ArticlePsychoneuroendocrinology2020
Perceived stress, psychological resilience, hair cortisol concentration, and metabolic syndrome severity: A moderated mediation model.
Article in Psychoneuroendocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Maternal Prenatal Stress and the Offspring Gut Microbiome: A Cross-Species Systematic Review.Developmental psychobiology · 2025Pooled it
- Association of primary allostatic load mediators and metabolic syndrome (MetS): A systematic review.Frontiers in endocrinology · 2022Pooled it
- Psychological Resilience, Cardiovascular Disease, and Metabolic Disturbances: A Systematic Review.Frontiers in psychology · 2022Pooled it
- Texas strength through resilience in diabetes education (TX STRIDE): Protocol for a non-randomized cluster-controlled trial among African American adults with type 2 diabetes.Contemporary clinical trials · 2026Article
- Are psychosocial factors and menopause symptoms related to hair cortisol concentrations among midlife Latinas? Results from theComprehensive psychoneuroendocrinology · 2026Article
- Chronic Parenting Stress in Parents of Children with Autism: Associations with Chronic Stress in Their Child and Parental Mental and Physical Health.Journal of autism and developmental disorders · 2026Article
- Neighborhood Socioeconomic Status and Diverse Health-related Outcomes among American Indian and Alaska Native Peoples during the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- Recognition of adaptive stress response patterns in adolescents based on multiple hair biomarkers.Frontiers in psychology · 2026Article
- Understanding metabolic resilience by unraveling temporal dynamics of cellular responses.Trends in endocrinology and metabolism: TEM · 2025Review
- The Examination of the Relationship Between Death Anxiety, Psychological Resilience and Religious Attitude Levels of Cardiology Patients with and without Myocardial Infarction in Turkey.Journal of religion and health · 2025Article
- Relationship of Hair Cortisol Concentration With Perceived and Somatic Stress Indices: Cross-Sectional Pilot Study.JMIR formative research · 2025Article
- The effect of peer support on psychological rehabilitation in injured collegiate athletes: the mediating roles of resilience and perceived stress.Frontiers in psychology · 2025Article
- Differences of Sedentary Behavior, Physical Activity, and Metabolic Syndrome Severity Among Metabolic Syndrome Clusters.American journal of lifestyle medicine · 2025Article
- Socioeconomic mobility, metabolic health, and diet: mediation via subjective socioeconomic status.Obesity (Silver Spring, Md.) · 2024Article
- Resilience as a predictor of habituation.European archives of psychiatry and clinical neuroscience · 2024Article
- Exploring Food Insecurity and Perceived Stress on Daytime Sleepiness among Older Adults in New York City.Foods (Basel, Switzerland) · 2024Article
- Human immune and metabolic biomarker levels, and stress-biomarker associations, differ by season: Implications for biomedical health research.Brain, behavior, & immunity - health · 2024Article
- Diet Quality and Resilience through Adulthood: A Cross-Sectional Analysis of the WELL for Life Study.Nutrients · 2024Article
- Neuroendocrine mechanisms in the links between early life stress, affect, and youth substance use: A conceptual model for the study of sex and gender differences.Frontiers in neuroendocrinology · 2024Review
- Reactivity of Health-Related Quality of Life to Perceived Stress: The Buffering Role of Psychosocial Resources in a Longitudinal Study of Adults with and Without HIV.Journal of clinical psychology in medical settings · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPsychological resilience is considered to protect against detrimental effects of perceived stress on cardiovascular and metabolic health, but few studies have tested biological mechanisms underlying these relationships. PURPOSE: This study examined whether psychological resilience moderated the indirect association of perceived stress with Metabolic Syndrome (MetS) severity via hair cortisol concentration (HCC), a retrospective index of hypothalamic pituitary adrenal (HPA) axis activity.
methodParticipants included 228 adults (73 White, 86 Hispanic, 69 African American; mean age 45.29 years; 68% females). Participants completed questionnaires assessing perceived stress (Perceived Stress Scale) and resilience (Brief Resilience Scale). The first 3 cm of scalp-near hair were analyzed for cortisol concentration using enzyme-linked immunoassay analysis. Cardiometabolic risk factors including blood glucose, lipids, blood pressure, and waist circumference were assessed, from which a sex- and race/ethnicity-specific continuous MetS severity score was calculated. A moderated mediation model was tested using path analysis.
resultsPsychological resilience moderated the association of perceived stress with HCC (R
conclusionFindings suggest that psychological resilience may serve as both a stress buffer and as a direct determinant of cardiometabolic health. These results extend literature on psychological resilience to measures of retrospective HPA axis function and MetS severity in a diverse sample.
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