Informal caregiving and diurnal patterns of salivary cortisol: Results from the Whitehall II cohort study

Research output: Contribution to journalJournal articlepeer-review

Standard

Informal caregiving and diurnal patterns of salivary cortisol : Results from the Whitehall II cohort study. / Mortensen, Jesper; Dich, Nadya; Clark, Alice Jessie; Ramlau-Hansen, Cecilia Høst; Head, Jenny; Kivimäki, Mika; Kumari, Meena; Rod, Naja Hulvej.

In: Psychoneuroendocrinology, Vol. 100, 02.2019, p. 41-47.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Mortensen, J, Dich, N, Clark, AJ, Ramlau-Hansen, CH, Head, J, Kivimäki, M, Kumari, M & Rod, NH 2019, 'Informal caregiving and diurnal patterns of salivary cortisol: Results from the Whitehall II cohort study', Psychoneuroendocrinology, vol. 100, pp. 41-47. https://doi.org/10.1016/j.psyneuen.2018.09.030

APA

Mortensen, J., Dich, N., Clark, A. J., Ramlau-Hansen, C. H., Head, J., Kivimäki, M., Kumari, M., & Rod, N. H. (2019). Informal caregiving and diurnal patterns of salivary cortisol: Results from the Whitehall II cohort study. Psychoneuroendocrinology, 100, 41-47. https://doi.org/10.1016/j.psyneuen.2018.09.030

Vancouver

Mortensen J, Dich N, Clark AJ, Ramlau-Hansen CH, Head J, Kivimäki M et al. Informal caregiving and diurnal patterns of salivary cortisol: Results from the Whitehall II cohort study. Psychoneuroendocrinology. 2019 Feb;100:41-47. https://doi.org/10.1016/j.psyneuen.2018.09.030

Author

Mortensen, Jesper ; Dich, Nadya ; Clark, Alice Jessie ; Ramlau-Hansen, Cecilia Høst ; Head, Jenny ; Kivimäki, Mika ; Kumari, Meena ; Rod, Naja Hulvej. / Informal caregiving and diurnal patterns of salivary cortisol : Results from the Whitehall II cohort study. In: Psychoneuroendocrinology. 2019 ; Vol. 100. pp. 41-47.

Bibtex

@article{fbd1d7aac5aa44059c8a2825a1c3cbc7,
title = "Informal caregiving and diurnal patterns of salivary cortisol: Results from the Whitehall II cohort study",
abstract = "The objective was to investigate the relationship between various aspects of informal caregiving and diurnal patterns of salivary cortisol, with special attention to the moderating effect of sex and work status. The study population was composed of 3727 men and women from the British Whitehall II study. Salivary cortisol was measured six times during a weekday. Aspects of caregiving included the relationship of caregiver to recipient, weekly hours of caregiving, and length of caregiving. Diurnal cortisol profiles were assessed using the cortisol awakening response (CAR) and diurnal cortisol slopes. Results showed that men, but not women, providing informal care had a blunted CAR compared with non-caregivers (PInteraction = 0.03). Furthermore, we found a dose-response relationship showing that more weekly hours of informal care was associated with a more blunted CAR for men (Ptrend = 0.03). Also, the blunted CAR for men was especially pronounced in short-term caregivers and those in paid work. In women, the steepest cortisol slope was seen among those in paid work who provided informal care (PInteraction = 0.01). To conclude, we found different cortisol profiles in male and female informal caregivers. Male caregivers had a blunted CAR, which has previously been associated with chronic stress and burnout. Future research should investigate whether results are generalizable beyond UK citizens with a working history in the civil service.",
author = "Jesper Mortensen and Nadya Dich and Clark, {Alice Jessie} and Ramlau-Hansen, {Cecilia H{\o}st} and Jenny Head and Mika Kivim{\"a}ki and Meena Kumari and Rod, {Naja Hulvej}",
note = "Copyright {\textcopyright} 2018 Elsevier Ltd. All rights reserved.",
year = "2019",
month = feb,
doi = "10.1016/j.psyneuen.2018.09.030",
language = "English",
volume = "100",
pages = "41--47",
journal = "Psychoneuroendocrinology",
issn = "0306-4530",
publisher = "Pergamon Press",

}

RIS

TY - JOUR

T1 - Informal caregiving and diurnal patterns of salivary cortisol

T2 - Results from the Whitehall II cohort study

AU - Mortensen, Jesper

AU - Dich, Nadya

AU - Clark, Alice Jessie

AU - Ramlau-Hansen, Cecilia Høst

AU - Head, Jenny

AU - Kivimäki, Mika

AU - Kumari, Meena

AU - Rod, Naja Hulvej

N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.

PY - 2019/2

Y1 - 2019/2

N2 - The objective was to investigate the relationship between various aspects of informal caregiving and diurnal patterns of salivary cortisol, with special attention to the moderating effect of sex and work status. The study population was composed of 3727 men and women from the British Whitehall II study. Salivary cortisol was measured six times during a weekday. Aspects of caregiving included the relationship of caregiver to recipient, weekly hours of caregiving, and length of caregiving. Diurnal cortisol profiles were assessed using the cortisol awakening response (CAR) and diurnal cortisol slopes. Results showed that men, but not women, providing informal care had a blunted CAR compared with non-caregivers (PInteraction = 0.03). Furthermore, we found a dose-response relationship showing that more weekly hours of informal care was associated with a more blunted CAR for men (Ptrend = 0.03). Also, the blunted CAR for men was especially pronounced in short-term caregivers and those in paid work. In women, the steepest cortisol slope was seen among those in paid work who provided informal care (PInteraction = 0.01). To conclude, we found different cortisol profiles in male and female informal caregivers. Male caregivers had a blunted CAR, which has previously been associated with chronic stress and burnout. Future research should investigate whether results are generalizable beyond UK citizens with a working history in the civil service.

AB - The objective was to investigate the relationship between various aspects of informal caregiving and diurnal patterns of salivary cortisol, with special attention to the moderating effect of sex and work status. The study population was composed of 3727 men and women from the British Whitehall II study. Salivary cortisol was measured six times during a weekday. Aspects of caregiving included the relationship of caregiver to recipient, weekly hours of caregiving, and length of caregiving. Diurnal cortisol profiles were assessed using the cortisol awakening response (CAR) and diurnal cortisol slopes. Results showed that men, but not women, providing informal care had a blunted CAR compared with non-caregivers (PInteraction = 0.03). Furthermore, we found a dose-response relationship showing that more weekly hours of informal care was associated with a more blunted CAR for men (Ptrend = 0.03). Also, the blunted CAR for men was especially pronounced in short-term caregivers and those in paid work. In women, the steepest cortisol slope was seen among those in paid work who provided informal care (PInteraction = 0.01). To conclude, we found different cortisol profiles in male and female informal caregivers. Male caregivers had a blunted CAR, which has previously been associated with chronic stress and burnout. Future research should investigate whether results are generalizable beyond UK citizens with a working history in the civil service.

U2 - 10.1016/j.psyneuen.2018.09.030

DO - 10.1016/j.psyneuen.2018.09.030

M3 - Journal article

C2 - 30290284

VL - 100

SP - 41

EP - 47

JO - Psychoneuroendocrinology

JF - Psychoneuroendocrinology

SN - 0306-4530

ER -

ID: 203943661