Cognitive-behavioral stress management buffers decreases in dehydroepiandrosterone sulfate (DHEA-S) and increases in the cortisol/DHEA-S ratio and reduces mood disturbance and perceived stress among HIV-seropositive men

Cruess, Dean G.; Antoni, Michael H.; Kumar, Mahendra; Ironson, Gail; McCabe, Philip M.; Fernandez, J. B.; Fletcher, MaryAnn; Schneiderman, Neil

doi:10.1016/s0306-4530(99)00010-4

Cited by 97 publications

(52 citation statements)

References 31 publications

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“…Previous research has suggested that the ratio of cortisol to DHEA-S may be as reliable an indicator of stress, if not more so, than the absolute levels of either chemical (see, e.g., Cruess et al, 1999). When mathematically expressed as cortisol divided by DHEA-S (rather than the obverse), CDR should show direct associations with stress, since stress increases levels of the numerator (cortisol) and decreases levels of the denominator (DHEA-S) (see Parker, Levin, & Lifrak, 1985).…”

Section: Affectionate Communicationmentioning

confidence: 99%

“…When mathematically expressed as cortisol divided by DHEA-S (rather than the obverse), CDR should show direct associations with stress, since stress increases levels of the numerator (cortisol) and decreases levels of the denominator (DHEA-S) (see Parker, Levin, & Lifrak, 1985). Previous investigations have demonstrated that CDR is directly associated with multiple diverse forms of stress, including surgical stress (Ozasa, Kita, Inoue, & Mori, 1990), bodily stress due to anorexia nervosa (Zumoff et al, 1983) or injury (Butcher, Killampalli, Lascelles, Wang, Alpar, & Lord, 2005), laboratory induced stress (Whetzel et al, 2006) or fear (Grillon, Pine, Baas, Lawley, Ellis, & Charney, 2005), and the stress of military school (Morgan et al, 2004), and can be significantly decreased by a cognitivebehavioral stress management intervention (Cruess et al, 1999).…”

Section: Affectionate Communicationmentioning

confidence: 99%

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Affectionate Communication Received from Spouses Predicts Stress Hormone Levels in Healthy Adults

Floyd¹,

Riforgiate

2008

Communication Monographs

114

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Section: Affectionate Communicationmentioning

confidence: 99%

Section: Affectionate Communicationmentioning

confidence: 99%

Affectionate Communication Received from Spouses Predicts Stress Hormone Levels in Healthy Adults

Floyd¹,

Riforgiate

2008

Communication Monographs

114

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“…These include asthma, 41,[121][122][123][124] tinnitus, 35 diabetes, 38,[125][126][127][128][129][130] chronic obstructive pulmonary disease, 40 recovery after stroke (muscle re-education using biofeedback), 45,54 dermatologic conditions, 131,132 allergies, 133 irritable bowel syndrome, 134 -140 peptic ulcer, 141 pregnancy outcomes (where there is strong evidence that emotional support, ie, presence of a doula, has beneficial effects), 59,142 and human immunodeficiency virus infection. 143,144 …”

Section: Additional Clinical Areasmentioning

confidence: 99%

Mind-Body Medicine: State of the Science, Implications for Practice

Astin¹,

Shapiro²,

Eisenberg³

et al. 2003

The Journal of the American Board of Family Medicine

426

255

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Background: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions.Methods: An electronic search was undertaken of the MEDLINE, PsycLIT, and the Cochrane Library databases and a manual search of the reference sections of relevant articles for related clinical trials and reviews of the literature. Studies examining mind-body interventions for psychological disorders were excluded. Owing to space limitations, studies examining more body-based therapies, such as yoga and tai chi chuan, were also not included. Data were extracted from relevant systematic reviews, metaanalyses, and randomized controlled trials.Results: Drawing principally from systematic reviews and meta-analyses, there is considerable evidence of efficacy for several mind-body therapies in the treatment of coronary artery disease (eg, cardiac rehabilitation), headaches, insomnia, incontinence, chronic low back pain, disease and treatmentrelated symptoms of cancer, and improving postsurgical outcomes. We found moderate evidence of efficacy for mind-body therapies in the areas of hypertension and arthritis. Additional research is required to clarify the relative efficacy of different mind-body therapies, factors (such as specific patient characteristics) that might predict more or less successful outcomes, and mechanisms of action. Research is also necessary to examine the cost offsets associated with mind-body therapies.Conclusions: There is now considerable evidence that an array of mind-body therapies can be used as effective adjuncts to conventional medical treatment for a number of common clinical conditions. Evidence emerging within the past several decades suggests that psychosocial factors from emotional states, such as depression, behavioral dispositions, such as hostility, and psychosocial stress can directly influence both physiologic function and health outcomes. [1][2][3][4] Evidence from several converging lines of research, however, also suggests that despite seemingly widespread acknowledgment of and support for the importance of the biopsychosocial model, 5-7 psycho-

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“…The meta-analysis conducted by Crepaz and colleagues 27 included 15 cognitive-behavioral randomized controlled trials (RCTs) designed to modify maladaptive cognitions, reduce negative affect, and improve immune functioning among PLWHA. 29,32,35,39,41,43,44,47,50,51,53,[56][57][58][59][60][61] Fourteen of these interventions included coping skills and stress management training; the remaining study focused exclusively on cognitive-behavioral therapeutic approaches to alleviate depressed mood and reduce anxiety, excluding modules on coping. This meta-analysis found that cognitive-behavioral interventions resulted in significant decreases in depression, anxiety, anger, and stress across studies (Table 1).…”

Section: Summary Of Previous Stress Management Reviewsmentioning

confidence: 99%

Stress management interventions for HIV-infected individuals: review of recent intervention approaches and directions for future research

Brown¹,

Vanable²

2011

NBHIV

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To promote psychological wellbeing and adaptive coping among people living with human immunodeficiency virus/acquired immune deficiency syndrome (PLWHA), a number of stress management interventions have been designed and evaluated. This paper reviews recent stress management intervention approaches designed to improve the coping skills of PLWHA and reduce psychological distress. First, a summary of findings from previous narrative reviews and meta-analyses of the stress management intervention literature for PLWHA is provided. Next, recent stress management interventions for PLWHA that fall into one of four categories are reviewed: (a) interventions to improve coping and modify other health behaviors (ie, highly active antiretroviral medication adherence, sexual behaviors), (b) meditation, mindfulness, and relaxation-based stress management approaches, (c) computer-delivered interventions, and (d) interventions that target specific populations including older individuals, individuals with childhood sexual abuse histories, and women. A critique of recent stress management interventions for PLWHA is provided as well as directions for future research.

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Cognitive-behavioral stress management buffers decreases in dehydroepiandrosterone sulfate (DHEA-S) and increases in the cortisol/DHEA-S ratio and reduces mood disturbance and perceived stress among HIV-seropositive men

Cited by 97 publications

References 31 publications

Affectionate Communication Received from Spouses Predicts Stress Hormone Levels in Healthy Adults

Affectionate Communication Received from Spouses Predicts Stress Hormone Levels in Healthy Adults

Mind-Body Medicine: State of the Science, Implications for Practice

Stress management interventions for HIV-infected individuals: review of recent intervention approaches and directions for future research

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