Indirect effect of financial strain on daily cortisol output through daily negative to positive affect index in the Coronary Artery Risk Development in Young Adults Study.

Indirect effect of financial strain on daily cortisol output through daily negative to positive affect index in the Coronary Artery Risk Development in Young Adults Study.
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通过年轻人冠状动脉风险发展研究中的每日负面到正面影响指数,财务压力对每日皮质醇输出的间接影响。

DOI:
10.1016/j.psyneuen.2013.07.016
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发表时间:
2013
影响因子:
3.7
通讯作者:
Epel,ElissaS
Epel,ElissaS
中科院分区:
医学2区
文献类型:
--
作者:
Puterman,Eli;Haritatos,Jana;Adler,NancyE;Sidney,Steve;Schwartz,JosephE;Epel,ElissaS

文献摘要

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日常情绪对健康很重要,与皮质醇有关。高负性情感和低正性情感的组合可能比单独的正性或负性情感对增加HPA轴活性具有更大的影响。财务压力可能会抑制积极的影响,也可能会增加消极的影响,因此为理解日常影响和皮质醇之间的联系提供了一个很好的背景。使用随机效应混合模型和最大似然估计,我们研究了自我报告的财务紧张和估计的平均每日皮质醇水平之间的关系(潜在皮质醇变量),基于全天六次唾液皮质醇评估,以及这种关系是否是通过在776名年轻人冠状动脉风险发展样本中同时测量的更大的每日消极到积极的情感指数来介导的(研究参与者。分析显示,虽然财务紧张对皮质醇没有直接影响,但有一个显着的间接影响,即高负面影响对低正面影响,将财务紧张与皮质醇升高联系起来。在这个样本中,财务压力对皮质醇的影响,无论是通过积极影响还是消极影响,都不显着。综合影响指数可能是一个比单独的消极或积极影响更敏感和更强大的衡量标准,利用慢性财务压力的负担及其对生物学的影响。
Daily affect is important to health and has been linked to cortisol. The combination of high negative affect and low positive affect may have a bigger impact on increasing HPA axis activity than either positive or negative affect alone. Financial strain may both dampen positive affect as well as increase negative affect, and thus provides an excellent context for understanding the associations between daily affect and cortisol. Using random effects mixed modeling with maximum likelihood estimation, we examined the relationship between self-reported financial strain and estimated mean daily cortisol level (latent cortisol variable), based on six salivary cortisol assessments throughout the day, and whether this relationship was mediated by greater daily negative to positive affect index measured concurrently in a sample of 776 Coronary Artery Risk Development in Young Adults (CARDIA) Study participants. The analysis revealed that while no total direct effect existed for financial strain on cortisol, there was a significant indirect effect of high negative affect to low positive affect, linking financial strain to elevated cortisol. In this sample, the effects of financial strain on cortisol through either positive affect or negative affect alone were not significant. A combined affect index may be a more sensitive and powerful measure than either negative or positive affect alone, tapping the burden of chronic financial strain, and its effects on biology.