Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama.
El ritmo diurno del cortisol se ha visto alterado en los pacientes con cáncer. Factores como el avance de la enfermedad y los niveles de estrés se han considerado para explicar esta condición; sin embargo, los resultados no son claros. El objetivo de este estudio fue evaluar y determinar si existen diferencias en los niveles de cortisol en mujeres con cáncer de mama en diferentes estadios, y analizar la relación entre los niveles de cortisol y el estrés, el optimismo y las estrategias de afrontamiento. Se recolectaron muestras de cortisol salival durante dos días, y se aplicaron cuestionarios psicológicos de estrés percibido (PSS), optimismo disposicional (LOT-R) y estrategias de afrontamiento (MAC) a 17 mujeres con cáncer de mama en estadi... Ver más
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Dehisy Marisol Juárez García - 2016
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Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. Moscoso, M. (2009). De la mente a la célula: Impacto del estrés en psiconeuroinmunoendocrinología. LIBERABIT, 15(2), 143-152. Salimetrics, LLC. (2012). Collecting Saliva. Recuperado el 30 de agosto de 2012, desde http://www.salimetrics.com/literature. Rosal, M., King, J., Yunsheng, M. & Reed, G. (2004). Stress, Social Support, and Cortisol: Inverse Associations. Behavioral Medicine, 30, 11-21. Raedler, T., Jahn, H., Goedeken, B., Gescher, D., Kellner, M. & Wiedemann, K. (2003). Acute effects of megestrol on the hypothalamic–pituitary–adrenal axis. Cancer Chemotherapy and Pharmacology, 52, 482–486. doi 10.1007/s00280- 003-0697-6. Putman, P. & Roelofs, K. (2011). Effects of single cortisol administrations on human affect reviewed: Coping with stress through adaptive regulation of automatic cognitive processing. Psychoneuroendocrinology, 36, 439-448 Pruessner, J., Kirshbaum, C., Meinlschmid, P. & Hellhammer, D. (2003). Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendrocrinology, 28, 916-931. Powell, D., Liossi, C., Moss-Morris, R. & Schlotz, W. (2013). Unstimulated cortisol secretory activity in everyday life and its relationship with fatigue and chronic fatigue syndrome: A systematic review and subset meta-analysis. Psychoneuroendocrinology, 38, 2405-2422 Porter, L., Mishel, M., Neelon, V., Belyea, M., Pisano, E. & Scott, M. (2003). Cortisol levels and responses to mammography screening in breast cancer survivors: A pilot study. Psychosomatic Medicine, 65, 842-848. O’Donnell, K., Badrick, E., Kumari, M. & Steptoe, A. (2008). Psychological coping styles and cortisol over the day in healthy older adults. Psychoneuroendocrinology 33(5), 601–611. Otero, J., Luengo, A., Romero, E., Gómez, J. & Castro, C. (1998). Psicología de personalidad. Manual de prácticas. Barcelona: Ariel Practicum. Nakaya, N., Fukudo, S., Akizuki, N., Yoshikawa, E., Kobayakawa, M., Fujimori, M., ... & Uchitomi, Y. (2005). Twenty-four-hour urinary cortisol levels before complete resection of non-small cell lung cancer and survival. Acta Oncologica, 44(4), 399-405. Morrow, G., Hickok, J., Andrews, P. & Stern, R. (2002). Reduction in serum cortisol after platinum based chemotherapy for cancer: A role for the HPA axis in treatment-related nausea. Psychophysiology, 39(4), 491-495. Scheier, M., Carver, C. & Bridges, M. