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Perceived stress and biological risk: is the link stronger in Russians than in Taiwanese and Americans?

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Date
2013-07
Authors
Glei, Dana A
Goldman, Noreen
Shkolnikov, Vladimir M
Jdanov, Dmitri
Shkolnikova, Maria
Vaupel, James W
Weinstein, Maxine
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Abstract
Allostatic load theory implies a relationship between exposure to psychological stress and multi-system physiological dysregulation. We used data from population-based samples of men and women in Russia (Moscow; n = 1800; age, mean 68.6 years), Taiwan (n = 1036; 65.6 years) and the United States (US; n = 1054; 58.0 years) -- which are likely to vary widely with respect to levels of stress exposure and biological markers -- to determine the magnitude of the association between perceived stress and physiological dysregulation. The measure of overall dysregulation was based on 15 markers including standard cardiovascular/metabolic risk factors as well as markers of inflammation and neuroendocrine activity. Subjective psychological stress was measured by the perceived stress scale. Only the Moscow sample demonstrated a positive association with overall dysregulation in both sexes. In the US, we found an association among women but not men. Among the Taiwanese, who report the lowest perceived stress, there was no association in women but an unexpected inverse relationship in men. The effects also varied across system-level subscores: the association with perceived stress was most consistent for standard cardiovascular/metabolic factors. Perceived stress was associated with inflammation and neuroendocrine activity in some samples. Although the evidence that perceived stress is the primary source of physiological dysregulation is generally modest, it was stronger in Russia where the level of perceived stress was particularly high. For Russia only, we had information about heart function based on a 24 h ambulatory electrocardiogram; perceived stress was consistently associated with heart rate dysregulation in Russian men and women.
Type
Journal article
Subject
Adult
Aged
Aged, 80 and over
Allostasis
Asian Continental Ancestry Group
Biomarkers
Cardiovascular System
Creatinine
Cross-Sectional Studies
European Continental Ancestry Group
Female
Heart Rate
Humans
Hydrocortisone
Inflammation
Male
Middle Aged
Moscow
Neurosecretory Systems
Perception
Risk Factors
Sex Factors
Stress, Psychological
Taiwan
United States
Permalink
https://hdl.handle.net/10161/14713
Published Version (Please cite this version)
10.3109/10253890.2013.789015
Publication Info
Glei, Dana A; Goldman, Noreen; Shkolnikov, Vladimir M; Jdanov, Dmitri; Shkolnikova, Maria; Vaupel, James W; & Weinstein, Maxine (2013). Perceived stress and biological risk: is the link stronger in Russians than in Taiwanese and Americans?. Stress, 16(4). pp. 411-420. 10.3109/10253890.2013.789015. Retrieved from https://hdl.handle.net/10161/14713.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Vaupel

James Walton Vaupel

Research Professor Emeritus in the Sanford School of Public Policy
This author no longer has a Scholars@Duke profile, so the information shown here reflects their Duke status at the time this item was deposited.
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