Evidence map›Paper›PMID 33515741›Full record

ArticleBrain, behavior, and immunity2021

Perceived stress is linked to heightened biomarkers of inflammation via diurnal cortisol in a national sample of adults.

Erik L Knight, Yanping Jiang, Jacqueline Rodriguez-Stanley, David M Almeida, Christopher G Engeland, Samuele Zilioli

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05172804 (The Distinct Effects of Mind-Body Modalities on Health Outcomes in Nursing Students), which is not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05172804 nacompletednot on this map

The Distinct Effects of Mind-Body Modalities on Health Outcomes in Nursing Students

TypeinterventionalSponsorJordan University of Science and TechnologyRan2020 to 2021Enrolled220ConditionsStress Reaction, Stress, Psychological, Stress, PhysiologicalArmsProgressive muscle relaxation, Guided Imagery, Mindfulness Meditation, Control group
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Erik L KnightCenter for Healthy Aging, Pennsylvania State University, University Park, United States; Department of Psychology and Neuroscience, University of Colorado, Boulder, United States. Electronic address: erik.knight@colorado.edu.
Yanping JiangDepartment of Psychology, Wayne State University, United States.
Jacqueline Rodriguez-StanleyDepartment of Psychology, Wayne State University, United States.
David M AlmeidaCenter for Healthy Aging, Pennsylvania State University, University Park, United States; Department of Human Development and Family Studies, Pennsylvania State University, University Park, United States.
Christopher G EngelandCenter for Healthy Aging, Pennsylvania State University, University Park, United States; Department of Biobehavioral Health, Pennsylvania State University, University Park, United States; College of Nursing, Pennsylvania State University, University Park, United States.
Samuele ZilioliDepartment of Psychology, Wayne State University, United States; Department of Family Medicine and Public Health Sciences, Wayne State University, United States. Electronic address: samuele.zilioli@wayne.edu.
Wayne State University · USPennsylvania State University · USUniversity of Colorado Boulder · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
U19 MIDlife in the United States-Diversity Supplement-WellsU19AG051426 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CHRISTOPHER L COE · 2016 to 2026
$74.8M
STATISTICS COREP01AG020166 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI RYFF, CAROL D. · 2002 to 2015
$50.6M
Maternal Morbidity and Mortality: Risk Factors, Early Detection and Personalized InterventionUL1TR001409 · NCATS · GEORGETOWN UNIVERSITY · PI GONDRE-LEWIS, MARJORIE C, MELLMAN, THOMAS A · 2015 to 2024
$37.8M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
NCATS NIH HHS UL1 TR001409NCATS NIH HHS UL1 TR001881NCATS NIH HHS UL1 TR002373NCRR NIH HHS UL1 RR025011NIA NIH HHS P01 AG020166NIA NIH HHS U19 AG051426
6 · The paper itself

Abstract

Exposure to and perceptions of stress have been associated with altered systemic inflammation, but the intermediate processes by which stress links to inflammation are not fully understood. Diurnal cortisol slopes were examined as a pathway by which self-reported psychosocial stress is associated with inflammation [i.e., C-reactive protein (CRP), interleukin-6 (IL-6), fibrinogen, E-Selectin, and Intercellular Adhesion Molecule-1 (ICAM-1)] in a large sample of adults (the Midlife in the US study; N = 914; 55.9% female; aged 34-84 years). Structural equation modeling indicated that perceived psychological stress was associated with flattened diurnal cortisol slopes and flatter diurnal cortisol slopes were, in turn, associated with heightened inflammation in these cross-sectional analyses (index of indirect pathway, ω = 0.003, 95% CI [0.001, 0.004], ω

Indexed as

HydrocortisoneSalivaAdultAgedAged, 80 and overBiomarkersCircadian RhythmCross-Sectional StudiesFemaleHumansInflammationMaleMiddle AgedStress, PsychologicalBiomarkersHydrocortisoneAllostatic loadDiurnal cortisolInflammationStress

Identifiers

PMID33515741
PMCPMC8274563
OpenAlexW3122119217

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.