Perceived and physiological arousal during a stress task: Can they differentiate between anxiety and depression?

Dieleman, Gwendolyn C.; Ende, Jan van der; Verhulst, Frank C.; Huizink, Anja C.

doi:10.1016/j.psyneuen.2010.02.012

Cited by 46 publications

(48 citation statements)

References 53 publications

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“…Following the preparations all participants played DEEP for approximately 10 minutes. Participants filled out the Physiological Arousal Questionnaire [54] which included questions such as "Are you nervous?" or "Do you feel your heart beating?".…”

Section: Measures and Proceduresmentioning

confidence: 99%

Exploring the Role of Self-efficacy in Biofeedback Video Games

Weerdmeester

Rooij

Harris

et al. 2017

Extended Abstracts Publication of the Annual Symposium on Computer-Human Interaction in Play

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Biofeedback training and game-based biofeedback are increasingly used to improve mental health. When evaluating the effects of biofeedback however, the focus often lies solely on therapeutic outcomes. Meanwhile, it is known that psychological factors such as perceptions of competence, also known as selfefficacy, can significantly influence one's experience and psychological wellbeing. The current paper examined the role of self-efficacy in the context of biofeedback video games. A pilot study was conducted with DEEP, a Virtual Reality video game that uses respiratory-based biofeedback to help individuals cope with stress and anxiety. Self-efficacy was found to be a significant predictor of physiological regulation, highlighting the importance of taking psychological factors such as self-efficacy into account in the development and evaluation of biofeedback games designed to improve mental wellbeing.

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Section: Measures and Proceduresmentioning

confidence: 99%

Exploring the Role of Self-efficacy in Biofeedback Video Games

Weerdmeester

Rooij

Harris

et al. 2017

Extended Abstracts Publication of the Annual Symposium on Computer-Human Interaction in Play

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“…Four saliva samples were collected from participants throughout the stress test using a Salivette® (Sarstedt): i) a pre-stressor sample to capture a baseline cortisol level; ii) a sample 20 minutes after the start of the stress test to assess peak response (Dieleman et al, 2010); and…”

Section: Salivary Cortisol Sampling and Assaysmentioning

confidence: 99%

Panel manipulation in social stress testing: The Bath Experimental Stress Test for Children (BEST-C)

Cheetham

Turner‐Cobb

2016

Psychoneuroendocrinology

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SummaryBackground: Whilst acute stress paradigms in adults make use of adult panel members, similar paradigms modified for child participants have not manipulated the panel.Most work has utilised an audience of adult confederates, regardless of the age of the population being tested. The aim of this study was to trial a social stress test for children that provided a meaningful environment using age-matched child peers as panel actors.Methods: Thirty-three participants (7-11 years) underwent the Bath Experimental Stress Test for Children (BEST-C). Based on the Trier Social Stress Test (TSST), it comprises a shortened six-minute public speaking task and four-minute maths challenge. It differs from previous stress tests by using age-matched children on the panel, pre-recorded and presented as a live feed, and includes an expanded manipulation check of subjective experience. Salivary cortisol was assessed at four time points, pre-post stress testing; life events, daily hassles and coping strategies were measured through questionnaires. A simple numerical coding scheme was applied to post-test interview data. Results:The BEST-C generated a typical stress and adaptation response in salivary cortisol (p=.032). Age and gender differences were observed during recovery. Cortisol responses mapped directly onto three distinct subjective response patterns: i) expected response and recovery; ii) expected response, no recovery; iii) no response. Conclusions:The BEST-C, utilising child confederates of participant target age is a meaningful social stress test for children. This is the first social stress test developed specifically for children that manipulates panel characteristics by using child confederates and a pre-recorded sham panel. Greater cortisol responses to the test were also found to match subjective verbal accounts of the experience. It offers a meaningful acute stress paradigm with potential applications to other child and adolescent age groups. Furthermore, it leads the way in the use of panel manipulation in social stress testing.

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“…Greater cortisol responses have been reported for depressed compared to non-depressed adolescents (Rao et al, 2008), dysphoric post-pubertal youth compared to non-dysphoric youth (Hankin et al, 2010), and adolescents with more recent onset of depressive symptoms (Booij et al, 2013). In contrast, blunted cortisol responses have been reported for dysphoric pre-pubertal youth compared to non-dysphoric youth (Hankin et al, 2010), adolescents with more severe depression severity (Harkness et al, 2011), adolescents with internalizing symptoms (Spies et al, 2011), children with higher self-reported depressive symptoms (Dieleman et al, 2010), children with current, past or sub-syndromal MDD (Suzuki et al, 2013), and adolescents with more chronic depressive symptoms (Booij et al, 2013). Taken together, these findings suggest that alterations in cortisol reactivity are not limited to youth with depressive diagnoses and may be determined by a variety of factors including depression severity and developmental timing.…”

Section: Introductionmentioning

confidence: 99%

Depressive symptom composites associated with cortisol stress reactivity in adolescents

Morris

Kouros

Mielock

et al. 2017

Journal of Affective Disorders

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Background Altered hypothalamic-pituitary-adrenal (HPA) function is common in youth with major depressive disorder (MDD) but variability in the strength and direction of HPA alterations has prompted a search for symptom-based subtypes with unique neuroendocrine signatures. This study investigated the extent to which depressive symptom composites were differentially associated with cortisol responses to psychosocial stress. Methods This study examined salivary cortisol responses to the Trier Social Stress Test (TSST) in 145 adolescents who varied in their risk for MDD: 38 had current MDD; 35 were healthy but at high risk for MDD based on having one or both parents with unipolar MDD; and 72 were healthy youth with no personal or family history of a psychiatric disorder. Multilevel models examined within-person change in cortisol levels during a 2-hour resting phase prior to the TSST and both linear and quadratic changes in cortisol levels following the TSST. Results Anticipatory cortisol reactivity was lower in MDD youth compared to low-risk youth, and in youth with higher compared to lower depressive symptom severity. Whereas affective symptoms were associated with increased anticipatory cortisol reactivity and more rapid recovery to the TSST, neurovegetative symptoms were associated with decreased anticipatory cortisol reactivity and slower recovery. Limitations The cross-sectional design does not permit inferences regarding temporal relations between cortisol responses and depressive symptom composites. Conclusions The present findings suggest that heterogeneity among studies examining HPA reactivity in depressed youth may be driven, in part, by differences in depressive symptom composites across samples.

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Perceived and physiological arousal during a stress task: Can they differentiate between anxiety and depression?

Cited by 46 publications

References 53 publications

Exploring the Role of Self-efficacy in Biofeedback Video Games

Exploring the Role of Self-efficacy in Biofeedback Video Games

Panel manipulation in social stress testing: The Bath Experimental Stress Test for Children (BEST-C)

Depressive symptom composites associated with cortisol stress reactivity in adolescents

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