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Randomized controlled evaluation of the effects of cognitive-behavioral stress management on cortisol responses to acute stress in healthy subjects.

Abstract

Psychosocial stress is a potent activator of the hypothalamus-pituitary-adrenal (HPA) axis. While neuroendocrine stress responses are essential for the maintenance of homeostasis, evidence suggests that excessive activation of the HPA axis constitutes a risk for disease and psychopathology. The purpose of the present study was to assess the effect of cognitive-behavioral stress management training on endocrine stress responses and cognitive appraisal under acute psychosocial stress among healthy young subjects. Forty-eight healthy, non-smoking male students without acute or chronic medical or psychiatric disorder on self report were randomly assigned to receive group-based cognitive-behavioral stress management training either before or after a standardized psychosocial stress test (Trier Social Stress Test, TSST). Endocrine and psychological stress responses were assessed with salivary free cortisol response and cognitive appraisal processes to the TSST. In comparison with the control group, subjects in the treatment group showed an attenuated endocrine response (F (2.55/117.41) = 3.81; P = 0.02; effect size f(2) = 0.35) to the TSST. In addition, subjects in the SIT group had lower stress appraisal and higher control expectancies (F (2/45) = 6.56; P = 0.003, effect size f(2) = 0.29) compared to controls. Short group-based cognitive-behavioral stress management training reduces the neuroendocrine stress response to an acute stressor in healthy subjects. Therefore, stress management training may prove useful in preventing detrimental effects of stress-induced neuroendocrine activation

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  • Authors+Show Affiliations

    ,

    University of Zürich, Institute of Psychology Clinical Psychology II, Zurichbergstrasse 43, 8044 Zurich, Switzerland. jgaab@klipsy.unizh.ch

    , , , ,

    Source

    Psychoneuroendocrinology 28:6 2003 Aug pg 767-79

    MeSH

    Adult
    Analysis of Variance
    Cognitive Behavioral Therapy
    Evaluation Studies as Topic
    Humans
    Hydrocortisone
    Hypothalamo-Hypophyseal System
    Male
    Pituitary-Adrenal System
    Psychometrics
    Psychotherapy, Group
    Saliva
    Self-Assessment
    Stress, Psychological

    Pub Type(s)

    Clinical Trial
    Journal Article
    Randomized Controlled Trial
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    12812863

    Citation

    Gaab, J, et al. "Randomized Controlled Evaluation of the Effects of Cognitive-behavioral Stress Management On Cortisol Responses to Acute Stress in Healthy Subjects." Psychoneuroendocrinology, vol. 28, no. 6, 2003, pp. 767-79.
    Gaab J, Blättler N, Menzi T, et al. Randomized controlled evaluation of the effects of cognitive-behavioral stress management on cortisol responses to acute stress in healthy subjects. Psychoneuroendocrinology. 2003;28(6):767-79.
    Gaab, J., Blättler, N., Menzi, T., Pabst, B., Stoyer, S., & Ehlert, U. (2003). Randomized controlled evaluation of the effects of cognitive-behavioral stress management on cortisol responses to acute stress in healthy subjects. Psychoneuroendocrinology, 28(6), pp. 767-79.
    Gaab J, et al. Randomized Controlled Evaluation of the Effects of Cognitive-behavioral Stress Management On Cortisol Responses to Acute Stress in Healthy Subjects. Psychoneuroendocrinology. 2003;28(6):767-79. PubMed PMID: 12812863.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Randomized controlled evaluation of the effects of cognitive-behavioral stress management on cortisol responses to acute stress in healthy subjects. AU - Gaab,J, AU - Blättler,N, AU - Menzi,T, AU - Pabst,B, AU - Stoyer,S, AU - Ehlert,U, PY - 2003/6/19/pubmed PY - 2003/9/25/medline PY - 2003/6/19/entrez SP - 767 EP - 79 JF - Psychoneuroendocrinology JO - Psychoneuroendocrinology VL - 28 IS - 6 N2 - Psychosocial stress is a potent activator of the hypothalamus-pituitary-adrenal (HPA) axis. While neuroendocrine stress responses are essential for the maintenance of homeostasis, evidence suggests that excessive activation of the HPA axis constitutes a risk for disease and psychopathology. The purpose of the present study was to assess the effect of cognitive-behavioral stress management training on endocrine stress responses and cognitive appraisal under acute psychosocial stress among healthy young subjects. Forty-eight healthy, non-smoking male students without acute or chronic medical or psychiatric disorder on self report were randomly assigned to receive group-based cognitive-behavioral stress management training either before or after a standardized psychosocial stress test (Trier Social Stress Test, TSST). Endocrine and psychological stress responses were assessed with salivary free cortisol response and cognitive appraisal processes to the TSST. In comparison with the control group, subjects in the treatment group showed an attenuated endocrine response (F (2.55/117.41) = 3.81; P = 0.02; effect size f(2) = 0.35) to the TSST. In addition, subjects in the SIT group had lower stress appraisal and higher control expectancies (F (2/45) = 6.56; P = 0.003, effect size f(2) = 0.29) compared to controls. Short group-based cognitive-behavioral stress management training reduces the neuroendocrine stress response to an acute stressor in healthy subjects. Therefore, stress management training may prove useful in preventing detrimental effects of stress-induced neuroendocrine activation SN - 0306-4530 UR - https://www.unboundmedicine.com/medline/citation/12812863/Randomized_controlled_evaluation_of_the_effects_of_cognitive_behavioral_stress_management_on_cortisol_responses_to_acute_stress_in_healthy_subjects_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0306453002000690 DB - PRIME DP - Unbound Medicine ER -