
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Affiliation(s)
- Peter B Gray
- Department of Biochemistry, Harvard University, Cambridge, MA, USA.
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Archer J. Testosterone and human aggression: an evaluation of the challenge hypothesis. Neurosci Biobehav Rev 2006; 30:319-45. [PMID: 16483890 DOI: 10.1016/j.neubiorev.2004.12.007] [Citation(s) in RCA: 828] [Impact Index Per Article: 46.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2004] [Revised: 11/05/2004] [Accepted: 12/02/2004] [Indexed: 11/16/2022]
Abstract
Research on testosterone-behavior relationships in humans is assessed in relation to a version of the challenge hypothesis, originally proposed to account for testosterone-aggression associations in monogamous birds. Predictions were that that testosterone would rise at puberty to moderate levels, which supported reproductive physiology and behavior. Sexual arousal and challenges involving young males would raise testosterone levels further. In turn, this would facilitate direct competitive behavior, including aggression. When males are required to care for offspring, testosterone levels will decrease. Testosterone levels will also be associated with different behavioral profiles among men, associated with life history strategies involving emphasis on either mating or parental effort. Most of these predictions were supported by the review of current research, although most studies were not designed to specifically test the challenge hypothesis.
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Affiliation(s)
- John Archer
- Department of Psychology, University of Central Lancashire, Preston, Lancashire PR12HE, UK.
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Granger DA, Kivlighan KT. Integrating biological, behavioral, and social levels of analysis in early child development: progress, problems, and prospects. Child Dev 2003; 74:1058-63. [PMID: 12938702 DOI: 10.1111/1467-8624.00590] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Integration of noninvasive, biological measures into behavioral research has increased, but the interpretation of biobehavioral findings in relation to developmental outcomes is rarely straightforward. This commentary highlights the need for specific, theoretically derived hypotheses, multiple measures of behavioral and biological processes, and analytical strategies aimed at explaining interindividual differences in intraindividual change. It is suggested here that the next phase of biosocial research needs to move beyond description and toward development of mid-level theories that will enable researchers to specify, test, and refine hypotheses of how biobehavioral processes interact with social-contextual factors to influence development. These mid-level biosocial models will be necessary to determine whether individual differences in children's adrenocortical activity confer risk or resilience because of early or cumulative exposure to nonparental care.
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Affiliation(s)
- Douglas A Granger
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA 16803, USA.
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