Salivary Cortisol And Self-Report Measures Of Post-Immigration Stress In Midlife Women

2002 ◽  
Author(s):  
Arlene Michaels Miller ◽  
Peggy J. Chandler ◽  
Dorie Schwertz ◽  
Olga Sorokin ◽  
JoEllen Wilbur
Keyword(s):  
Salivary Cortisol ◽  
Midlife Women ◽  
Self Report ◽  
Immigration Stress

scholarly journals Change in Estradiol and Follicle-Stimulating Hormone across the Early Menopausal Transition: Effects of Ethnicity and Age

2004 ◽  
Vol 89 (4) ◽  
pp. 1555-1561 ◽  
Author(s):  
John F. Randolph ◽  
MaryFran Sowers ◽  
Irina V. Bondarenko ◽  
Siobán D. Harlow ◽  
Judith L. Luborsky ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Ethnic Differences ◽  
Repeated Measures ◽  
Menopausal Status ◽  
Midlife Women ◽  
Self Report ◽  
Race Ethnicity ◽  
Caucasian Women ◽  
Over Time

Abstract Serum reproductive hormone concentrations were measured longitudinally in a community-based, multiethnic population of midlife women to assess whether ethnic differences exist in the patterns of change in estradiol (E2) and FSH and, if so, whether these differences are explained by host characteristics. We studied 3257 participants from seven clinical sites in the Study of Women’s Health Across the Nation (SWAN) who were aged 42–52 yr at baseline and self-identified as African American (28.2%), Caucasian (47.1%), Chinese (7.7%), Hispanic (8.4%), or Japanese (8.6%). E2 and FSH were assayed in serum collected primarily in the early follicular phase of a spontaneous menstrual cycle in three consecutive annual visits. The primary explanatory variables included in repeated-measures regression analyses were race/ethnicity, menopausal status, age, body mass index (BMI), day of the cycle, smoking, parity, socioeconomic status, study site, and the self-report of diabetes at baseline. At the baseline visit, 46.2% of the women were classified as being early perimenopausal, with the remaining being premenopausal. By the second follow-up visit, 5.5% of the women in that cohort were postmenopausal, 66.8% were early perimenopausal, 8.3% were late perimenopausal, and 19.4% remained premenopausal. Serum E2 concentrations decreased significantly with age, with a steeper decline at higher ages. FSH concentrations increased significantly with age, with a steeper increase at higher ages. Similar patterns in the decline of E2 and the increase in FSH with age were found across ethnic groups, but the levels of these hormones differed by race/ethnicity. Specifically, over time, Chinese and Japanese women had lower E2 concentrations but similar FSH levels, compared with Caucasian women, and African American women had higher FSH concentrations but comparable E2 levels with those of Caucasian women. These ethnic differences in E2 and FSH were independent of menopausal status. The effect of BMI on serum E2 and FSH levels varied by menopausal status. Increasing BMI was associated with decreasing concentrations of E2 among premenopausal and early perimenopausal women but was associated with increasing concentrations of E2 among late perimenopausal and postmenopausal women. Increasing BMI was associated with decreasing concentrations of FSH, with the effect of BMI becoming larger as women transitioned through menopause. We conclude that serum E2 levels decrease and FSH concentrations increase with increasing age in midlife women, that ethnic differences in E2 over time differ from ethnic differences in FSH and suggest ethnic differences in the pituitary-ovarian relationship, and that the effect of BMI on E2 and FSH concentrations varies by menopausal status.

