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1.
Chelsea da Estrela Erin T. Barker Sarah Lantagne Jean‐Philippe Gouin 《Stress and health》2018,34(2):296-305
Sleep is a basic biological process supporting emotion regulation. The emotion regulation function of sleep may be particularly important in the context of chronic stress. To better understand how chronic stress and sleep interact to predict mood, 66 parents of children with autism completed daily diaries assessing parenting stress, negative mood, and sleep quality for 6 consecutive days. Hierarchical linear modelling revealed that daily negative mood was predicted by between‐person differences in parenting stress and between‐person differences in sleep efficiency. Further, between‐person differences in sleep efficiency and within‐person differences in sleep satisfaction moderated the impact of stress on mood. These data suggest that sleep disturbances may exacerbate the association between stress and mood in the context of chronic parenting stress. Further, high parenting stress appears to heighten the impact of transient sleep disturbances on mood. 相似文献
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Paola Monnazzi Oriana Leri Liliana Guizzardi Domenico Mattioli F. R. Patacchioli 《Stress and health》2002,18(4):195-200
This paper reports salivary cortisol levels and cardiovascular adjustments monitored after the performance of physical exercise in a subject (healthy man, 58 years old) who had practised and taught yoga techniques for a number of years. The subject performed two different step‐climbing trials which were varied according to the different breathing recovery techniques used. Immediately after the step‐climbing, the subject was asked either to get his breath back spontaneously (as reference) or by 3 min breathing using the ‘Istity Method’, based on the prolongation or amplification of the steps of the breath (breathing in–out) with short regular rest intervals. The measurements of the basal heart rate, blood pressure and cortisol concentration in the saliva were made just before starting, and 5, 15 and 30 min after the end of step‐climbing. Results suggest that the Istity breathing method can induce rapid modification of the cardiovascular function and attenuation of the cortisol level after exposure to physical stress. It might be of interest to pursue further studies of this effect, perhaps not confined to yoga experts, since the ‘Istity Method’ can be implemented by anyone after a short and simple training period. Copyright © 2002 John Wiley & Sons, Ltd. 相似文献
3.
Jason M. Holland Larry W. Thompson Michael A. Cucciare Akira Tsuda Hisayoshi Okamura David Spiegel Natalie L. Rasgon Dolores Gallagher‐Thompson 《Stress and health》2011,27(4):334-346
A host of interventions are now known to be helpful to alleviate subjective distress and improve well‐being in dementia caregivers. However, few intervention studies have focused on measures of physical health, and none have examined cortisol as an outcome—despite the fact that cortisol is regarded as a crucial biological intermediary by which chronic stress leads to disease. In this study, we examined demographic and psychosocial factors as predictors of salivary cortisol at a baseline assessment, among a sample of 175 Latino/Hispanic and Caucasian women caring for a family member with dementia. We also examined the influence of a cognitive–behaviour‐based psychoeducational intervention (Coping with Caregiving) on cortisol at a post‐treatment assessment, compared with a minimal support condition. Results revealed that caregivers with high intensity caregiving situations, characterized by long hours of care and co‐residence with the care recipient, tended to have less adaptive cortisol patterns. However, these ‘at‐risk’ caregivers benefited most from the Coping with Caregiving intervention and had more normal cortisol patterns at post‐treatment, compared with caregivers in the control condition. Copyright © 2011 John Wiley & Sons, Ltd. 相似文献
4.
Emergency personnel consistently work under high‐stress situations, and thus, the question about whether this stress affects performance is critical to the safety of both themselves and the public. However, considerable controversy exists about the influence of stress on performance. This study investigates the association between both biological and psychological manifestations of stress and performance. The study was conducted with 84 police recruits using a high‐fidelity simulation of a policing event in order to try to determine performance in a life‐like workplace environment. Measures included both biological (heart rate and salivary cortisol levels) and psychological (subjective anxiety) indicators of stress. Performance was videotaped and was later evaluated by three expert raters. The results of this study are promising in that neither physiological nor psychological responses impaired performance in a simulated acutely stressful policing situation. On the other hand, those individuals with greater cortisol release showed higher levels of performance, supporting the notion that cortisol can enhance ability in high‐stress situations. Recruits were also asked to subjectively evaluate their performance. A small group of individuals ranked themselves as poor performers while evaluators ranked them highly. These individuals experienced significantly higher increase in subjective distress and significantly higher cortisol levels at baseline and peak. Copyright © 2008 John Wiley & Sons, Ltd. 相似文献
5.
