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Optimism moderates psychophysiological responses to stress in older people with Type 2 diabetes

Puig-Perez, S; Hackett, RA; Salvador, A; Steptoe, A; (2017) Optimism moderates psychophysiological responses to stress in older people with Type 2 diabetes. Psychophysiology , 54 (4) pp. 536-543. 10.1111/psyp.12806. Green open access

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Abstract

Optimism is thought to be beneficial for health, and these effects may be mediated through modifications in psychophysiological stress reactivity. Type 2 diabetes (T2D) is associated with reduced cardiovascular responses to stress and heightened cortisol over the day. This study assessed the relationships between optimism, stress responsivity, and daily cortisol output in people with T2D. A total of 140 participants with T2D were exposed to laboratory stress. Heart rate (HR), systolic (SBP), diastolic blood pressure (DBP), and cortisol were measured throughout the session. Cortisol output over the day was also assessed. Optimism and self-reported health were measured using the revised Life Orientation Test and the Short Form Health Survey. Optimism was associated with heightened SBP and DBP stress reactivity (ps < .047) and lower daily cortisol output (p = .04). Optimism was not related to HR, cortisol stress responses, or the cortisol awakening response (ps > .180). Low optimism was related to poorer self-reported physical and mental health (ps < .01). Optimism could have a protective role in modulating stress-related autonomic and neuroendocrine dysregulation in people with T2D.

Type: Article
Title: Optimism moderates psychophysiological responses to stress in older people with Type 2 diabetes
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/psyp.12806
Publisher version: https://dx.doi.org/10.1111/psyp.12806
Language: English
Additional information: Copyright © 2016 The Authors. Psychophysiology published by Wiley Periodicals, Inc. on behalf of Society for Psychophysiological Research. This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Blood pressure, Cortisol, Optimism, Psychological stress, Type 2 diabetes
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/1535032
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