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Factors Affecting Perceived Stress-Cortisol Responses in Young Adults

강희선|김춘자|서신애|Schlenk, Elizabeth A.
대한임상건강증진학회 (Korean Society For Health Promotion And Disease Prevention)|2024.03|Korean Journal of Health Promotion|제24권 제1호|pp. 37-46|DOI 10.15384/kjhp.2024.00031

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키워드

DepressionLife styleSubjective stressCardiometabolic risk factorsCortisone
주제분류기타자연과학

초록

Background: This study examined the distribution of stress-cortisol responses and risk factors affecting perceived stress and cortisol responses among 187 university students in South Korea.Methods: Perceived stress, depressive symptoms, and health-promoting lifestyle were assessed using structured questionnaires. Blood analyses and anthropometrics were used to determine cortisol and cardiometabolic risks. Multinomial logistic regression analysis was used to examine the factors affecting stress-cortisol responses.Results: Four groups of stress-cortisol responses were found, including normal (39.0%), high stress (34.8%), high stress-cortisol (13.9%), and high cortisol group (12.3%). Age, systolic blood pressure, high-density lipoprotein cholesterol, depressive symptoms, and physical activity were associated with stress-cortisol responses.Conclusions: Multidimensional interventions are needed to reduce stress levels and promote normal stress-cortisol responses.

Abstract

Background: This study examined the distribution of stress-cortisol responses and risk factors affecting perceived stress and cortisol responses among 187 university students in South Korea.Methods: Perceived stress, depressive symptoms, and health-promoting lifestyle were assessed using structured questionnaires. Blood analyses and anthropometrics were used to determine cortisol and cardiometabolic risks. Multinomial logistic regression analysis was used to examine the factors affecting stress-cortisol responses.Results: Four groups of stress-cortisol responses were found, including normal (39.0%), high stress (34.8%), high stress-cortisol (13.9%), and high cortisol group (12.3%). Age, systolic blood pressure, high-density lipoprotein cholesterol, depressive symptoms, and physical activity were associated with stress-cortisol responses.Conclusions: Multidimensional interventions are needed to reduce stress levels and promote normal stress-cortisol responses.

참고문헌 (50)