The main objective of this study was to investigate the contribution of some personality traits to the physiological and psychological response to a standardized laboratory psychosocial stressor (trier social stress test). Cortisol and affective response (anxiety and mood) were analysed in a mixed‐sex group composed of 35 young adults who participated in a crossover design (18 men and 17 women). After verifying a statistically significant response to the trier social stress test in all parameters studied in both sex groups, exploratory cluster analyses were carried out to identify sub‐groups based on their psychophysiological responses. These analyses showed two different groups: subjects displaying lower psychological response along with higher cortisol response (cluster 1) compared with the group with high affective reactivity along with lower cortisol response (cluster 2). Interestingly, we also found significant differences in trait anxiety and coping styles when the two clusters were compared. Subjects in cluster 1 showed lower scores on trait anxiety and higher scores on active coping, whereas the subjects in the second cluster obtained higher scores on anxiety and on coping focused on emotions and mental disengagement. These findings support the importance of personality traits and coping styles in understanding the overall integrative psychobiological responsiveness to social stress. Copyright © 2014 John Wiley & Sons, Ltd. 相似文献
6.
Burnout syndrome is an important psychosocial risk in the job context, especially in professions with a strong social interaction, as in the case of teaching. This study analyses the role of burnout in the psychophysiological responses to a work day in teachers. High burnout was related to worse mood, and higher perceived stress throughout the work day. Moreover, burnout is positively related to systolic blood pressure and negatively related to salivary cortisol levels at the beginning of the work day. Higher scores of burnout in teachers are also related to lower heart rate in the middle of the work day. The psychophysiological responses to a work day are specifically associated with the different burnout subscales (emotional exhaustion, depersonalization and personal accomplishment). Men presented higher diastolic blood pressure than women at the beginning and the middle of the work day. Burnout could induce an alteration in mood together with a dysregulation of the cardiovascular activity and the hypothalamo‐pituitary‐adrenocortical axis functioning in response to a work day in teachers. Moreover, our results offer different burnout‐dependent patterns of relationships between psychological, cardiovascular and cortisol responses, and they suggest that gender plays a moderator role in the cardiovascular response to a work day. Copyright © 2010 John Wiley & Sons, Ltd. 相似文献
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The present experiment tested the hypothesis that differential neuroendocrine elicitation is prompted by subjects' cognitive expectations of an anticipated stressor. Subjects making a ‘threat appraisal’ of an academic examination were predicted to have increased hypothalamic–pituitary–adrenal (HPA) activation, while activation was expected to be unchanged in subjects making a ‘challenge appraisal.’ Self‐reported anxiety in relation to these variables was also examined. HPA activation was assessed by urinary cortisol at baseline (at least 1 week before the examination) and at pre‐test (immediately before the examination). Contrary to the hypothesis, there was an unexpected sex × time interaction that was particularly robust in subjects making a challenge appraisal. Males in the challenge appraisal group had a significant increase in cortisol excretion from baseline to pre‐test, with greater reported anxiety than the threat appraisal group. In contrast, females had a decrease in cortisol excretion that was significant for only the challenge appraisal group, although reported anxiety between the challenge and threat groups was not different. Results may support the recent proposition that the female stress response has evolved differently than that of males, or they may reflect sex differences in production of corticosteroid‐binding globulin. Copyright © 2001 John Wiley & Sons, Ltd. 相似文献
9.
Many adolescents and young adults with autism spectrum disorders (ASD) experience high levels of stress and anxiety. The purpose of this pilot study was to examine whether physical exercise and relaxation could reduce stress and anxiety among those with ASD. Salivary cortisol levels were collected before and after each of three sessions during an 8‐week exercise programme. Our findings showed a significant reduction in cortisol at the end of the sessions compared with the beginning. This was supported by a self‐report anxiety measure. Although reductions in these stress measures were not sustained over time, our results highlight the potential of exercise and relaxation for improving symptoms of stress. Future studies are needed which examine longer term reductions in stress following physical exercise interventions. Copyright © 2011 John Wiley & Sons, Ltd. 相似文献
10.
BACKGROUND: Emergence agitation in pediatric anesthesia is associated with preanesthesia child anxiety, which is strongly influenced by maternal mental conditions. Mental stress affects the autonomic nervous system, thereby influencing heart rate variability (HRV). The present study tested the correlations between preanesthesia maternal HRV and perioperative child behavior. METHODS: A total of 27 pairs of mothers and children were analyzed in the present study. Maternal HRV was recorded from the night before the child's surgery to arrival to the operation room and thereafter recorded data were analyzed. The children underwent minor plastic surgery under general anesthesia, and induction and emergence behavior were assessed. RESULTS: Quality of mask induction did not correlate with the ratio of low-frequency (LF) components to high-frequency (HF) components (LF/HF ratio) of preanesthesia maternal HRV either obtained during 21:00-06:00 (stage I) or 06:00-08:00 (stage II). Scores of the child's emergence behavior did not correlate with the LF/HF ratio of maternal HRV of stage I; however, the LF/HF ratio of maternal HRV of stage II significantly correlated with emergence behavior. CONCLUSIONS: Two-hour maternal HRV just before surgery significantly correlated with emergence behavior of children undergoing general anesthesia. 相似文献
11.
