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Evaluation of salivary cortisol as a biomarker of self-reported mental stress in field studies

Hjortskov, N; Garde, AH; Örbaek, Palle LU and Hansen, AM (2004) In Stress and Health 20(2). p.91-98
Abstract
This study examine's the association between self-reported mental stress and the salivary cortisol response via a systematic literature review by using recommendations from the Cochrane Collaboration. Literature in different databases was screened and articles were selected on the basis of a set of inclusion criteria. Each article was assigned a total score on the basis of a rating system including objective and design of the studies, description of possible confounders, sampling strategy, description of psychosocial factors, and statistical analysis. The findings of the studies were considered to be inconsistent if less than 75 per cent of the high and medium quality studies reported the same conclusion. The literature search revealed a... (More)
This study examine's the association between self-reported mental stress and the salivary cortisol response via a systematic literature review by using recommendations from the Cochrane Collaboration. Literature in different databases was screened and articles were selected on the basis of a set of inclusion criteria. Each article was assigned a total score on the basis of a rating system including objective and design of the studies, description of possible confounders, sampling strategy, description of psychosocial factors, and statistical analysis. The findings of the studies were considered to be inconsistent if less than 75 per cent of the high and medium quality studies reported the same conclusion. The literature search revealed a total of 73 studies. According to the inclusion criteria 14 field studies were selected for further evaluation. According to the rating system, seven studies were considered to be of high quality and seven studies of medium quality. No studies were considered to be of low quality. Four studies reported a positive association; two studies reported negative association and eight reported no association between self-reported mental stress and the cortisol response. Accordingly, the evaluation of the studies in this paper showed insufficient evidence for an association between self-reported mental stress and the cortisol response in field studies. Possibly the large diversity in study designs, the types and measures of mental stress, and the various salivary cortisol sampling strategies obscure any potential relationship. Copyright (C) 2004 John Wiley Sons, Ltd. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
mental stress, self-reports, cortisol, salivary, Cochrane review
in
Stress and Health
volume
20
issue
2
pages
91 - 98
publisher
John Wiley & Sons
external identifiers
  • wos:000221060600006
  • scopus:2342616113
ISSN
1532-3005
DOI
10.1002/smi.1000
language
English
LU publication?
yes
id
c65e9657-b6ef-4364-ad50-99e37faf51fc (old id 280078)
date added to LUP
2007-10-30 15:06:19
date last changed
2017-11-19 03:32:28
@article{c65e9657-b6ef-4364-ad50-99e37faf51fc,
  abstract     = {This study examine's the association between self-reported mental stress and the salivary cortisol response via a systematic literature review by using recommendations from the Cochrane Collaboration. Literature in different databases was screened and articles were selected on the basis of a set of inclusion criteria. Each article was assigned a total score on the basis of a rating system including objective and design of the studies, description of possible confounders, sampling strategy, description of psychosocial factors, and statistical analysis. The findings of the studies were considered to be inconsistent if less than 75 per cent of the high and medium quality studies reported the same conclusion. The literature search revealed a total of 73 studies. According to the inclusion criteria 14 field studies were selected for further evaluation. According to the rating system, seven studies were considered to be of high quality and seven studies of medium quality. No studies were considered to be of low quality. Four studies reported a positive association; two studies reported negative association and eight reported no association between self-reported mental stress and the cortisol response. Accordingly, the evaluation of the studies in this paper showed insufficient evidence for an association between self-reported mental stress and the cortisol response in field studies. Possibly the large diversity in study designs, the types and measures of mental stress, and the various salivary cortisol sampling strategies obscure any potential relationship. Copyright (C) 2004 John Wiley Sons, Ltd.},
  author       = {Hjortskov, N and Garde, AH and Örbaek, Palle and Hansen, AM},
  issn         = {1532-3005},
  keyword      = {mental stress,self-reports,cortisol,salivary,Cochrane review},
  language     = {eng},
  number       = {2},
  pages        = {91--98},
  publisher    = {John Wiley & Sons},
  series       = {Stress and Health},
  title        = {Evaluation of salivary cortisol as a biomarker of self-reported mental stress in field studies},
  url          = {http://dx.doi.org/10.1002/smi.1000},
  volume       = {20},
  year         = {2004},
}