  1. Asif S, "Frequency of depression, anxiety and stress among university students", Pak J Med Sci, 36(5), pp.971~976 (2020)
  2. Seo EJ, "The association between perceived stress and quality of life in university students : the parallel mediating role of depressive symptoms and health-promoting behaviors", Asian Nurs Res, 12(3), pp.190~196 (2018)
  3. Al Omari O, "Jordanian University students’ lived experience of misusing amphetamine(Captagon) : a qualitative study", J Addict Nurs, 33(1), pp.20~26 (2022)
  4. Cornwall J, "Stressors in early-stage doctoral students", Stud Contin Educ, 41(3), pp.363~380 (2019)
  5. Kappner N, "The moderating effect of social resources on the link between study-related stressors and depressive symptoms among medical students in North Rhine-Westphalia, Germany : a cross-sectional study", BMC Psychiatry, 22(1), pp.524~ (2022)
  6. Khademian F, "Iranian University students’ stressors and coping strategies : a qualitative study", J Educ Health Promot, 10, pp.244~ (2021)
  7. Acharya L, "College life is stressful today : emerging stressors and depressive symptoms in college students", J Am Coll Health, 66(7), pp.655~664 (2018)
  8. Pascoe MC, "The impact of stress on students in secondary school and higher education", Int J Adolesc Youth, 25(1), pp.104~112 (2020)
  9. Ribeiro ÍJS, "Stress and quality of life among university students : a systematic literature review", Health Prof Educ, 4(2), pp.70~77 (2018)
  10. Chu B, "StatPearls" (2024), StatPearls Publishing
  11. Dunlavey CJ, "Introduction to the hypothalamic-pituitary-adrenal axis : healthy and dysregulated stress responses, developmental stress and neurodegeneration", J Undergrad Neurosci Educ, 16(2), pp.R59~60 (2018)
  12. Sherman GD, "Stress, cortisol, and social hierarchy", Curr Opin Psychol, 33, pp.227~232 (2020)
  13. Zänkert S, "HPA axis responses to psychological challenge linking stress and disease : what do we know on sources of intra-and interindividual variability", Psychoneuroendocrinology, 105, pp.86~97 (2019)
  14. Špiljak B, "A review of psychological stress among students and its assessment using salivary biomarkers", Behav Sci(Basel), 12(10), pp.400~ (2022)
  15. Grundy SM, "Metabolic syndrome update", Trends Cardiovasc Med, 26(4), pp.364~373 (2016)
  16. Bouillon-Minois JB, "Biomarker of stress, metabolic syndrome and human health", Nutrients, 14(14), pp.2935~ (2022)
  17. Gebreab SZ, "Psychosocial stress over the lifespan, psychological factors, and cardiometabolic risk in the community", Psychosom Med, 80(7), pp.628~639 (2018)
  18. Iob E, "Cardiovascular disease and hair cortisol : a novel biomarker of chronic stress", Curr Cardiol Rep, 21(10), pp.116~ (2019)
  19. Li W, "Prevalence and associated factors of depression and anxiety symptoms among college students : a systematic review and meta-analysis", J Child Psychol Psychiatry, 63(11), pp.1222~1230 (2022)
  20. Jiang L, "The reliability and validity of the Center For Epidemiologic Studies Depression Scale(CES-D)for Chinese university students", Front Psychiatry, 10, pp.315~ (2019)
  21. Hirsch JK, "Perceived stress and suicidal behaviors in college students : conditional indirect effects of depressive symptoms and mental health stigma", Stigma Health, 4(1), pp.98~106 (2019)
  22. Fiksdal A, "Associations between symptoms of depression and anxiety and cortisol responses to and recovery from acute stress", Psychoneuroendocrinology, 102, pp.44~52 (2019)
  23. Holding AC, "When goal pursuit gets hairy: a longitudinal goal study examining the role of controlled motivation and action crises in predicting changes in hair cortisol, perceived stress, health, and depression symptoms", Clin Psychol Sci, 9(6), pp.1214~1221 (2021)
  24. Leung C, "Associations among perceived stress, cortisol, and adolescent depressive symptoms", J Pediatr Health Care, 36(4), pp.397~398 (2022)
  25. Jao NC, "Unhealthy behavior clustering and mental health status in United States college students", J Am Coll Health, 67(8), pp.790~800 (2019)
  26. Abraham S, "College students eating habits and knowledge of nutritional requirements", J Nutr Hum Health, 2(1), pp.13~17 (2018)
  27. Ramón-Arbués E, "The prevalence of depression, anxiety and stress and their associated factors in college students", Int J Environ Res Public Health, 17(19), pp.7001~ (2020)
  28. Yun TC, "Dietary habits and lifestyle practices among university students in Universiti Brunei Darussalam", Malays J Med Sci, 25(3), pp.56~66 (2018)
  29. Haardörfer R, "Longitudinal changes in alcohol use and binge-drinking among young-adult college students : analyses of predictors across system levels", Addict Behav, 112, pp.106619~ (2021)
  30. Krieger H, "The epidemiology of binge drinking among college-age individuals in the United States", Alcohol Res, 39(1), pp.23~30 (2018)
  31. Dalton ED, "Independent and relative effects of stress, depressive symptoms, and affect on college students’ daily health behaviors", J Behav Med, 41(6), pp.863~874 (2018)
  32. Ramón-Arbués E, "Factors related to diet quality : a cross-sectional study of 1055 university students", Nutrients, 13(10), pp.3512~ (2021)
  33. Moriarty T, "The relationship between psychological stress and healthy lifestyle behaviors during COVID-19 among students in a US Midwest University", Int J Environ Res Public Health, 18(9), pp.4752~ (2021)
  34. Cohen S, "A global measure of perceived stress", J Health Soc Behav, 24(4), pp.385~396 (1983)
  35. Radloff LS, "The CES-D scale : a self-report depression scale for research in the general population", Appl Psychol Meas, 1(3), pp.385~401 (1977)
  36. Lewinsohn PM, "Center for Epidemiologic Studies Depression Scale(CES-D)as a screening instrument for depression among community-residing older adults", Psychol Aging, 12(2), pp.277~287 (1997)
  37. Yun SN, "Health-promoting behaviors of the women workers at the manufacturing industry : based on the Pender’s health promotion model", Korean J Occup Health Nurs, 8(2), pp.130~140 (1999)
  38. "Psychometric evaluation of the Health-Promoting Lifestyle Profile II" (1996)[URL]
  39. Dalile B, "When the mind says one thing, but the HPA axis says another : lack of coherence between subjective and neuroendocrine stress response trajectories in healthy men", Psychoneuroendocrinology, 139, pp.105692~ (2022)
  40. Paananen M, "A low cortisol response to stress is associated with musculoskeletal pain combined with increased pain sensitivity in young adults : a longitudinal cohort study", Arthritis Res Ther, 17, pp.355~ (2015)
  41. Osborne MT, "Disentangling the links between psychosocial stress and cardiovascular disease", Circ Cardiovasc Imaging, 13(8), pp.e010931~ (2020)
  42. Da Costa D, "A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers", J Affect Disord, 249, pp.371~377 (2019)
  43. Ahmad MH, "Pathophysiological implications of neuroinflammation mediated HPA axis dysregulation in the prognosis of cancer and depression", Mol Cell Endocrinol, 520, pp.111093~ (2021)
  44. González-Valero G, "Could the complying with WHO physical activity recommendations improve stress, burnout syndrome, and resilience? A cross-sectional study with physical education teachers", Sport Sci Health, 19, pp.349~358 (2023)
  45. Vogel EA, "Physical activity and stress management during COVID-19 : a longitudinal survey study", Psychol Health, 37(1), pp.51~61 (2022)
  46. De Nys L, "The effects of physical activity on cortisol and sleep : a systematic review and meta-analysis", Psychoneuroendocrinology, 143, pp.105843~ (2022)
  47. Graves BS, "Gender differences in perceived stress and coping among college students", PLoS One, 16(8), pp.e0255634~ (2021)
  48. Hitches E, "Building self-efficacy without letting stress knock it down : stress and academic self-efficacy of university students", Int J Educ Res open, 3, pp.100124~ (2022)
  49. García-León MÁ, "Relationship between resilience and stress : perceived stress, stressful life events, HPA axis response during a stressful task and hair cortisol", Physiol Behav, 202, pp.87~93 (2019)
  50. Alhawatmeh HN, "The benefits of mindfulness meditation on trait mindfulness, perceived stress, cortisol, and C-reactive protein in nursing students : a randomized controlled trial", Adv Med Educ Pract, 13, pp.47~58 (2022)

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