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063-1078. Mazzoccoli, G., Vendemiale, G., De Cata, A., Carughi, S. & Tarquini, R. (2010). Altered time structure of neuro-endocrine-immune system function in lung cancer patients. BMC Cancer, 10, 314. Doi:10.1186/1471-2407-10-314. Mazzoccoli, G., Tarquini, R., Durfot, T. & Francois, J. (2011). Chronodisruption in lung cancer and possible therapeutic approaches. Biomedicine and Pharmacotherapy, 65, 500– 508. Mazzoccoli, G., Giuliani, F. & Sothern, R. (2012). Determination of whole body circadian phase in lung cancer patients: melatonin vs. cortisol. The International Journal of Cancer Epidemiology, Detection, and Prevention, 36, 46-53. McEwen, B. (2007). Physiology and Neurobiology of Stress and Adaptation: Central Role of the Brain. Physiological Review, 87, 873–904, doi:10.1152/physrev.00041.2006. Master, S., Amodio, D., Stanton, A., Yee, C., Hilmert, C. & Taylor, S. (2009). Neurobiological Correlates of Coping through Emotional Approach. Brain, Behavior and Immunity, 23(1), 27-35. Lissoni, P., Brivio, F., Fumagalli, L., Messina, G., Secreto, G., Romelli, B., & Brera, G. (2007). Immune and endocrine mechanisms of advanced cancer-related hypercortisolemia. In vivo, 21(4), 647-650. Lazarus, R. (2000). Estrés y Emoción: Manejo e implicaciones en nuestra salud. Bilbao: Descleé de Brower. Lang, E., Berbaum, K. & Lutgendorf, S. (2009). Large-Core Breast Biopsy: Abnormal Salivary Cortisol Profiles Associated with Uncertainty of Diagnosis. Radiology, 250(3), 631-637. Kronfol, Z., Nair, M., Zhang, Q., Hill, E. & Brown, M. (1997). Circadian immune measures in healthy volunteers: Relationship to hypothalamic-pituitary-adrenal axis hormones and sympathetic neurotransmitters. Psychosomatic Medicine, 59, 42-50. Haus, E., Dumitriu, L., Nicolau, G., Bogola, S. & SackaettLunden, L. (2001). Circadian Rhythms of basic fibroblast growth factor (bFGF), epidermal growth factor (EGF), insulin-like growth factor-1 (IGG-1), insulin-like growth factor binding protein-3 (IGFBP-3) cortisol and melatonin in women with breast cancer. Chronobiology International, 18(4), 709-727. González, M. & Landero, R. (2007). Factor structure of the perceived stress scale (PSS) in a sample from México. The Spanish Journal of Psychology, 10(1): 199-206. Salimetrics, LLC. (2013). Salivary Cortisol. Enzime Immunoassay Kit. Recuperado el 7 de enero de 2014 desde http://www.salimetrics.com/documents/1-3002.pdf Schrepf, A., Clevenger, L., Christensen, D., DeGeest, K., Bender, D., Ahmed, A., ... & Lutgendorf, S. K. (2013). Cortisol and inflammatory processes in ovarian cancer patients following primary treatment: Relationships with depression, fatigue, and disability. Brain, behavior, and immunity, 30, S126-S134. Folkman, S. & Moskowitz, J. (2004). COPING: Pitfalls and Promise. Annual Review of Psychology, 55(1), 745-774. doi:10.1146/annurev.psych.55.090902.141456. Watson, M., Haviland, J., Davidson, J. & Bliss, J. (2000). Fighting spirit in patients with cancer. Lancet, 355, 4, 848, Weinrib, A. Z., Sephton, S. E., DeGeest, K., Penedo, F., Bender, D., Zimmerman, B., ... & Lutgendorf, S. K. (2010). Diurnal cortisol dysregulation, functional disability, and depression in women with ovarian cancer. Cancer,116(18), 4410-4419. Text http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/publishedVersion http://purl.org/redcol/resource_type/ART http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/coar/resource_type/c_6501 info:eu-repo/semantics/article Young, C. & Welsh, J. (2005). Stress, Health and Disease: A Review. Cell Science, 2(2), 132-158. Wüst, S., Federenko, I., Van Rossum, E., Koper, J. & Hellhammer, D. (2005). Habituation of cortisol responses to repeated psychosocial stress-further characterization and impact of genetic factors. Psychoneuroendocrinology, 30(2), 199-211. Watson, M., Greer, S., Young, J., Inayat, Q., Burgesss, G. & Robertson, B. (1988). Development of questionnaire measure of adjustment to cancer: the MAC scale. Psychological Medicine, 18, 203-206. Schoofs, D., Hartmann, R. & Wolf, O. (2008). Neuroendocrine stress response to an oral academic examination: No strong influence of sex, repeated participation and personality traits. Stress, 11(1), 52-61. Vedhara, K., Tuin, J., Miles, J., Sanderman, R. & Ranchor, A. (2006). Psychosocial