The Effects of Perceived Stress, Traits, Mood States, and Stressful Daily Events on Salivary Cortisol
Abstract
This study examined the effects of perceived stress and related individual characteristics, mood states, and stressful daily events on salivary cortisol levels. Forty-one "high stress" and 46 "low stress" subjects were selected on the basis of Perceived Stress Scale scores from a sample of male, white collar workers. Subjects completed Experience Sampling self-reports and collected saliva samples 10 times a day over 5 consecutive days. Multilevel analysis revealed that trait anxiety and depression, but not perceived stress, were associated with small but statistically significant cortisol elevation. No effects on cortisol were found for recent life events, chronic difficulties, trait anger, or psychosomatic symptoms. Distress, as reflected by the mood states Negative Affect and Agitation, was associated with higher cortisol levels, whereas Positive Affect had no statistically significant effect. Stressful daily events were associated with increased cortisol secretion, the magnitude of the effect depending on whether the event was still ongoing and on how frequently a similar kind of event had occurred previously. Although perceived stress, anxiety, and depression did not increase cortisol reactivity to daily events, we found evidence for reduced habituation to recurrent events in subjects scoring high on these traits. Mood appeared to play a mediating role in the relationship between stressful events and cortisol secretion. These results suggest that negative affectivity is not just a confounder but is related to elevated cortisol secretion during normal daily activities. The finding that even minor events and fluctuations in mood states were associated with increased adrenocortical activity points to a possible mechanism linking subjective experience to health outcomes.
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There is evidence that cortisol reactivity occurs when subjects are put into stressful circumstances, particularly those associated with an increase in negative mood.
“There is evidence that cortisol reactivity does occur when subjects are reactivity does occur when subjects are put into stressful circumstances, parti-put into stressful circumstances, particularly those that are associated with an in-cularly those that are associated with an increase in negative mood (van Eck crease in negative mood (van Eck et al et al, , 1996).”
From Recent life events, cortisol, dehydroepiandrosterone and the onset of major depression in high-risk adolescents (2000) · cites this paper as van Eck et al, 1996
Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
Folkman, S., & Lazarus, R. S. (1985) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.48.1.150 · Cited by 4,845 · see citing works
Validity and reliability of the Experience-Sampling Method
CSIKSZENTMIHALYI, M., & LARSON, R. (1987) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198709000-00004 · Cited by 2,544 · see citing works
Organization for physiological homeostasis
Cannon, W. B. (1929) · Physiological Reviews · doi:10.1152/physrev.1929.9.3.399 · Cited by 1,844 · see citing works
The impact of daily stress on health and mood: psychological and social resources as mediators
DeLongis, A., Folkman, S., & Lazarus, R. S. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.3.486 · Cited by 1,621 · cited 1× · see citing works
“Although a growing number of studies have examined the relationship between daily events and mood (15-22) or physical symptoms (23-25), few have investigated whether stressful daily experiences have an effect on cortisol excretion.”
BackgroundMood and the mundane: Relations between daily life events and self-reported mood.
Clark, L. A., & Watson, D. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.2.296 · Cited by 784 · cited 1× · see citing works
“Although a growing number of studies have examined the relationship between daily events and mood (15-22) or physical symptoms (23-25), few have investigated whether stressful daily experiences have an effect on cortisol excretion.”
BackgroundHormones in saliva: mode of entry and consequent implications for clinical interpretation
Vining, R. F., McGinley, R. A., & Symons, R. G. (1983) · Clinical Chemistry · doi:10.1093/clinchem/29.10.1752 · Cited by 341 · see citing works
Diurnal cortisol peaks and their relationships to meals
LEGLER, M., BRANDENBERGER, G., HIETTER, B., SIMÉONI, M., & REINHARDT, B. (1982) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-55-4-757 · Cited by 231 · see citing works
Kirschbaum, C., Wüst, S., Faig, H. G., & Hellhammer, D. H. (1992) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.75.6.1464659 · Cited by 195 · see citing works
A MID-DAY SURGE IN CORTISOL LEVELS
QUIGLEY, M. E., & YEN, S. S. C. (1979) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-49-6-945 · Cited by 135 · see citing works
Perceived Stress and Salivary Cortisol in Daily Life
van Eck, M. M., & Nicolson, N. A. (1994) · Annals of Behavioral Medicine · doi:10.1093/abm/16.3.221 · Cited by 113 · see citing works
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Sorted by citations
Does positive affect influence health?
