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Terry EL, Meng L, Huo Z, Bartley EJ. Examining Reactivity and Recovery Patterns of Pain-Evoked Cortisol and Alpha-Amylase Trajectories: Relations Between Psychological Markers of Risk and Resilience. THE JOURNAL OF PAIN 2024; 25:104464. [PMID: 38246254 PMCID: PMC11128348 DOI: 10.1016/j.jpain.2024.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 12/12/2023] [Accepted: 01/04/2024] [Indexed: 01/23/2024]
Abstract
Chronic low back pain (cLBP) is one of the leading causes of disability globally and represents an enormous burden to aging adults. While numerous factors contribute to cLBP, dysregulation in the hypothalamic-pituitary-adrenal axis and autonomic nervous system functioning have been implicated in its pathogenesis. It is well documented that negative psychological states can modulate biological stress responsivity in chronic pain; however, little is known regarding the influence of positive psychological factors in this relationship. The aim of this study was to examine the association between psychological risk and resilience factors with patterns of physiological stress reactivity and recovery in 60 older adults with cLBP. Participants completed measures of hope, optimism, pain catastrophizing, and perceived stress, and underwent psychophysical pain testing assessing responses to painful pressure, heat, and cold stimuli. Salivary samples were obtained prior to pain induction and at 7 time points spanning 90 minutes after pain testing terminated. To examine reactivity and recovery profiles in hypothalamic-pituitary-adrenal axis and autonomic nervous system function, samples were assayed for cortisol and alpha-amylase, respectively. Results revealed higher levels of hope and optimism were associated with increased cortisol reactivity (p's < .003) and more rapid recovery (p's = .001). Further, pain catastrophizing and perceived stress were associated with cortisol reactivity, with lower levels of these factors predicting larger increases in cortisol from baseline to peak levels (p's < .04). No significant differences in reactivity or recovery patterns emerged for alpha-amylase. Overall, findings highlight the role of psychological risk and resilience factors in modulating physiological stress reactivity. PERSPECTIVE: This article investigated whether psychosocial risk and resilience factors were associated with stress reactivity and recovery in response to laboratory-based pain testing in older adults with chronic low back pain. Results indicate that high resilience factors may be protective by modulating adrenocortical reactivity and recovery profiles.
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Affiliation(s)
- Ellen L. Terry
- University of Florida, Biobehavioral Nursing Science
- University of Florida, Pain Research and Intervention Center of Excellence (PRICE)
| | | | - Zhiguang Huo
- University of Florida, Department of Biostatistics
| | - Emily J. Bartley
- University of Florida, Pain Research and Intervention Center of Excellence (PRICE)
- University of Florida, Community Dentistry and Behavioral Science
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Chute A, Vihos J, Johnston S, Buro K, Velupillai N. The effect of animal-assisted intervention on undergraduate students' perception of momentary stress. Front Psychol 2023; 14:1253104. [PMID: 38187421 PMCID: PMC10766810 DOI: 10.3389/fpsyg.2023.1253104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 12/06/2023] [Indexed: 01/09/2024] Open
Abstract
Background Student mental wellness is a priority in higher education. Animal Assisted Interventions (AAIs') are gaining momentum in universities across North America (Dell et al., 2015). Aims This study explored the relationships between AAIs', demographic variables, and perceived momentary stress among university students. Methods Using a descriptive correlational design, students completed a Perceived Momentary Stress questionnaire that included the Stress Numerical Rating Scale-11 (Stress NRS-11) and the Visual Analog Scale (VAS) to measure perceived stress before and after AAIs'. Data were analyzed using R (4.1.2) (R Core Team, Vienna, Austria) to identify relationships between students' perceptions of momentary stress, AAIs' and sociodemographic and demographic variables. Results First-year students, female students, and students identifying as sexual minorities were found to benefit the most from AAIs'. Conclusion Results from this study reflect relationships between exposure to animal-assisted interventions and student demographic variables.
