Assessment of the cortisol awakening response: Expert consensus guidelines.
Identifieur interne : 000177 ( Main/Exploration ); précédent : 000176; suivant : 000178Assessment of the cortisol awakening response: Expert consensus guidelines.
Auteurs : Tobias Stalder [Allemagne] ; Clemens Kirschbaum [Allemagne] ; Brigitte M. Kudielka [Allemagne] ; Emma K. Adam [États-Unis] ; Jens C. Pruessner [Canada] ; Stefan Wüst [Allemagne] ; Samantha Dockray [Irlande (pays)] ; Nina Smyth [Royaume-Uni] ; Phil Evans [Royaume-Uni] ; Dirk H. Hellhammer [Allemagne] ; Robert Miller [Allemagne] ; Mark A. Wetherell [Royaume-Uni] ; Sonia J. Lupien [Canada] ; Angela Clow [Royaume-Uni]Source :
- Psychoneuroendocrinology [ 1873-3360 ] ; 2016.
English descriptors
- KwdEn :
- Circadian Rhythm, Consensus, Diagnostic Techniques, Endocrine (standards), Expert Testimony, Humans, Hydrocortisone (analysis), Hydrocortisone (metabolism), Practice Guidelines as Topic, Predictive Value of Tests, Reproducibility of Results, Saliva (chemistry), Saliva (metabolism), Specimen Handling (methods), Specimen Handling (standards), Wakefulness (physiology).
- MESH :
- chemical , analysis : Hydrocortisone.
- chemical , metabolism : Hydrocortisone.
- chemistry : Saliva.
- metabolism : Saliva.
- methods : Specimen Handling.
- physiology : Wakefulness.
- standards : Diagnostic Techniques, Endocrine, Specimen Handling.
- Circadian Rhythm, Consensus, Expert Testimony, Humans, Practice Guidelines as Topic, Predictive Value of Tests, Reproducibility of Results.
Abstract
The cortisol awakening response (CAR), the marked increase in cortisol secretion over the first 30-45 min after morning awakening, has been related to a wide range of psychosocial, physical and mental health parameters, making it a key variable for psychoneuroendocrinological research. The CAR is typically assessed from self-collection of saliva samples within the domestic setting. While this confers ecological validity, it lacks direct researcher oversight which can be problematic as the validity of CAR measurement critically relies on participants closely following a timed sampling schedule, beginning with the moment of awakening. Researchers assessing the CAR thus need to take important steps to maximize and monitor saliva sampling accuracy as well as consider a range of other relevant methodological factors. To promote best practice of future research in this field, the International Society of Psychoneuroendocrinology initiated an expert panel charged with (i) summarizing relevant evidence and collective experience on methodological factors affecting CAR assessment and (ii) formulating clear consensus guidelines for future research. The present report summarizes the results of this undertaking. Consensus guidelines are presented on central aspects of CAR assessment, including objective control of sampling accuracy/adherence, participant instructions, covariate accounting, sampling protocols, quantification strategies as well as reporting and interpreting of CAR data. Meeting these methodological standards in future research will create more powerful research designs, thus yielding more reliable and reproducible results and helping to further advance understanding in this evolving field of research.