Because chronic stress is an important risk factor for anxiety states and depressive disorders, we studied hypothalamus–pituitary–adrenal (HPA) axis and sympathetic system activity via changes in cortisol and alpha amylase activity levels in pediatric generalized anxiety disorder (GAD) patients (n = 26) with comorbid depression and a healthy comparison group (n = 26). Morning plasma cortisol and diurnal profiles of salivary cortisol and salivary alpha amylase (sAA) activity were assessed, also reactivity of HPA‐axis, sAA activity, and heart rate following a psychosocial stressor (Trier Social Stress Test for children). GAD patients with comorbid depression showed increased morning plasma and salivary cortisol levels, ameliorating throughout in‐patient treatment, and higher sAA activity in their diurnal profile. Both HPA and sympathetic activity positively correlated with the severity of anxiety and depression. We also demonstrated a blunted HPA and sympathetic response to acute stress in patients. This pattern of neuroendocrine and sympathetic changes seems to be distinct from the one previously reported in pediatric patients with only social anxiety or depressive disorders. We propose morning plasma and saliva cortisol levels as potential physiological indicators for supporting the evaluation of symptoms' severity and treatment progress in children with GAD and comorbid depressive disorder. 相似文献
12.
Peter Salmon 《Stress and health》1992,8(3):193-198
It has long been argued that surgery is a form of psychological stress and that the response to it should therefore be modifiable by psychological means. In particular, it has been suggested that preoperative worry should reduce the stressfulness of surgery. Endocrine responses to surgery may enable a more valid test of this theory than the measures more commonly used. A series of studies has provided evidence consistent with the theory. Preoperative anxiety correlated with lower postoperative levels of circulating cortisol and adrenaline. Furthermore, preoperative psychological procedures designed to reassure patients and reduce anxiety have increased cortisol or adrenaline responses. Programmes of preoperative reassurance should be evaluated carefully until it is known whether the increased stress response compromises recovery. 相似文献
13.
Bruno Baldaro Giovanni Tuozzi Maurizio Codispoti Ornella Montebarocci Francesco Barbagli Elena Trombini Nicolino Rossi 《Stress and health》2004,20(4):203-208
The purpose of this study is to evaluate the short‐term effects on several physiological (arterial pressure and heart rate) and psychological (anxiety and aggressiveness) indexes of playing violent and non‐violent videogames in young adults. The study was carried out on a sample of 22 male participants. Subjects invited to participate in the study were recruited from a videogame leisure club. Before and during playing either a violent or non‐violent computer game, blood pressure and heart rate were measured. Before and after the game session, the subjects completed the State‐Anxiety Inventory‐Y (STAI‐Y) and the Buss–Durkee Hostility Inventory. The results of the study showed a range of short‐term effects of playing violent and non‐violent videogames on arterial pressure and on the state anxiety of subjects, but not on hostility measurements. More specifically, the group that played the violent videogames showed a significant increase in the state anxiety score at the end of the game, as compared to the pre‐game self‐evaluation, and an increase in the systolic blood pressure while the subjects were playing as compared to pre‐ and post‐game values. A decrease in diastolic blood pressure after playing any game was also found. Copyright © 2004 John Wiley & Sons, Ltd. 相似文献
14.
The relationships between self-reported assessments of acute anxiety and several biochemical and physiological indicators of stress reaction were investigated in pregnant women at term in connection with spinal analgesia for caesarean section. Fear and apprehension were statistically significantly associated only with blood pressure and with an increase in heart rate from the previous day. The subjective estimate of the quality of the preoperative night's sleep was negatively associated with biochemical plasma and cerebrospinal fluid (CSF) measures of sympatho-adrenal activity. The previously reported negative correlation between body height and 5-hydroxyindoleacetic acid (5-HIAA, an indicator of serotonin metabolism) in lumbar CSF was confirmed. The concentration of 5-HIAA in CSF was positively correlated with the levels of other acidic monoamine metabolites and cortisol in CSF. It is concluded that hormone and monoamine metabolite measurements in CSF and plasma have only limited usefulness as quantitative indicators of the intensity of preoperative fear and anxiety. 相似文献
15.
