Assessment of work-related stress by using salivary cortisol level examination among early morning shift workers

Šušoliaková, Oľga; Šmejkalová, Jindra; Bičı́ková, Marie; Hodačová, Lenka; Málková, Andrea; Fiala, Zdeněk

doi:10.21101/cejph.a5092

Cited by 10 publications

(12 citation statements)

References 29 publications

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“…The results of this study indicated how cortisol, in night-time shift workers exposed to stressful situations, could be considered a sensitive indicator of biological responses to high work-related stress and to the effects induced by activities altering the normal sleep-wake rhythm. The detection of salivary cortisol proved to be reliable and preferable to the evaluation of blood cortisol, due to its low invasiveness and to the high compliance of the analyzed subjects [41][42][43][44][45][46][47][48].…”

Section: Discussionmentioning

confidence: 99%

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Night-Time Shift Work and Related Stress Responses: A Study on Security Guards

Cannizzaro

Cirrincione

Mazzucco

et al. 2020

IJERPH

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Work-related stress can induce a break in homeostasis by placing demands on the body that are met by the activation of two different systems, the hypothalamic–pituitary–adrenal axis and the sympathetic nervous system. Night-shift work alters the body’s exposure to the natural light–dark schedule and disrupts circadian (daily) rhythms. The greatest effect of night-shift work is the disruption of circadian rhythms. The impact that these disruptions may have on the pathogenesis of many diseases, including cancer, is unknown. This study aims to discover the relationship among three different job activities of security guards and their stress-related responses by evaluating salivary cortisol levels and blood pressure. Methods: Ninety security guards, including night-time workers and night-time and daily-shift workers, were recruited for this study. Each security guard provided two saliva samples before and after three scheduled time points: (i) at 22:00, (ii) at 06:30, and (iii) at 14:00. Results: The results of the study showed a significant alteration in cortisol levels. Night-time shift cortisol levels significantly increased before and after the work shifts. A physiological prevalence of the vagal tone on the cardiocirculatory activity was found during night-shift work. Conclusions: This study indicates that cortisol levels and blood pressure are sensitive markers of biological responses to severe work stress. Shift-change consequences may occur at the end of the night shift when there is a significant increase in the cortisol level and a significant variation in cardiovascular parameters.

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Section: Discussionmentioning

confidence: 99%

“…Plasma-free cortisol concentration proficiently indicates a robust circadian rhythm, with peak levels in the morning after waking followed by decreasing levels throughout the day. Saliva collection is non-invasive, and salivary biomarkers have the further advantage of being suitable for self-collection [40][41][42][43][44][45][46][47][48].…”

Section: Introductionmentioning

confidence: 99%

Night-Time Shift Work and Related Stress Responses: A Study on Security Guards

Cannizzaro

Cirrincione

Mazzucco

et al. 2020

IJERPH

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“…10 Cortisol levels vary diurnally, increasing upon waking and gradually declining across the day. 11–13 Additionally, cortisol is released in response to physiological or psychological arousal. Short term stress or the anticipation of stress stimulates a spike in cortisol levels.…”

Section: Introductionmentioning

confidence: 99%

“…Short term stress or the anticipation of stress stimulates a spike in cortisol levels. 12,14,15 Initially, chronic stress may intensify cortisol secretion, which leads to higher morning cortisol. 12,15–17 However, prolonged chronic stress results in a dysregulation or dampening of the morning waking response.…”

Section: Introductionmentioning

confidence: 99%

“…12,14,15 Initially, chronic stress may intensify cortisol secretion, which leads to higher morning cortisol. 12,15–17 However, prolonged chronic stress results in a dysregulation or dampening of the morning waking response. 15,18,19 Additionally, cortisol diurnal slopes are flatter with increased and persisting chronic psychosocial stress, which has also been correlated with poorer health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Relationships Between Pain, Life Stress, Sociodemographics, and Cortisol: Contributions of Pain Intensity and Financial Satisfaction

et al. 2020

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Objective The relationship between psychosocial stress and chronic pain is bidirectional. An improved understanding regarding the relationships among chronic pain, life stress, and ethnicity/race will inform identification of factors contributing to health disparities in chronic pain and improve health outcomes. This study aims to assess relationships between measures of clinical pain, life stress, sociodemographics, and salivary cortisol levels. Methods A cross-sectional analysis involving data from 105 non-Hispanic White (NHW) and non-Hispanic Black (NHB) participants aged 45–85 years old with or at risk for knee osteoarthritis. Data included sociodemographics, clinical pain, psychosocial stress, and salivary cortisol across five time points over an approximate 12-hour period. Non-parametric correlation analysis, sociodemographic group comparisons, and regression analyses were performed. Results Clinical pain and psychosocial stress were associated with salivary cortisol levels, particularly morning waking and the evening to morning awakening slope. With the inclusion of recognized explanatory variables, the Graded Chronic Pain Scale characteristic pain intensity and financial satisfaction were identified as the primary pain and psychosocial measures associated with cortisol levels. Sociodemographic group differences were indicated such that NHB participants reported higher pain-related disability, higher levels of discrimination, lower financial and material satisfaction, and showed higher evening salivary cortisol levels compared to NHW participants. In combined pain and psychosocial stress analyses, greater financial satisfaction, lower pain intensity, and lower depression were associated with higher morning waking saliva cortisol levels while greater financial satisfaction was the only variable associated with greater evening to morning awakening slope. Conclusion Our findings show relationships among clinical pain, psychosocial stress, sociodemographic factors, and salivary cortisol levels. Importantly, with inclusion of recognized explanatory variables, financial satisfaction remained the primary factor accounting for differences in morning waking cortisol and evening to morning awakening cortisol slope in an ethnic/racially diverse group of middle aged and older adults with or at risk for knee osteoarthritis.

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Cortisol in deciduous tooth tissues: A potential metric for assessing stress exposure in archaeological and living populations

Quade,

Králík,

Bencúrová

et al. 2023

International Journal of Paleopathology

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Assessment of work-related stress by using salivary cortisol level examination among early morning shift workers

Abstract: Salivary cortisol levels are a suitable objective marker of stress and can be used as a good predictor of occupational stress by public health services for the purposes of primary prevention.

Cited by 10 publications

References 29 publications

Night-Time Shift Work and Related Stress Responses: A Study on Security Guards

Night-Time Shift Work and Related Stress Responses: A Study on Security Guards

Relationships Between Pain, Life Stress, Sociodemographics, and Cortisol: Contributions of Pain Intensity and Financial Satisfaction

Cortisol in deciduous tooth tissues: A potential metric for assessing stress exposure in archaeological and living populations

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