Cognitive performance and morning levels of salivary cortisol and alpha-amylase in children reporting high vs. low daily stress perception

The aim of the present study was to assess the effects of daily stress perception on cognitive performance and morning basal salivary cortisol and alpha-amylase levels in healthy children aged 9-12. Participants were classified by whether they had low daily perceived stress (LPS, n = 27) or a high daily perceived stress (HPS, n = 26) using the Children Daily Stress Inventory (CDSI). Salivary cortisol and alpha-amylase were measured at awakening and 30 minutes later. Cognitive performance was assessed using the Cognitive Drug Research assessment system. The HPS group exhibited significantly poorer scores on speed of memory (p < .05) and continuity of attention (p < .05) relative to the LPS group. The HPS group also showed significantly lower morning cortisol levels at awakening and at +30 minutes measures in comparison with the LPS group (p < .05), and mean morning cortisol levels were negatively correlated with speed of memory (p < .05) in the 53 participants. No significant differences were observed between both groups in alpha-amylase levels. These findings suggest that daily perceived stress in children may impoverish cognitive performance via its modulating effects on the HPA axis activity.     

Stress-induced salivary cortisol secretion during hypobaric hypoxia challenge and in vivo urinary thromboxane production in healthy male subjects

Few studies have assessed the effects of stress on in vivo platelet activation. In the present study, hypobaric hypoxia induced by rapid decompression during high-altitude simulated flight in a hypobaric chamber was used to evaluate the effects of environmental stress on salivary cortisol and urinary thromboxane metabolite (TXM) excretion, a noninvasive marker of in vivo platelet function. Twenty-one male aviators (mean ± SD age = 36 ± 7 years) experiencing hypoxia by removing their oxygen mask for 4-5 min during a simulated flight to 25,000 ft (7,620 m; pO(2) = 59.17 mmHg) and a matched control group of thirteen flying instructors wearing oxygen masks during the challenge, were studied. Hypobaric hypoxia induced a transient significant increase (P < 0.001) in the aviators' salivary cortisol concentration; the overall pattern of diurnal cortisol fluctuation was maintained in both groups. Urinary TXM showed a significant ～30% reduction (P < 0.01) after the chamber session in aviators exposed to hypobaric hypoxia, but not in controls. A significant inverse correlation was found between salivary cortisol and urinary TXM in aviators (r = - 0.64, P = 0.0015). Salivary cortisol was a significant predictor (P < 0.001) for urinary TXM concentrations in aviators. In conclusion, here we observed that an acute stress-induced salivary cortisol increase was associated with reduced urinary thromboxane biosynthesis, providing the first indirect evidence for an inhibitory effect of acute stress on in vivo platelet function.     

Effect of a kickboxing match on salivary cortisol and immunoglobulin A

The hypothesis that salivary cortisol would increase and salivary immunoglobulin A (IgA) decrease after a kickboxing match was tested among 20 male athletes. Saliva samples collected before and after the match were analyzed. Salivary cortisol and salivary IgA concentrations (absolute concentration, salivary IgAabs) and the secretion rate of IgA (salivary IgArate) were measured by enzyme-linked immunosorbent assay. A Wilcoxon test for paired samples showed significant increases in salivary cortisol from pre- to postmatch. No significant changes were observed in salivary IgAabs or secretory IgArate and saliva flow rate. This study indicates that a kickboxing match might increase salivary concentration and thereafter it could be considered a significant source of exercise-related stress. On the other hand, the effect of a kickboxing match on mucosal immunity seems not to be relevant.     

Cortisol Response Following Exposure Treatment for PTSD in Rape Victims

This study examined changes in salivary cortisol levels pre- to posttreatment in adult female rape victims diagnosed with posttraumatic stress disorder (PTSD) randomly assigned to be treated with either prolonged exposure therapy or eye movement desensitization and reprocessing. Salivary cortisol was collected at baseline, Session 3, and Session 9. A significant decrease in salivary cortisol levels was observed in individuals classified as treatment responders in both treatment conditions. Findings suggest that successful exposure-based treatments for PTSD that result in trauma-related and depressive symptom reduction may impact the action of the hypothalamic–pituitary–adrenal axis as measured by changes in level of salivary cortisol from pre- to posttreatment.     

