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Stress coping strategies and stress reactivity in adolescents with overweight/obesity.

Authors
  • Ajibewa, Tiwaloluwa A1, 2
  • Adams, Tessa A2
  • Gill, Amaanat K2
  • Mazin, Lauren E2
  • Gerras, Julia E2
  • Hasson, Rebecca E1, 2, 3
  • 1 School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
  • 2 Childhood Disparities Research Laboratory, University of Michigan, Ann Arbor, Michigan, USA.
  • 3 School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Type
Published Article
Journal
Stress and health : journal of the International Society for the Investigation of Stress
Publication Date
Apr 01, 2021
Volume
37
Issue
2
Pages
243–254
Identifiers
DOI: 10.1002/smi.2987
PMID: 32978994
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study explored the associations between the frequency and effectiveness of habitual stress coping strategies on physiological and psychological stress responses to an acute laboratory stressor in adolescents with overweight/obesity (51 adolescents; 47% female; ages 14-19 years). Coping strategies were assessed using the Schoolager's Coping Strategies Inventory. Acute physiological stress responses were measured as salivary cortisol and α-amylase output during the Trier Social Stress Test and during a control condition. Acute psychological stress was measured using a Likert-type scale, and systolic blood pressure (SBP) and heart rate were measured at baseline. Results revealed that higher coping effectiveness was associated with lower log-based α-amylase during the stress (β = -0.025, p = 0.018) and control (β = -0.030, p = 0.005) conditions, but not with cortisol across either condition (all ps > 0.05). SBP moderated the association between coping effectiveness and α-amylase during the stress condition, with higher coping effectiveness associated with lower α-amylase only among individuals with lower SBP (β = 0.002, p = 0.027). Coping frequency was not associated with cortisol responses, neither was habitual stress coping strategies associated with psychological stress (all ps > 0.05). These findings provide preliminary evidence that effective use of stress coping strategies may provide a dampening effect on sympathetic activity in an at-risk adolescent population. © 2020 John Wiley & Sons Ltd.

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