Perceived stress, psychological resilience, hair cortisol concentration, and metabolic syndrome severity: A moderated mediation model
•In a sample of White, Hispanic, and African American adults, hair cortisol concentration was associated with greater metabolic syndrome severity.•Perceived stress was associated with greater hair cortisol concentration, but only for low-resilience participants.•Resilience moderated the indirect ass...
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Published in | Psychoneuroendocrinology Vol. 113; p. 104510 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.03.2020
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Abstract | •In a sample of White, Hispanic, and African American adults, hair cortisol concentration was associated with greater metabolic syndrome severity.•Perceived stress was associated with greater hair cortisol concentration, but only for low-resilience participants.•Resilience moderated the indirect association of perceived stress with greater metabolic syndrome severity via elevated HCC.
Psychological resilience is considered to protect against detrimental effects of perceived stress on cardiovascular and metabolic health, but few studies have tested biological mechanisms underlying these relationships.
This study examined whether psychological resilience moderated the indirect association of perceived stress with Metabolic Syndrome (MetS) severity via hair cortisol concentration (HCC), a retrospective index of hypothalamic pituitary adrenal (HPA) axis activity.
Participants included 228 adults (73 White, 86 Hispanic, 69 African American; mean age 45.29 years; 68% females). Participants completed questionnaires assessing perceived stress (Perceived Stress Scale) and resilience (Brief Resilience Scale). The first 3 cm of scalp-near hair were analyzed for cortisol concentration using enzyme-linked immunoassay analysis. Cardiometabolic risk factors including blood glucose, lipids, blood pressure, and waist circumference were assessed, from which a sex- and race/ethnicity-specific continuous MetS severity score was calculated. A moderated mediation model was tested using path analysis.
Psychological resilience moderated the association of perceived stress with HCC (R2 change for interaction = 0.014, p = 0.043), such that the association of perceived stress and HCC decreased as resilience scores increased. Resilience also moderated the indirect association of perceived stress with MetS severity via HCC (b = -0.039, 95% CI [-0.001; -0.100]), such that HCC mediated the association of greater perceived stress with greater MetS severity only for individuals reporting Brief Resilience Scale scores 3 or below (range: 1.17–5.00). Psychological resilience was also associated with lower MetS severity (β = -0.227, p = 0.014) independent of perceived stress and HCC.
Findings suggest that psychological resilience may serve as both a stress buffer and as a direct determinant of cardiometabolic health. These results extend literature on psychological resilience to measures of retrospective HPA axis function and MetS severity in a diverse sample. |
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AbstractList | Psychological resilience is considered to protect against detrimental effects of perceived stress on cardiovascular and metabolic health, but few studies have tested biological mechanisms underlying these relationships.
This study examined whether psychological resilience moderated the indirect association of perceived stress with Metabolic Syndrome (MetS) severity via hair cortisol concentration (HCC), a retrospective index of hypothalamic pituitary adrenal (HPA) axis activity.
Participants included 228 adults (73 White, 86 Hispanic, 69 African American; mean age 45.29 years; 68% females). Participants completed questionnaires assessing perceived stress (Perceived Stress Scale) and resilience (Brief Resilience Scale). The first 3 cm of scalp-near hair were analyzed for cortisol concentration using enzyme-linked immunoassay analysis. Cardiometabolic risk factors including blood glucose, lipids, blood pressure, and waist circumference were assessed, from which a sex- and race/ethnicity-specific continuous MetS severity score was calculated. A moderated mediation model was tested using path analysis.
Psychological resilience moderated the association of perceived stress with HCC (R
change for interaction = 0.014, p = 0.043), such that the association of perceived stress and HCC decreased as resilience scores increased. Resilience also moderated the indirect association of perceived stress with MetS severity via HCC (b = -0.039, 95% CI [-0.001; -0.100]), such that HCC mediated the association of greater perceived stress with greater MetS severity only for individuals reporting Brief Resilience Scale scores 3 or below (range: 1.17-5.00). Psychological resilience was also associated with lower MetS severity (β = -0.227, p = 0.014) independent of perceived stress and HCC.
