Self-esteem, locus of control, hippocampal volume, and cortisol regulation in young and old adulthood
Open accessAbstract
Self-esteem, the value we place on ourselves, has been associated with effects on health, life expectancy, and life satisfaction. Correlated with self-esteem is internal locus of control, the individual's perception of being in control of his or her outcomes. Recently, variations in self-esteem and internal locus of control have been shown to predict the neuroendocrine cortisol response to stress. Cumulative exposure to high levels of cortisol over the lifetime is known to be related to hippocampal atrophy. We therefore examined hippocampal volume and cortisol regulation, to investigate potential biological mechanisms related to self-esteem. We investigated 16 healthy young (age range 20-26 years of age) and 23 healthy elderly subjects (age range 60-84 years). The young subjects were exposed to a psychosocial stress task, while the elderly subjects were assessed for their basal cortisol regulation. Structural Magnetic Resonance Images were acquired from all subjects, and volumetric analyses were performed on medial temporal lobe structures, and whole brain gray matter. Standardized neuropsychological assessments in the elderly were performed to assess levels of cognitive performance, and to exclude the possibility of neurodegenerative disease. Self-esteem and internal locus of control were significantly correlated with hippocampal volume in both young and elderly subjects. In the young, the cortisol response to the psychosocial stress task was significantly correlated with both hippocampal volume and levels of self-esteem and locus of control, while in the elderly, these personality traits moderated age-related patterns of cognitive decline, cortisol regulation, and global brain volume decline.
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TL;DR
In healthy young and elderly adults, higher self-esteem and internal locus of control were associated with larger hippocampal volumes, and in young men low self-esteem/internal locus of control predicted a larger cortisol response to psychosocial stress. In elderly subjects, low self-esteem/internal locus of control moderated age-related declines in hippocampal volume, cognition, global gray matter, and awakening cortisol regulation.
Key findings
- Self-esteem and internal locus of control were significantly correlated with left and right hippocampal volume in both young and elderly subjects; correlations ranged from r = 0.42 to r = 0.71, with only one not reaching significance.
- Comparing extreme groups, young low-SEC subjects had a 12% smaller left hippocampus and 13% smaller right hippocampus than high-SEC subjects; elderly low-SEC subjects had a 17.4% smaller left hippocampus and 15.8% smaller right hippocampus.
- In young subjects, low SEC showed a significantly larger cortisol response to the psychosocial stress task (F = 6.53, P < 0.05), with no differences in mental arithmetic performance.
- In elderly subjects, age-related declines were significant in the low-SEC group but not the high-SEC group for hippocampal volume (left r = −0.75, P = 0.008; right r = −0.64, P = 0.03), awakening cortisol (r = −0.72, P < 0.008), and total brain gray matter (r = −0.75, P < 0.008). Mediation analyses were not significant (Sobel ts < 1.4, Ps > 0.15).
Methods
- Two independent cross-sectional samples: 16 healthy young men aged 20–26 years (mean 22.45) and 23 healthy elderly men and women aged 60–84 years (16 women, 7 men; mean 70.3 ± 7.8). Exclusion criteria included current or past depression and head trauma.
- Young subjects underwent the Montreal Imaging Stress Task with saliva cortisol sampled at −30, −20, 0, 20, 40, 50, and 60 min; elderly subjects provided basal saliva samples over 12 months at awakening, 30 min after awakening, 2 p.m., 4 p.m., and bedtime. Structural MRI was used for hippocampal, amygdala, and whole-brain gray matter volumetry.
- Psychological measures included the Rosenberg Self-esteem Scale and a locus of control measure; elderly subjects also received MMSE-3M and ADAS-cog. Analysis used k-means clustering into high/low self-esteem/internal locus of control groups, t tests/ANOVA, Pearson correlations with Bonferroni correction, and hierarchical regression mediation analyses.
Limitations
- The paper states the cross-sectional design prevents firm causal conclusions and that longitudinal studies are needed; it also notes other unmeasured factors such as social support and optimism, and no IQ data.
- The paper states methodological differences between the young and elderly studies: cortisol was assessed as acute stress response in young subjects using salivettes and fluorescence immunoassay, but as basal regulation in elderly subjects using filter paper and radioimmunoassay; the young sample was all male while the elderly sample was mostly female.
- The paper states sample sizes were relatively small, limiting power for mediation analyses; it also notes possible self-affirmation or carry-over effects in young subjects because personality measures were assessed close in time to the stress task.
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Claims the paper makes
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- Findingown data
Self-esteem and internal locus of control are significantly correlated with hippocampal volume in both young and elderly subjects.