Pressman, S. D., & Cohen, S. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.6.925 · Cited by 2,087 · see citing works
Development of the Gender Minority Stress and Resilience Measure.
Testa, R. J., Habarth, J., Peta, J., Balsam, K., & Bockting, W. (2015) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000081 · Cited by 1,406 · see citing works
Depression and cortisol responses to psychological stress: A meta-analysis
Burke, H. M., Davis, M. C., Otte, C., & Mohr, D. C. (2005) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2005.02.010 · Cited by 1,194 · see citing works
Stress during pregnancy is associated with developmental outcome in infancy
Huizink, A. C., Robles de Medina, P. G., Mulder, E. J. H., Visser, G. H. A., & Buitelaar, J. K. (2003) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00166 · Cited by 651 · see citing works
Effect of psychological stress on the salivary cortisol and amylase levels in healthy young adults
Takai, N., Yamaguchi, M., Aragaki, T., Eto, K., Uchihashi, K., & Nishikawa, Y. (2004) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2004.06.007 · Cited by 568 · see citing works
Positive Affect and Psychobiological Processes Relevant to Health
Steptoe, A., Dockray, S., & Wardle, J. (2009) · Journal of Personality · doi:10.1111/j.1467-6494.2009.00599.x · Cited by 520 · see citing works
Huizink, A. C., Mulder, E. J. H., & Buitelaar, J. K. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.1.115 · Cited by 473 · see citing works
The stress cascade and schizophrenia: Etiology and onset
Corcoran, C., Walker, E., Huot, R., Mittal, V., Tessner, K., Kestler, L., & Malaspina, D. (2003) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007038 · Cited by 439 · see citing works
Ecological momentary assessment research in behavioral medicine
Smyth, J. M., & Stone, A. A. (2003) · Journal of Happiness Studies · doi:10.1023/a:1023657221954 · Cited by 439 · see citing works
Goodyer, I. M., Herbert, J., Tamplin, A., & Altham, P. M. E. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.6.499 · Cited by 436 · see citing works
A prospective evaluation of the directionality of the depression–inflammation relationship
Stewart, J. C., Rand, K. L., Muldoon, M. F., & Kamarck, T. W. (2009) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2009.04.011 · Cited by 390 · see citing works
Job strain and anger expression predict early morning elevations in salivary cortisol
Steptoe, A., Cropley, M., Griffith, J., & Kirschbaum, C. (2000) · Psychosomatic Medicine · doi:10.1097/00006842-200003000-00022 · Cited by 365 · see citing works
KLIMES–DOUGAN, B., HASTINGS, P. D., GRANGER, D. A., USHER, B. A., & ZAHN–WAXLER, C. (2001) · Development and Psychopathology · doi:10.1017/s0954579401003157 · Cited by 352 · see citing works
Loneliness and cortisol: Momentary, day-to-day, and trait associations
Doane, L. D., & Adam, E. K. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.08.005 · Cited by 342 · see citing works
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Fox, H. C., Bergquist, K. L., Hong, K., & Sinha, R. (2007) · Alcoholism: Clinical and Experimental Research · doi:10.1111/j.1530-0277.2006.00320.x · Cited by 315 · see citing works
LESERMAN, J., PETITTO, J. M., GU, H., GAYNES, B. N., BARROSO, J., GOLDEN, R. N., PERKINS, D. O., FOLDS, J. D., & EVANS, D. L. (2002) · Psychological Medicine · doi:10.1017/s0033291702005949 · Cited by 311 · see citing works
Estimating between- and within-individual variation in cortisol levels using multilevel models
Hruschka, D. J., Kohrt, B. A., & Worthman, C. M. (2005) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2005.03.002 · Cited by 303 · see citing works