Salivary concentrations of cortisol and testosterone and prediction of performance in a professional triathlon competition

The aim of this study was to examine salivary cortisol and testosterone concentrations in professional male athletes during a short triathlon competition using non-invasive methods, and to determine whether these hormone concentrations could be accurate predictors of performance. Eight adult male athletes (age, mean ± SEM: 27.8 ± 3.2 years; body mass index: 21.66 ± 0.42) in a professional triathlon team volunteered to participate in this study. Saliva samples were taken on the competition day and 7 days after competition on a rest day. The performance of the athletes was assessed by their rank order in the competition. Salivary cortisol concentrations were greater on the competition day than on the rest day in the early morning, immediately after waking up, 30 min later, immediately before the start of the competition, and later in the evening. Testosterone concentrations were greater on the competition day in the morning and in the evening. The diurnal rhythm of both cortisol and testosterone concentrations was maintained on both days and the testosterone/cortisol ratio (T/C ratio) was similar between days. The performance of the athletes was positively correlated with salivary cortisol concentration in the early morning of the competition day, but was not correlated with testosterone concentrations at any of the time points. In conclusion, early morning salivary cortisol concentration, but not T/C ratio, could be used to predict performance in athletes during a professional triathlon competition.     

The social endocrinology of dominance: basal testosterone predicts cortisol changes and behavior following victory and defeat

Past research suggests that individuals high in basal testosterone are motivated to gain high status. The present research extends previous work by examining endocrinological and behavioral consequences of high and low status as a function of basal testosterone. The outcome of a competition--victory versus defeat--was used as a marker of status. In Study 1, high testosterone men who lost in a dog agility competition rose in cortisol, whereas high testosterone men who won dropped in cortisol. Low testosterone men's cortisol changes did not depend on whether they had won or lost. Study 2 replicated this pattern of cortisol changes in women who participated in an experimental laboratory competition, and Study 2 extended the cortisol findings to behavior. Specifically, high testosterone winners chose to repeat the competitive task, whereas high testosterone losers chose to avoid it. In contrast, low testosterone winners and losers did not differ in their task preferences. These results provide novel evidence in humans that basal testosterone predicts cortisol reactivity and behavior following changes in social status. Implications for the social endocrinology of dominance are discussed.     

Salivary cortisol concentrations, stress and quality of life in women with endometriosis and chronic pelvic pain

The objective of this study was to evaluate the perceived stress index, quality of life, and hypothalamus-pituitary-adrenal axis activity in women with endometriosis and chronic pelvic pain. For the study, 93 women with endometriosis and 82 healthy women volunteered. The visual analogue scale (VAS) (0=no pain; 10=severe pain) was used to determine pain intensity; the perceived stress questionnaire (PSQ) defined stress index, and the health-related quality-of-life (HRQOL)-SF-36 questionnaire was used to evaluate quality of life. Salivary cortisol was measured at 0800, 1600, and 2000 h and the awakening cortisol response was assessed to evaluate the hypothalamus-pituitary-adrenal axis activity. The results show that women with endometriosis and chronic pelvic pain of moderate intensity (4.1+/-0.58, mean+/-SEM) have higher levels of perceived stress (0.55+/-0.01 versus 0.42+/-0.01, p<0.05), a poorer quality of life expressed as lower scores for all items of the inventory and hypocortisolism. Lower levels of salivary cortisol were observed in all three samples collected, as well as in the awakening cortisol response, for women with endometriosis (0.19+/-0.09 microg/dl) when compared with controls (0.78+/-0.08 microg/dl, p<0.05 l), and it was independent of pain intensity and Mental health (MH) scores in SF-36. We concluded that women with endometriosis and chronic pelvic pain show low concentrations of salivary cortisol and a high level of perceived stress, associated with a poor quality of life. Whether the hypocortisolism was an adaptive response to the aversive symptoms of the disorder or a feature related to the etiology of endometriosis remains to be elucidated.     