Subjective Anxiety Measurements and Cortisol Responses in Adults Who Stutter

1994 ◽  
Vol 37 (4) ◽  
pp. 760-768 ◽  
Author(s):  
Gordon W. Blood ◽  
Ingrid M. Blood ◽  
Stephanie Bennett ◽  
Kathleen C. Simpson ◽  
Elizabeth J. Susman
Keyword(s):  
Trait Anxiety ◽  
Salivary Cortisol ◽  
State Anxiety ◽  
Communication Apprehension ◽  
High Stress ◽  
The State ◽  
Self Report ◽  
Cortisol Responses ◽  
Anxiety Levels ◽  
Cortisol Levels

Anxiety, as measured by self-report inventories and salivary cortisol levels, was examined in 11 males who stutter and 11 males who do not stutter during baseline, low stress, and high stress sessions. During the high stress session salivary cortisol was significantly greater in persons who stutter than in persons who do not stutter. No significant differences were found between the two groups on the State-Anxiety Inventory, Trait-Anxiety Inventory, or the Personal Report of Communication Apprehension. Significant differences in anxiety levels among the baseline, low stress, and high stress sessions for both groups of subjects were found for the State-Anxiety Inventory. No other significant differences or relationships were found between the two groups.

scholarly journals A Complementary Intervention to Promote Wellbeing and Stress Management for Early Career Teachers

2021 ◽  
Vol 18 (12) ◽  
pp. 6320
Author(s):  
Stevie-Jae Hepburn ◽  
Annemaree Carroll ◽  
Louise McCuaig-Holcroft
Keyword(s):  
Stress Management ◽  
Perceived Stress ◽  
Salivary Cortisol ◽  
Subjective Wellbeing ◽  
Contextual Factors ◽  
Early Career ◽  
Self Report ◽  
Early Career Teachers ◽  
Cortisol Levels ◽  
Career Teachers

The educational climate and culture in our schools present a variety of environmental (contextual) factors that influence teacher wellbeing, job satisfaction, and work-related stress. The magnitude of contextual factors cannot be ignored, and directing attention towards the environment teachers face daily is essential. Primary (organisational)-level interventions are documented in organisational health and wellbeing literature; however, to provide teachers with stress management strategies for promoting wellbeing, attention must also be directed towards secondary (individual)-level interventions. The present study addressed the issue of stress management techniques for early career teachers (n = 24) and aimed to contribute to the research surrounding complementary interventions (CIs) for educators. The intervention was designed to include strategies that operated through cognitive and physiological mechanisms that regulated the stress response and increased awareness of behaviours, emotions, and reactivity. The self-report measures included perceived stress, attention awareness, subjective wellbeing, burnout, and job-related affective wellbeing. The results indicated a statistically significant decrease in perceived stress and increases in attention awareness and subjective wellbeing. The salivary cortisol levels (waking and resting) decreased from baseline to week 6, and the pre- and post-session salivary cortisol levels indicated an immediate decrease in cortisol for weeks 4 to 6.

scholarly journals The Association Between Web-Based or Face-to-Face Lifestyle Interventions on the Perceived Benefits and Barriers to Exercise in Midlife Women: Three-Arm Equivalency Study

10.2196/10963 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e10963
Author(s):  
Amanda Mary McGuire ◽  
Charrlotte Seib ◽  
Janine Porter-Steele ◽  
Debra Jane Anderson
Keyword(s):  
Physical Activity ◽  
Registered Nurses ◽  
Health Behavior Change ◽  
Midlife Women ◽  
Self Report ◽  
Web Based ◽  
Face To Face ◽  
Barriers To Exercise ◽  
Physical Activity And Exercise ◽  
Over Time