DOI: 10.1016/j.psyneuen.2015.10.010
PubMed: 26563991
Affiliations:
- Allemagne, Canada, Irlande (pays), Royaume-Uni, États-Unis
- Angleterre, District de Dresde, Grand Londres, Québec, Saxe (Land)
- Dresde, Londres, Montréal
- Université McGill
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Le document en format XML
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Electronic address: tobias.stalder@tu-dresden.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychology, TU Dresden, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Kirschbaum, Clemens" sort="Kirschbaum, Clemens" uniqKey="Kirschbaum C" first="Clemens" last="Kirschbaum">Clemens Kirschbaum</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, TU Dresden, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychology, TU Dresden, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Kudielka, Brigitte M" sort="Kudielka, Brigitte M" uniqKey="Kudielka B" first="Brigitte M" last="Kudielka">Brigitte M. Kudielka</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, University of Regensburg, Regensburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychology, University of Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Adam, Emma K" sort="Adam, Emma K" uniqKey="Adam E" first="Emma K" last="Adam">Emma K. Adam</name><affiliation wicri:level="1"><nlm:affiliation>School of Education and Social Policy, Northwestern University, Evanston, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Education and Social Policy, Northwestern University, Evanston</wicri:regionArea><wicri:noRegion>Evanston</wicri:noRegion></affiliation></author><author><name sortKey="Pruessner, Jens C" sort="Pruessner, Jens C" uniqKey="Pruessner J" first="Jens C" last="Pruessner">Jens C. Pruessner</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychiatry, McGill University, Montreal, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychiatry, McGill University, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName><orgName type="university">Université McGill</orgName></affiliation></author><author><name sortKey="Wust, Stefan" sort="Wust, Stefan" uniqKey="Wust S" first="Stefan" last="Wüst">Stefan Wüst</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, University of Regensburg, Regensburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychology, University of Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Dockray, Samantha" sort="Dockray, Samantha" uniqKey="Dockray S" first="Samantha" last="Dockray">Samantha Dockray</name><affiliation wicri:level="1"><nlm:affiliation>School of Applied Psychology, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>School of Applied Psychology, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Smyth, Nina" sort="Smyth, Nina" uniqKey="Smyth N" first="Nina" last="Smyth">Nina Smyth</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, University of Westminster, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, University of Westminster, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Evans, Phil" sort="Evans, Phil" uniqKey="Evans P" first="Phil" last="Evans">Phil Evans</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, University of Westminster, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, University of Westminster, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Hellhammer, Dirk H" sort="Hellhammer, Dirk H" uniqKey="Hellhammer D" first="Dirk H" last="Hellhammer">Dirk H. Hellhammer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Trier University, and Stresszentrum Trier, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychology, Trier University, and Stresszentrum Trier</wicri:regionArea><wicri:noRegion>and Stresszentrum Trier</wicri:noRegion><wicri:noRegion>and Stresszentrum Trier</wicri:noRegion><wicri:noRegion>and Stresszentrum Trier</wicri:noRegion></affiliation></author><author><name sortKey="Miller, Robert" sort="Miller, Robert" uniqKey="Miller R" first="Robert" last="Miller">Robert Miller</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, TU Dresden, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychology, TU Dresden, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Wetherell, Mark A" sort="Wetherell, Mark A" uniqKey="Wetherell M" first="Mark A" last="Wetherell">Mark A. Wetherell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Northumbria University, Newcastle, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, Northumbria University, Newcastle</wicri:regionArea><wicri:noRegion>Newcastle</wicri:noRegion></affiliation></author><author><name sortKey="Lupien, Sonia J" sort="Lupien, Sonia J" uniqKey="Lupien S" first="Sonia J" last="Lupien">Sonia J. Lupien</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, University of Montreal, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychiatry, University of Montreal, Montreal, Quebec</wicri:regionArea><wicri:noRegion>Quebec</wicri:noRegion></affiliation></author><author><name sortKey="Clow, Angela" sort="Clow, Angela" uniqKey="Clow A" first="Angela" last="Clow">Angela Clow</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, University of Westminster, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, University of Westminster, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">Psychoneuroendocrinology</title><idno