factors associated with indices of cortisol production in women with breast cancer and controls. Psychoneuroendocrinology, 31, 299-311. Vedhara, K., Miles, J., Bennett, P., Plummer, S., Tallon, D., Brooks, E., ... & Farndon, J. (2003). An investigation into the relationship between salivary cortisol, stress, anxiety and depression. Biological psychology, 62(2), 89-96. Touitou, Y., Lévi, F., Bogdan, A., Benavides, M., Bailleul, F. & Misset, J. (1995). Rhythm alteration in patients with metastatic breast cancer and poor prognostic factors. Journal Cancer Research Clinic Oncology, 121, 181-188. Touitou, Y., Bogdan, A., Lévi, F., Benavides, M. & Auzéby, A. (1996). Disruption of the circadian patterns of serum cortisol in breast and ovarian cancer patients: Relationships with tumor marker antigens. British Journal of Cancer, 74, 1248-1252. Taylor, S., Burklund, L., Eisenberger, N., Lehman, B., Hilmert, C. & Lieberman, M. (2008). Neural bases of moderation of cortisol stress responses by psychosocial resources. Journal of Personality and Social Psychology, 95(1), 197-211. Sjögren, E., Leanderson, P. & Kristenson, M. (2006). Diurnal cortisol levels and relations to psychosocial factors in a population sample of middle-age Swedish men and women. International Journal of Behavioral Medicine, 13(3), 193-200 Solberg, L., Segerstrom, S. & Septhon, S. (2005). Engagement and Arousal: Optimism’s Effects During a Brief Stressor. Personality and Social Psychology Bulletin, 31(1), 111-120. Sephton, S. & Spiegel, D. (2003). Circadian disruption in cancer: A neuroendocrine-immune pathway from stress to disease? Brain, Behavior and Immunity, 17, 321-328. Sephton, S., Sapolsky, R., Kraemer, H. & Spiegel, D. (2000). Diurnal cortisol rhythm as a predictor of breast cancer survival. Journal of the National Cancer Institute, 92(12), 994- 1000. Septhon, S., Lush, E., Dedert, E., Floyd, A., Rebholz, W., Dhabhar, F., Spiegel, D. & Salmon, P. (2012). Diurnal cortisol rhythm as a predictor of lung cancer survival. Brain, Behavior and Immunity, 30, 163-170. DOI: 10.1016/j. bbi.2012.07.019. Spiegel, D. (2001). Mind matters: Coping and cancer progression. Journal of Psychosomatic Research, 50, (5), 287–290. Garland, M., Lavelle, E., Doherty, D., Golden-Mason, L., Fitzpatrick, P., Hill, A., Walsh, N. & O’ Farrely, C. (2004). Cortisol does not mediate the suppressive effects of psychiatric morbidity on natural killer cell activity: A cross-sectional study of patients with early breast cancer. Psychological Medicine, 34, 481- 490. Fries, E., Hesse, J., Hellhammer, J. & Hellhammer, D. (2005). A new view on hypocortisolisms. Psychoneuroendocrinology, 30(10), 1010–1016. Fischbach, F. & Dunning, M. (2009). A manual of laboratory and diagnostic test. Ed 8. China: Wolters Kluwer Health/ Lippincott Williams and Wilkins. Estresse application/pdf application/pdf Artículo de revista Núm. 1 , Año 2016 :ACTA COLOMBIANA DE PSICOLOGÍA 1 19 Estratégias de enfrentamento Ritmo diurno do cortisol Cortisol Acta Colombiana de Psicología Estrategias de afrontamiento. Ritmo diurno del cortisol Estrés Cortisol Jaime Bernal, Leticia González Ramírez, Mónica Teresa Landero Hernández, René Juárez García, Dehisy Marisol El ritmo diurno del cortisol se ha visto alterado en los pacientes con cáncer. Factores como el avance de la enfermedad y los niveles de estrés se han considerado para explicar esta condición; sin embargo, los resultados no son claros. El objetivo de este estudio fue evaluar y determinar si existen diferencias en los niveles de cortisol en mujeres con cáncer de mama en diferentes estadios, y analizar la relación entre los niveles de cortisol y el estrés, el optimismo y las estrategias de afrontamiento. Se recolectaron muestras de cortisol salival durante dos días, y se aplicaron cuestionarios psicológicos