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Table 5 Summary of articles describing sex differences in miscellaneous stress tests

From: Is HPA axis reactivity in childhood gender-specific? A systematic review

 

Author (year)

Sample size

Age

Study protocol

Sampling points

Sampling medium

Results

0–1 year old

Davis (1995)

36

30.99 ± 8.09 h

Neonatal Behavior Assessment Scale

5×, 1 before, 4 after test

Saliva

Higher reactivity in boys

Eiden (2015)

217

9 months

Laboratory Temperament Assessment Battery

4×, 1 before, 3 after test

Saliva

Cortisol increase in boys, not in girls

Grunau (2010)

32

4.2 ± 1.0 months

Cortisol response after vaccination

3×, 1 before, 2 after

Saliva

No sex differences; pubertal status not assessed

1–7 years old

De Weerth (2013)

42

68.0 ± 4.3 months

CREST paradigm

6× (2 before, 4 after)

Saliva

No sex differences; pubertal status not assessed

Gunnar (2010)

151

3.81 ± 0.23 years

Daycare attendance

2×/day on 2 days

Saliva

No sex differences; pubertal status not assessed

Hatzinger (2007)

102

4.91 ± 0.44 years

MSSB

5× (2 before, 3 after)

Saliva

Higher reactivity in girls

Kryski (2013)

409

40.72 ± 3.51 months

Matching task

6× (1 before, 5 after)

Saliva

No sex differences; pubertal status not assessed

Mills (2008)

214

4.14 ± 0.24 years

Easy and difficult matching tasks

6×, 1 before, 5 after

Saliva

Further decreases in boys after initial decrease for both sexes

Plusquellec (2011)

376

18.85 ± 0.74 months

Two unfamiliar situations (clown and robot)

2×, 1 before, 1 after

Saliva

No sex differences; pubertal status not assessed

Spinrad (2009)

84

54.07 ± 0.97 months

Preschool Laboratory Assessment Battery

3×, 1 before, 2 after

Saliva

No sex differences; pubertal status not assessed

Yong Ping (2014)

94

29.9 ± 1.1 months

Maternal separation

4× (2 before, 2 after)

Saliva

No sex differences; pubertal status not assessed

≥7 years old

Psychological stress

Daughters (2013)

132

16.1 ± 1.0 years

Behavioral Indicator of Resiliency to Distress

4×, 1 before, 3 after

Saliva

Boys: higher baseline, greater peak. No sex differences in AUCg

Hackman (2012)

180

12–14 years

Parent–adolescent conflict discussion

3× (2 before, 1 after)

Saliva

No sex differences; pubertal status not assessed

Minkley (2012)

93

17.86 ± 0.096 years

Examination challenge (reproduction of knowledge or transfer and problem-solving)

2×, 1 before, 1 after

Saliva

Not statistically significant, but higher increases in boys. More in reproduction of knowledge group, but also greater in transfer and problem-solving group

Zijlmans (2013)

52

12.5 ± 1.21 years

Social Evaluative Stress Test

7×, 1 before, 6 after

Saliva

Higher reactivity in boys

Physical stress

Allen (2009)

235

12.7 ± 2.9 years

Laboratory Pain Tasks

Saliva: 3×, 1 before, 2 after

Saliva/blood

No sex differences; pubertal status not associated with reactivity

Blood: 2× (after)

Chiodo (2011)

16

Boys: 14 ± 0 years; girls: 13 ± 1 years

Taekwondo competition

5× (2 before, 3 after)

Saliva

Lower overall values in girls, but higher peak.

Covelli (2012)

106

15.3 ± 1.1 years

Cold water hand immersion

2×, 1 before, 1 after

Saliva

No sex differences; pubertal status not assessed

Frias (2000)

48

13–17 years

Acute alcohol intoxication

1× (after); controls as reference

Blood

More pronounced increase in girls

Gecgelen (2012)

40

10.9–14.7 years

Rapid maxillary expansion

13×, 1 before, 3 after, and 9 during a period of treatment

Saliva

No sex differences; pubertal status not assessed

Khilnani (1993)

98

2–20 years

Elective surgery

2×, 1 before, 1 after

Blood

No sex differences; pubertal status not assessed

Kuhlman (2015)

121

12.8 ± 2.3 years

Socially evaluated cold pressor test

7× (2 before, 5 after)

Saliva

No sex differences; pubertal status not assessed

Lopez-Duran (2015)

115

12.79 ± 2.26 years

Socially evaluated cold pressor test

8× (2 before, 6 after)

Saliva

No sex differences; pubertal status not assessed

Stupnicki (1995)

29

Boys: 17.3 ± 0.8; girls: 16.4 ± 0.6 years

Exercise

2×, 1 before, 1 after

Blood

Boys decrease in cortisol; girls increase in cortisol after exercise

Yfanti (2014)

97

89.73 ± 15 months

Dental treatment

5×, 1 before, 4 after

Saliva

No sex differences; pubertal status not assessed