Glaser, J.-P., van Os, J., Portegijs, P. J. M., & Myin-Germeys, I. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.04.014 · Cited by 280 · see citing works
The role of psychobiological pathways in socio-economic inequalities in cardiovascular disease risk
Steptoe, A. (2002) · European Heart Journal · doi:10.1053/euhj.2001.2611 · Cited by 274 · see citing works
Maier, S. U., Makwana, A. B., & Hare, T. A. (2015) · Neuron · doi:10.1016/j.neuron.2015.07.005 · Cited by 270 · see citing works
Diurnal cortisol decline is related to coronary calcification: CARDIA study
Matthews, K., Schwartz, J., Cohen, S., & Seeman, T. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000244071.42939.0e · Cited by 240 · see citing works
Positive couple interactions and daily cortisol: On the stress-protecting role of intimacy
Ditzen, B., Hoppmann, C., & Klumb, P. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318185c4fc · Cited by 242 · see citing works
Sliwinski, M. J., Almeida, D. M., Smyth, J., & Stawski, R. S. (2009) · Psychology and Aging · doi:10.1037/a0017925 · Cited by 241 · see citing works
Low self-esteem, induced failure and the adrenocortical stress response
Pruessner, J. C., Hellhammer, D. H., & Kirschbaum, C. (1999) · Personality and Individual Differences · doi:10.1016/s0191-8869(98)00256-6 · Cited by 207 · see citing works
Coping and experiential avoidance: Unique or overlapping constructs?
Karekla, M., & Panayiotou, G. (2011) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2010.10.002 · Cited by 196 · see citing works
Hansen, Å. M., Garde, A. H., & Persson, R. (2008) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/00365510701819127 · Cited by 198 · see citing works
Muehlenbein, M. P., Hirschtick, J. L., Bonner, J. Z., & Swartz, A. M. (2010) · American Journal of Human Biology · doi:10.1002/ajhb.21045 · Cited by 178 · see citing works
Type D Personality as a Prognostic Factor in Heart Disease: Assessment and Mediating Mechanisms
Kupper, N., & Denollet, J. (2007) · Journal of Personality Assessment · doi:10.1080/00223890701629797 · Cited by 155 · see citing works
Childhood parental loss and cortisol levels in adult men
Nicolson, N. A. (2004) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2003.09.005 · Cited by 149 · see citing works
Self-citationCortisol secretion in depressed, and at-risk adults
Dienes, K. A., Hazel, N. A., & Hammen, C. L. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.09.019 · Cited by 128 · see citing works
Positive upshots of cortisol in everyday life.
Hoyt, L. T., Zeiders, K. H., Ehrlich, K. B., & Adam, E. K. (2016) · Emotion · doi:10.1037/emo0000174 · Cited by 110 · see citing works
Parrish, B. P., Cohen, L. H., & Laurenceau, J.-P. (2011) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2011.30.3.270 · Cited by 110 · see citing works
Cortisol and α-Amylase Secretion Patterns between and within Depressed and Non-Depressed Individuals
Booij, S. H., Bos, E. H., Bouwmans, M. E. J., van Faassen, M., Kema, I. P., Oldehinkel, A. J., & de Jonge, P. (2015) · PLOS ONE · doi:10.1371/journal.pone.0131002 · Cited by 96 · see citing works
Negative social interactions and risk of mild cognitive impairment in old age
Wilson, R. S., Boyle, P. A., James, B. D., Leurgans, S. E., Buchman, A. S., & Bennett, D. A. (2015) · Neuropsychology · doi:10.1037/neu0000154 · Cited by 87 · see citing works
HPA axis function and symptoms in adolescents at clinical high risk for schizophrenia
Corcoran, C. M., Smith, C., McLaughlin, D., Auther, A., Malaspina, D., & Cornblatt, B. (2012) · Schizophrenia Research · doi:10.1016/j.schres.2011.11.035 · Cited by 85 · see citing works
Cancer survivors' responses to daily stressors: Implications for quality of life.
