Depressive and Anxious Symptoms, Experimentally Manipulated Acute Social-Evaluative Threat, and Cortisol Reactivity.

IF 2.9 3区医学 Q2 PSYCHIATRY

Psychosomatic Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-01 DOI:10.1097/PSY.0000000000001336

Megan G Strickland, Nils Myszkowski, Emily D Hooker, Peggy M Zoccola, Sally S Dickerson

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引用次数: 0

Abstract

Objective: Exposure to social-evaluative threat (SET) can elicit greater physiological responses, including cortisol, compared to non-SET stressors. An individual's level of depressive and anxious symptoms predicts variability in cortisol responses to stressors, and other research suggests that these individual differences may predict vulnerability to social evaluation. The current study integrates both lines of research, testing if there are different relationships between depressive and/or anxious symptoms and cortisol reactivity in the presence or absence of SET.

Methods: Healthy undergraduate students ( N = 158, 65% female) were randomly assigned to deliver a speech in the presence (SET) or absence (non-SET) of two evaluators. Salivary cortisol was collected throughout, and self-reported depressive and anxious symptoms were assessed. We hypothesized that in the SET condition, higher levels of depressive and/or anxious symptoms would predict dysregulated cortisol responses compared to lower levels of symptoms and/or assignment to the non-SET group.

Results: In spite of inconclusive p values (which might be attributed to low statistical power), individuals with high depressive or high anxious symptoms appeared to have exaggerated cortisol responses in the SET condition, as indicated by more concave trajectories.

Conclusions: This study suggests that both depression and anxiety could be associated with increased cortisol reactivity to SET.

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抑郁和焦虑症状、实验操纵的急性社会评价性威胁和皮质醇反应性。

目的：与非社会评价压力源相比，暴露于社会评价威胁（SET）会引起更大的生理反应，包括皮质醇。个体的抑郁和焦虑症状水平可预测皮质醇对压力源的反应差异，而其他研究表明，这些个体差异可预测对社会评价的脆弱性。本研究综合了这两项研究，测试在有或没有 SET 的情况下，抑郁和/或焦虑症状与皮质醇反应之间是否存在不同的关系。方法：随机分配健康的本科生（N = 158，65% 为女性）在两名评估者在场（SET）或不在场（非 SET）的情况下发表演讲。在整个过程中收集唾液皮质醇，并对自我报告的抑郁和焦虑症状进行评估。我们假设，在 SET 条件下，抑郁和/或焦虑症状水平较高的人与症状水平较低的人和/或被分配到非 SET 组的人相比，会出现皮质醇失调反应：尽管 p 值不确定（这可能是由于统计能力较低），但在 SET 条件下，抑郁症状较重或焦虑症状较重的个体皮质醇反应似乎较夸张，这表现在其皮质醇反应轨迹更为凹陷：本研究表明，抑郁和焦虑可能与皮质醇对 SET 反应性的增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychosomatic Medicine 医学-精神病学

CiteScore

5.10

自引率

0.00%

发文量

258

审稿时长

4-8 weeks

期刊介绍： Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.