Background Noncommunicable diseases pose a significant threat to women’s health globally, with most diseases being attributed to modifiable risk factors such as physical inactivity. Women perceive a range of benefits and barriers to exercise; however, there is little evidence about the effect of different lifestyle intervention delivery modes on perceptions of exercise. Objective This study aimed to compare the effect of a multiple health behavior change (MHBC) intervention called the Women’s Wellness Program. This intervention was delivered in 3 different modes on perceived exercise benefits, perceived exercise barriers, and actual physical activity and exercise in midlife women. Methods Women aged 45 to 65 years were recruited via the study website. They were assigned in blocks to 3 different treatment groups (A: Web-based independent; B: face-to-face with nurse consultations; and C: Web-based with virtual nurse consultations). All participants received the 12-week intervention that utilizes principles from social-cognitive theory to provide a structured guide to promote healthy lifestyle behaviors with an emphasis on regular exercise and healthy eating. Data were collected using a self-report Web-based questionnaire at baseline (T1) and postintervention (T2) including perceived exercise benefits and barriers and exercise and physical activity. A data analysis examined both within- and between-group changes over time. Results Participants in this study (N=225) had a mean age of 50.9 years (SD 5.9) and most were married or living with a partner (83.3%, 185/225). Attrition was 30.2% with 157 participants completing the final questionnaire. Women in all intervention groups reported a significant increase in positive perceptions of exercise (P<.05); a significant increase in exercise and overall physical activity (P<.01) with moderate-to-large effect sizes noted for overall physical activity (d=0.5 to d=0.87). Participants receiving support from registered nurses in the face-to-face and Web-based groups had a greater magnitude of change in benefit perceptions and physical activity than those in the Web-based independent group. There was no significant change in exercise barrier perceptions within or between groups over time. Conclusions The results of this study suggest that the (MHBC) intervention is effective in increasing exercise benefit perceptions, overall physical activity, and exercise in midlife women. Although Web-based programs are cost-effective and flexible and can be delivered remotely, providing a range of options including face-to-face group delivery and personalized electronic health coaching from registered nurses has the potential to enhance participant engagement and motivation.

scholarly journals Daily salivary cortisol patterns in midlife women with hot flashes

2016 ◽  
Vol 84 (5) ◽  
pp. 672-679 ◽  
Author(s):  
S.D. Reed ◽  
K.M. Newton ◽  
J.C. Larson ◽  
C. Booth-LaForce ◽  
N.F. Woods ◽  
...  
Keyword(s):  
Salivary Cortisol ◽  
Hot Flashes ◽  
Midlife Women

scholarly journals Feasibility of salivary cortisol collection in patients and companions attending dementia diagnostic meetings in memory clinics

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
H. Pavlickova ◽  
A. E. Russell ◽  
S. Lightman ◽  
R. McCabe
Keyword(s):  
Salivary Cortisol ◽  
Elderly Population ◽  
Small Sample ◽  
Self Report ◽  
Three Samples ◽  
Diagnosis Of Dementia ◽  
Memory Clinics ◽  
Saliva Collection ◽  
The Individual ◽  
Descriptive Level

Abstract Objectives Receiving a diagnosis of dementia is life-changing for the individual and their companion. The aim of the study was to explore the feasibility of collecting salivary cortisol from patients who are informed if they have dementia and their companions. Patients and companions collected nine saliva samples in three batches: 1–2 weeks before, immediately before, and immediately after the diagnostic meeting. Each batch consisted of three samples taken in the evening, after awaking and 30 mins post-waking. Results 22.7% (N = 10) of 44 invited patients and nine companions agreed, with 18.2% patients (N = 8) and 15.9% companions (N = 7) providing samples. Participants found that saliva collection was demanding and disrupted routines. On a purely descriptive level, some indications of an increased cortisol stress response in patients diagnosed with dementia were found in this very small sample. Researchers should expect low recruitment rates in this elderly population. Simpler collection procedures, e.g. pre-labelled packages with date/time, possible omission of morning samples and objective rather than self-report assessment of waking and saliva collection times—using actigraphy wrist-watches bleeps to prompt people at the timepoints and electronic track caps—might improve adherence and improve the accuracy of timepoints when swabs were actually collected.

scholarly journals The Association Between Web-Based or Face-to-Face Lifestyle Interventions on the Perceived Benefits and Barriers to Exercise in Midlife Women: Three-Arm Equivalency Study (Preprint)

2018 ◽  
Author(s):  
Amanda Mary McGuire ◽  
Charrlotte Seib ◽  
Janine Porter-Steele ◽  
Debra Jane Anderson
Keyword(s):  
Physical Activity ◽  
Registered Nurses ◽  
Health Behavior Change ◽  
Midlife Women ◽  
Self Report ◽  
Web Based ◽  
Face To Face ◽  
Barriers To Exercise ◽  
Physical Activity And Exercise ◽  
Over Time