Relationship disruption stress in human infants: a validation study with experimental and control groups

The current study examined whether the psychological stress of the still-face (SF) task (i.e. stress resulting from a parent's unresponsiveness) is a valid laboratory stress paradigm for evaluating infant cortisol reactivity. Given that factors external to the experimental paradigm, such as arriving at a new place, may cause an elevation in cortisol secretion; we tested the hypothesis that infants would show a cortisol response to the SF task but not to a normal FF task (control). Saliva was collected for cortisol measurement from 6-month-old infants (n?=?31) randomly assigned to either a repeated SF task or to a continuous FF task. Parent-infant dyads were videotaped. Salivary cortisol concentration was measured at baseline, 20, and 30?min after the start of the procedure. Infant salivary cortisol concentrations showed a significant increase over time for the SF task but not for the FF task. The results provide new evidence that the repeated SF task provides a psychological challenge that is due to the SF condition rather than to some non-task related factor; these results provide internal validity for the paradigm. The study offers new insight into the role of parent-infant interactions in the activation of the infant stress response system.     

Heart rate and blood pressure responses to a competitive role‐playing game

The effects of the outcome of competitive encounters on physiological parameters have been studied, especially testosterone levels, but hardly on other systems that, however, present a high sensitivity to stress. This study assessed the effect of a competitive game on heart rate (HR) and blood pressure (BP) in a sample of university students. In addition, the influence of anxiety and attributions of the outcome was also explored. Only winners significantly showed a rise in HR during the competition followed by a decrease along the posttask phase in addition to more internal attributions. On the contrary, the average HR for losers during the competition was lower compared with their baseline values. No differences depending on the outcome were found in BP. The cardiovascular response as well as the subjective interpretation of the outcome suggest a more active strategy employed by winners vs. a more passive strategy of losers. Future studies should specifically investigate the importance of coping strategies for psychophysiological adaptation to contests and for the outcome reached. This would permit an advance in the understanding of the role of individual differences in the processes of stress and in associated diseases. Aggr. Behav. 27:351–359, 2001. © 2001 Wiley‐Liss, Inc.     

Anxiety,hormonal responses,and coping during a judo competition

Competitive situations induced hormonal changes, depending on the outcome, victory or defeat. This study aimed to investigate the salivary testosterone (T) and cortisol (C) and the mental state responses to a real judo championship. Data about individuals’ anxiety levels, strategies of coping, and patterns of behavior were thus collected. The relationship between hormonal changes and psychological variables were also analyzed. Our results showed a C response to competition, which was especially characterized by an anticipatory rise. Depending on outcome, results did not show statistically significant different C responses. The T values noted after the last fight were significantly greater in the losers than those obtained in the winners. Hormonal response did not show a relationship with psychological variables depending on the outcome. Losers showed just before the first fight an elevated cognitive anxiety, accompanied by low self‐confidence. Moreover, they were characterized by type B behavior. Types of coping strategies also differentiated losers from winners. Finally, even if no relationships between hormonal and psychological variables depending on the outcome were found, our results showed that state and trait psychological variables, as well as the coping strategies, must be taken into account to better understand the response to competitive situations. Aggr. Behav. 27:55–63, 2001. © 2001 Wiley‐Liss, Inc.     

Hormonal response to competition in human males

Changes in testosterone (T) and cortisol (C) were evaluated in males competing in a non-athletic laboratory reaction time task. Subjects were randomly assigned to “win” or “lose” by adjusting feedback regarding their task performance. Further, subjects were randomly assigned to either a Close Contest condition (where one person barely “defeated” his opponent), or a Decisive condition (in which the victory was clear). Throughout competition, samples of saliva were taken and assayed later for T and C. Post-competition mood and attributions were also measured. Winners had higher overall T levels than losers, with no significant difference between Close Contest or Decisive Victory conditions. In contrast, C levels did not differ between winners and losers nor did Condition (Close or Decisive) have any effect. Mood was depressed in Decisive losers compared to all other groups. The results indicate that the perception of winning or losing, regardless of actual performance or merit on the task, differentially influenced T (but not C) levels, and that such hormonal changes are not simply general arousal effects but are related to mood and status change.     

