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Self-esteem change and diurnal cortisol secretion in older adulthood


Self-esteem change and diurnal cortisol secretion in older adulthood

Liu, Sarah Y., Wrosch, Carsten, Miller, Gregory E. and Pruessner, Jens C. (2013) Self-esteem change and diurnal cortisol secretion in older adulthood. Psychoneuroendocrinology . ISSN S0306-4530(13)00446-0 (In Press)

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Objective: Research suggests that self-esteem can decline in older adulthood. This process could remove a buffer that normally protects individuals against distress-related changes in cortisol secretion. We examined this possibility by testing whether change in self-esteem would predict alterations in cortisol secretion, particularly among older adults who reported high levels of depressive symptoms or perceived stress. Methods: 147 older adults (Aged 60+) completed three days of diurnal cortisol measurements at three different time points, namely every two years over a total period of four years. Measures of self-esteem, depressive symptoms, and perceived stress were assessed at T1 and T2. Potential demographic and health-related confounds were measured at baseline (partnership status, SES, mortality risk index, and medication). Results: Linear regression models indicated that a decline in self-esteem from T1 to T2 predicted elevated cortisol output (AUCG) from T2 to T3, F (1, 137) = 8.09, β = -.25, R2 = .05, p = .005. Interaction analyses revealed that this association was particularly strong among participants who experienced higher T1 or T2 levels of depressive symptoms or perceived stress, +1 SD: βs = -.34 to -.51, ps < .001, but not significant among their counterparts who reported relatively lower levels of depressive symptoms or perceived stress, -1 SD: βs = .03 to .11, ps > .43. Conclusions: Declines in self-esteem represent a mechanism that contributes to higher levels of diurnal cortisol secretion if older adults experience psychological distress. Increases in self-esteem, by contrast, can ameliorate older adults’ cortisol regulation in stressful circumstances.

Divisions:Concordia University > Faculty of Arts and Science > Psychology
Item Type:Article
Authors:Liu, Sarah Y. and Wrosch, Carsten and Miller, Gregory E. and Pruessner, Jens C.
Journal or Publication:Psychoneuroendocrinology
Date:21 December 2013
  • Montreal Aging and Health Study (MAHS)
  • Canadian Institutes of Health Research (CIHR)
Digital Object Identifier (DOI):10.1016/j.psyneuen.2013.12.010
Keywords:self-esteem; perceived stress; depressive symptoms; diurnal cortisol secretion; older adulthood.
ID Code:978120
Deposited By: SARAH LIU
Deposited On:06 Jan 2014 17:16
Last Modified:18 Jan 2018 17:46