BACKGROUND Noncommunicable diseases pose a significant threat to women’s health globally, with most diseases being attributed to modifiable risk factors such as physical inactivity. Women perceive a range of benefits and barriers to exercise; however, there is little evidence about the effect of different lifestyle intervention delivery modes on perceptions of exercise. OBJECTIVE This study aimed to compare the effect of a multiple health behavior change (MHBC) intervention called the Women’s Wellness Program. This intervention was delivered in 3 different modes on perceived exercise benefits, perceived exercise barriers, and actual physical activity and exercise in midlife women. METHODS Women aged 45 to 65 years were recruited via the study website. They were assigned in blocks to 3 different treatment groups (A: Web-based independent; B: face-to-face with nurse consultations; and C: Web-based with virtual nurse consultations). All participants received the 12-week intervention that utilizes principles from social-cognitive theory to provide a structured guide to promote healthy lifestyle behaviors with an emphasis on regular exercise and healthy eating. Data were collected using a self-report Web-based questionnaire at baseline (T1) and postintervention (T2) including perceived exercise benefits and barriers and exercise and physical activity. A data analysis examined both within- and between-group changes over time. RESULTS Participants in this study (N=225) had a mean age of 50.9 years (SD 5.9) and most were married or living with a partner (83.3%, 185/225). Attrition was 30.2% with 157 participants completing the final questionnaire. Women in all intervention groups reported a significant increase in positive perceptions of exercise (P<.05); a significant increase in exercise and overall physical activity (P<.01) with moderate-to-large effect sizes noted for overall physical activity (d=0.5 to d=0.87). Participants receiving support from registered nurses in the face-to-face and Web-based groups had a greater magnitude of change in benefit perceptions and physical activity than those in the Web-based independent group. There was no significant change in exercise barrier perceptions within or between groups over time. CONCLUSIONS The results of this study suggest that the (MHBC) intervention is effective in increasing exercise benefit perceptions, overall physical activity, and exercise in midlife women. Although Web-based programs are cost-effective and flexible and can be delivered remotely, providing a range of options including face-to-face group delivery and personalized electronic health coaching from registered nurses has the potential to enhance participant engagement and motivation.

scholarly journals Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study

2021 ◽  
Author(s):  
Marissa A Bowman ◽  
Christopher E Kline ◽  
Daniel J Buysse ◽  
Howard M Kravitz ◽  
Hadine Joffe ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sleep Disturbances ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Midlife Women ◽  
Self Report ◽  
Sleep Health ◽  
Sleep Study ◽  
Bidirectional Association ◽  
Prospective Longitudinal

Abstract Background Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensional, despite emerging evidence that multidimensional sleep health provides novel information on the sleep–health link. Purpose The current study examined whether higher depressive symptoms were longitudinally associated with poorer multidimensional sleep health. Method Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale across six to nine annual assessments in 302 midlife women from the Study of Women’s Health Across the Nation. Six months after their last assessment, actigraphy (mean ± standard deviation = 29.3 ± 6.9 days) and self-report were used to assess sleep health components: efficiency, duration, mid-sleep timing, regularity, alertness, and satisfaction, which were dichotomized and summed to create a composite multidimensional sleep health score. Mixed-effects models were used to evaluate the longitudinal associations between depressive symptoms and multidimensional sleep health, as well as individual sleep health components, adjusting for covariates. Exploratory analyses stratified models by race/ethnicity. Results Higher depressive symptoms were associated with subsequent poorer multidimensional sleep health (p &lt; .0.001) and lower alertness (p &lt; .0001) and satisfaction with sleep (p &lt; .0001). Conclusions Our finding that higher average depressive symptoms were associated longitudinally with actigraphy-measured poorer sleep health in midlife women is novel and converges with the larger body of evidence that these two common symptoms are strongly associated. The bidirectional relationship between these two prevalent symptoms needs to be studied in prospective longitudinal studies.

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