Introduction: Accumulating evidence suggests that negative affect is associated with elevated cortisol. Limited research has investigated this association in young, highly functioning, and stress-resilient populations. Methods: We examined the relation of trait anxiety with total and diurnal salivary cortisol during free-living conditions and during a stressful military exercise in 26 military men ages 19 -30 yr (M 5 21.6, SD 5 2.3). Salivary cortisol was assessed at fi ve time points over 2 consecutive days of free-living measurement, and three time points during a stressful military experience. Trait anxiety was measured with the trait portion of the Spielberger State-Trait Anxiety Inventory 1 -3 wk prior to the military exercise. Results: Total cortisol concentrations were similar between men reporting high or low anxiety during free-living conditions (8.6 6 3.2 vs. 7.4 6 2.8 nmol z L 2 1 , respectively, P . 0.05), and military stress (21.3 6 7.3 vs. 19.0 6 7.0 nmol z L 2 1 , respectively, P . 0.05). The diurnal cortisol profi le differed signifi cantly ( P 5 0.04) between these men during the free-living condition, but not the stressful military experience ( P . 0.05). Specifi cally, during free living, men with low anxiety exhibited a diurnal cortisol pattern that peaked in the early morning, decreased precipitously during the midmorning, and continued to decrease throughout the day, reaching a nadir in the evening. By contrast, the cortisol pattern of high-anxiety men remained elevated and signifi cantly higher than their low-anxiety counterparts during the midmorning, decreased more slowly throughout the day, and reached its lowest level in the evening. Results were not substantially altered following adjustment for sleep duration or wake time. Conclusion: These fi ndings suggest that trait anxiety infl uences the diurnal cortisol pattern in young, apparently healthy men during free-living conditions, but does not predict the cortisol response to uncontrollable military stress. Keywords: stress , hormones , diurnal patterns .
S TRESS IS BROADLY defi ned as an imbalance inphysiological systems that activates both physiological and behavioral responses to restore balance ( 6 ). The physiologic stress response, in turn, is generally believed to be regulated by at least two closely related systems -the hypothalamic-pituitary-adrenal (HPA) system, and the sympathetic-adrenal-medullary system. The sympathetic-adrenal-medullary system involves preganglionic sympathetic fi bers that directly innervate the adrenal medulla, prompting the secretion of adrenaline (epinephrine) and noradrenaline (norepinephrine). The HPA system is a complex set of interactions between the hypothalamus, the pituitary gland, and the adrenal glands. Upon detection of threat, emotional responses are generated in cortical and limbic (e.g., amygdalar and hippocampal) brain structures, which, in turn, triggers the activity of the hypothalamus. The hypothalamus produces corticotropin-releasing hormone, which then activates the anterior pituit...