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作者信息

Ramachandran Natasha, Smyth Nina, Joban Sanjay, Flynn Maria, Clow Angela, Thorn Lisa

机构信息

School of Social Sciences, University of Westminster, London, UK.

出版信息

Compr Psychoneuroendocrinol. 2024 Nov 6;20:100276. doi: 10.1016/j.cpnec.2024.100276. eCollection 2024 Nov.

Abstract

Cortisol awakening response (CAR) research relies upon self-collected saliva sampling during the post-awakening period. It is unknown how the CAR protocol is perceived and how they may affect typical routines relevant to CAR methodology. CAR assessment is sensitive to state variables, suggesting that CAR measurement may be affected by research participation. This is the first qualitative study to explore motivation and experiences of participation in CAR research. Interviews were conducted with a sample of 20 participants (males/females: 4/16) aged 46-82 years following their participation in CAR research in the domestic setting. Responses were transcribed verbatim and thematically analysed. Participants were motivated to take part in CAR research for altruistic reasons and the apparent convenience of undertaking the study at home. Participants experienced the study as arduous describing apprehension and the cognitive burden it placed on them leading to disruptions to sleep and morning routines. Participants also struggled to identify the moment of awakening and there was uncertainty surrounding the timing of the first awakening sample. Disruptions were lessened with habituation to sampling on repeated study days. There was apprehension about taking part in CAR research, affecting mood, cognition, and sleep; state variables known to influence the CAR. Findings inform ways to optimise CAR 'ecological validity' and obtain typical CAR characteristics. The 'moment of awakening', was not universally understood, leading to hesitancy in deciding when to collect saliva samples. Researchers need to include a specific discussion of the commonly experienced ambiguity surrounding awakening to increase awareness, lessen anxiety and highlight its importance.

摘要

皮质醇觉醒反应(CAR)研究依赖于觉醒后阶段的自我唾液采样。目前尚不清楚CAR方案是如何被认知的,以及它们可能如何影响与CAR方法相关的日常活动。CAR评估对状态变量敏感,这表明CAR测量可能会受到研究参与的影响。这是第一项探索参与CAR研究的动机和经历的定性研究。在20名年龄在46 - 82岁的参与者(男性/女性:4/16)参与国内环境下的CAR研究后,对他们进行了访谈。访谈内容逐字转录并进行了主题分析。参与者出于利他主义原因以及在家中进行研究明显的便利性而有动力参与CAR研究。参与者将该研究体验为艰巨的,描述了担忧以及它给他们带来的认知负担,导致睡眠和早晨日常活动受到干扰。参与者也难以确定觉醒时刻,并且首次觉醒样本的时间存在不确定性。随着在重复研究日对采样的习惯化,干扰有所减轻。对于参与CAR研究存在担忧,这会影响情绪、认知和睡眠;这些状态变量已知会影响CAR。研究结果为优化CAR的“生态效度”并获得典型的CAR特征提供了方法。“觉醒时刻”并未被普遍理解,这导致在决定何时采集唾液样本时犹豫不决。研究人员需要专门讨论围绕觉醒普遍存在的模糊性,以提高认识、减轻焦虑并突出其重要性。

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