de estrés percibido (PSS), optimismo disposicional (LOT-R) y estrategias de afrontamiento (MAC) a 17 mujeres con cáncer de mama en estadio I, II y III. Los resultados muestran que las pacientes con cáncer de mama en los tres estadios presentan un ritmo diurno de cortisol normal y no difieren significativamente en los niveles de cortisol. Respecto a las variables psicológicas, solo difieren en la variable de optimismo. Las estrategias de afrontamiento - espíritu de lucha y evitación cognitiva - son las variables que tienen más influencia en los niveles de cortisol, y explican un 55% de la varianza. Se discuten las implicaciones de estos resultados. Universidad Católica de Colombia Publication Carlson, L., Campbell, T., Garland, S. & Grossman, P. (2007). Associations among salivary cortisol, melatonin, catecholamines, sleep quality and stress in women with breast cancer and healthy controls. Journal of Behavioral Medicine, 30(1), 45-58. Dehisy Marisol Juárez García - 2016 Coyne, J. & Tennen, H. (2010). Positive Psychology in Cancer Care: Bad Science, Exaggerated Claims and Unproven Medicine. Annals of Behavioral Medicine, 39, 16–26. Costanzo, E., Lutgendorf, S., Rothrock, N. & Anderson, B. (2006). Coping and quality of life among women extensively treated for gynecologic cancer. Psycho-Oncology, 15, 132-142. Cordova, M., Giese-Davis, J., Golant, M., Kronnenwetter, C., Chang, V., McFarlin, S. & Spiegel, D. (2003). Mood disturbance in community cancer support groups: The role of emotional suppression and fighting spirit. Journal of Psychosomatic Research, 55, 5, 461–467. Cohen, S., Kamarak, T. & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396. Bigatti, S., Steiner, J. & Miller, K. (2012). Cognitive Appraisals, Coping and Depressive Symptoms in Breast Cancer Patients. Stress and Health, 28, 355-361. Barroilhet, S., Forjaz, M. & Garrido, E. (2005). Conceptos, teorías y factores psicosociales en la adaptación al cáncer. Actas Españolas de Psiquiatría, 33(6), 390-397. Abercrombie, H., Giese-Davis, J., Sephton, S., Epel, E., Turner- -Cobb, J. & Spiegel, D. (2003). Flattened cortisol rhythms in metastatic breast cancer patients. Psychoneuroendocrinology, 29, 1082–1092. Dedert, E., Lush, E., Chagpar, A., Dhabhar, F., Segestrom, S., Spiegel, D., Dayyat, E., Daup, M., McMasters, K. & Sephton, S. (2012). Stress, Coping, and Circadian Disruption Among Women Awaiting Breast Cancer Surgery. Annals of Behavioral Medicine, 44(1), 10-20. Dettenborn, L., James, G., Valdimarsdottir, H., Montgomery, G. & Bovbjerg, D. (2006). Breast cancer-specific intrusions are associated with increased cortisol responses to daily life stressors in healthy women without personal or family histories of breast cancer. Journal of Behavioral Medicine, 29(5), 477-485. https://creativecommons.org/licenses/by-nc-sa/4.0/ Donovan-Kicken, E. & Caughlin, J. (2011). Breast cancer patients’ topic avoidance and psychological distress: The mediating role of coping. Journal of Health Psychology, 16(4): 596-606. Fan, Y., Tang, Y., Lu, Q., Feng, S., Yu, Q., Sui, D., Zhao, Q., Ma, Y. & Li, S. (2009). Dynamic changes in salivary cortisol and secretory immunoglobulin A response to acute stress. Stress and Health, 25, 189-194. Español Fekedulegn, D. Andrew, M., Burchfiel, C., Violanti, J., Hartley, T., Charles, L.E. & Miller D.B. (2007). Area under the curve and other summary indicators of repeated waking cortisol measurements. Psychosomatic Medicine, 69, 651–665. https://actacolombianapsicologia.ucatolica.edu.co/article/view/980 Diurnal cortisol rhythm Journal article Diurnal cortisol variation and its relationship with stress and coping strategies in women with breast cancer. Cortisol Diurnal cortisol rhythm is affected in patients with cancer. Factors such as disease progression and stress levels are regarded as