“Self-esteem and internal locus of control were significantly correlated with hippocampal volume in both young and elderly subjects.”
- Also stated in: § Hippocampal volume differences between low and high SEC · boosted
“In two samples, then, comprising very different age groups, low selfesteem and low internal locus of control were clearly associated with lower hippocampal volume (see Fig. 1).”
- Also stated in: § Discussion · boosted
“A clear association between these personality measures and hippocampal volume was evident in both populations.”
Quote in the paperSubstantial claim - Also stated in: § Hippocampal volume differences between low and high SEC · boosted
- Findingown data
Continuous measures of self-esteem and internal locus of control were significantly correlated with left and right hippocampal volumes in both young and old subjects, with correlations ranging from r = 0.42 to r = 0.71.
“Examining the continuous measures of self-esteem and internal locus of control separately, in both young and old subjects, showed that both were significantly correlated with left and right hippocampal volumes.These correlations ranged from r = 0.42 to r = 0.71 in the young and old subjects, with only one of them not reaching statistical significance (see Fig. 2).”
Quote in the paperSubstantial claim - Findingown data
Correlations between self-esteem or internal locus of control with age, years of education, amygdala volume, whole brain gray and white matter, or CSF were generally nonsignificant.
“Correlations between self-esteem or internal locus of control, with age, years of education, amygdala volume, whole brain gray and white matter, or CSF, were generally nonsignificant and so could not easily account for the association between the personality variables and hippocampal volume (all r with P > 0.20 except two; see Table 2).”
Quote in the paperSubstantial claim - Findingown data
There was a significant main effect of SEC on the cortisol stress response in young subjects (F = 6.53; P < 0.05).
“Performing a two-factor mixed design (group by time) ANOVA with the SEC groups as independent, and the seven cortisol samples as dependent measures, we found a significant main effect of SEC on the cortisol stress response ( F = 6.53;P < 0.05; see Fig. 3).”
Quote in the paperSubstantial claim - Findingown data
In young subjects, the cortisol response to a psychosocial stress task is significantly correlated with both hippocampal volume and levels of self-esteem and locus of control.
“In the young, the cortisol response to the psychosocial stress task was significantly correlated with both hippocampal volume and levels of self-esteem and locus of control”
Quote in the paperSubstantial claim
- Findingown data
Self-esteem correlates strongly positively with internal locus of control in the young sample (r = 0.67, P < 0.001).
“Replicating these earlier findings, it was found that self-esteem correlated strongly positively with internal locus of control (r = 0.67, P < 0.001 in the young sample, and r = 0.70, P < 0.001 in the old sample: as in the previous research, the correlations between self-esteem and external locus of control were only weak to moderate: young: r = À0.17,P > 0.20; old: r = À0.55,P < 0.05).”
Quote in the paperSubstantial claim - Findingown data
Age was weakly negatively correlated with the aggregated cortisol response to awakening over the 12-month period (r = -0.37, P = 0.09).
“Finally, age was found to be weakly negatively correlated with the aggregated cortisol response to awakening over the 12-month period (r = À0.37,P = 0.09), giving some evidence that cortisol dysregulation increased with age.”
Quote in the paperNot a substantial claim - Findingown data
Self-esteem correlates strongly positively with internal locus of control in the old sample (r = 0.70, P < 0.001).
“Replicating these earlier findings, it was found that self-esteem correlated strongly positively with internal locus of control (r = 0.67, P < 0.001 in the young sample, and r = 0.70, P < 0.001 in the old sample: as in the previous research, the correlations between self-esteem and external locus of control were only weak to moderate: young: r = À0.17,P > 0.20; old: r = À0.55,P < 0.05).”
Quote in the paperSubstantial claim - Findingcitation
Low SEC individuals showed a significantly larger cortisol response to a stressful situation.
“Thus, replicating our previous research, it was observed that low SEC individuals showed a significantly larger cortisol response to a stressful situation (Pruessner et al., 1999b).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pruessner et al., 1999b
Not checked in the free run.
- Findingown data
Young subjects with low SEC had a 12% smaller left hippocampus and a 13% smaller right hippocampus than those with high SEC.
“In examining the low and high SEC groups, we found that the young subjects with low SEC had a 12% smaller left hippocampus, and a 13% smaller right hippocampus, than those with high SEC ( F 1,15 = 20.06,P < 0.001, two-factor (SEC Â hemisphere) mixed design ANOVA).”