Aging NACA., 2006. Seniors in Canada: 2006 Report Card. National Advisory Council on Aging.
Andresen, E. M., Malmgren, J. A., Carter, W. B., Patrick, D. L., 1994. Screening for depression in well older adults: Evaluation of a short form of the CES-D. Am. J. Prev. Med. 10, 77-84.
Baumeister, R. F., Campbell, J. D., Krueger, J. I., Vohs, K. D., 2003. Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychol. Sci. Publ. Interest 4, 1-44.
Bjӧrntorp, P., Rosmond, R., 1999. Hypothalamic origin of the metabolic syndrome X. Ann. N. Y. Acad. Sci. 892, 297-307.
Chida, Y., Steptoe, A., 2009. Cortisol awakening response and psychosocial factors: A systematic review and meta-analysis. Biol. Psychol. 80, 265-278.
Cohen, S., Kamarck, T., Mermelstein, R., 1983. A global measure of perceived stress. J. Health Soc. Behav. 24, 385-396.
Cohen, S., Janicki-Deverts, D., Miller, G. E., 2007. Psychological stress and disease. JAMA-J. Am. Med. Assoc. 298, 1685-1687.
Collins, A. L., Smyer, M. A., 2005. The resilience of self-esteem in late adulthood. J. Aging Health 17, 471-489.
Dickerson, S. S., Kemeny, M. E., 2004. Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychol. Bull. 130, 355-391.
Folkman, S., Lazarus, R. S., 1986. Stress processes and depressive symptomatology. J. Abnorm. Psychol. 95, 107.
Ford, M. B., Collins, N. L., 2010. Self-esteem moderates neuroendocrine and psychological responses to interpersonal rejection. J. Pers. Soc. Psychol. 98, 405-419.
Fries, E., Hesse, J., Hellhammer, J., Hellhammer, D.H., 2005. A new view on hypocortisolism. Psychoneuroendocrino. 30, 1010-1016.
Gove, W. R., Ortega, S. T., Style, C. B., 1989. The maturational and role perspectives on aging and self through the adult years: An empirical evaluation. Am. J. Sociol. 94, 1117-1145.
Greenberg, J., Solomon, S., Pyszczynski, T., Rosenblatt, A., Burling, J., Lyon, D., Simon, L., Pinel, E., 1992. Why do people need self-esteem? Converging evidence that self-esteem serves an anxiety-buffering function. J. Pers. Soc. Psychol. 63, 913-922.
Gruenewald, T. L., Kemeny, M. E., Aziz, N., Fahey, J. L., 2004. Acute threat to the social self: Shame, social self-esteem, and cortisol activity. Psychosom. Med. 66, 915-924.
Haase, C. M., Heckhausen, J., Wrosch, C., 2013. Developmental regulation across the life span: Toward a new synthesis. Dev. Psychol. 49, 964-972.
Heim, C., Ehlert, U., Hellhammer, D.H., 2000. The potential role of hypocortisolism in the pathophysiology of stress-related bodily disorders. Psychoneuroendocrino, 25, 1-35.
Heckhausen, J., Wrosch, C., Schulz, R., 2010. A motivational theory of life-span development. Psychol. Rev. 117, 32-60.
Jobin, J., Wrosch, C., Scheier, M. F., 2013. Associations between dispositional optimism and diurnal cortisol in a community sample: When stress is perceived as higher than normal. Health Psychol. Online first. doi: 10.1037/a0032736.
Kirschbaum, C., Pirke, K., Hellhammer, D. H., 1993. The" trier social stress test": A tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology 28, 76-81.
Kirschbaum, C., Prüssner, J. C., Stone, A. A., Federenko, I., Gaab, J., Lintz, D., Schommer, N., Hellhammer, D. H., 1995. Persistent high cortisol responses to repeated psychological stress in a subpopulation of healthy men. Psychosom.Med. 57, 468-474.
Kirschbaum, C., Wüst, S., Hellhammer, D., 1992. Consistent sex differences in cortisol responses to psychological stress. Psychosom. Med. 54, 648-657.
Kudielka, B.M., Hellhammer, D.H., Wüst, S., 2009. Why do we respond so differently? Reviewing determinants of human salivary cortisol responses to challenge. Psychoneuroendocrino, 34, 2-18.
Lang, F. R., Carstensen, L. L., 1994. Close emotional relationships in late life: Further support for proactive aging in the social domain. Psychol. Aging 9, 315-324.
Lee, S. J., Lindquist, K., Segal, M. R., Covinsky, K. E., 2006. Development and validation of a prognostic index for 4-year mortality in older adults. JAMA-J. Am. Med. Assoc. 295, 801-808.
Lupien, S. J., Fiocco, A., Wan, N., Maheu, F., Lord, C., Schramek, T., Tu, M. T., 2005. Stress hormones and human memory function across the lifespan. Psychoneuroendocrino. 30, 225-242.
Lupien, S. J., McEwen, B. S., Gunnar, M. R., Heim, C., 2009. Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Rev. Neuro. 10, 434-445.
Miller, G. E., Chen, E., Zhou, E. S., 2007. If it goes up, must it come down? chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans. Psychol. Bull. 133, 25-45.
