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Ciubotariu D, Visser K, de Koning ME, Spikman JM, van Faassen M, Krijnen J, Storteboom T, Kema IP, van der Naalt J, van der Horn HJ. Hair cortisol as a marker of stress in mild traumatic brain injury: a challenging measure. Sci Rep 2025; 15:9373. [PMID: 40102551 PMCID: PMC11920047 DOI: 10.1038/s41598-025-93055-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2024] [Accepted: 03/04/2025] [Indexed: 03/20/2025] Open
Abstract
Cortisol is released through activation of the hypothalamic-pituitary-adrenal axis by physiological and psychological stressors, such as mild traumatic brain injury (mTBI). This hormone is accumulated in hair over longer periods of time, reflecting both acute and chronic forms of stress, allowing for retrospective analyses within certain timeframes. The main objectives of this study were to analyze pre- and post-injury hair cortisol concentrations, and to explore possible associations with personality and recovery after mTBI. Hair samples of 61 mTBI patients were collected at 4-6 weeks post-injury and divided into pre- (1 cm) and post-injury (1 cm) segments. For comparison, hair samples of 24 age, sex and education matched healthy controls (HC) were collected and divided into similar segments. Cortisol was quantified using liquid chromatography-tandem mass spectrometry (LC-MS/MS). At two weeks post-injury, post-traumatic symptoms (PTS), emotional distress (anxiety/depression), and the personality trait neuroticism were measured. At six months post-injury, PTS and functional recovery (Glasgow Outcome Scale Extended) were determined. A significant increase in hair cortisol concentration from pre- to post-injury was found for both mTBI patients and HC, likely due to washout effects, with similar concentrations in both groups. Neither hair cortisol, nor the interaction with neuroticism, were associated with long-term PTS or functional recovery. Additionally, no differences in hair cortisol were observed between patients with a higher and lower risk of developing persistent PTS based on a modified Post-Concussion Symptoms Rule (PoCS Rule) including demographics, acute symptoms, pre-injury mental health and head CT. Altogether, our findings do not support the current use of hair cortisol as a potential marker of stress in mTBI.
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Affiliation(s)
- Diana Ciubotariu
- Department of Neurology (In House Postal Code: AB51), University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700RB, Groningen, The Netherlands
| | - Koen Visser
- Department of Neurology (In House Postal Code: AB51), University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700RB, Groningen, The Netherlands
| | - Myrthe E de Koning
- Department of Neurology, Medical Spectrum Twente, Enschede, The Netherlands
| | - Jacoba M Spikman
- Department of Neuropsychology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Martijn van Faassen
- Department of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Jasper Krijnen
- Department of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Twan Storteboom
- Department of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Ido P Kema
- Department of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Joukje van der Naalt
- Department of Neurology (In House Postal Code: AB51), University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700RB, Groningen, The Netherlands
| | - Harm J van der Horn
- Department of Neurology (In House Postal Code: AB51), University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700RB, Groningen, The Netherlands.
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Kutlikova HH, Eisenegger C, Krumbholz A, Riečanský I, Lamm C, Quednow BB. The effects of single testosterone administration and stress induction on steroid hormone levels in hair. Psychoneuroendocrinology 2025; 172:107252. [PMID: 39612618 DOI: 10.1016/j.psyneuen.2024.107252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 10/01/2024] [Accepted: 11/24/2024] [Indexed: 12/01/2024]
Abstract
Hair steroid analysis is increasingly recognized for its ability to capture cumulative hormone secretion, thought to reflect an individual's response to long-term environmental conditions. Despite its growing use, the influence of single, isolated events on hair steroid concentrations remains underexplored. Our study therefore examined the effects of a single-dose transdermal testosterone administration (150 mg) and acute laboratory stress induction on hair testosterone and cortisol levels in a randomized, between-subject, placebo-controlled, and double-blind design. Liquid chromatography-tandem mass spectrometry analysis revealed a significant increase in hair testosterone levels seven weeks post-testosterone administration, underscoring the efficacy of hair analysis in detecting single-use hormone intake. Moreover, we observed a significant elevation in hair cortisol levels seven weeks post-exposure to the laboratory somatic stressor (Cold pressor test), highlighting the efficacy of hair analysis in capturing experimentally induced hormonal responses. The exploration of contextual factors revealed that individuals in committed relationships exhibited lower levels of both hair cortisol and testosterone compared to those who were single or in uncommitted relationships. Our study provides new insights into the sensitivity of hair analysis for detecting hormonal changes following single-dose hormone administration and experimentally induced short-term stress events. The exploratory findings emphasize the importance of individual contextual factors in influencing hair hormone concentrations and lay the groundwork for further investigation into the dynamics of cumulative hair hormone measurements.
