2020
DOI: 10.3389/fpsyt.2020.556486
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The Stress of Caring—Resilience and HPA-Axis Activity in Hair Samples of Youth Residential Caregivers

Abstract: Background: Professional caregivers in youth residential care institutions experience frequent verbal and physical aggression as well as multiple stressors as part of their everyday work, leading to high levels of burnout and staff turnover. Resilience might buffer against psychophysiological stress response and therefore be crucial for well-being in professional caregivers.Objectives: We aimed to investigate if measures related to resilience [sense of coherence (SoC), self-efficacy and self-care] and attachme… Show more

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Cited by 17 publications
(13 citation statements)
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References 90 publications
(109 reference statements)
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“…Despite that, there is a surprisingly low number of studies investigating hair cortisol concentrations in relation to attachment insecurity, in humans. While there is evidence that a sub-optimal caregiving behaviour from a parent may be associated with higher hair cortisol levels in the child [ 72 , 73 , 74 ], there seems to be no direct association between the latter and attachment insecurity neither in young [ 75 ] nor in adult individuals [ 76 ]. In this pilot study, we did not assess the owner’s behaviour during the SSP.…”
Section: Discussionmentioning
confidence: 99%
“…Despite that, there is a surprisingly low number of studies investigating hair cortisol concentrations in relation to attachment insecurity, in humans. While there is evidence that a sub-optimal caregiving behaviour from a parent may be associated with higher hair cortisol levels in the child [ 72 , 73 , 74 ], there seems to be no direct association between the latter and attachment insecurity neither in young [ 75 ] nor in adult individuals [ 76 ]. In this pilot study, we did not assess the owner’s behaviour during the SSP.…”
Section: Discussionmentioning
confidence: 99%
“…Higher DHEA:CORT ratios are associated with emotional resilience considering that lower ratios of DHEA to cortisol levels have been observed to be predictive of treatment‐resistant depression and decreased hippocampal volumes 30,31 . Additionally, higher DHEA in proportion to cortisol has been associated with emotional resilience, 35,51 perhaps as a result of the purported antagonistic actions of DHEA to glucocorticoids 20 . Additionally, past research suggests that higher levels of DHEA and DHEA(S) are predictive of emotional resilience 52,53 .…”
Section: Discussionmentioning
confidence: 99%
“…In addition, DHEA has antidepressant and anxiolytic effects (38). It has also been shown to grant higher levels of self-care, and overall resilience, in previous studies (39). Many epigenetic changes have also been shown to change the way the HPA axis can respond to stress, including DNA methylation to dampen the response of the HPA axis (40).…”
Section: Hypothalamic-pituitary-adrenal (Hpa) Axis Involvement In Res...mentioning
confidence: 93%