Findings suggest that psychological resilience may serve as both a stress buffer and as a direct determinant of cardiometabolic health. These results extend literature on psychological resilience to measures of retrospective HPA axis function and MetS severity in a diverse sample. BACKGROUNDPsychological resilience is considered to protect against detrimental effects of perceived stress on cardiovascular and metabolic health, but few studies have tested biological mechanisms underlying these relationships. PURPOSEThis study examined whether psychological resilience moderated the indirect association of perceived stress with Metabolic Syndrome (MetS) severity via hair cortisol concentration (HCC), a retrospective index of hypothalamic pituitary adrenal (HPA) axis activity. METHODParticipants included 228 adults (73 White, 86 Hispanic, 69 African American; mean age 45.29 years; 68% females). Participants completed questionnaires assessing perceived stress (Perceived Stress Scale) and resilience (Brief Resilience Scale). The first 3 cm of scalp-near hair were analyzed for cortisol concentration using enzyme-linked immunoassay analysis. Cardiometabolic risk factors including blood glucose, lipids, blood pressure, and waist circumference were assessed, from which a sex- and race/ethnicity-specific continuous MetS severity score was calculated. A moderated mediation model was tested using path analysis. RESULTSPsychological resilience moderated the association of perceived stress with HCC (R2 change for interaction = 0.014, p = 0.043), such that the association of perceived stress and HCC decreased as resilience scores increased. Resilience also moderated the indirect association of perceived stress with MetS severity via HCC (b = -0.039, 95% CI [-0.001; -0.100]), such that HCC mediated the association of greater perceived stress with greater MetS severity only for individuals reporting Brief Resilience Scale scores 3 or below (range: 1.17-5.00). Psychological resilience was also associated with lower MetS severity (β = -0.227, p = 0.014) independent of perceived stress and HCC. CONCLUSIONFindings suggest that psychological resilience may serve as both a stress buffer and as a direct determinant of cardiometabolic health. These results extend literature on psychological resilience to measures of retrospective HPA axis function and MetS severity in a diverse sample. •In a sample of White, Hispanic, and African American adults, hair cortisol concentration was associated with greater metabolic syndrome severity.•Perceived stress was associated with greater hair cortisol concentration, but only for low-resilience participants.•Resilience moderated the indirect association of perceived stress with greater metabolic syndrome severity via elevated HCC. Psychological resilience is considered to protect against detrimental effects of perceived stress on cardiovascular and metabolic health, but few studies have tested biological mechanisms underlying these relationships. This study examined whether psychological resilience moderated the indirect association of perceived stress with Metabolic Syndrome (MetS) severity via hair cortisol concentration (HCC), a retrospective index of hypothalamic pituitary adrenal (HPA) axis activity. Participants included 228 adults (73 White, 86 Hispanic, 69 African American; mean age 45.29 years; 68% females). Participants completed questionnaires assessing perceived stress (Perceived Stress Scale) and resilience (Brief Resilience Scale). The first 3 cm of scalp-near hair were analyzed for cortisol concentration using enzyme-linked immunoassay analysis. Cardiometabolic risk factors including blood glucose, lipids, blood pressure, and waist circumference were assessed, from which a sex- and race/ethnicity-specific continuous MetS severity score was calculated. A moderated mediation model was tested using path analysis. Psychological resilience moderated the association of perceived stress with HCC (R2 change for interaction = 0.014, p = 0.043), such that the association of perceived stress and HCC decreased as resilience scores increased. Resilience also moderated the indirect association of perceived stress with MetS severity via HCC (b = -0.039, 95% CI [-0.001; -0.100]), such that HCC mediated the association of greater perceived stress with greater MetS severity only for individuals reporting Brief Resilience Scale scores 3 or below (range: 1.17–5.00). Psychological resilience was also associated with lower MetS severity (β = -0.227, p = 0.014) independent of perceived stress and HCC. Findings suggest that psychological resilience may serve as both a stress buffer and as a direct determinant of cardiometabolic health. These results extend literature on psychological resilience to measures of retrospective HPA axis function and MetS severity in a diverse sample. |
ArticleNumber | 104510 |
Author | Steinhardt, Mary A. Lehrer, H. Matthew Dubois, Susan K. Laudenslager, Mark L. |
AuthorAffiliation | 2 Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA 1 Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, USA 3 Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, USA |
AuthorAffiliation_xml | – name: 3 Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, USA – name: 2 Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA – name: 1 Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, USA |
Author_xml | – sequence: 1 givenname: H. Matthew surname: Lehrer fullname: Lehrer, H. Matthew email: lehrerhm@upmc.edu organization: Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States – sequence: 2 givenname: Mary A. surname: Steinhardt fullname: Steinhardt, Mary A. organization: Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States – sequence: 3 givenname: Susan K. surname: Dubois fullname: Dubois, Susan K. organization: Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States – sequence: 4 givenname: Mark L. surname: Laudenslager fullname: Laudenslager, Mark L. organization: Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, USA |
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Keywords | Obesity Cardiovascular disease HPA axis Diabetes Stress Resilience |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Mary A. Steinhardt - Conception/design of the work, collection, analysis and interpretation of data for the work, critical revision and final approval of the version to be published. Mark L. Laudenslager - Cortisol analysis and interpretation of data for the work, drafting methods section for the work, critical revision and final approval of the version to be published. H. Matthew Lehrer – Conception/design of the work, collection, analysis and interpretation of data for the work, drafting the manuscript, critical revision and final approval of the version to be published. Contributors Susan K. Dubois – Conception/design of the work, collection of data for the work, critical revision and final approval of the version to be published. |
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Snippet | •In a sample of White, Hispanic, and African American adults, hair cortisol concentration was associated with greater metabolic syndrome severity.•Perceived... Psychological resilience is considered to protect against detrimental effects of perceived stress on cardiovascular and metabolic health, but few studies have... BACKGROUNDPsychological resilience is considered to protect against detrimental effects of perceived stress on cardiovascular and metabolic health, but few... |
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SubjectTerms | Adult African Americans Cardiovascular disease Diabetes European Continental Ancestry Group Female Hair - chemistry Hispanic Americans HPA axis Humans Hydrocortisone - analysis Hydrocortisone - metabolism Hypothalamo-Hypophyseal System - metabolism Male Metabolic Syndrome - metabolism Metabolic Syndrome - physiopathology Middle Aged Obesity Pituitary-Adrenal System - metabolism Resilience Resilience, Psychological Severity of Illness Index Stress Stress, Psychological - metabolism |
Title | Perceived stress, psychological resilience, hair cortisol concentration, and metabolic syndrome severity: A moderated mediation model |
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