Cortisol is significantly correlated with cardiovascular responses during high levels of stress in critical care personnel

Psychosomatic Medicine

Volumn 72, Issue 3, 2010, Pages 281-289

  Looser, Rahel R ^a   Metzenthin, Petra ^b   Helfricht, Susanne ^a   Kudielka, Brigitte M ^c   Loerbroks, Adrian ^d   Thayer, Julian F ^d,e   Fischer, Joachim E ^d  

^a UNIVERSITY CHILDREN S HOSPITAL   (Switzerland)

^b School of Applied Sciences for Nursing   (Switzerland)

^c JACOBS UNIVERSITY BREMEN   (Germany)

^d UNIVERSITY OF HEIDELBERG   (Germany)

^e OHIO STATE UNIVERSITY   (United States)

Author keywords

Autonomic nervous system; Critical care; Heart rate; Heart rate variability; Nurses; Salivary cortisol

Indexed keywords

HYDROCORTISONE;

ADULT; ARTICLE; AUTONOMIC NERVOUS SYSTEM; CARDIOVASCULAR FUNCTION; CIRCADIAN RHYTHM; FEMALE; HEART RATE; HEART RATE VARIABILITY; HUMAN; INTENSIVE CARE; NURSE; PRIORITY JOURNAL; STRESS;

EID: 77951487504     PISSN: 00333174     EISSN: 15347796     Source Type: Journal    
DOI: 10.1097/PSY.0b013e3181d35065     Document Type: Article

References (57)