Quote in the paperSubstantial claim - Findingown data
In elderly subjects, self-esteem and locus of control moderate age-related patterns of cognitive decline, cortisol regulation, and global brain volume decline.
“while in the elderly, these personality traits moderated age-related patterns of cognitive decline, cortisol regulation, and global brain volume decline.”
Quote in the paperSubstantial claim - Findingown data
Age was significantly associated with reduction of total brain gray matter (r = -0.66).
“We also observed a significant reduction of total brain gray matter with age (r = À0.66).”
Quote in the paperNot a substantial claim - Findingown data
No differences were observed for mental arithmetic performance between subjects with low and high SEC.
“No differences were observed for mental arithmetic performance between subjects with low and high SEC ( F < 1, P > 0.20).”
Quote in the paperNot a substantial claim - Findingown data
In elderly subjects, age was significantly associated with reductions in volumes of left and right hippocampus (r = -0.41 and r = -0.52, respectively).
“Here, it could be observed that age was significantly associated with reductions in volumes of left and right hippocampus (r = À0.41 and r = À0.52,respectively).”
Quote in the paperNot a substantial claim - Findingown data
The correlation between self-esteem and hippocampal volume remained significant (r = 0.51, P = 0.05; n = 17) even after excluding subjects with the lowest cognitive scores (3M < 28).
“It is important to note that the correlation between self-esteem and hippocampal volume remained significant (r = 0.51, P = 0.05; n = 17), even after excluding subjects with the lowest cognitive scores (3M < 28) from the analysis.”
Quote in the paperSubstantial claim - Findingown data
The elderly subjects showed smaller hippocampal volumes compared to the young.
“Although the elderly subjects did show smaller hippocampal volumes compared to the young, the difference between high and low SEC levels was only slightly more pronounced in the elderly compared to the young (16.6% hippocampal volume difference in the elderly, versus 12.5% volume difference in the young), a difference that seems less than one should expect to result from a lifetime of neurotoxicit”
Quote in the paperNot a substantial claim - Findingown data
In the current study, elderly low SEC subjects showed a reduction in hippocampal volume that was somewhat more pronounced than among young subjects.
“Supporting this interpretation, we observed a reduction in hippocampal volume among our elderly low SEC subjects that was somewhat more pronounced than among the young subjects.”
Quote in the paperSubstantial claim - Findingown data
The relationship between personality measures and hippocampal volume was present in young as well as elderly subjects.
“First, the relationship between personality measures and hippocampal volume was present in young as well as elderly subjects.”
Quote in the paperSubstantial claim - Findingown data
The magnitude of the correlation with total hippocampal volume was significantly different between low and high SEC groups (z = 2.62, P = 0.001).
“The magnitude of the correlation with total hippocampal volume was significantly different between the two groups (z = 2.62, P = 0.001).”
Quote in the paperSubstantial claim - Findingown data
In the current study with the young sample, low self-esteem and locus of control predicted a higher cortisol stress response when subjects were exposed to a psychosocial stressor.
“In the current study with the young sample, low self-esteem and locus of control again predicted a higher cortisol stress response when subjects were exposed to a psychosocial stressor.”
Quote in the paperSubstantial claim - Findingown data
None of the mediation analyses produced significant results (Sobel ts < 1.4, Ps > 0.15).
“None of these analyses produced significant results (Sobel ts < 1.4, Ps > 0.15), likely due to the relatively low sample sizes involved.”
Quote in the paperSubstantial claim - Findingown data
Among elderly subjects, SEC and age had a joint effect, with the detrimental effects of low SEC subjects becoming increasingly apparent as subjects grew older.
“Moreover, among elderly subjects, SEC and age had a joint effect, with the detrimental effects of low SEC subjects becoming increasingly apparent as subjects grew older.”
Quote in the paperSubstantial claim - Findingown data
In the current study, in the whole group, there was a negative correlation between the area under the curve of the awakening response and aging.
“In the current study, we found that, in the whole group, there was a negative correlation between the area under the curve of the awakening response, and aging.”
Quote in the paperSubstantial claim - Findingown data
The mediational analysis did not lend support to the idea that the relationship between self-esteem/locus of control and hippocampal volume was mediated by the baseline or cortisol stress assessments in the two populations.
“In addition, the mediational analysis we conducted investigating whether cortisol measures might mediate the association between personality measures and hippocampal volume did not lend support to the idea that the relationship between selfesteem/locus of control and hippocampal volume was mediated by the baseline or cortisol stress assessments in the two populations, thus failing to support the”
Quote in the paperSubstantial claim - Findingown data
No gender effects were observed in the elderly sample.
