Mayday, Mayday, Mayday: Using salivary cortisol to detect distress (and eustress!) in critical incident training

Balters, Stephanie; Geeseman, Joseph W.; Tveten, Ann-Kristin; Hildre, Hans Petter; Ju, Wendy; Steinert, Martin

doi:10.1016/j.ergon.2020.102975

Cited by 15 publications

(7 citation statements)

References 52 publications

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“…Curiously, the Control group showed a atter diurnal slope to high stress, contrary to existing literature (Stawski et al, 2013). The reason is unclear but our study examining the unique effects of stress, NA, and PA means perceived stress captures the experience of challenge/demand with neutral valence, perhaps explaining this distinct nding (Balters et al, 2020).…”

Section: Discussioncontrasting

confidence: 80%

Resilience to Early Family Risk Moderates Daily Stress and Affect on Cortisol Diurnal Slope associations: A 14-Day Ecological Momentary Assessment Study

Tung

Yap

Bei

et al. 2021

Preprint

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ObjectiveThis study examined whether resilience capacity moderates the impact of daily perceived stress and affect on cortisol diurnal slope among relocated emerging adults. MethodsRelocated undergraduates (N=98; aged 18-25 years) were recruited from three groups: Resilient, Vulnerable, and Control. Mixed-effects models were used to test the unique effects of perceived stress, negative affect, and positive affect x group interactions on diurnal cortisol slope across 14 consecutive days.ResultsThe Resilient group did not moderate the associations between daily stress or affect on cortisol diurnal slope. Instead, both the Resilient and Vulnerable groups with early family risk, showed a steeper diurnal slope unique to higher stress and a flatter slope unique to higher NA.ConclusionsResults suggest that an adverse early family life was significantly associated with altered cortisol diurnal slope outcomes to stress (i.e., demand) and negative affect (i.e., distress). These associations were not attenuated by current resilience capacity.

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Section: Discussioncontrasting

confidence: 80%

Resilience to Early Family Risk Moderates Daily Stress and Affect on Cortisol Diurnal Slope associations: A 14-Day Ecological Momentary Assessment Study

Tung

Yap

Bei

et al. 2021

Preprint

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“…The HPA axis consists of the hypothalamus, the pituitary gland, and the adrenal cortex. Acute activation of the HPA axis upon stressful events, the so-called eustress, increases the overall functions of the organism [24,25]. However, sustained activation over a long period of time exerts detrimental effects as overaccumulation of glucocorticoids becomes deleterious for the brain but also for other systems in the body, a phenomenon called allostatic load [23,26].…”

Section: Introductionmentioning

confidence: 99%

Rhodiola Rosea Extract Counteracts Stress in an Adaptogenic Response Curve Manner via Elimination of ROS and Induction of Neurite Outgrowth

Agapouda

Grimm

Lejri

2022

Oxidative Medicine and Cellular Longevity

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Background. Sustained stress with the overproduction of corticosteroids has been shown to increase reactive oxygen species (ROS) leading to an oxidative stress state. Mitochondria are the main generators of ROS and are directly and detrimentally affected by their overproduction. Neurons depend almost solely on ATP produced by mitochondria in order to satisfy their energy needs and to form synapses, while stress has been proven to alter synaptic plasticity. Emerging evidence underpins that Rhodiola rosea, an adaptogenic plant rich in polyphenols, exerts antioxidant, antistress, and neuroprotective effects. Methods. In this study, the effect of Rhodiola rosea extract (RRE) WS®1375 on neuronal ROS regulation, bioenergetics, and neurite outgrowth, as well as its potential modulatory effect on the brain derived neurotrophic factor (BDNF) pathway, was evaluated in the human neuroblastoma SH-SY5Y and the murine hippocampal HT22 cell lines. Stress was induced using the corticosteroid dexamethasone. Results. RRE increased bioenergetics as well as cell viability and scavenged ROS with a similar efficacy in both cells lines and counteracted the respective corticosteroid-induced dysregulation. The effect of RRE, both under dexamethasone-stress and under normal conditions, resulted in biphasic U-shape and inverted U-shape dose response curves, a characteristic feature of adaptogenic plant extracts. Additionally, RRE treatment promoted neurite outgrowth and induced an increase in BDNF levels. Conclusion. These findings indicate that RRE may constitute a candidate for the prevention of stress-induced pathophysiological processes as well as oxidative stress. Therefore, it could be employed against stress-associated mental disorders potentially leading to the development of a condition-specific supplementation.

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“…Curiously, the Control group showed a flatter diurnal slope to high stress, contrary to existing literature 20 . The reason is unclear but our study www.nature.com/scientificreports/ examining the unique effects of stress, NA, and PA means perceived stress captures the experience of challenge/ demand with neutral valence, perhaps explaining this distinct finding 59 . At high NA levels, the Resilient group showed a significantly flatter cortisol diurnal slope compared to both the Vulnerable and Control groups.…”

Section: Discussionmentioning

confidence: 80%

“…Curiously, the Control group showed a flatter diurnal slope to high stress, contrary to existing literature 20 . The reason is unclear but our study examining the unique effects of stress, NA, and PA means perceived stress captures the experience of challenge/demand with neutral valence, perhaps explaining this distinct finding 59 .…”

Section: Discussionmentioning

confidence: 81%

A 14-day ecological momentary assessment study on whether resilience and early family risk moderate daily stress and affect on cortisol diurnal slope

Tung

Yap

Bei

et al. 2022

Sci Rep

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This study examined whether resilience capacity moderates the association of daily perceived stress and affect with cortisol diurnal slope among relocated emerging adults. Relocated undergraduates (N = 98; aged 18–25 years) were recruited from three groups: Resilient, Vulnerable, and Control. The Resilient group required Risky Family Questionnaire (RFQ) scores ≥ 29 and Brief Resilience Scale (BRS) scores ≥ 3.6. The Vulnerable group required RFQ scores ≥ 29 and BRS scores ≤ 3. The comparison Control group required RFQ scores ≤ 21 and T-scores < 60 on PROMIS anxiety and depression symptoms. Mixed-effects models were used to test the unique associations of perceived stress, negative affect, and positive affect x group interactions (predictors) on diurnal cortisol slope (outcome) across 14 consecutive days. The Resilient group did not moderate the associations between daily stress or affect on cortisol diurnal slope. Instead, both the Resilient and Vulnerable groups with early family risk, showed a steeper diurnal slope unique to higher stress and a flatter slope unique to higher negative affect. Results suggest that riskier early family life was significantly associated with altered cortisol diurnal slope outcomes to stress (i.e., demand) and negative affect (i.e., distress). These associations were not attenuated by current resilience capacity.

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Mayday, Mayday, Mayday: Using salivary cortisol to detect distress (and eustress!) in critical incident training

Cited by 15 publications

References 52 publications

Resilience to Early Family Risk Moderates Daily Stress and Affect on Cortisol Diurnal Slope associations: A 14-Day Ecological Momentary Assessment Study

Resilience to Early Family Risk Moderates Daily Stress and Affect on Cortisol Diurnal Slope associations: A 14-Day Ecological Momentary Assessment Study

Rhodiola Rosea Extract Counteracts Stress in an Adaptogenic Response Curve Manner via Elimination of ROS and Induction of Neurite Outgrowth

A 14-day ecological momentary assessment study on whether resilience and early family risk moderate daily stress and affect on cortisol diurnal slope

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