1. McEwen BS. Protective and damaging effects of stress mediators. N Engl J Med 1998;338:171-179
2. McEwen BS, Seeman T. Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostasis and allostatic load. Ann N Y Acad Sci 1999;896:30-47.
3. Thayer JF, Friedman B. A neurovisceral integration model of health disparities in aging. In: Anderson N, Bulato R, Cohen B, editors. Critical Perspectives on Racial and Ethnic Differences in Health in Late Life. Washington, DC: The National Academies Press; 2004.
4. Fischer JE, Calame A, Dettling AC, Zeier H, Fanconi S. Experience and endocrine stress responses in neonatal and pediatric critical care nurses and physicians. Crit Care Med 2000;28:3281-3288
5. Kudielka BM, Kirschbaum C. Sex differences in HPA axis responses to stress: a review. Biol Psychol 2005;69:113-132
6. al'Absi M, Wittmers LE, Erickson J, Hatsukami D, Crouse B. Attenuated adrenocortical and blood pressure responses to psychological stress in ad libitum and abstinent smokers. Pharmacol Biochem Behav 2003;74: 401-410
7. Cohen LM, al'Absi M, Collins FL Jr. Salivary cortisol concentrations are associated with acute nicotine withdrawal. Addict Behav 2004;29: 1673-1678
8. Kirschbaum C, Strasburger CJ, Langkrar J. Attenuated cortisol response to psychological stress but not to CRH or ergometry in young habitual smokers. Pharmacol Biochem Behav 1993;44:527-531
9. Kirschbaum C, Scherer G, Strasburger CJ. Pituitary and adrenal hormone responses to pharmacological, physical, and psychological stimulation in habitual smokers and nonsmokers. Clin Investig 1994;72:804-810
10. Pruessner JC, Wolf OT, Hellhammer DH, Buske-Kirschbaum A, von Auer K, Jobst S, Kaspers F, Kirschbaum C. Free cortisol levels after awakening: a reliable biological marker for the assessment of adrenocor-tical activity. Life Sci 1997;61:2539-2549
11. Pruessner JC, Hellhammer DH, Kirschbaum C. Burnout, perceived stress, and cortisol responses to awakening. Psychosom Med 1999;61:197-204.
12. Clow A, Thorn L, Evans P, Hucklebridge F. The awakening cortisol response: methodological issues and significance. Stress 2004;7:29-37.
13. Schommer NC, Hellhammer DH, Kirschbaum C. Dissociation between reactivity of the hypothalamus-pituitary-adrenal axis and the sympathetic-adrenal- medullary system to repeated psychosocial stress. Psychosom Med 2003;65:450-460
14. Stone AA, Schwartz JE, Smyth J, Kirschbaum C, Cohen S, Hellhammer D, Grossman S. Individual differences in the diurnal cycle of salivary free cortisol: a replication of flattened cycles for some individuals. Psycho-neuroendocrinology 2001;26:295-306.
15. Smyth JM, Ockenfels MC, Gorin AA, Catley D, Porter LS, Kirschbaum C, Hellhammer DH, Stone AA. Individual differences in the diurnal cycle of cortisol. Psychoneuroendocrinology 1997;22:89-105.
16. Ice GH, Katz-Stein A, Himes J, Kane RL. Diurnal cycles of salivary cortisol in older adults. Psychoneuroendocrinology 2004;29:355-370
17. Hruschka DJ, Kohrt BA, Worthman CM. Estimating between-and within-individual variation in cortisol levels using multilevel models. Psychoneuroendocrinology 2005;30:698-714.
18. Schnall PL, Schwartz JE, Landsbergis PA, Warren K, Pickering TG. A longitudinal study of job strain and ambulatory blood pressure: results from a three-year follow-up. Psychosom Med 1998;60:697-706.
19. Horsten M, Ericson M, Perski A, Wamala SP, Schenck-Gustafsson K Orth-Gomer K. Psychosocial factors and heart rate variability in healthy women. Psychosom Med 1999;61:49-57.
20. Neumann SA, Waldstein SR, Sellers JJ, III, Thayer JF, Sorkin JD. Hostility and distraction have differential influences on cardiovascular recovery from anger recall in women. Health Psychol 2004;23: 631-640
21. Hall M, Vasko R, Buysse D, Ombao H, Chen Q, Cashmere J, Kupfer D, Thayer JF. Acute stress affects heart rate variability during sleep. Psy-chosom Med 2004;66:56-62.
22. Tracey KJ. The inflammatory reflex. Nature 2002;420:853-859
23. Burleson MH, Poehlmann KM, Hawkley LC, Ernst JM, Berntson GG, Malarkey WB, Kiecolt-Glaser JK, Glaser R, Cacioppo JT. Neuroendo-crine and cardiovascular reactivity to stress in mid-aged and older women: long-term temporal consistency of individual differences. Psy-chophysiology 2003;40:358-369
24. Samel A, Vejvoda M, Maass H. Sleep deficit and stress hormones in helicopter pilots on 7-day duty for emergency medical services. Aviat Space Environ Med 2004;75:935-940
25. Iellamo F, Pigozzi F, Parisi A, Di Salvo V, Vago T, Norbiato G, Lucini D, Pagani M. The stress of competition dissociates neural and cortisol homeostasis in elite athletes. J Sports Med Phys Fitness 2003;43:539-545
26. Yang Y, Koh D, Ng V, Lee FC, Chan G, Dong F, Chia SE. Salivary cortisol levels and work-related stress among emergency department nurses. J Occup Environ Med 2001;43:1011-1018