“Although we observed no gender effects in the elderly sample, additional research is needed to explicitly assess possible interactions of gender with the variables studied here.”
Quote in the paperNot a substantial claim - Findingown data
Self-esteem and locus of control are significantly linked to the volume of the hippocampus in healthy young and elderly subjects.
“Although our data do not allow us to draw firm causal conclusions, our results clearly demonstrate that self-esteem and locus of control are significantly linked to the volume of the hippocampus in healthy young and elderly subjects.”
Quote in the paperSubstantial claim - Findingown data
The mediation analysis failed to yield direct support for the alternative hypothesis that hippocampal volume is a significant mediator in the personality/cortisol regulation relationship.
“The medication analysis failed to yield direct support for the alternative hypothesis that hippocampal volume is a significant mediator in the personality/cortisol regulation relationship, either.”
Quote in the paperSubstantial claim - Findingown data
Self-esteem and locus of control are also related to the acute and chronic regulation of the major stress hormone in humans, cortisol.
“Further, we found evidence that these two factors are also related to the acute and chronic regulation of the major stress hormone in humans, cortisol.”
Quote in the paperSubstantial claim - Premisecitation
Low self-esteem is associated with greater amounts of perceived daily hassles and chronic stressors, even after correcting for environmental factors, occupation, age, and gender.
“Low self-esteem is associated with greater amounts of perceived daily hassles and chronic stressors, even after correcting for environmental factors, occupation, age, and gender.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites DeLongis et al., 1988 source
Not checked in the free run.
- cites Lo, 2002
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- cites Petrie and Rotheram, 1982
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- Premisecitation
High self-esteem tends to be strongly associated with internal locus of control.
“Conversely, high selfesteem tends to be strongly associated with internal locus of control, or the confident perception that one's outcomes are determined by one's actions (DeLongis et al., 1988;Lo, 2002;Petrie and Rotheram, 1982;Whisman and Kwon, 1993).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites DeLongis et al., 1988 source
Not checked in the free run.
- cites Lo, 2002
Not checked in the free run.
- cites Petrie and Rotheram, 1982
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- Premisecitation
Variations in self-esteem and internal locus of control predict the neuroendocrine cortisol response to stress.
“Recently, variations in selfesteem and internal locus of control have been shown to predict the neuroendocrine cortisol response to stress.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Pruessner et al., 1999b
Not checked in the free run.
- cites Kirschbaum et al., 1995 source
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- Premisecitation
Glucocorticoids affect neuronal tissue by disruption of BDNF expression.
“They also affect neuronal tissue by disruption of BDNF expression (Nibuya et al., 1995;Schaaf et al., 2000).”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Cumulative exposure to high levels of cortisol over the lifetime is related to hippocampal atrophy.
“Cumulative exposure to high levels of cortisol over the lifetime is known to be related to hippocampal atrophy.”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Stress can impair and damage specific brain structures via the action of neurotoxic glucocorticoids.
“Documented effects of stress include impairment and damage to specific brain structures via the action of neurotoxic glucocorticoids (Sapolsky, 1996;Watanabe et al., 1992;Woolley et al., 1990).”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisereasoning
The hippocampus is particularly susceptible to damage as a result of chronic stress, due to a high density of receptors for glucocorticoids.
“The hippocampus is the brain structure that appears particularly susceptible to damage as a result of chronic stress, due to a high density of receptors for glucocorticoids.”
Quote in the paperSubstantial claim - Premisecitation
In a previous study, subjects with low self-esteem and low levels of internal locus of control exhibited a significant cortisol response in a mental challenge task.
“In a previous study, we demonstrated the importance of self-esteem in the cortisol stress response by showing that in a mental challenge task only the subjects with low self-esteem and low levels of internal locus of control exhibited a significant cortisol response (Pruessner et al., 1999b).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pruessner et al., 1999b
Not checked in the free run.
- Study design and conductown data
The correlational nature of the data does not allow strong causal inferences.
“The relationship between self-esteem, locus of control, hippocampal volume, and cortisol regulation is likely complex and reciprocal, and the correlational nature of our data does not allow us to make strong causal inferences.”
Quote in the paperSubstantial claim - Study design and conductown data
The cluster analysis created SEC groups within young and elderly subjects that showed significant differences with regard to internal locus of control and self-esteem.
“The cluster analysis with the self-esteem and internality scores created SEC groups within the young (low n = 8; high n = 8) and elderly subjects (low n = 13; high n = 10), which showed significant differences with regard to internal locus of control, and self-esteem.”