Effects of dehydroepiandrosterone supplementation during stressful military training: a randomized, controlled, double-blind field study

Dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEAS) are anabolic prehormones involved in the synthesis of testosterone. Both have been shown to exert neuroprotective effects during stress. In this randomized, controlled, double-blind field study, we examined the effects of a 12-day DHEA regimen on stress indices in military men undergoing survival training. Forty-eight men were randomized to either a DHEA treatment group or placebo control group. The treatment group received 50 mg of oral DHEA supplementation daily for 5 days during classroom training followed by 7 days of 75 mg during stressful field operations. Control subjects received identical placebo pills. Salivary assays (DHEA[S], testosterone, and cortisol) were conducted at four time points: distal pre-stress (T1), proximal pre-stress (T2), mock-captivity stress (T3), and 24 h recovery (T4). Subjective distress was also assessed at T1, T3, and T4. As expected, DHEA treatment resulted in higher salivary concentrations of DHEA and DHEAS during daily living, mock-captivity stress, and recovery. Similar patterns were observed for salivary markers of anabolic balance: DHEA/cortisol, DHEAS/cortisol, and testosterone/cortisol concentration ratios. Despite notable time effects, no group differences emerged for subjective distress. A brief, low dose DHEA regimen yielded large increases in salivary DHEA(S) concentrations and enhanced anabolic balance throughout sustained military stress. These physiological changes did not extrapolate to subjective distress.     

Adrenocortical reactivity and social competence in seven year-olds

We examined temporal changes in salivary cortisol in response to a peer self-presentation task in a group of seven year-olds, some of whom scored high, average, and low on the Harter, 1983 Perceived Social Competence Scale. Salivary cortisol was measured pre-task, and 20 and 35 min post-task. We found a significant relation between individual differences in perceived social competence and salivary cortisol reactivity in response to the task. Children who perceived themselves as socially competent exhibited a significantly greater decrease in salivary cortisol from 20 to 35 min following the task compared with children who self-reported a relatively lower degree of social competence. We speculate on the meaning of salivary cortisol changes in childrens socio-emotional development.     

特里尔社会应激测验对儿童皮质醇分泌的影响

研究以32名小学儿童（平均年龄10.47岁,男生16人）为被试,采用唾液皮质醇为应激测验的客观指标、以被试主观紧张度为主观指标,考察特里尔社会应激测验对中国儿童皮质醇分泌的影响。结果表明：（1）社会应激测验任务引发儿童皮质醇浓度和主观紧张度的显著上升,任务后的恢复期皮质醇浓度和主观紧张度能够恢复到任务前的水平。（2）社会应激测验任务引发的男生皮质醇水平变化显著高于女生,但是引发的主观紧张度水平变化不存在显著性别差异。社会应激测验中文修订版能够有效引发儿童的压力应激变化,可以用其开展儿童社会应激的相关研究。     

Perceived stress,recurrent pain,and aggregate salivary cortisol measures in mid‐adolescent girls and boys

Measures of perceived stress have been criticized for theoretical inconsistency. However, the validated pressure activation stress scale has been suggested as a theoretically sound alternative. But it is unclear how pressure and activation stress relate to objective and subjective measures including commonly used aggregate cortisol measures and health complaints respectively. Specifically, this study aimed at investigating how pressure and activation stress were related to aggregate salivary cortisol measures and recurrent pain in mid‐adolescent girls and boys. Mid‐adolescents (119 girls and 56 boys) provided self‐reports in questionnaires on activation and pressure stress and recurrent pain (headache, stomach ache, neck/shoulder and back pain). Additionally, adolescents sampled saliva during an ordinary school day: (1) immediately at awakening; (2) 30 minutes after waking up; (3) 60 minutes after waking up, and (4) at 8 p.m. These samples were analyzed for cortisol. Hierarchical regressions showed no statistically significant associations between activation and pressure stress and cortisol, neither for girls nor for boys. However, activation and pressure stress were significantly associated with recurrent pain but only for girls. The findings may relate to subjective and objective measures reflecting distinct aspects of stress‐related functioning. However, the study participants included mid‐adolescents whose bodily systems are flexible and still relatively unaffected by the strain of their daily stress perceptions. To conclude, the non‐significant relationships between activation and pressure stress and commonly used aggregate measures of cortisol adds to the understanding of how perceived stress may relate to physiological functioning in the daily life of adolescents when using such aggregate measures.     