27. Weibel L, Gabrion I, Aussedat M, Kreutz G. Work-related stress in an emergency medical dispatch center. Ann Emerg Med 2003;41:500-506
28. Motohashi Y. Alteration of circadian rhythm in shift-working ambulance personnel. Monitoring of salivary cortisol rhythm. Ergonomics 1992;35: 1331-1340
29. De Vente W, Olff M, Van Amsterdam JG, Kamphuis JH, Emmelkamp PM. Physiological differences between burnout patients and healthy controls: blood pressure, heart rate, and cortisol responses. Occup Environ Med 2003;60 Suppl 1:i54-61.
30. Lac G, Chamoux A. Elevated salivary cortisol levels as a result of sleep deprivation in a shift worker. Occup Med (Lond) 2003;53:143-145
31. Hakola T, Harma MI, Laitinen JT. Circadian adjustment of men and women to night work. Scand J Work Environ Health 1996;22:133-138
32. Hennig J, Kieferdorf P, Moritz C, Huwe S, Netter P. Changes in cortisol secretion during shiftwork: implications for tolerance to shiftwork? Ergonomics 1998;41:610-621
33. al'Absi M, Lovallo WR, McKey B, Sung BH, Whitsett TL, Wilson MF. Hypothalamic-pituitary-adrenocortical responses to psychological stress and caffeine in men at high and low risk for hypertension. Psychosom Med 1998;60:521-527
34. Keedwell PA, Poon L, Papadopoulos AS, Marshall EJ, Checkley SA. Salivary cortisol measurements during a medically assisted alcohol withdrawal. Addict Biol 2001;6:247-256
35. Adinoff B, Ruether K, Krebaum S, Iranmanesh A, Williams MJ. Increased salivary cortisol concentrations during chronic alcohol intoxication in a naturalistic clinical sample of men. Alcohol Clin Exp Res 2003;27:1420-1427
36. Follenius M, Brandenberger G, Hietter B. Diurnal cortisol peaks and their relationships to meals. J Clin Endocrinol Metab 1982;55:757-761
37. Gibson EL, Checkley S, Papadopoulos A, Poon L, Daley S, Wardle J. Increased salivary cortisol reliably induced by a protein-rich midday meal. Psychosom Med 1999;61:214-224
38. Brandenberger G, Follenius M, Hietter B. Feedback from meal-related peaks determines diurnal changes in cortisol response to exercise. J Clin Endocrinol Metab 1982;54:592-596
39. Kirschbaum C, Kudielka BM, Gaab J, Schommer NC, Hellhammer DH. Impact of gender, menstrual cycle phase, and oral contraceptives on the activity of the hypothalamus-pituitary-adrenal axis. Psychosom Med 1999;61:154-162
40. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996;93:1043-1065
41. Penttilä J, Helminen A, Jartti T, Kuusela T, Huikuri HV, Tulppo MP, Coffeng R, Scheinin H. Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: effects of various respiratory patterns. Clin Physiol 2001;21:365-376 (Pubitemid 32487594)
42. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30:473-483
43. Bullinger M, Kirchberger I. SF-36. Fragebogen zum Gesundheitszustand. Handanweisung. Göttingen: Hofgrefe; 1998.
44. Laudat MH, Guilhaume B, Blot P, Fournier C, Giauque JP, Luton JP. [The hormonal state of pregnancy: modification of cortisol and testosterone.] Ann Endocrinol (Paris) 1987;48:334-338
45. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361-370
46. Snaith RP, Zigmond AS. The hospital anxiety and depression scale. Br Med J (Clin Res Ed) 1986;292:344.
47. Snaith P, Zigmond AS. Anxiety and depression in general medical settings. BMJ 1988;297:1544.
48. Herrmann C. BU, Snaith RP. HADS-D Hospital Anxiety and Depression Scale-Deutsche Version. Ein Fragebogen zur Erfassung von Angst und Depressivität in der somatischen Medizin. Bern: Verlag Hans Huber; 1995.
49. van Diest R, Appels A. Vital exhaustion and depression: a conceptual study. J Psychosom Res 1991;35:535-544
50. Kopp MS, Falger PR, Appels A, Szedmak S. Depressive symptomatology and vital exhaustion are differentially related to behavioral risk factors for coronary artery disease. Psychosom Med 1998;60:752-758
51. Jenkins CD, Stanton BA, Niemcryk SJ, Rose RM. A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol 1988;41:313-321
52. Maslach C, Jackson S. Maslach Burnout Inventory Manual. 2nd ed. Palo Alto, CA: Consulting Psychologists Press; 1986.
53. Vangelova K. The effect of shift rotation on variations of cortisol, fatigue and sleep in sound engineers. Ind Health 2008;46:490-493
54. Cronbach LJ, Furby L. How we should measure "change" - or should we? Psychol Bull 1970;74:68-80.
55. Thayer JF, Lane RD. A model of neurovisceral integration in emotion regulation and dysregulation. J Affect Disord 2000;61:201-216
56. Lucini D, Norbiato G, Clerici M, Pagani M. Hemodynamic and auto-nomic adjustments to real life stress conditions in humans. Hypertension 2002;39:184-188
57. Thayer JF, Hall M, Sollers JJ, 3rd, Fischer JE. Alcohol use, urinary cortisol, and heart rate variability in apparently healthy men: evidence for impaired inhibitory control of the HPA axis in heavy drinkers. Int J Psychophysiol 2006;59:244-250