昼夜唾液皮质醇指标的可靠性:一项荟萃分析及在两个独立样本中的研究
Reliability of diurnal salivary cortisol metrics: A meta-analysis and investigation in two independent samples.
作者信息
Norton Sara A, Baranger David Aa, Young Ethan S, Voss Michaela, Hansen Isabella, Bondy Erin, Rodrigues Merlyn, Paul Sarah E, Edershile Elizabeth, Hill Patrick L, Oltmanns Thomas F, Simpson Jeffry, Bogdan Ryan
机构信息
Washington University in St. Louis, Department of Psychological & Brain Sciences, USA.
Utrecht University, Department of Psychology, the Netherlands.
出版信息
Compr Psychoneuroendocrinol. 2023 Aug 9;16:100191. doi: 10.1016/j.cpnec.2023.100191. eCollection 2023 Nov.
Stress-induced dysregulation of diurnal cortisol is a cornerstone of stress-disease theories; however, observed associations between cortisol, stress, and health have been inconsistent. The reliability of diurnal cortisol features may contribute to these equivocal findings. Our meta-analysis (5 diurnal features from 11 studies; total participant n = 3307) and investigation (15 diurnal cortisol features) in 2 independent studies (St. Louis Personality and Aging Network [SPAN] Study, n = 147, ages 61-73; Minnesota Longitudinal Study of Risk and Adaptation [MLSRA] Study, n = 90, age 37) revealed large variability in the day-to-day test-retest reliability of diurnal features derived from salivary cortisol data (i.e., ICC = 0.00-0.75). Collectively, these data indicate that some commonly used diurnal cortisol features have poor reliability that is insufficient for individual differences research (e.g., cortisol awakening response) while others (e.g., area under the curve with respect to ground) have fair-to-good reliability that could support reliable identification of associations in well-powered studies.
应激诱导的昼夜皮质醇失调是应激-疾病理论的基石;然而,观察到的皮质醇、应激与健康之间的关联并不一致。昼夜皮质醇特征的可靠性可能导致了这些模棱两可的结果。我们的荟萃分析(来自11项研究的5个昼夜特征;总参与者n = 3307)以及在两项独立研究中的调查(15个昼夜皮质醇特征)(圣路易斯个性与衰老网络[SPAN]研究,n = 147,年龄61 - 73岁;明尼苏达风险与适应纵向研究[MLSRA],n = 90,年龄37岁)显示,从唾液皮质醇数据得出的昼夜特征在日常重测可靠性方面存在很大差异(即,组内相关系数ICC = 0.00 - 0.75)。总体而言,这些数据表明,一些常用的昼夜皮质醇特征可靠性较差,不足以用于个体差异研究(例如,皮质醇觉醒反应),而其他一些特征(例如,相对于基线的曲线下面积)具有中等至良好的可靠性,这可以支持在样本量充足的研究中可靠地识别关联。