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Physical health problems, depressive mood, and cortisol secretion in old age: buffer effects of health engagement control strategies.

Author(s): Wrosch C, Schulz R, Miller GE, Lupien S, Dunne E

Health Psychol. 2007 May;26(3):341-9 Authors: Wrosch C, Schulz R, Miller GE, Lupien S, Dunne E

Article GUID: 17500621
Regret intensity, diurnal cortisol secretion, and physical health in older individuals: evidence for directional effects and protective factors.

Author(s): Wrosch C, Bauer I, Miller GE, Lupien S

Psychol Aging. 2007 Jun;22(2):319-30 Authors: Wrosch C, Bauer I, Miller GE, Lupien S

Article GUID: 17563187
Diurnal cortisol secretion and 2-year changes in older adults' physical symptoms: the moderating roles of negative affect and sleep.

Author(s): Wrosch C, Miller GE, Lupien S, Pruessner JC

Health Psychol. 2008 Nov;27(6):685-93 Authors: Wrosch C, Miller GE, Lupien S, Pruessner JC

Article GUID: 19025263
Title:Physical health problems, depressive mood, and cortisol secretion in old age: buffer effects of health engagement control strategies.
Authors:Wrosch C,  Schulz R,  Miller GE,  Lupien S,  Dunne E
Link:https://www.ncbi.nlm.nih.gov/pubmed/17500621?dopt=Abstract
Category:Health Psychol
PMID:17500621
Dept Affiliation: CRDH
1 Department of Psychology, Centre for Research in Human Development, Concordia University, and Douglas Hospital Research Center, Montreal, Quebec, Canada. carsten.wrosch@concordia.ca

Description:

Physical health problems, depressive mood, and cortisol secretion in old age: buffer effects of health engagement control strategies.

Health Psychol. 2007 May;26(3):341-9

Authors: Wrosch C, Schulz R, Miller GE, Lupien S, Dunne E

Abstract

OBJECTIVE: This study examined the protective role played by control behaviors aimed at overcoming physical health problems (health engagement control strategies; HECS) in the associations between older adults' physical health problems, depressive mood, and diurnal cortisol secretion. It was expected that adaptive levels of HECS would buffer the adverse effects of physical health problems on depressive mood and diurnal cortisol secretion.

DESIGN AND MEASURES: Physical health problems and HECS were measured in a cross-sectional sample of 215 community-dwelling older adults. In addition, participants' depressive mood and patterns of diurnal cortisol secretion were assessed across 3 days.

RESULTS: The findings demonstrate that physical health problems predicted high levels of depressive mood and diurnal cortisol secretion, but only among older adults who reported low levels of HECS (and not among older adults who reported high levels of HECS). Moreover, depressive mood completely mediated the buffering effect of HECS on the association between physical health problems and cortisol secretion.

CONCLUSION: The results suggest that adaptive levels of HECS represent a psychological mechanism that can protect older adults from experiencing the adverse emotional and biological consequences of physical health problems.

PMID: 17500621 [PubMed - indexed for MEDLINE]