Costanzo, E. S., Stawski, R. S., Ryff, C. D., Coe, C. L., & Almeida, D. M. (2012) · Health Psychology · doi:10.1037/a0027018 · Cited by 73 · see citing works
Kim, J., Nakamura, T., Kikuchi, H., Sasaki, T., & Yamamoto, Y. (2013) · PLoS ONE · doi:10.1371/journal.pone.0074979 · Cited by 58 · see citing works
“Many studies have demonstrated the strength of EMA in terms of the minimization of recall biases [36,37,38] and the correlation with other objective measures [10,11,12,13,14,15,16,17].”
BackgroundThe Effects of Prenatal Exposure to Neighborhood Crime on Neonatal Functional Connectivity
Brady, R. G., Rogers, C. E., Prochaska, T., Kaplan, S., Lean, R. E., Smyser, T. A., Shimony, J. S., Slavich, G. M., Warner, B. B., Barch, D. M., et al. (2022) · Biological Psychiatry · doi:10.1016/j.biopsych.2022.01.020 · Cited by 50 · see citing works
Randomized Controlled Trial of Inner Resources Meditation for Family Dementia Caregivers
Waelde, L. C., Meyer, H., Thompson, J. M., Thompson, L., & Gallagher‐Thompson, D. (2017) · Journal of Clinical Psychology · doi:10.1002/jclp.22470 · Cited by 46 · see citing works
Diurnal cortisol patterns of young male patients with schizophrenia
Hempel, R. J., Tulen, J. H. M., van Beveren, N. J. M., Röder, C. H., de Jong, F. H., & Hengeveld, M. W. (2010) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2010.02121.x · Cited by 41 · see citing works
Li, J., Cowden, L. G., King, J. D., Briles, D. A., Schroeder, H. W., Stevens, A. B., Perry, R. T., Chen, Z., Simmons, M. S., Wiener, H. W., et al. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3180cc2c61 · Cited by 40 · see citing works
Dietary electrolytes are related to mood
Torres, S. J., Nowson, C. A., & Worsley, A. (2008) · British Journal of Nutrition · doi:10.1017/s0007114508959201 · Cited by 40 · see citing works
Dominguez-Rodriguez, A., Herdoiza-Arroyo, P. E., González-Ramírez, L. P., Martínez-Arriaga, R. J., Villarreal-Zegarra, D., Santos da Silva, A. C., González-Cantero, J. O., Vargas Salinas, V. S., S. Mensorio, M., Cisneros Hernández, A. A., et al. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1279847 · Cited by 3 · see citing works
- Authors
- van Eck, M., Berkhof, H., Nicolson, N., & Sulon, J.
- Affiliations
- University of Liège (BE)
- ORCID
- Nicolson, Nancy
- Venue
- Psychosomatic Medicine
- Published
- 1996
- Volume
- 58
- Issue
- 5
- Pages
- 447-458
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2139434784
- Cited by
- 617
- References
- 11
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 9 · 2023: 12 · 2022: 40 · 2021: 27 · 2020: 19 · 2019: 20 · 2018: 30 · 2017: 21 · 2016: 32 · 2015: 26 · 2014: 27 · 2013: 28 · 2012: 40
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- perceived stress, salivary cortisol, trait anxiety, depression, mood states, negative affect, positive affect, agitation, cortisol response, adrenocortical function, white-collar workers, psychosomatic symptoms
- MeSH terms
- Adult, Affect, Anxiety, Bayes Theorem, Cross-Sectional Studies, Depression, Humans, Hydrocortisone, Longitudinal Studies, Male, Middle Aged, Neurotic Disorders, Periodicity, Saliva, Sampling Studies, Self-Assessment, Severity of Illness Index, Stress, Psychological, Time Factors, Confounding Factors, Epidemiologic, Linear Models
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