Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?

This study explored agreement and potential relationships among perceived stress (self-reported using the Perceived Stress Scale), hair cortisol concentration (HCC), and mental disorders in a clinical sample of youth and their parents. Data were collected from a cross-sectional sample of 48 youth (3...

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Main Authors: Sydney Whitney, Chloe Bedard, John Mielke, Dillon T. Browne, Mark A. Ferro
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Comprehensive Psychoneuroendocrinology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666497622000467
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author Sydney Whitney
Chloe Bedard
John Mielke
Dillon T. Browne
Mark A. Ferro
author_facet Sydney Whitney
Chloe Bedard
John Mielke
Dillon T. Browne
Mark A. Ferro
author_sort Sydney Whitney
collection DOAJ
description This study explored agreement and potential relationships among perceived stress (self-reported using the Perceived Stress Scale), hair cortisol concentration (HCC), and mental disorders in a clinical sample of youth and their parents. Data were collected from a cross-sectional sample of 48 youth (38 females; mean age = 15.6 years) with a mental disorder and 72 parents (65 females; mean age = 45.49 years). Agreement was assessed using Bland-Altman plots and intraclass correlation coefficients. Multiple regression was used to model the association between covariates and HCC and perceived stress for youth and parents. Agreement between perceived stress and HCC was low for both youth and parents (ICC = 0.15 to 0.31). Among youth, lower income (β = 0.24) and parent psychopathology (β = 0.42) were associated with higher HCC. Female sex (β = 0.42) and higher parent psychopathology (β = 0.28) were associated with higher perceived stress, whereas chronic physical illness was associated with lower perceived stress (β = −0.24). Among parents, female sex (β = −0.21) was associated with lower HCC and family functioning (β = 0.46) was associated with higher perceived stress. In youth, higher HCC was associated with generalized anxiety (OR = 1.14) and higher perceived stress was associated with major depressive episode (OR = 1.33), generalized anxiety (OR = 1.10), and separation anxiety (OR = 1.14). Among parents, higher HCC was associated with depression (β = 0.27) and perceived stress was associated with depression (β = 0.53) and anxiety (β = 0.45). This exploratory study shows that agreement between psychological and physiological stress is low in a clinical sample of youth and their parents. Sociodemographic and psychosocial factors, and mental health, are differentially associated with psychological and physiological stress.
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spelling doaj.art-b67a630ef13a450b838d176c52bfd49d2022-12-22T00:54:18ZengElsevierComprehensive Psychoneuroendocrinology2666-49762022-08-0111100155Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?Sydney Whitney0Chloe Bedard1John Mielke2Dillon T. Browne3Mark A. Ferro4School of Public Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L3G1, CanadaSchool of Public Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L3G1, Canada; Corresponding author.School of Public Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L3G1, CanadaDepartment of Psychology, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L3G1, CanadaSchool of Public Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L3G1, CanadaThis study explored agreement and potential relationships among perceived stress (self-reported using the Perceived Stress Scale), hair cortisol concentration (HCC), and mental disorders in a clinical sample of youth and their parents. Data were collected from a cross-sectional sample of 48 youth (38 females; mean age = 15.6 years) with a mental disorder and 72 parents (65 females; mean age = 45.49 years). Agreement was assessed using Bland-Altman plots and intraclass correlation coefficients. Multiple regression was used to model the association between covariates and HCC and perceived stress for youth and parents. Agreement between perceived stress and HCC was low for both youth and parents (ICC = 0.15 to 0.31). Among youth, lower income (β = 0.24) and parent psychopathology (β = 0.42) were associated with higher HCC. Female sex (β = 0.42) and higher parent psychopathology (β = 0.28) were associated with higher perceived stress, whereas chronic physical illness was associated with lower perceived stress (β = −0.24). Among parents, female sex (β = −0.21) was associated with lower HCC and family functioning (β = 0.46) was associated with higher perceived stress. In youth, higher HCC was associated with generalized anxiety (OR = 1.14) and higher perceived stress was associated with major depressive episode (OR = 1.33), generalized anxiety (OR = 1.10), and separation anxiety (OR = 1.14). Among parents, higher HCC was associated with depression (β = 0.27) and perceived stress was associated with depression (β = 0.53) and anxiety (β = 0.45). This exploratory study shows that agreement between psychological and physiological stress is low in a clinical sample of youth and their parents. Sociodemographic and psychosocial factors, and mental health, are differentially associated with psychological and physiological stress.http://www.sciencedirect.com/science/article/pii/S2666497622000467Stress-related measurementPerceived stressAdolescentsMental healthHair cortisol
spellingShingle Sydney Whitney
Chloe Bedard
John Mielke
Dillon T. Browne
Mark A. Ferro
Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?
Comprehensive Psychoneuroendocrinology
Stress-related measurement
Perceived stress
Adolescents
Mental health
Hair cortisol
title Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?
title_full Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?
title_fullStr Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?
title_full_unstemmed Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?
title_short Do subjective and objective measures of stress agree in a clinical sample of youth and their parents?
title_sort do subjective and objective measures of stress agree in a clinical sample of youth and their parents
topic Stress-related measurement
Perceived stress
Adolescents
Mental health
Hair cortisol
url http://www.sciencedirect.com/science/article/pii/S2666497622000467
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