Quote in the paperSubstantial claim - Interpretationown data
The reduction in cognition seen in some subjects with advanced age is by itself not sufficient to explain the association between hippocampal volume and self-esteem scores.
“That is, although subjects with lower cognitive abilities have lower self-esteem as well, the reduction in cognition as seen in some subjects with advanced age (and perhaps indicative of a beginning neurodegeneration) is by itself not sufficient to explain the current association between hippocampal volume and self-esteem scores.”
Quote in the paperSubstantial claim - Study design and conductown data
The above effects were not modified when scores of the Geriatric Depression Scale were entered as a covariate.
“All of the above effects were not modified when scores of the Geriatric Depression Scale were entered as a covariate in the analyses.”
Quote in the paperNot a substantial claim - Study design and conductown data
The locus of control measure had been strongly predictive of cortisol response in previous stress research.
“We also administered the locus of control measure (Krampen, 1991) that had been strongly predictive of cortisol response in our previous stress research.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Krampen, 1991
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- Interpretationown data
The mediation analyses likely did not produce significant results due to the relatively low sample sizes involved.
“None of these analyses produced significant results (Sobel ts < 1.4, Ps > 0.15), likely due to the relatively low sample sizes involved.”
Quote in the paperSubstantial claim - Premisecitation
Self-esteem and locus of control have a significant effect on stress perception and subsequently the cortisol stress response.
“From previous studies investigating the cortisol stress response in humans, we had reason to believe that self-esteem and locus of control have a significant effect on stress perception, and subsequently the (cortisol) stress response.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Kirschbaum et al., 1995 source
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- cites Pruessner et al., 1999b
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- Premisecitation
In an induced failure mental challenge group paradigm, only subjects in the failure condition with low levels of self-esteem and internal locus of control showed a significant cortisol response.
“Furthermore, in an induced failure mental challenge group paradigm, where half of the subjects were exposed to a mental arithmetic task that contained a social evaluative component, only the subjects in the failure condition with low levels of self-esteem and internal locus of control showed a significant response (Pruessner et al., 1999b).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pruessner et al., 1999b
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- Premisecitation
Subjects with low self-esteem and low internal locus of control showed continuous high cortisol stress responses when habituating to repeated psychological stress.
“When investigating the ability of human subjects to habituate to repeated psychological stress, we had found that subjects with low self-esteem and low internal locus of control showed continuous high cortisol stress responses (Kirschbaum et al., 1995).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kirschbaum et al., 1995 source
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- Study design and conductreasoning
There are methodological issues that render the comparison of the two different study populations difficult.
“Next, there are some methodological issues that render the comparison of the two different study populations difficult.”
Quote in the paperSubstantial claim
- May combine two claims. 27
- Classified as probably not a substantial claim. 15
May combine two claims.
Findingown dataAge did not correlate with self-esteem or locus of control scores (P > 0.20).
“Age by itself did not correlate with the self-esteem or locus of control scores ( P > 0.20).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAge was significantly associated with cognitive performance: MMSE-3M (r = -0.65) and ADAS-cog (r = -0.54).
“Similar observations were made for our measures of cognitive performance, the modified version of the MMSE-3M (r = À0.65), and the measure for signs of cognitive impairment (ADAS-cog; r = À0.54), for the total sample.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataElderly subjects with low SEC had a 17.4% smaller left hippocampus and a 15.8% smaller right hippocampal volume than the high SEC group.
“In the elderly people, the low SEC had a 17.4% smaller left hippocampus, and a 15.8% smaller right hippocampal volume than the high SEC group ( F 1,21 = 7.88, P < 0.01, twofactor (SEC Â hemisphere) mixed design ANOVA; Table 1).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCorrelations between self-esteem and external locus of control are weak to moderate in young (r = -0.17, P > 0.20) and old (r = -0.55, P < 0.05) samples.
“as in the previous research, the correlations between self-esteem and external locus of control were only weak to moderate: young: r = À0.17,P > 0.20; old: r = À0.55,P < 0.05).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the low SEC group, age was strongly negatively associated with hippocampal volume (left r = -0.75, P = 0.008; right r = -0.64, P = 0.03), but not significantly associated in the high SEC group (r = 0.12 and 0.21; P > 0.20).
“We found that age was strongly negatively associated with hippocampal volume in the low SEC group (r = À0.75,P = 0.008 and r = À0.64,P = 0.03, for left and right hippocampus, respectively), but was not significantly associated in the high SEC group (r = 0.12 and 0.21; P > 0.20, respectively; Table 3).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAge explained 43% to 55% of variability of left and right hippocampal volumes in the low SEC group, but less than 5% in the high SEC group.