possible causes of this condition, however results are not clear. The aim of this study was to assess and determine whether there are differences in cortisol levels in women with breast cancer in different stages and analyze the relationship between cortisol levels and stress, optimism and coping strategies. Salivary cortisol samples were collected for two days and psychological questionnaires of perceived stress (PSS), dispositional optimism (LOT-R) and coping strategies (MAC) were administered to 17 breast cancer women in stage I, II and III of the disease. The results show that patients with breast cancer in the three stages have a normal diurnal cortisol rhythm and do not differ significantly in cortisol levels. Regarding the psychological variables, they differ only in the optimism. Coping strategies such as fighting spirit and cognitive avoidance are the variables that have more influence on the cortisol levels, explaining 55% of variance. The implications of these results are discussed. Coping strategies Stress 1909-9711 https://actacolombianapsicologia.ucatolica.edu.co/article/download/980/pdf%20en https://actacolombianapsicologia.ucatolica.edu.co/article/download/980/1039 0123-9155 112 103 2016-01-01T00:00:00Z 2016-01-01T00:00:00Z https://doi.org/10.14718/ACP.2016.19.1.6 10.14718/ACP.2016.19.1.6 2015-01-01 |
institution |
UNIVERSIDAD CATÓLICA DE COLOMBIA |
thumbnail |
https://nuevo.metarevistas.org/UNIVERSIDADCATOLICADECOLOMBIA/logo.png |
country_str |
Colombia |
collection |
Acta Colombiana de Psicología |
title |
Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. |
spellingShingle |
Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. Jaime Bernal, Leticia González Ramírez, Mónica Teresa Landero Hernández, René Juárez García, Dehisy Marisol Estresse Estratégias de enfrentamento Ritmo diurno do cortisol Cortisol Estrategias de afrontamiento. Ritmo diurno del cortisol Estrés Cortisol Diurnal cortisol rhythm Cortisol Coping strategies Stress |
title_short |
Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. |
title_full |
Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. |
title_fullStr |
Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. |
title_full_unstemmed |
Variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. |
title_sort |
variación diurna del cortisol y su relación con estrés, optimismo y estrategias de afrontamiento en mujeres con cáncer de mama. |
title_eng |
Diurnal cortisol variation and its relationship with stress and coping strategies in women with breast cancer. |
description |
El ritmo diurno del cortisol se ha visto alterado en los pacientes con cáncer. Factores como el avance de la enfermedad y los niveles de estrés se han considerado para explicar esta condición; sin embargo, los resultados no son claros. El objetivo de este estudio fue evaluar y determinar si existen diferencias en los niveles de cortisol en mujeres con cáncer de mama en diferentes estadios, y analizar la relación entre los niveles de cortisol y el estrés, el optimismo y las estrategias de afrontamiento. Se recolectaron muestras de cortisol salival durante dos días, y se aplicaron cuestionarios psicológicos de estrés percibido (PSS), optimismo disposicional (LOT-R) y estrategias de afrontamiento (MAC) a 17 mujeres con cáncer de mama en estadio I, II y III. Los resultados muestran que las pacientes con cáncer de mama en los tres estadios presentan un ritmo diurno de cortisol normal y no difieren significativamente en los niveles de cortisol. Respecto a las variables psicológicas, solo difieren en la variable de optimismo. Las estrategias de afrontamiento - espíritu de lucha y evitación cognitiva - son las variables que tienen más influencia en los niveles de cortisol, y explican un 55% de la varianza. Se discuten las implicaciones de estos resultados.
