Grossi G, Ahs A, Lundberg U
Karolinska Institute, Stockholm, Sweden.
Integr Physiol Behav Sci. 1998 Jul-Sep;33(3):249-63. doi: 10.1007/BF02688666.
The aim of the present study was to examine the association between psychological factors and salivary cortisol secretion (baseline level, reactivity to laboratory stressors) in a sample of 59 long-term unemployed men and women (mean age 42+/-10 years). Subjects were divided into four groups according to their basal levels of salivary cortisol as well as their reactivity to experimental stress (stress level minus baseline): (1) low base/ low reactivity; (2) high base/low reactivity; (3) low base/high reactivity; and (4) high base/ high reactivity. The low base/low reactivity group was characterized by significantly higher somatic anxiety, muscular tension, irritability, and depression (Beck's Depression Inventory) and lower perceived control (mastery) than the other groups. The low base/high reactivity group was also characterized by depression and low perceived control. The high base/low reactivity group was higher in terms of monotony avoidance, Type-A behavior (JAS) and mastery, but lower in depression. The results indicate that (1) individuals with personality traits reflecting emotional distress are more vulnerable to exhaustion of the HPA-axis following long-term unemployment and (2) monotony avoidance and Type-A behavior, at least temporarily, seem to exert a beneficial influence on mental well-being among long-term unemployed individuals.
本研究旨在调查59名长期失业的男性和女性(平均年龄42±10岁)样本中心理因素与唾液皮质醇分泌(基线水平、对实验室应激源的反应性)之间的关联。根据唾液皮质醇的基础水平及其对实验应激的反应性(应激水平减去基线),将受试者分为四组:(1)低基础/低反应性;(2)高基础/低反应性;(3)低基础/高反应性;(4)高基础/高反应性。与其他组相比,低基础/低反应性组的特点是躯体焦虑、肌肉紧张、易怒和抑郁(贝克抑郁量表)显著更高,而感知控制(掌控感)更低。低基础/高反应性组的特点也是抑郁和低感知控制。高基础/低反应性组在避免单调、A型行为(日本A型行为量表)和掌控感方面得分较高,但抑郁得分较低。结果表明:(1)具有反映情绪困扰人格特质的个体在长期失业后更容易出现下丘脑-垂体-肾上腺(HPA)轴功能衰竭;(2)避免单调和A型行为至少在短期内似乎对长期失业个体的心理健康有有益影响。