{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:46:28Z","timestamp":1792586788996,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":293,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021592","name":"Ekhagastiftelsen","doi-asserted-by":"publisher","award":["2020-16"],"award-info":[{"award-number":["2020-16"]}],"id":[{"id":"10.13039\/501100021592","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009768","name":"Majblommans Riksf\u00f6rbund","doi-asserted-by":"publisher","award":["27"],"award-info":[{"award-number":["27"]}],"id":[{"id":"10.13039\/501100009768","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Dysregulation of the hypothalamic\u2013pituitary\u2013adrenal axis has been proposed as a mechanism in attention\u2010deficit\/hyperactivity disorder (ADHD). Tactile massage is suggested to influence long\u2010term cortisol secretion in adolescents with ADHD, although it remains unclear whether such an effect occurs. This study examined whether tactile massage alters hair cortisol in adolescents with ADHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fourteen adolescents aged 15\u201317 with ADHD received 10 weekly 60\u2010min standardised tactile massage sessions. Hair samples were collected at five time points and analysed for cortisol using a competitive radioimmunoassay. Perceived stress (the Stress in Children questionnaire), heart rate and blood pressure were assessed. Non\u2010parametric statistics (Friedman\u2032s ANOVA, Wilcoxon matched\u2010pairs tests and Spearman\u2032s correlation) evaluated time\u2010dependent changes and associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Hair cortisol showed no significant differences between baseline, intervention and follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.63). After six sessions, boys had higher cortisol levels than girls (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.029). No significant correlations emerged between hair cortisol and heart rate, blood pressure or total stress, although a negative correlation was found with frustration (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.028).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Because the intervention did not alter long\u2010term cortisol output, and hair cortisol shows limited sensitivity to short\u2010term effects, it does not appear suitable for detecting tactile\u2010massage effects in adolescents with ADHD.<\/jats:p>\n                  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