Tags

Type your tag names separated by a space and hit enter

Perfectionism and the cortisol response to psychosocial stress in men.
Psychosom Med. 2007 Apr; 69(3):249-55.PM

Abstract

OBJECTIVE

To test the hypothesis that perfectionism is an important moderator of the neuroendocrine stress response, with higher perfectionism predicting increased neuroendocrine activation.

METHODS

A total of 50 middle-aged men underwent an acute standardized psychosocial stress task (Trier Social Stress Test). Perfectionism, cognitive appraisal of the stressful situation, trait anxiety, and various personality characteristics were assessed with questionnaires. Salivary cortisol, plasma epinephrine and norepinephrine, blood pressure, and heart rate were analyzed before and after stress. Circadian profiles of cortisol secretion during the day and in response to awakening were analyzed to assess basal activity of the hypothalamus-pituitary-adrenal (HPA) axis. Multiple regression analyses were conducted to identify predictors of the neuroendocrine stress response.

RESULTS

Perfectionism was significantly associated with area under the total response curve with respect to increase (AUCi) of cortisol (r = 0.322, p = .046), but not with AUCi of norepinephrine (r = -0.217, p = .152) or AUCi of epinephrine (r = 0.116, p = .477). Hence, AUCi of cortisol was the main criterion. As possible predictors, trait anxiety, neuroticism, vital exhaustion, secondary appraisal, depression, and openness were considered. Regression analyses demonstrated that only perfectionism (beta = 0.45, p = .002) and secondary appraisal (beta = 0.50, p = .001) were independent predictors of AUCi of cortisol, the final model explaining 45% of the total variance in cortisol response (R2 = 0.45, "shrunken" R2 [sR2] = 0.38); perfectionism alone accounted for 18% of this variance (deltaR2 = 0.18, sR2 = 0.19).

CONCLUSION

The typical cognitions, and presumably the associated emotions, of perfectionists seem to contribute independently to stress-induced bodily responses, including HPA axis activation, in response to psychosocial stress.

Authors+Show Affiliations

Department of Clinical Psychology and Psychotherapy, University of Zurich, Binzmühlestrasse 14, Box 26, CH-8050 Zurich, Switzerland. p.wirtz@psychologie.unizh.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17420440

Citation

Wirtz, Petra H., et al. "Perfectionism and the Cortisol Response to Psychosocial Stress in Men." Psychosomatic Medicine, vol. 69, no. 3, 2007, pp. 249-55.
Wirtz PH, Elsenbruch S, Emini L, et al. Perfectionism and the cortisol response to psychosocial stress in men. Psychosom Med. 2007;69(3):249-55.
Wirtz, P. H., Elsenbruch, S., Emini, L., Rüdisüli, K., Groessbauer, S., & Ehlert, U. (2007). Perfectionism and the cortisol response to psychosocial stress in men. Psychosomatic Medicine, 69(3), 249-55.
Wirtz PH, et al. Perfectionism and the Cortisol Response to Psychosocial Stress in Men. Psychosom Med. 2007;69(3):249-55. PubMed PMID: 17420440.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perfectionism and the cortisol response to psychosocial stress in men. AU - Wirtz,Petra H, AU - Elsenbruch,Sigrid, AU - Emini,Luljeta, AU - Rüdisüli,Katharina, AU - Groessbauer,Sara, AU - Ehlert,Ulrike, Y1 - 2007/04/09/ PY - 2007/4/11/pubmed PY - 2007/6/8/medline PY - 2007/4/11/entrez SP - 249 EP - 55 JF - Psychosomatic medicine JO - Psychosom Med VL - 69 IS - 3 N2 - OBJECTIVE: To test the hypothesis that perfectionism is an important moderator of the neuroendocrine stress response, with higher perfectionism predicting increased neuroendocrine activation. METHODS: A total of 50 middle-aged men underwent an acute standardized psychosocial stress task (Trier Social Stress Test). Perfectionism, cognitive appraisal of the stressful situation, trait anxiety, and various personality characteristics were assessed with questionnaires. Salivary cortisol, plasma epinephrine and norepinephrine, blood pressure, and heart rate were analyzed before and after stress. Circadian profiles of cortisol secretion during the day and in response to awakening were analyzed to assess basal activity of the hypothalamus-pituitary-adrenal (HPA) axis. Multiple regression analyses were conducted to identify predictors of the neuroendocrine stress response. RESULTS: Perfectionism was significantly associated with area under the total response curve with respect to increase (AUCi) of cortisol (r = 0.322, p = .046), but not with AUCi of norepinephrine (r = -0.217, p = .152) or AUCi of epinephrine (r = 0.116, p = .477). Hence, AUCi of cortisol was the main criterion. As possible predictors, trait anxiety, neuroticism, vital exhaustion, secondary appraisal, depression, and openness were considered. Regression analyses demonstrated that only perfectionism (beta = 0.45, p = .002) and secondary appraisal (beta = 0.50, p = .001) were independent predictors of AUCi of cortisol, the final model explaining 45% of the total variance in cortisol response (R2 = 0.45, "shrunken" R2 [sR2] = 0.38); perfectionism alone accounted for 18% of this variance (deltaR2 = 0.18, sR2 = 0.19). CONCLUSION: The typical cognitions, and presumably the associated emotions, of perfectionists seem to contribute independently to stress-induced bodily responses, including HPA axis activation, in response to psychosocial stress. SN - 1534-7796 UR - https://www.unboundmedicine.com/medline/citation/17420440/Perfectionism_and_the_cortisol_response_to_psychosocial_stress_in_men_ L2 - https://doi.org/10.1097/PSY.0b013e318042589e DB - PRIME DP - Unbound Medicine ER -