儿童版特里尔社会应激测试对儿童唾液皮质醇、唾液α-淀粉酶和情绪的影响

研究以150名五、六年级的学生为被试,考察儿童版特里尔社会应激测试（TSST-C）对儿童客观生理反应（唾液皮质醇和唾液α-淀粉酶）和主观情绪反应的影响。结果发现,TSST-C引起了儿童显著的应激反应,包括皮质醇和唾液α-淀粉酶水平的升高,以及主观消极情绪（如焦虑和紧张）的增加,这表明TSST-C在中国儿童中的适用情况良好,能够有效诱发儿童的应激反应。同时,研究也发现,皮质醇反应和唾液α-淀粉酶反应不存在相关,生理反应和情绪反应之间也不存在相关。     

Examination stress as an ecological inducer of cortisol and psychological responses to stress in undergraduate students

The purpose of the present study was to investigate basic methodological issues related to the usage of an examination stress protocol in studies of psychoneuroendocrinology. In the present study, 57 undergraduate students served as participants. All subjects provided salivary samples and completed psychological inventories during a low examination stress period and again during a high examination stress period. Salivary samples were analyzed for cortisol. Three major findings were observed. First, the examination stress protocol proved to be an effective trigger of elevations in both psychological measures of stress and in cortisol levels. Second, sex differences were observed in cortisol levels, such that males showed an elevation in cortisol during the high examination stress session whereas females did not. Finally, no significant correlations were observed between elevations in psychological measures of stress and elevations in cortisol levels. These findings suggest that the examination stress protocol used in the present study effectively elevated both psychological stress and cortisol levels. Furthermore, these findings suggest that there are biological differences in how males and females respond to stress. Finally, no evidence was found to suggest a relationship between psychological and hormonal levels of stress. Together, these findings suggest the need to better define and consider the implications of both the specific measures of stress being used and individual differences in the subject samples in psychoendocrine studies.     

Effects of Motivation-Based Academic Group Psychotherapy on Psychological and Physiological Academic Stress Responses among Korean Middle School Students

ABSTRACT

This study investigated the effects of motivation-based academic group psychotherapy on psychological and physiological academic stress responses. Indicators of academic stress were the psychological measures of academic burnout and physiological measures of salivary cortisol. The intervention group was expected to show higher salivary cortisol levels initially and that both measures of academic burnout and salivary cortisol would decrease post-intervention. After the first measurement, the intervention group received group psychotherapy, and the comparison group received no treatment. Means, standard deviations, and correlation coefficients were calculated and general linear modeling was conducted. No initial between-group difference was detected in salivary cortisol. Post-intervention, signs of academic burnout decreased in the intervention group, mostly for cynicism. However, salivary cortisol increased in both groups. Accordingly, possible mechanisms and implications are discussed.     

Continuity and Change in Emotional Reactivity in Rhesus Monkeys Throughout the Prepubertal Period

We examined continuity and change in emotional reactiviy as assessed by hypothalamic–pituitary–adrenal (HPA) activity in rhesus monkeys. Plasma samples were obtained from mother-peer–reared and surrogate-peer–reared monkeys and assayed for cortisol concentrations at 5 time points in infancy. Both plasma and saliva samples were collected for cortisol assay from the same monkeys as 1-, 2-, and 3-year-old juveniles, respectively. Plasma cortisol concentrations increased during the first 5 months of life and decreased from 1 to 3 years of age. Females consistently had higher plasma cortisol concentrations than males. Plasma cortisol concentrations were lower in surrogate-peer–reared than mother-peer–reared monkeys during the first month of life. Juvenile plasma cortisol concentrations were significantly correlated with infant cortisol levels at all but the earliest time point. Analysis of salivary cortisol from a subset of animals showed a similar age-related decline and the presence of a significant rearing effect, with lower concentrations in surrogate-peer–reared juveniles, but no sex difference. Salivary and plasma cortisol concentrations in these animals were significantly correlated.     

Parental caring and loss during childhood and adult cortisol responses to stress

Abstract

This study was designed to test the hypothesis that the impact of early parental loss on adult physiological responses to stress is moderated by the level of perceived caring from the surviving parent. University students who lost a parent during childhood were compared to students raised by both biological parents. Salivary Cortisol samples were collected immediately before and at 5 and 20 minutes following a stressful speech task. Perceptions of parental caring (Care) during childhood were measured using the Parental Bonding Instrument. Repeated measures multivariate analysis of variance revealed a significant (p = .01) three-way interaction of Loss by Care by Period (baseline, task, recovery) such that participants who lost a parent and perceived low parental caring showed higher Cortisol levels following stress relative to other participants. These findings indicate that childhood loss of a parent is associated with long-term neurohormonal consequences only if the quality of the bond with the surviving parent is poor.