The diurnal salivary cortisol pattern of adolescents from families with single, ill and healthy parents

Sieh, Dominik S.; Visser-Meily, Johanna M A; Oort, Frans J.; Meijer, Anne Marie

doi:10.1016/j.jpsychores.2012.01.004

Cited by 7 publications

(7 citation statements)

References 39 publications

(62 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The first possible explanation is the law of initial value, in which the high baseline values physiologically impaired the possibility of an increase . However, this is rather unlikely, as our values were comparable to the salivary cortisol values reported for healthy children in other studies . Moreover, there were no significant differences between the two salivary cortisol baselines taken before the first and second vaccinations.…”

Section: Discussionsupporting

confidence: 62%

Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

et al. 2015

View full text Add to dashboard Cite

Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11-to 12-year-old girls during vaccinations, 2015, Acta Paediatrica, (104) Abstract AimRelaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. We examined whether its use decreased the stress experienced by 11 to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. MethodA randomised crossover trial was conducted with 37 girls. During the first vaccination, each girl was randomised to receive either relaxation and guided imagery or standard care. They then received the other form of care during the second vaccination. Salivary cortisol was measured before each vaccination and 30 minutes after it was administered. The girls reported pain intensity and pain unpleasantness before and directly after each vaccination and stress after each vaccination. ResultsOn a group level, relaxation and guided imagery did not decrease cortisol levels, selfreported stress, pain intensity and pain unpleasantness. Salivary cortisol levels decreased significantly in both groups during the second vaccination. ConclusionRelaxation and guided imagery did not prove beneficial during the vaccination of 11 to 12-year-old girls and is not recommended as a regular nursing intervention. However, further research is needed into effective techniques to help children who experience pain unpleasantness in connection with needle procedures. Key notes Relaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. 3 We found that its use did not decrease the stress experienced by a group of 11 to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. However, further research is needed into effective techniques to help children who experience pain unpleasantness with needle procedures. BACKGROUND

show abstract

Section: Discussionsupporting

confidence: 62%

Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Altogether, this suggests that parents/spouses and children from families with cancer or depression do not differ in terms of basal diurnal cortisol levels measured over a period of three days. This result is consistent with a previous study performed by Sieh and colleagues (Sieh, Visser-Meily, Oort, & Meijer, 2012), who investigated salivary cortisol patterns in 100 children and adolescents from single-headed families, an ill parent (target group) and healthy parents (control group). The authors hypothesized that families with single and ill groups would display higher morning cortisol values than controls.…”

Section: Discussionsupporting

confidence: 93%

“…However, results did not show evidence for such significant differences. Although Bayes factor or other analyses estimating power for equivalence tests were not performed on this null finding, Sieh et al (2012) interpreted these results as showing that children of single and chronically ill parents may be resilient in terms of salivary cortisol.…”

Section: Discussionmentioning

confidence: 99%

Stigma associated with parental depression or cancer: Impact on spouse and offspring's cortisol levels and socioemotional functioning

et al. 2020

View full text Add to dashboard Cite

Stress associated with caring for a mentally ill spouse can adversely affect the health status of caregivers and their children. Adding to the stress of caregiving is the stigma often placed against spouses and children of people with mental illness. Contrary to mental illness, many physical disorders such as cancer may be less stigmatized (expect pulmonary cancer). In this study, we measured externalized and internalized stigma, as well as psychological (depressive symptoms and stressful life events) and physiological (basal salivary cortisol levels) markers of stress in 115 spouses and 154 children of parents suffering from major depressive disorder, cancer, or no illness (control group). The results show that spouses and children from families with parental depression present significantly more externalized stigma than spouses and children from families with parental cancer or no illness, although we find no group differences on internalized stigma. The analysis did not show a significant group difference either for spouses or their children on depressive symptomatology, although spouses from the parental depression group reported greater work/family stress. Finally, we found that although for both spouses children the awakening cortisol response was greater on weekdays than on weekend days, salivary cortisol levels did not differ between groups. Bayes factor calculated on the null result for cortisol levels was greater than 100, providing strong evidence for the null hypothesis H0. Altogether, these results suggest an impact of stigma toward mental health disorder on psychological markers of stress but no impact of stigma on physiological markers of stress. We suggest that these results may be due to the characteristics of the families who participated in the present study.

show abstract

“…Moreover, having a parent with a chronic illness is related to a significantly higher risk for internalizing problems (e.g., depressive, anxiety, and somatic symptoms), externalizing problems (e.g., aggressive and delinquent behaviors), lower life satisfaction, and loneliness [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. Compared to peers, the youth of chronically ill parents are also at higher risk of affective dysregulation, stress-related somatic disorders, and weakened immune responses [ 3 , 5 , 16 , 18 ]. Parental illness is also related to poorer family functioning, which is associated with more family conflicts, less cohesion, and reduced communication which, in turn, are associated with poorer youth adjustment [ 3 , 5 , 7 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

A Model of the Effects of Parental Illness on Youth Adjustment and Family Functioning: The Moderating Effects of Psychological Flexibility on Youth Caregiving and Stress

Landi

Pakenham

Benassi

et al. 2021

IJERPH

View full text Add to dashboard Cite

Parental chronic illness may adversely impact youth and family functioning. This study examined a moderated mediation model of the effects of parental illness on youth and family functioning derived from the Family Ecology Framework. Consistent with this model, we predicted that youth caregiving and stress would serially mediate the adverse impacts of parental illness on youth adjustment and family functioning and that psychological flexibility would moderate these mediational mechanisms. A total of 387 youth, with parents affected by chronic illness, completed a questionnaire assessing parental illness severity, youth caregiving and stress, psychological flexibility, youth adjustment (i.e., internalizing and externalizing problems and psychological wellbeing), and family functioning. Path analyses indicated that the adverse effects of parental illness on youth adjustment and family functioning were serially mediated by youth caregiving and stress. Psychological flexibility buffered the adverse effects of these serial mediators on youth internalizing problems and psychological wellbeing. These findings identified three potential intervention targets: youth caregiving, related stress appraisals, and psychological flexibility. Given the large body of evidence showing that acceptance and commitment therapy fosters psychological flexibility, this intervention approach has the potential to address the psychosocial and mental health vulnerabilities of youth in the context of parental illness, which constitutes a serious public health issue.

show abstract

The diurnal salivary cortisol pattern of adolescents from families with single, ill and healthy parents

Abstract: Research on cortisol in children should control for children's sex and age, and parental depression. Adolescents with single and/or chronically ill parents displayed a healthy pattern of diurnal salivary cortisol.

Cited by 7 publications

References 39 publications

Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11‐ to 12‐year‐old girls during vaccinations

Stigma associated with parental depression or cancer: Impact on spouse and offspring's cortisol levels and socioemotional functioning

A Model of the Effects of Parental Illness on Youth Adjustment and Family Functioning: The Moderating Effects of Psychological Flexibility on Youth Caregiving and Stress

Contact Info

Product

Resources

About