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Individual and Day-to-Day Differences in Active Coping Predict Diurnal Cortisol Patterns among Early Adolescent Girls

机译:主动应对的个体差异和日常差异预测了青春期早期女孩的昼夜皮质醇模式

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摘要

Prior work has identified alterations in activity of the hypothalamic-pituitary-adrenal axis as a potential mechanism underlying stress-induced emotional health problems, which disproportionately impact girls beginning in mid-adolescence. How adolescent girls differ from one another in dispositional coping tendencies and shift specific coping strategies in response to varying stressors have been theorized as important predictors of their adaptation, health, and well-being during this dynamic period of development. The goal of this study was to examine whether individual and day-to-day (within-person) differences in adolescent girls’ coping responses are associated with daily patterns of hypothalamic-pituitary-adrenal axis activity, indexed by cortisol. Participants were 122 early adolescent girls (Mage = 12.39) who provided three saliva samples per day for 3 days and completed daily coping reports, as well as a standard coping survey. Participants and primary caregivers also completed objective life stress interviews. On average, girls who were more likely to respond to interpersonal stress with voluntary engagement (active) coping exhibited generally adaptive daily physiological regulation—steeper diurnal cortisol slopes, lower total diurnal cortisol output, and lower cortisol awakening responses. Chronic interpersonal stress level significantly moderated these associations in different ways for two distinct components of the diurnal pattern—the slope and cortisol awakening responses. Regarding within-person differences, using active coping more than usual was associated with higher waking cortisol the following morning, which may help to prepare adolescent girls for perceived daily demands. These findings highlight the interactive influence of stress and coping in the prediction of daily hypothalamic-pituitary-adrenal axis activity and support the stress-buffering role of active coping for adolescent girls.
机译:先前的工作已经确定,下丘脑-垂体-肾上腺轴的活动改变是潜在的压力诱发的情绪健康问题的潜在机制,这对青春期开始的女孩产生了不成比例的影响。从理论上讲,青春期女孩在性格应对趋势上的差异和应对各种压力源而转移特定应对策略的方法,被认为是在这一动态发展时期内其适应,健康和幸福的重要预测指标。这项研究的目的是检查青春期女孩应对反应的个体和日常(人内)差异是否与以皮质醇为指标的下丘脑-垂体-肾上腺轴活动的日常模式有关。参加者为122名青春期早期女孩(法师= 12.39),他们每天提供三份唾液样本,为期3天,并完成了每日应对报告以及标准应对调查。参与者和初级护理人员还完成了客观的生活压力访谈。平均而言,通过主动参与(主动)应对更能应对人际交往压力的女孩表现出普遍的适应性日常生理调节-昼夜皮质醇更陡峭,昼夜皮质醇总输出量较低,皮质醇觉醒反应较低。慢性人际压力水平以不同的方式显着缓解了昼夜模式的两个不同组成部分(斜率和皮质醇觉醒反应)的关联。关于人际差异,第二天早晨醒来时皮质醇水平较高,比往常多使用主动应对方法,这可能有助于使青春期的女孩做好每日所需的准备。这些发现凸显了压力和应对在日常下丘脑-垂体-肾上腺轴活动的预测中的相互作用,并支持了积极应对青春期女孩的压力缓冲作用。

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