type="eISSN">1873-3360</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Circadian Rhythm</term><term>Consensus</term><term>Diagnostic Techniques, Endocrine (standards)</term><term>Expert Testimony</term><term>Humans</term><term>Hydrocortisone (analysis)</term><term>Hydrocortisone (metabolism)</term><term>Practice Guidelines as Topic</term><term>Predictive Value of Tests</term><term>Reproducibility of Results</term><term>Saliva (chemistry)</term><term>Saliva (metabolism)</term><term>Specimen Handling (methods)</term><term>Specimen Handling (standards)</term><term>Wakefulness (physiology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Specimen Handling</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Wakefulness</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Diagnostic Techniques, Endocrine</term><term>Specimen Handling</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Circadian Rhythm</term><term>Consensus</term><term>Expert Testimony</term><term>Humans</term><term>Practice Guidelines as Topic</term><term>Predictive Value of Tests</term><term>Reproducibility of Results</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The cortisol awakening response (CAR), the marked increase in cortisol secretion over the first 30-45 min after morning awakening, has been related to a wide range of psychosocial, physical and mental health parameters, making it a key variable for psychoneuroendocrinological research. The CAR is typically assessed from self-collection of saliva samples within the domestic setting. While this confers ecological validity, it lacks direct researcher oversight which can be problematic as the validity of CAR measurement critically relies on participants closely following a timed sampling schedule, beginning with the moment of awakening. Researchers assessing the CAR thus need to take important steps to maximize and monitor saliva sampling accuracy as well as consider a range of other relevant methodological factors. To promote best practice of future research in this field, the International Society of Psychoneuroendocrinology initiated an expert panel charged with (i) summarizing relevant evidence and collective experience on methodological factors affecting CAR assessment and (ii) formulating clear consensus guidelines for future research. The present report summarizes the results of this undertaking. Consensus guidelines are presented on central aspects of CAR assessment, including objective control of sampling accuracy/adherence, participant instructions, covariate accounting, sampling protocols, quantification strategies as well as reporting and interpreting of CAR data. Meeting these methodological standards in future research will create more powerful research designs, thus yielding more reliable and reproducible results and helping to further advance understanding in this evolving field of research.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Canada</li><li>Irlande (pays)</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>District de Dresde</li><li>Grand Londres</li><li>Québec</li><li>Saxe (Land)</li></region><settlement><li>Dresde</li><li>Londres</li><li>Montréal</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><country name="Allemagne"><region name="Saxe (Land)"><name sortKey="Stalder, Tobias" sort="Stalder, Tobias" uniqKey="Stalder T" first="Tobias" last="Stalder">Tobias Stalder</name></region><name sortKey="Hellhammer, Dirk H" sort="Hellhammer, Dirk H" uniqKey="Hellhammer D" first="Dirk H" last="Hellhammer">Dirk H. Hellhammer</name><name sortKey="Kirschbaum, Clemens" sort="Kirschbaum, Clemens" uniqKey="Kirschbaum C" first="Clemens" last="Kirschbaum">Clemens Kirschbaum</name><name sortKey="Kudielka, Brigitte M" sort="Kudielka, Brigitte M" uniqKey="Kudielka B" first="Brigitte M" last="Kudielka">Brigitte M. Kudielka</name><name sortKey="Miller, Robert" sort="Miller, Robert" uniqKey="Miller R" first="Robert" last="Miller">Robert Miller</name><name sortKey="Wust, Stefan" sort="Wust, Stefan" uniqKey="Wust S" first="Stefan" last="Wüst">Stefan Wüst</name></country><country name="États-Unis"><noRegion><name sortKey="Adam, Emma K" sort="Adam, Emma K" uniqKey="Adam E" first="Emma K" last="Adam">Emma K. Adam</name></noRegion></country><country name="Canada"><region name="Québec"><name sortKey="Pruessner, Jens C" sort="Pruessner, Jens C" uniqKey="Pruessner J" first="Jens C" last="Pruessner">Jens C. Pruessner</name></region><name sortKey="Lupien, Sonia J" sort="Lupien, Sonia J" uniqKey="Lupien S" first="Sonia J" last="Lupien">Sonia J. Lupien</name></country><country name="Irlande (pays)"><noRegion><name sortKey="Dockray, Samantha" sort="Dockray, Samantha" uniqKey="Dockray S" first="Samantha" last="Dockray">Samantha Dockray</name></noRegion></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Smyth, Nina" sort="Smyth, Nina" uniqKey="Smyth N" first="Nina" last="Smyth">Nina Smyth</name></region><name sortKey="Clow, Angela" sort="Clow, Angela" uniqKey="Clow A" first="Angela" last="Clow">Angela Clow</name><name sortKey="Evans, Phil" sort="Evans, Phil" uniqKey="Evans P" first="Phil" last="Evans">Phil Evans</name><name sortKey="Wetherell, Mark A" sort="Wetherell, Mark A" uniqKey="Wetherell M" first="Mark A" last="Wetherell">Mark A. Wetherell</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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