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Affiliation(s)
- Hana H Kutlikova
- Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Vienna 1010, Austria; Department of Psychology, Faculty of Arts, Comenius University in Bratislava, Bratislava 813 71, Slovak Republic.
| | - Christoph Eisenegger
- Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Vienna 1010, Austria
| | - Aniko Krumbholz
- Institute of Doping Analysis and Sports Biochemistry (IDAS) Dresden, Kreischa 01731, Germany
| | - Igor Riečanský
- Department of Behavioural Neuroscience, Institute of Normal and Pathological Physiology, Centre of Experimental Medicine, Slovak Academy of Sciences, Bratislava 813 71, Slovak Republic
| | - Claus Lamm
- Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Vienna 1010, Austria; Vienna Cognitive Science Hub, University of Vienna, Vienna 1010, Austria
| | - Boris B Quednow
- Experimental Pharmacopsychology, Department of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich 8008, Switzerland; Neuroscience Center Zurich, ETH Zurich and University of Zurich, Zurich 8057, Switzerland; Jacobs Center for Productive Youth Development, University of Zurich, Zurich 8050, Switzerland
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Ringwald WR, Nielsen SR, Mostajabi J, Vize CE, van den Berg T, Manuck SB, Marsland AL, Wright AG. Characterizing Stress Processes by Linking Big Five Personality States, Traits, and Day-to-Day Stressors. JOURNAL OF RESEARCH IN PERSONALITY 2024; 110:104487. [PMID: 38708104 PMCID: PMC11067701 DOI: 10.1016/j.jrp.2024.104487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
The accumulation of day-to-day stressors can impact mental and physical health. How people respond to stressful events is a key mechanism responsible for the effects of stress, and individual differences in stress responses can either perpetuate or prevent negative consequences. Most research on daily stress processes has focused on affective responses to stressors, but stress responses can involve more than just affect (e.g., behavior, cognitions). Additionally, most research has studied the role of neuroticism in shaping those responses, but many other individual differences are associated with stress. In this study, we more broadly characterized daily stress processes by expanding the nomological networks of stress responses to include Big Five personality states. We also linked those stress responses to all Big Five traits, as well as individual differences in stress variety, severity, and controllability. We studied a sample of participants (N = 1,090) who reported on stressful events, their appraisal of events in terms of severity and controllability, and their Big Five personality states daily for 8-10 days (N = 8,870 observations). Multi-level structural equation models were used to separate how characteristics of the perceived stressful situation and characteristics of the person play into daily stress processes. Results showed that (1) all Big Five personality states shift in response to perceived stress, (2) all Big Five personality traits relate to average levels of perceived stress variety, severity, and controllability, (3) individual differences in personality and average perceived stress variety and perceived severity relate to the strength of personality state responses to daily stress, albeit in a more limited fashion. Our results point to new pathways by which stressors affect people in everyday life and begin to clarify processes that may explain individual differences in risk or resilience to the harmful effects of stress.
