Psychological coping styles and cortisol over the day in healthy older adults

O’Donnell, Katie; Badrick, Ellena; Kumari, Meena; Steptoe, Andrew

doi:10.1016/j.psyneuen.2008.01.015

Cited by 94 publications

(81 citation statements)

References 62 publications

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“…This association may also by explained by the finding mentioned above, as the slope is greatly determined by the F0 values, which are lower in early awakeners. If circadian cortisol secretion was summarized as AUC G , men showed higher hormone values as compared with women, a finding in line with other studies (37). Furthermore, smoking habits were associated with the steepness of the slope with nonsmokers displaying a smaller decrease in cortisol secretion over the day.…”

Section: Discussionsupporting

confidence: 89%

“…During an experimental stress test, the rise in cortisol secretion was greatly diminished, when a close friend provided social support during the preparation period (38). In the Whitehall II cohort, individuals who coped by problem engagement and by seeking social support had lower cortisol levels (37). Our report is the first to provide evidence that this psychological factor is independently linked with cortisol secretion in a community sample.…”

Section: Discussionmentioning

confidence: 54%

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Salivary cortisol in a middle-aged community sample: results from 990 men and women of the KORA-F3 Augsburg study

Lederbogen

Kühner

Kirschbaum

et al. 2010

European Journal of Endocrinology

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Objective: Analysis of salivary cortisol concentrations and derived indices is increasingly used in clinical and scientific medicine. However, comprehensive data on these parameters in the general population are scarce. The aim of this study was to evaluate the concentrations of salivary cortisol in a large middle-aged community sample and to identify major factors associated with altered hormone levels. Design: We conducted a cross-sectional study within the Cooperative Health Research in the Region of Augsburg (KORA)-F3 study. A total of 1484 participants aged 50-69 years (52% women) had agreed to provide four saliva samples during a regular weekday. Methods: We measured salivary cortisol concentrations at wake-up (F0), 1

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 54%

Salivary cortisol in a middle-aged community sample: results from 990 men and women of the KORA-F3 Augsburg study

Lederbogen

Kühner

Kirschbaum

et al. 2010

European Journal of Endocrinology

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show abstract

“…Consequently, no studies have examined the effects of depression and anxiety on both the CAR and the diurnal rhythm of cortisol in the context of ageing. Older adults' cortisol secretion over the day has been inversely related to seeking social support (O'Donnell et al, 2008); however, this study did not measure perceived social support. To our knowledge, perceived social support has not been examined in parallel with anxiety and depression in relation to diurnal cortisol and ageing.…”

Section: Depression Anxiety Social Support and Cortisolmentioning

confidence: 89%

Ageing, depression, anxiety, social support and the diurnal rhythm and awakening response of salivary cortisol

Heaney¹,

Phillips²,

Carroll³

2010

International Journal of Psychophysiology

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The present study compared the cortisol awakening response and diurnal rhythm in 24 young healthy students and 48 community-dwelling older adults. The associations with diurnal cortisol and depression, anxiety and social support were also examined in relation to age. Salivary cortisol was measured over the course of one day: immediately upon awakening, 30 min later, and then 3 h, 6 h, 9 h and 12 h post-awakening. Participants completed a questionnaire measuring symptoms of anxiety and depression and social support was assessed. Older adults exhibited a significantly reduced awakening response, overall cortisol levels, area under the curve (AUC) and diurnal slopes than younger adults, resulting in a flatter diurnal rhythm. Younger adults with higher depression scores had significantly higher overall cortisol and higher levels upon awakening and 30 min postawakening. In the younger adults, anxiety and depression correlated positively with AUC and the cortisol awakening response (CAR). Older adults with lower social support had a reduced AUC where younger adults with lower social support displayed a larger AUC. These findings suggest that the diurnal rhythm and awakening response of salivary cortisol are significantly reduced in older adults and the associations between anxiety, depression and social support and diurnal cortisol vary with age.

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“…Additionally, flatter cortisol slopes are associated with some aspects of psychological stress and coping ; e.g. men and women with marital problems have flatter cortisol slopes [49,50], while individuals who utilize adaptive coping styles have steeper slopes [51]. By contrast, there was no association with peak cortisol, suggesting that the different components of the cortisol diurnal rhythm have varying associations with health-related biological processes.…”

Section: Discussionmentioning

confidence: 99%

Pathogen burden and cortisol profiles over the day

et al. 2009

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SUMMARYHypothalamic-pituitary-adrenocortical (HPA) regulation in adults is influenced by early psychosocial adversity, but the role of infectious disease history is poorly understood. We studied the association between cumulative pathogen burden and cortisol profile over the day in a sample of 317 healthy men and women aged 51-72 years. Cumulative pathogen burden was defined as positive serostatus for Chlamydia pneumoniae, cytomegalovirus (CMV) and herpes simplex virus 1 (HSV-1). Salivary cortisol was sampled repeatedly over the day. The cortisol slope was defined as the decrease across the day and evening. Age, gender, grade of employment, body mass index, smoking status, self-rated health, cardiovascular medication, depressed mood and time of waking were included as covariates. The pathogen burden averaged 1 . 76 (S.D.=0 . 92). The cortisol slope was inversely associated with pathogen burden after controlling for covariates. When individual pathogens were studied, only CMV was associated with flatter cortisol rhythms in isolation. We conclude that pathogen burden is independently associated with flatter cortisol slopes over the day, and may contribute to disturbed neuroendocrine regulation.

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Psychological coping styles and cortisol over the day in healthy older adults

Cited by 94 publications

References 62 publications

Salivary cortisol in a middle-aged community sample: results from 990 men and women of the KORA-F3 Augsburg study

Salivary cortisol in a middle-aged community sample: results from 990 men and women of the KORA-F3 Augsburg study

Ageing, depression, anxiety, social support and the diurnal rhythm and awakening response of salivary cortisol

Pathogen burden and cortisol profiles over the day

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