RT Journal Article T1 Low levels of morning salivary alpha-amylase activity predict higher number of depressive symptoms in a community sample of children A1 Francisco Maldonado, Enrique A1 Fernandez, Eugenia A1 Victoria Trianes, Maria A1 Ortiz, Carmen A1 Enguix, Alfredo A1 Nislin, Mari K1 Alpha-Amylase K1 Cortisol K1 Depressive Symptoms K1 Children K1 Observational Descriptive Study K1 Cortisol awakening response K1 Major depression K1 Internalizing symptoms K1 Immunoassay system K1 Adrenal secretion K1 Sex-differences K1 Follow-up K1 Stress K1 Disorder K1 16-year-olds AB Models of the etiology of depressive disorders suggest that the onset of a depressive episode is the result of a complex phenomenon based on the interaction between genetic background, critical environmental factors such as life stressors and traumatic events, and the effects of neuroendocrine changes associated with the stress response. Numerous studies have highlighted the usefulness of morning cortisol (C) as a potential predictor of depressive episodes. The aim of this study was to compare the effectiveness of C, salivary alpha-amylase (sAA) activity/output, and the sAA/C ratio in predicting depressive symptoms in a community sample of 99 children aged 8-11 years old. Two saliva samples were obtained in the morning on two different school days. Teachers described their pupils' behavior by using the internalizing problems scales of the Teacher's Report Form (TRF) questionnaire. Our results indicate that, regardless of gender, the best predictor of depressive/withdrawal scores and overall internalizing scores on the TRF was lower mean morning levels of sAA activity. Hence, sAA could be proposed as a biological marker for the risk of developing a first episode of depressive illness in child samples. PB Univ murcia SN 0212-9728 YR 2018 FD 2018-05-01 LK http://hdl.handle.net/10668/19390 UL http://hdl.handle.net/10668/19390 LA en DS RISalud RD Apr 18, 2025