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Crewther BT, Obmiński Z, Turowski D, Szczepańska B, Mroczkowska H. Associations between the Big Five personality traits, testosterone, and cortisol in adolescent male athletes. Biol Sport 2024; 41:279-286. [PMID: 38188103 PMCID: PMC10765448 DOI: 10.5114/biolsport.2024.127390] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 03/11/2023] [Accepted: 04/02/2023] [Indexed: 01/09/2024] Open
Abstract
Testosterone (T) has been conceptualized as a biomarker of individual differences, yet T associations with the Big Five personality traits are inconsistent. Athletes provide a suitable model for evaluation here, as T co-expresses traits related to male-to-male competition and fitness with cortisol (C) playing a moderating role. This study investigated associations between the Big Five traits, T, and C in adolescent male athletes. One hundred and twenty male ice hockey players (aged 14-19 years) were assessed for blood total (T, C) and free (FT, FC) hormones, body-size dimensions (i.e., body mass, height, body mass index [BMI]), the Big Five personality traits (i.e., extraversion, neuroticism, agreeableness, conscientiousness, openness), and trait anxiety. Correlational and regression (with age and BMI as covariates) analyses identified a positive effect of FT on extraversion, but a negative FT effect on neuroticism and anxiety (p < 0.05). Significant FT × FC interactions emerged for extraversion and agreeableness. Slope testing revealed that FT had a positive effect on extraversion at the FC mean and +1 SD, and a negative effect on agreeableness with FC at +1 SD. In conclusion, adolescent male athletes with a higher serum FT concentration tended to express higher extraversion, but lower neuroticism and anxiety. The FT association with extraversion was moderated by FC concentration, as was agreeableness. Therefore, high-FT athletes presented a behavioural disposition that favours dominance and resiliency, with some dependencies on FC availability. Since all association effect sizes were weak, replicate studies on larger adolescent samples are needed.
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Affiliation(s)
- Blair T Crewther
- Institute of Sport - National Research Institute, Warsaw, Poland
- Biomedical Discipline, School of Science and Technology, University of New England, Armidale, Australia
| | | | - Dariusz Turowski
- Institute of Sport - National Research Institute, Warsaw, Poland
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Wettstein A, Schneider S, Jenni G, Holtforth MG, Tschacher W, La Marca R. Association between workaholism, vital exhaustion, and hair cortisol concentrations among teachers: A longitudinal study testing the moderation effect of neuroticism. Front Psychol 2022; 13:1046573. [PMID: 36591097 PMCID: PMC9797672 DOI: 10.3389/fpsyg.2022.1046573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 11/29/2022] [Indexed: 12/23/2022] Open
Abstract
Introduction Workaholism in teachers is characterized by the willingness to work until exhausted and may be associated with various adverse health outcomes as well as high economic costs. The present study examines the association between workaholism, vital exhaustion (VE), and hair cortisol concentration (HCC) as indicators of chronic stress. In addition, this study explores the moderating role of the personality trait neuroticism on the relationship between workaholism and chronic stress indicators, i.e., VE and HCC. Methods Forty-two Swiss teachers (28 females; M age = 39.66, SD = 11.99) completed questionnaires assessing VE (Maastricht Vital Exhaustion Questionnaire), workaholism (Measure of Coping Capacity Questionnaire), and neuroticism (Big-Five Inventory). Together with VE, HCC was assessed twice, with a one year lag. Results Both workaholism and neuroticism were positively associated with VE at both time points but not with HCC. Moderation analyses revealed a positive relationship between workaholism and VE in teachers with high neuroticism, while no such association was observed in teachers with low neuroticism. No associations were found between self-reports and HCC. Discussion These findings emphasize the importance of considering individual characteristics when investigating VE. Further research is necessary to investigate the applicability of HCC as a biomarker of chronic stress in the context of work.
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Affiliation(s)
- Alexander Wettstein
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland,*Correspondence: Alexander Wettstein,
| | - Sandra Schneider
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland,Department of Psychology, Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland
| | - Gabriel Jenni
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland
| | - Martin grosse Holtforth
- Department of Psychology, Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland,Department of Neurology, Psychosomatic Medicine, Bern University Hospital, Bern, Switzerland
| | - Wolfgang Tschacher
- Experimental Psychology Division, University Clinic for Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | - Roberto La Marca
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland,Centre for Stress-Related Disorders, Clinica Holistica Engiadina, Susch, Switzerland,Department of Clinical Psychology and Psychotherapy, University of Zurich, Zürich, Switzerland
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Schneider S, Wettstein A, Tschacher W, Torchetti L, Jenni G, Kühne F, grosse Holtforth M, La Marca R. Longitudinal Associations Between Core Self-Evaluation, Vital Exhaustion and Hair Cortisol in Teachers and the Mediating Effects of Resignation Tendency. Front Psychol 2022; 13:907056. [PMID: 35874408 PMCID: PMC9302200 DOI: 10.3389/fpsyg.2022.907056] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 06/13/2022] [Indexed: 11/13/2022] Open
Abstract
Work-related stress appears to be especially high among teachers. However, most research on teacher stress relies exclusively on teachers' self-reports. Little is known about the physiological correlates of affective stress in teachers. This longitudinal study investigates the relationship between core self-evaluation and adverse psychological and physiological stress outcomes in 42 teachers. Self-report questionnaires were used to assess core self-evaluation, vital exhaustion, and resignation tendency. The concentration of cortisol was assessed using hair samples. One year after the initial measurement, vital exhaustion and hair cortisol were assessed again. Path-analytic mediational models showed that core self-evaluation strongly predicted vital exhaustion, and resignation tendency partially mediated this relationship. However, core self-evaluation did not predict hair cortisol concentration. These findings suggest that core self-evaluation plays a crucial role in preventing vital exhaustion among teachers. A positive core self-evaluation seems beneficial for teachers' primary and secondary appraisal and an essential resource for the long-term prevention of self-reported vital exhaustion.
