“…There are consistent relationships between high levels of stress exposure and disruption of the hypothalamic-pituitary-adrenal (HPA) axis (Koss & Gunnar, 2017;Strüber, Strüber, & Roth, 2014), autonomic nervous system (Esposito, Koss, Donzella, & Gunnar, 2016), and immune system functioning (Danese & Lewis, 2017;Danese -cite this issue;Miller & Chen, 2010;Müller et al, 2019), as well as epigenetic changes, especially in the glucocorticoid receptor gene (Papale, Seltzer, Madrid, Pollak, & Alisch, 2018;Romens & Pollak, 2015;Turecki & Meaney, 2016;Tyrka, Price, Marsit, Walters, & Carpenter, 2012). These are systems that have implications for issues of behavioral regulation, academic performance, and health.…”