Diurnal saliva cortisol levels and relations to psychosocial factors in a population sample of middle-aged Swedish men and women

Int J Behav Med. 2006;13(3):193-200. doi: 10.1207/s15327558ijbm1303_2.

Abstract

Whereas psychosocial risk factors increase the risk for disease, psychosocial resources reduce this risk. To examine a possible pathway for these effects, the relations between saliva cortisol levels and psychosocial factors were studied in a random sample of 257 men and women aged 30 to 64 years. Saliva samples were collected at home on waking, 30 min after waking, and in the evening. A flatter diurnal rhythm of cortisol, that is, lower deviations between awakening and evening cortisol levels, was related to high levels of psychosocial risk factors (cynicism, depression, and vital exhaustion), whereas a steeper diurnal rhythm was related to psychosocial resources (social support and coping), general health, and well-being (all p < .05). Our results support earlier suggestions that the capacity of the hypothalamic-pituitary-adrenal-axis to dynamically respond to stress is 1 pathway for observed effects of psychosocial factors regarding risk for disease development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological / physiology
  • Adult
  • Arousal / physiology*
  • Attitude
  • Circadian Rhythm / physiology*
  • Cross-Sectional Studies
  • Depression / blood
  • Depression / psychology
  • Female
  • Health Surveys
  • Humans
  • Hydrocortisone / blood*
  • Hypothalamo-Hypophyseal System / physiopathology
  • Male
  • Middle Aged
  • Pituitary-Adrenal System / physiopathology
  • Saliva / chemistry
  • Social Support
  • Somatoform Disorders / blood
  • Somatoform Disorders / psychology
  • Stress, Psychological / blood
  • Stress, Psychological / complications*
  • Surveys and Questionnaires
  • Sweden

Substances

  • Hydrocortisone