|
description_eng |
Diurnal cortisol rhythm is affected in patients with cancer. Factors such as disease progression and stress levels are regarded as possible causes of this condition, however results are not clear. The aim of this study was to assess and determine whether there are differences in cortisol levels in women with breast cancer in different stages and analyze the relationship between cortisol levels and stress, optimism and coping strategies. Salivary cortisol samples were collected for two days and psychological questionnaires of perceived stress (PSS), dispositional optimism (LOT-R) and coping strategies (MAC) were administered to 17 breast cancer women in stage I, II and III of the disease. The results show that patients with breast cancer in the three stages have a normal diurnal cortisol rhythm and do not differ significantly in cortisol levels. Regarding the psychological variables, they differ only in the optimism. Coping strategies such as fighting spirit and cognitive avoidance are the variables that have more influence on the cortisol levels, explaining 55% of variance. The implications of these results are discussed.
|
author |
Jaime Bernal, Leticia González Ramírez, Mónica Teresa Landero Hernández, René Juárez García, Dehisy Marisol |
author_facet |
Jaime Bernal, Leticia González Ramírez, Mónica Teresa Landero Hernández, René Juárez García, Dehisy Marisol |
topicspa_str_mv |
Estresse Estratégias de enfrentamento Ritmo diurno do cortisol Cortisol Estrategias de afrontamiento. Ritmo diurno del cortisol Estrés Cortisol |
topic |
Estresse Estratégias de enfrentamento Ritmo diurno do cortisol Cortisol Estrategias de afrontamiento. Ritmo diurno del cortisol Estrés Cortisol Diurnal cortisol rhythm Cortisol Coping strategies Stress |
topic_facet |
Estresse Estratégias de enfrentamento Ritmo diurno do cortisol Cortisol Estrategias de afrontamiento. Ritmo diurno del cortisol Estrés Cortisol Diurnal cortisol rhythm Cortisol Coping strategies Stress |
citationvolume |
19 |
citationissue |
1 |
citationedition |
Núm. 1 , Año 2016 :ACTA COLOMBIANA DE PSICOLOGÍA |
publisher |
Universidad Católica de Colombia |
ispartofjournal |
Acta Colombiana de Psicología |
source |
https://actacolombianapsicologia.ucatolica.edu.co/article/view/980 |
language |
Español |
format |
Article |
rights |
http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess Dehisy Marisol Juárez García - 2016 https://creativecommons.org/licenses/by-nc-sa/4.0/ |
references |
Moscoso, M. (2009). De la mente a la célula: Impacto del estrés en psiconeuroinmunoendocrinología. LIBERABIT, 15(2), 143-152. Salimetrics, LLC. (2012). Collecting Saliva. Recuperado el 30 de agosto de 2012, desde http://www.salimetrics.com/literature. Rosal, M., King, J., Yunsheng, M. & Reed, G. (2004). Stress, Social Support, and Cortisol: Inverse Associations. Behavioral Medicine, 30, 11-21. Raedler, T., Jahn, H., Goedeken, B., Gescher, D., Kellner, M. & Wiedemann, K. (2003). Acute effects of megestrol on the hypothalamic–pituitary–adrenal axis. Cancer Chemotherapy and Pharmacology, 52, 482–486. doi 10.1007/s00280- 003-0697-6. Putman, P. & Roelofs, K. (2011). Effects of single cortisol administrations on human affect reviewed: Coping with stress through adaptive regulation of automatic cognitive processing. Psychoneuroendocrinology, 36, 439-448 Pruessner, J., Kirshbaum, C., Meinlschmid, P. & Hellhammer, D. (2003). Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendrocrinology, 28, 916-931. Powell, D., Liossi, C., Moss-Morris, R. & Schlotz, W. (2013). Unstimulated cortisol secretory activity in everyday life and its relationship with fatigue and chronic fatigue syndrome: A systematic review and subset meta-analysis. Psychoneuroendocrinology, 38, 2405-2422 Porter, L., Mishel, M., Neelon, V., Belyea, M., Pisano, E. & Scott, M. (2003). Cortisol levels and responses to mammography screening in breast cancer survivors: A pilot study. Psychosomatic Medicine, 65, 842-848. O’Donnell, K., Badrick, E., Kumari, M. & Steptoe, A. (2008). Psychological coping styles and cortisol over the day in healthy older adults. Psychoneuroendocrinology 33(5), 601–611. Otero, J., Luengo, A., Romero, E., Gómez, J. & Castro, C. (1998). Psicología de personalidad. Manual de prácticas. Barcelona: Ariel Practicum. 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