“Expressed differently, age explained 43% to 55% of variability of left and right hippocampal volumes in the low SEC group, but less than 5% in the high SEC group.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe correlation of age with brain gray matter was significant (r = -0.75, P < 0.008) in the low SEC group, but not significant (r = -0.35, P > 0.20) in the high SEC group.
“The correlation of age with brain gray matter was significant with r = À0.75 ( P < 0.008) in the low SEC group, but failed to show a significant impact with r = À0.35 ( P > 0.20) in the high SEC group (Table 3).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWhen splitting the whole group for subjects with high and low SEC, the correlation between cortisol and age became more pronounced in the low SEC group, while it was no longer present in the high SEC group.
“When splitting the whole group for subjects with high and low SEC, this correlation between cortisol and age became more pronounced in the low SEC group, while it was no longer present in the high SEC group.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe difference between high and low SEC levels was 16.6% hippocampal volume difference in the elderly, versus 12.5% volume difference in the young.
“Although the elderly subjects did show smaller hippocampal volumes compared to the young, the difference between high and low SEC levels was only slightly more pronounced in the elderly compared to the young (16.6% hippocampal volume difference in the elderly, versus 12.5% volume difference in the young), a difference that seems less than one should expect to result from a lifetime of neurotoxicit”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAge had a differential effect on cognitive performance as a function of self-esteem and locus of control: the correlation of age with the 3M score was significant for the low SEC group, but not for the high SEC group.
“Moreover, age had a differential effect on cognitive performance as a function of self-esteem and locus of control: the correlation of age with the 3M score was significant for the low SEC group, but not for the high SEC group (Table 3).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLow self-esteem is associated with a host of negative life outcomes, including substance abuse, delinquency, unhappiness, depression, eating disorders, and worsened recovery after illnesses.
“Low self-esteem has been associated with a host of negative life outcomes, including substance abuse, delinquency, unhappiness, depression, eating disorders, and worsened recovery after illnesses (see Hoyle et al., 1999;Leary and McDonald, 2003).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Hoyle et al., 1999
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- cites Leary and McDonald, 2003
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationHigh self-esteem is associated with positive characteristics such as initiative, strong coping skills, persistence in the face of challenges, happiness, and longevity.
“High self-esteem has been associated with positive characteristics such as initiative, strong coping skills, persistence in the face of challenges, happiness, and longevity (Baumeister et al., 2003).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Baumeister et al., 2003 source
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May combine two claims.
PremisecitationChronic perceived stress can lead to poor habituation of the hypothalamic-pituitary-adrenal axis and dysregulation of glucocorticoid release.
“Briefly, chronic perceived stress can lead to poor habituation of the hypothalamicpituitary -adrenal (HPA) axis and dysregulation of glucocorticoid (i.e., cortisol) release.”
Quote in the paperSubstantial claim0 of 2 sources checkedClassified as probably not a substantial claim.
PremisecitationThe cortisol response to awakening is associated with hippocampal integrity such that hippocampal damage predicts lower levels of cortisol in response to awakening.
“We assessed the cortisol response to awakening in the elderly, which has been recently reported to be associated with HC integrity such that HC damage predicts lower levels of cortisol in response to awakening (Buchanan et al., 2004;Wolf et al., 2005).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationThese personality variables predicted the ability to habituate to repeated psychosocial stress, with subjects with low levels of self-esteem and low internal locus of control showing continuous high cortisol stress responses.
“We further found that these personality variables predicted the ability to habituate to repeated psychosocial stress, with subjects with low levels of self-esteem and low internal locus of control showing continuous high cortisol stress responses (Kirschbaum et al., 1995).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kirschbaum et al., 1995 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe correction for image intensity has been proven to recover most of the image artifacts present in the ICBM MR database.
“Also, the correction for image intensity has been proven to recover most of the image artifacts present in the International Consortium of Brain Mapping MR database (Sled et al., 1998).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Sled et al., 1998 source
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Classified as probably not a substantial claim.
Study design and conductcitationCortisol from salivettes was analyzed using a time-resolved fluorescence immunoassay with documented validity and reliability.
“Cortisol from salivettes was analyzed using a time-resolved fluorescence immunoassay with documented validity and reliability (Dressendorfer et al., 1992).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dressendorfer et al., 1992 source
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May combine two claims.
PremisecitationDirect self-reported assessment of stress perception has proved relatively unsuccessful in the past, so cortisol stress response is a better indicator of the perceived stressfulness of the situation.