Neff, K.D., 2011. Self-compassion, self-esteem, and well-being. Soc. Personal. Psychol. Compass. 5, 1-12.
O'Donnell, K., Badrick, E., Kumari, M., Steptoe, A., 2008. Psychological coping styles and cortisol over the day in healthy older adults. Psychoneuroendocrino. 33, 601-611.
Orth, U., Robins, R. W., Meier, L. L., 2009. Disentangling the effects of low self-esteem and stressful events on depression: Findings from three longitudinal studies. J. Pers. Soc. Psychol. 97, 307-321.
Orth, U., Robins, R. W., Widaman, K. F., 2012. Life-span development of self-esteem and its effects on important life outcomes. J. Pers. Soc. Psychol. 102, 1271-1288.
Orth, U., Trzesniewski, K. H., Robins, R. W., 2010. Self-esteem development from young adulthood to old age: A cohort-sequential longitudinal study. J. Pers. Soc. Psychol. 98, 645-658.
Pruessner, J. C., Hellhammer, D. H., Kirschbaum, C., 1999. Low self-esteem, induced failure and the adrenocortical stress response. Pers. Indiv. Differ. 27, 477-489.
Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., Hellhammer, D. H., 2003. Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrino. 28, 916-931.
Robins, R. W., Trzesniewski, K. H., Tracy, J. L., Gosling, S. D., Potter, J., 2002. Global self-esteem across the life span. Psychol Aging, 17, 423-434.
Rosenberg, M., 1986. Conceiving the self. Krieger, Malabar, FL.
Ross, K. M., Liu, S., Tomfohr, L. M., Miller, G. E., 2013. Self-esteem variability predicts arterial stiffness trajectories in healthy adolescent females. Health Psychol. Online first. doi: 10.1037/a0031458
Rueggeberg, R., Wrosch, C., Miller, G.E., McDade, T.W., 2012. Associations between health-related self-protection, diurnal cortisol, and C-reactive protein in lonely older adults. Psychosom. Med. 74, 937-944.
Sapolsky, R.M., Krey, L.C., McEwen, B.S., 1986. The neuroendocrinology of stress and aging: The glucocorticoid cascade hypothesis. Endocr. Rev. 7, 284-301.
Sapolsky, R. M., 1992. Stress and neuroendocrine changes during aging. Generations. 16, 35-38.
Sapolsky, R. M., Romero, L. M., Munck, A. U., 2000. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocr. Rev. 21, 55-89.
Seeman, T. E., Berkman, L. F., Gulanski, B. I., Robbins, R. J., Greenspan, S. L., Charpentier, P. A., Rowe, J. W., 1995. Self-esteem and neuroendocrine response to challenge: MacArthur studies of successful aging. J. Psychosom. Res. 39, 69-84.
Sephton, S. E., Sapolsky, R. M., Kraemer, H. C., Spiegel, D., 2000. Diurnal cortisol rhythm as a predictor of breast cancer survival. J. Natl. Cancer I. 92, 994-1000.
Shaw, B. A., Liang, J., Krause, N., 2010. Age and race differences in the trajectories of self-esteem. Psychol. Aging 25, 84-94.
Taylor, S. E., Klein, L. C., Lewis, B. P., Gruenewald, T. L., Gurung, R. A., Updegraff, J. A., 2000. Biobehavioral responses to stress in females: Tend-and-befriend, not fight-or-flight. Psychol. Rev, 107, 411-429.
Tops, M., Harriëtte, R., Oldehinkel, A.J., Rijsdijk, F.V., Ormel, J., 2008. Rejection sensitivity relates to hypocortisolism and depressed mood state in young women. Psychoneuroendocrino. 33, 551-559.
Trzesniewski, K. H., Donnellan, M. B., Robins, R. W., 2003. Stability of self-esteem across the life span. J. Pers. Soc. Psychol. 84, 205-220.
Vrshek-Schallhorn, S., Doane, L.D., Mineka, S., Zinbarg, R.E., Craske, M.G., Adam, E.K., 2013. The cortisol awakening response predicts major depression: predictive stability over a 4-year follow-up and effect of depression history. Psychol. Med. 43, 483-493.
Wagner, J., Gerstorf, D., Hoppmann, C., Luszcz, M.A., 2013. The nature and correlates of self-esteem trajectories in late life. J. Pers. Soc. Psychol. 105, 139-153.
Weiner, H., 1992. Perturbing the organism: The biology of stressful experience. Chicago: University of Chicago Press.
Wrosch, C., Miller, G. E., Schulz, R., 2009. Cortisol secretion and functional disabilities in old age: Importance of using adaptive control strategies. Psychosom. Med. 71, 996-1003.
Wrosch, C., Schulz, R., Miller, G. E., Lupien, S., Dunne, E., 2007. Physical health problems, depressive mood, and cortisol secretion in old age: Buffer effects of health engagement control strategies. Health Psychol. 26, 341-349.
Wüst, S., Federenko, l. S., van Rossum, E. F. C., Koper, J. W., Hellhammer, D. H., 2005. Habituation of cortisol responses to repeated psychosocial stress-further characterization and impact of genetic factors. Psychoneuroendocrino. 30, 199-211.
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