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Affiliation(s)
- Andrea Chute
- Department of Nursing Foundations, MacEwan University, Edmonton, AB, Canada
| | - Jill Vihos
- Faculty of Nursing, MacEwan University, Edmonton, AB, Canada
| | - Sharon Johnston
- Department of Nursing Science, MacEwan University, Edmonton, AB, Canada
| | - Karen Buro
- Department of Mathematics and Statistics, MacEwan University, Edmonton, AB, Canada
| | - Nirudika Velupillai
- Department of Mathematics and Science, MacEwan University, Edmonton, AB, Canada
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David MCMM, Vieira GR, Leôncio LMDL, Neves LDS, Bezerra CG, Mattos MSBD, Santos NFD, Santana FHD, Antunes RB, Araújo JF, Matos RJBD. Predictors of stress in college students during the COVID-19 pandemic. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2022; 10:100377. [PMID: 35814812 PMCID: PMC9250709 DOI: 10.1016/j.jadr.2022.100377] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 03/23/2022] [Accepted: 07/02/2022] [Indexed: 12/03/2022] Open
Abstract
Background College students experience high stress levels during emergency remote classes in the COVID-19 pandemic. However, it is not clear whether this is due to the summation effect of both stressors (classes and pandemic). Therefore, the aim of this study was to investigate predictors of stress in college students before and during remote classes five months after the beginning of the COVID-19 pandemic. Methods The study was conducted before (BRC, July-August 2020) and during remote classes (DRC, October-November 2020). The sample consisted of 177 individuals (80 in BRC, 97 in DRC). Students were asked to self-collect saliva for cortisol analysis at each moment of the study, and to fill out a form to characterize the individual and assess the chronotype (Morningness-Eveningness Questionnaire), sleep quality (Pittsburgh Sleep Quality Index) and the stress (Perceived Stress Scale–10). Results There was no difference between the evaluated periods for cortisol, perceived stress or sleep quality. Predictors for cortisol levels were gender, academic semester, chronotype, sleep quality and sadness due to pandemic (p<0.001). Limitations Short interval between BRC and DRC assessments of perceived stress and salivary cortisol. Conclusions Age, sex, income, academic semester, chronotype, and the impact of the pandemic on mood are predictors of stress among college students. In addition, emergency remote classes and sleep quality contribute to less perceived stress.
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Affiliation(s)
- Mírian Celly Medeiros Miranda David
- Posgraduate Program in Neuropsychiatry and Behavioral Sciences, Health Sciences Center, Federal University of Pernambuco, Recife, Brazil
- Neural Plasticity, Environment and Behavior Research Group, Federal University of Recôncavo of Bahia, Santo Antônio de Jesus, Brazil
| | - Gilberto Ramos Vieira
- Physical Education and Sports Science Nucleus, Academic Center of Vitória, Federal University of Pernambuco, Vitória de Santo Antão, Brazil
| | - Lívia Maria de Lima Leôncio
- Physical Education and Sports Science Nucleus, Academic Center of Vitória, Federal University of Pernambuco, Vitória de Santo Antão, Brazil
| | - Letycia Dos Santos Neves
- Nutrition Nucleus, Academic Center of Vitória, Federal University of Pernambuco, Vitória de Santo Antão, Brazil
| | - Clécia Gabriela Bezerra
- Physical Education and Sports Science Nucleus, Academic Center of Vitória, Federal University of Pernambuco, Vitória de Santo Antão, Brazil
| | | | - Nataly Ferreira Dos Santos
- Neural Plasticity, Environment and Behavior Research Group, Federal University of Recôncavo of Bahia, Santo Antônio de Jesus, Brazil
| | - Flávio Henrique de Santana
- Physical Education and Sports Science Nucleus, Academic Center of Vitória, Federal University of Pernambuco, Vitória de Santo Antão, Brazil
| | - Rodolfo Barbosa Antunes
- Department of Mathematics, Center of Exact and Natural Sciences, Federal University of Pernambuco, Recife, Brazil
| | | | - Rhowena Jane Barbosa de Matos
- Posgraduate Program in Neuropsychiatry and Behavioral Sciences, Health Sciences Center, Federal University of Pernambuco, Recife, Brazil
- Neural Plasticity, Environment and Behavior Research Group, Federal University of Recôncavo of Bahia, Santo Antônio de Jesus, Brazil
- Health Sciences Center, Federal University of Recôncavo of Bahia, Avenida Carlos Amaral, 1015, Cajueiro, Santo Antônio de Jesus, Bahia 44574-490, Brazil
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Guerreiro MPP, Dalmolin GDL, Andolhe R, Stumm EMF, Frizzo MN, Lanes TC. Salivary cortisol concentrations in hematogy/oncology nurses on working days and days off. Rev Bras Enferm 2021; 74:e20200478. [PMID: 34076197 DOI: 10.1590/0034-7167-2020-0478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 09/16/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to assess salivary cortisol concentrations in hematology/oncology nurses on working days and days off. METHODS a cross-sectional study carried out with 28 nurses from a university hospital. A sociodemographic, employment and health profile questionnaire was applied. For saliva collection, Salivette® tubes were used. Descriptive and analytical analysis was used. RESULTS there was no significant difference in cortisol concentrations between working days and days off (p>0.05). The high cortisol concentration was associated with not having children (0.621±0.340; p=0.046), not using medication (0.623±0.133; p=0.017) and birth control pills (0.556 ± 0.228; p=0.047) and intention to leave work (0.951±0.154; p=0.001). A positive correlation was identified between cortisol and absence from work due to health issues (0.72; p=0.05) and weight gain (0.935; p=0.02). CONCLUSION in general, cortisol concentration is within the reference parameters, with no significant difference in its secretion on working days and days off.
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Affiliation(s)
| | | | - Rafaela Andolhe
- Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil
| | | | - Matias Nunes Frizzo
- Universidade Regional do Noroeste do Estado do Rio Grande do Sul. Ijuí, Rio Grande do Sul, Brazil
| | - Taís Carpes Lanes
- Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil
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