“Direct self-reported assessment of stress perception has proved relatively unsuccessful in the past, thus we focused on the standard biomarker of stress, the cortisol stress response, as a better indicator of the perceived stressfulness of the situation (Dickerson and Kemeny, 2004;Kirschbaum et al., 1992).”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenIntra- and inter-assay variability is 3.5 and 5%, respectively.
“Intra-and inter-assay variability is 3.5 and 5%, respectively.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataNeither age, nor hippocampal volume, self-esteem, locus of control, nor cortisol measures was significantly different between men and women in the elderly sample.
“Neither age, nor hippocampal volume, self-esteem, locus of control, nor cortisol measures was significantly different between men and women in the elderly sample, thus we combined the men and women for our subsequent analyses.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe cortisol antibody cross-reacts less than 4% with deoxycorticosterone or deoxycortisol, and less than 0.5% with any other adrenal steroid.
“This antibody cross-reacts less than 4% with deoxycorticosterone or deoxycortisol, and less than 0.5% with any other adrenal steroid.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataCortisol dysregulation among elderly subjects took the form of reduced response to awakening, and this effect was associated with increasing age among subjects with low self-esteem and locus of control.
“Consistent with previous research, then, cortisol dysregulation among elderly subjects took the form of reduced response to awakening, and this effect was associated with increasing age among subjects with low selfesteem and locus of control.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductcitationThe validity of the self-esteem and locus of control measures has been established and shown to be generally independent of the emotional status of the subject.
“The validity of these measures for the assessment of self-esteem and locus of control has been established and shown to be generally independent of the emotional status of the subject (Bachman and O'Malley, 1977).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bachman and O'Malley, 1977
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe Rosenberg Self-esteem Scale is the most widely used and well-validated measure of global self-esteem.
“We administered the Rosenberg Self-esteem Scale (Rosenberg, 1965), the most widely used and well-validated measure of global self-esteem.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Rosenberg, 1965
Not checked in the free run.
May combine two claims.
Study design and conductown dataThe two SEC groups did not differ with respect to age and education level.
“In each case the two groups did not differ with respect to age and education level (Table 1).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe automatic stereotaxic transformation is as accurate as the manual procedure but shows higher stability.
“It has been shown that the automatic stereotaxic transformation is as accurate as the manual procedure but shows higher stability (Collins et al., 1994).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Collins et al., 1994 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataIn previous work with the filter paper procedure, protein content in salivary samples varied by an average of less than 1% across a wide range of samples.
“In previous work with this procedure, we have established that protein content, measured in 0.1 n NaOH extracts, in salivary samples collected in this manner, varies by an average of less than 1% across a wide range of samples.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe segmentation protocol for the assessment of hippocampal volume has been validated in a number of projects.
“The segmentation protocol for the assessment of hippocampal volume has recently been developed by our group, and we have since been able to validate it in a number of projects (Pruessner et al., 2000(Pruessner et al., , 2001(Pruessner et al., , 2002)).”
Quote in the paperNot a substantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe study included cognitive assessments to control for possible signs of cognitive decline with aging (e.g., 3M scores), but this is a less than ideal approach.
“Although we included cognitive assessments to control for possible signs of cognitive decline with aging (the 3M scores, for example), this is a less than ideal approach that should be revised in future studies.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductnone givenThe study used a cross-sectional approach while aiming to explain changes likely to occur as a result of aging.
“First, we used a cross-sectional study approach, while aiming to explain changes that are likely to occur as a result of aging.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataThe number of subjects in both populations was rather small, providing only moderate power to uncover a potentially existing mediation.
“Although the number of subjects in both populations was rather small, thus providing only moderate power to uncover a potentially existing mediation in our subjects if existent in the general population, this casts further doubt on the explanation of the observed relationship as a consequence of cortisol neurotoxicity.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe difference between high and low SEC levels was only slightly more pronounced in the elderly compared to the young, and this difference seems less than one should expect to result from a lifetime of neurotoxicity.
“Although the elderly subjects did show smaller hippocampal volumes compared to the young, the difference between high and low SEC levels was only slightly more pronounced in the elderly compared to the young (16.6% hippocampal volume difference in the elderly, versus 12.5% volume difference in the young), a difference that seems less than one should expect to result from a lifetime of neurotoxicit”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductnone givenIn the younger sample, only men were studied, while in the elderly sample, men and women were investigated, with women comprising the majority of the subjects.
“Another difference between the samples involved gender: in the younger sample, only men were studied, while in the elderly, men and women were investigated, with women comprising the majority of the subjects.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductown dataThe mediation analysis was hampered by relatively low degrees of freedom.