Caring for an offspring with an autism spectrum disorder (ASD) has been related to high stress levels and health disturbances. However, a protective effect against these negative health outcomes has been described in high‐resilient caregivers. In this context, the main aim of the present study was to assess the association between resilient coping and cortisol response to acute stress in caregivers of people with ASD. Furthermore, the study aimed to explore the mediating role of anger in this association. We exposed 40 caregivers of people with ASD to an acute psychosocial stressor in the laboratory. Salivary cortisol samples were obtained before, during, and after the stressor. Resilient coping, anger, and socio‐demographic variables were also assessed. Resilient coping was negatively correlated with cortisol response. Specifically, cortisol release was lower in high‐resilient than low‐resilient caregivers. Anger was positively correlated with cortisol response, mediating the association with resilient coping. The observed associations of resilient coping and anger with cortisol response indicate that these variables may affect health outcomes, resilience being protective and anger harmful. Psychotherapeutic interventions focused on strengthening resilience and anger management could benefit caregivers, improving their health status and quality of life. 相似文献
16.
We explored the moderating effect of exam‐related coping strategies on the relationships between test anxiety, negative mood and salivary cortisol. Fifty undergraduate students participated, with 29 in the academic examination group and 21 in the comparison group. Across groups, worry was associated with higher levels of negative mood before, during and after the exam or homework period. However, avoidance coping moderated this effect such that there was a strong positive relationship between worry and negative mood when avoidance coping was low, but not when avoidance coping has high. Negative mood on the day of the study correlated positively with the number of illness symptoms reported 3 days later. Our results suggest that coping strategies used to deal with academic examination stress dynamically moderate the effects of test anxiety on negative mood. Copyright © 2008 John Wiley & Sons, Ltd. 相似文献
17.
目的 探讨缓解儿科重症监护室患儿分离性焦虑的有效方法。方法 将入住儿科重症监护室的100例患儿随机分为对照组和观察组各50例。对照组在常规心理干预的基础上应用iPad分散注意力,观察组在常规心理干预基础上应用虚拟现实技术干预。比较两组干预前后各时间段的分离性焦虑评分、心率和血压变化。结果 观察组各时间段分离性焦虑评分显著低于对照组,干预后心率显著低于对照组(均P<0.05),两组干预前后血压比较,差异无统计学意义(均P>0.05)。结论 虚拟现实技术可使儿科重症监护室患儿快速达到身心放松状态,缓解分离性焦虑,安全性好。 相似文献
18.
This study compared altruistically and egoistically framed messages for encouraging adult children to support a parent providing care for an elderly relative. Undergraduate students imagined their mother filling a caregiving role while reading a message about family caregiving and the physical and psychological stresses it involves. The message encouraged participants to support the caregiver either for altruistic (other‐oriented) or egoistic (self‐oriented) reasons. Thereafter, participants completed self‐assessment surveys of attachment style and willingness to provide support. Securely attached (less self‐oriented) participants were not differentially influenced by the two messages. However, insecurely attached (more self‐oriented) participants were more willing to help if they received the egoistic message than if they received the altruistic message. Thus, knowledge of a family member's attachment style can be useful for selecting an appropriate method for encouraging caregiver support. Whereas the type of message used does not matter for securely attached individuals, an egoistically framed message may be more influential than an altruistically framed message among insecurely attached individuals. It is important that clinicians work with families to establish appropriate levels of individual commitment to caregiving responsibilities or supportive behaviours such that involvement is beneficial to the health of the caregiver, the care recipient and supporters. Copyright © 2013 John Wiley & Sons, Ltd. 相似文献
19.
Anne Herrmann-Werner Rebecca Erschens Maximilian Fries Hannah Wehner Stephan Zipfel Teresa Festl-Wietek 《Stress and health》2023,39(3):553-561
Taking patients' medical history correctly is the basis of diagnosis and therapy. Medical students as a vulnerable group may perceive patient–physician interactions as stressful. This study examines stress among medical students in different degrees of fidelity when taking a patient's medical history. In this longitudinal study, students' stress levels were assessed during scenarios with different degrees of fidelity (role-play, simulated patient encounters and real patient encounters) using standardised questionnaires (State-Trait Anxiety Inventory and a distress scale) and the physiological measurement of heart rate variability. The stress level of participating medical students (N = 128) was expected to significantly increase during scenarios of increasing fidelity (Mroleplay = 2.08 ± 0.92; SPEs: Msimulatedpatient = 2.68 ± 1.08; RPEs: Mrealpatient = 3.35 ± 1.08; p < 0.001). Whereas physiological stress was significantly higher with real patients (N = 106), psychological stress was not affected by the fidelity of the scenarios (N = 85). Medical students experienced stress when taking patients' medical history. Medical students might be unaware of their perceived stress based on the results. Thus, they should know how to cope with stress in such situations. 相似文献
