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The associations between diurnal cortisol patterns, self-perceived social support, and sleep behavior in Chinese breast cancer patients.
Psychoneuroendocrinology. 2013 Oct; 38(10):2337-42.P

Abstract

OBJECTIVE

This study examined the relationships between diurnal cortisol patterns and sleep behavior, social support, psychological factors, and perceived health status in breast cancer patients.

METHODS

One hundred and eighty-one breast cancer patients completed a self-report questionnaire that combined the Hospital Anxiety and Depression Scale, the Yale Social Support Scale, and self-perceived measures of physical health, stress, sleep quality, total sleep hours, and time of awakening. Salivary cortisol was collected upon waking, at 1200h, 1700h, and 2100h on two consecutive days. Multiple regression analysis was performed on the diurnal cortisol slope that was derived from slope analysis of the log-transformed cortisol data.

RESULTS

Controlling for the initial cortisol level, a flatter diurnal cortisol slope was significantly associated with a later time of awakening, higher negative social support, poorer perceived health, poorer sleep quality, and shorter total sleep hours. Anxiety and depression were not significantly correlated with the slope.

CONCLUSIONS

The results indicate a subtle dysregulation in hypothalamic-pituitary-adrenal axis functioning in patients with highly negative social support, poor perceived health, poor sleep quality, a later time of awakening, and insufficient sleep hours.

Authors+Show Affiliations

Centre on Behavioral Health, 2/F, The Hong Kong Jockey Club Building for Interdisciplinary Research, 5 Sassoon Road, Pokfulam, Hong Kong; Department of Social Work & Social Administration, 5/F, Building C (Social Sciences), Jockey Club Tower, The Centennial Campus, Pokfulam, The University of Hong Kong, Hong Kong. Electronic address: tinho@hku.hk.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23742786

Citation

Ho, Rainbow T H., et al. "The Associations Between Diurnal Cortisol Patterns, Self-perceived Social Support, and Sleep Behavior in Chinese Breast Cancer Patients." Psychoneuroendocrinology, vol. 38, no. 10, 2013, pp. 2337-42.
Ho RT, Fong TC, Chan CK, et al. The associations between diurnal cortisol patterns, self-perceived social support, and sleep behavior in Chinese breast cancer patients. Psychoneuroendocrinology. 2013;38(10):2337-42.
Ho, R. T., Fong, T. C., Chan, C. K., & Chan, C. L. (2013). The associations between diurnal cortisol patterns, self-perceived social support, and sleep behavior in Chinese breast cancer patients. Psychoneuroendocrinology, 38(10), 2337-42. https://doi.org/10.1016/j.psyneuen.2013.05.004
Ho RT, et al. The Associations Between Diurnal Cortisol Patterns, Self-perceived Social Support, and Sleep Behavior in Chinese Breast Cancer Patients. Psychoneuroendocrinology. 2013;38(10):2337-42. PubMed PMID: 23742786.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The associations between diurnal cortisol patterns, self-perceived social support, and sleep behavior in Chinese breast cancer patients. AU - Ho,Rainbow T H, AU - Fong,Ted C T, AU - Chan,Caitlin K P, AU - Chan,Cecilia L W, Y1 - 2013/06/03/ PY - 2012/09/19/received PY - 2013/04/29/revised PY - 2013/05/06/accepted PY - 2013/6/8/entrez PY - 2013/6/8/pubmed PY - 2014/4/23/medline KW - Breast cancer KW - Chinese cancer patients KW - Diurnal cortisol pattern KW - Sleep behavior KW - Social support SP - 2337 EP - 42 JF - Psychoneuroendocrinology JO - Psychoneuroendocrinology VL - 38 IS - 10 N2 - OBJECTIVE: This study examined the relationships between diurnal cortisol patterns and sleep behavior, social support, psychological factors, and perceived health status in breast cancer patients. METHODS: One hundred and eighty-one breast cancer patients completed a self-report questionnaire that combined the Hospital Anxiety and Depression Scale, the Yale Social Support Scale, and self-perceived measures of physical health, stress, sleep quality, total sleep hours, and time of awakening. Salivary cortisol was collected upon waking, at 1200h, 1700h, and 2100h on two consecutive days. Multiple regression analysis was performed on the diurnal cortisol slope that was derived from slope analysis of the log-transformed cortisol data. RESULTS: Controlling for the initial cortisol level, a flatter diurnal cortisol slope was significantly associated with a later time of awakening, higher negative social support, poorer perceived health, poorer sleep quality, and shorter total sleep hours. Anxiety and depression were not significantly correlated with the slope. CONCLUSIONS: The results indicate a subtle dysregulation in hypothalamic-pituitary-adrenal axis functioning in patients with highly negative social support, poor perceived health, poor sleep quality, a later time of awakening, and insufficient sleep hours. SN - 1873-3360 UR - https://www.unboundmedicine.com/medline/citation/23742786/The_associations_between_diurnal_cortisol_patterns_self_perceived_social_support_and_sleep_behavior_in_Chinese_breast_cancer_patients_ DB - PRIME DP - Unbound Medicine ER -