“Again, this analysis was hampered by the relatively low degrees of freedom, and thus these associations should be investigated in a larger study.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe study did not collect IQ data to complement the personality assessment.
“Relatedly, it should be noted that we did not collect IQ data to complement our personality assessment.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Little is known about possible biological mechanisms underlying self-esteem, or underlying the association between self-esteem and health and disease.
“Little is known about possible biological mechanisms underlying self-esteem, or underlying the association between selfesteem, and health and disease.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Poor self esteem and low internal locus of control are related to 12-13% smaller volume of the hippocampus.
“poor self esteem and low internal locus of control have been related to 12–13% smaller volume of the hippocampus”
From Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators (2008) · cites this paper as Pruessner et al., 2005
Poor self esteem and low internal locus of control are related to higher cortisol levels during a mental arithmetic stressor.
“as well as higher cortisol levels during a mental arithmetic stressor (Pruessner et al., 1999; Pruessner et al., 2005).”
From Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators (2008) · cites this paper as Pruessner et al., 2005
Poor self-esteem and low internal locus of control are related to higher cortisol levels during a mental arithmetic stressor.
“Furthermore, poor self-esteem and low internal locus of control have been related to a 12% to 13% smaller volume of the hippocampus, as well as higher Cortisol levels during a mental arithmetic stressor.124,125”
From Protective and damaging effects of stress mediators: central role of the brain (2006) · cites this paper as [124]
Poor self-esteem and low internal locus of control are related to a 12% to 13% smaller volume of the hippocampus.
“Furthermore, poor self-esteem and low internal locus of control have been related to a 12% to 13% smaller volume of the hippocampus, as well as higher Cortisol levels during a mental arithmetic stressor.124,125”
From Protective and damaging effects of stress mediators: central role of the brain (2006) · cites this paper as [124]
Statistics that don’t add up
Each reported p-value recomputed from its test statistic and degrees of freedom.
Inconsistent p-value: (z = 2.62, p = .001
MinorThe paper reports p = .001 here; recomputing from the test statistic and its degrees of freedom gives p = .009 (two-tailed). The check cannot tell whether the statistic or the p-value is the misprint.
Reported p = .001 · recomputed p = .009
“(z = 2.62, P = 0.001”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Doesn’t add upz = 2.62reported p = .001 · recomputed p = .009
“(z = 2.62, p = .001”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Age-ADAS correlation has opposite signs in the results and table
MinorThe results text reports a negative correlation between age and ADAS-cog scores in the elderly sample, whereas the table reports a positive correlation of the same magnitude. The direction of this reported age association is therefore inconsistent.
“the measure for signs of cognitive impairment (ADAS-cog; r = À0.54), for the total sample.”
“ADAS r = 0.54, P < 0.008 r = 0.41, P > 0.20 r = 0.52, P = 0.07”
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- Authors
- Pruessner, J. C., Baldwin, M. W., Dedovic, K., Renwick, R., Mahani, N. K., Lord, C., Meaney, M., & Lupien, S.
- Affiliations
- Montreal Neurological Institute and Hospital (CA)
- McGill University (CA)
- Douglas Mental Health University Institute (CA)
- Corresponding author
- Pruessner, Jens C.
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2005-12
- Volume
- 28
- Issue
- 4
- Pages
- 815-826
- ISSN
- 1053-8119 (ISSN-L)
- OpenAlex
- W2083336847
- Semantic Scholar
- 88af34dd84e0c7d2573d67b3b60611c4bc0037ca
- Cited by
- 336
- References
- 69
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 13 · 2023: 13 · 2022: 13 · 2021: 18 · 2020: 10 · 2019: 14 · 2018: 23 · 2017: 22 · 2016: 20 · 2015: 18 · 2014: 23 · 2013: 19 · 2012: 27
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- green
- nbn-resolving.de
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- KOPS (University of Konstanz) (submittedVersion)
- Funders
- Canadian Institutes of Health Research (15000, 67071)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Keywords
- self-esteem, internal locus of control, hippocampal volume, cortisol regulation, psychosocial stress, hippocampal atrophy, aging, cognitive decline, medial temporal lobe, personality traits, neuroendocrine stress response
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Amygdala, Cerebrospinal Fluid, Education, Female, Hippocampus, Humans, Hydrocortisone, Magnetic Resonance Imaging, Male, Middle Aged, Neuropsychological Tests, Personality Tests, Psychological Tests, Saliva, Self Concept, Stress, Psychological
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