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Affiliation(s)
- Sandra Schneider
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland
- Clinical Psychology and Psychotherapy, Department of Psychology, University of Bern, Bern, Switzerland
| | - Alexander Wettstein
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland
| | - Wolfgang Tschacher
- Experimental Psychology Division, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | - Loredana Torchetti
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland
| | - Gabriel Jenni
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland
| | - Fabienne Kühne
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland
| | - Martin grosse Holtforth
- Clinical Psychology and Psychotherapy, Department of Psychology, University of Bern, Bern, Switzerland
- Psychosomatic Medicine, Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Roberto La Marca
- Department of Research and Development, University of Teacher Education Bern, Bern, Switzerland
- Clinica Holistica Engiadina, Centre for Stress-Related Disorders, Susch, Switzerland
- Clinical Psychology and Psychotherapy, Department of Psychology, University of Zurich, Zürich, Switzerland
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Baliyan S, Cimadevilla JM, Pulopulos MM, Castillejo L, Sandi C, Venero C. Pre-pandemic Psychobiological Features Predict Impact of COVID-19 Confinement on Loneliness. Front Psychol 2022; 13:874232. [PMID: 35572252 PMCID: PMC9096268 DOI: 10.3389/fpsyg.2022.874232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 03/30/2022] [Indexed: 11/13/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic led to various government-imposed limitations on social interaction and strict home confinement. Such involuntary social-distancing policies can exacerbate feelings of loneliness and alter emotional well-being. Dysregulation of the hypothalamic-pituitary-adrenocortical (HPA) axis is a potential mechanism for loneliness' deleterious health effects. In this study, we explored whether pre-pandemic diurnal cortisol output (AUC G ), a measure of HPA axis function, may predict the propensity to changes in loneliness during long-term COVID-19 home confinement and if extraversion would moderate this relationship. This association has been explored by analysing the impact of COVID-19 pandemic and strict home confinement on social and emotional loneliness in 45 Spanish young adults. Diurnal cortisol levels were measured from five saliva samples obtained across a day just before the pandemic, and data about participants' perceived loneliness, empathic state, extraversion, and prospective volunteering were obtained both before and during the confinement. Participants' social and family loneliness increased during long-term strict home confinement, while prospective volunteering tendencies and extraversion decreased. Importantly, after adjusting for relevant confounders, moderation analyses revealed that in young adults with high pre-pandemic extraversion, a higher AUC G predicted a larger increase in social loneliness during confinement, while in individuals with low extraversion, AUC G was negatively related to change in loneliness. Our findings highlight the utility of pre-pandemic diurnal cortisol output in predicting the social impact of COVID-19 home confinement, presenting this hormone as a potential biomarker for a priori identification of at-risk groups during public health crises.
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Affiliation(s)
- Shishir Baliyan
- COGNI-UNED, Department of Psychobiology, Faculty of Psychology, UNED, Madrid, Spain
| | | | - Matias M. Pulopulos
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Leyre Castillejo
- COGNI-UNED, Department of Psychobiology, Faculty of Psychology, UNED, Madrid, Spain
| | - Carmen Sandi
- Laboratory of Behavioral Genetics, Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - César Venero
- COGNI-UNED, Department of Psychobiology, Faculty of Psychology, UNED, Madrid, Spain
- Instituto Mixto de Investigación-Escuela Nacional de Sanidad, Madrid, Spain
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