Table 2 The links between cortisol response to Trier Social Stress Test (TSST) in 6 phases and sociodemographic and clinical factors as well as mental distress, fatigue and health related quality of life (HRQoL) in study patients (n = 98).

From: Cortisol response to psychosocial stress, mental distress, fatigue and quality of life in coronary artery disease patients

 

Preparation time (n = 98) (Cortisol response, T2–T1, Δnmol/l)

Public Speech (n = 94) (Cortisol response, T3–T1, Δnmol/l)

Arithmetic task (n = 72) (Cortisol response, T4–T1, Δnmol/l)

Recovery time (n = 72) (Cortisol response, T5–T1, Δnmol/l)

Sociodemographic and clinical characteristics

Sex

0.050 (0.625)

 − 0.050 (0.633)

0.016 (0.895)

0.053 (0.657)

Age

0.061 (0.551)

 − 0.063 (0.544)

 − 0.212 (0.074)

0.098 (0.414)

Body mass index

0.042 (0.683)

0.021 (0.838)

0.097 (0.419)

 − 0.120 (0.316)

Education

 − 0.116 (0.254)

0.096 (0.358)

 − 0.016 (0.894)

 − 0.012 (0.992)

NYHA functional class

 − 0.094 (0.358)

 − 0.138 (0.185)

 − 0.108 (0.365)

 − 0.039 (0.747)

Arterial hypertension

 − 0.030 (0.770)

0.091 (0.385)

0.035 (0.769)

 − 0.085 (0.479)

Smoking history

0.065 (0.524)

 − 0.029 (0.782)

 − 0.004 (0.972)

 − 0.166 (0.162)

Medication use

Nitrates

 − 0.107 (0.295)

 − 0.104 (0.318)

0.039 (0.746)

0.198 (0.096)

ACE inhibitors

0.060 (0.559)

0.060 (0.563)

0.106 (0.375)

0.088 (0.462)

Diuretics

 − 0.013 (0.897)

 − 0.101 (0.331)

 − 0.048 (0.691)

 − 0.082 (0.492)

Beta-blockers

 − 0.121 (0.236)

0.212 (0.041)

0.344 (0.003)

0.302 (0.010)

Benzodiazepines

 − 0.037 (0.714)

 − 0.070 (0.504)

0.050 (0.676)

0.226 (0.056)

Mental distress, HADS

Depressive symptoms, HADS-D

 − 0.148 (0.146)

 − 0.109 (0.295)

 − 0.071 (0.554)

 − 0.136 (0.255)

Anxiety symptoms, HADS-A

 − 0.134 (0.187)

 − 0.296 (0.004)

 − 0.152 (0.202)

 − 0.131 (0.274)

State anxiety, STAI-S

 − 0.041 (0.692)

 − 0.135 (0.051)

 − 0.000 (0.997)

 − 0.038 (0.751)

Trait anxiety, STAI-T

0.028 (0.787)

0.001 (0.996)

0.017 (0.890)

0.056 (0.643)

Presence of Type D personality, DS14

 − 0.290 (0.004)

 − 0.143 (0.168)

 − 0.145 (0.224)

 − 0.165 (0.166)

Fatigue, MFI-20

Global fatigue

 − 0.011 (0.912)

 − 0.009 (0.932)

 − 0.028 (0.818)

 − 0.081 (0.497)

Physical fatigue

 − 0.037 (0.718)

 − 0.183 (0.077)

 − 0.134 (0.263)

 − 0.125 (0.296)

Activity reduction

 − 0.109 (0.284)

 − 0.169 (0.104)

 − 0.154 (0.195)

 − 0.146 (0.221)

Motivation reduction

 − 0.084 (0.411)

 − 0.035 (0.738)

 − 0.068 (0.573)

 − 0.027 (0.821)

Mental fatigue

 − 0.016 (0.879)

0.003 (0.979)

 − 0.084 (0.482)

 − 0.147 (0.219)

Total fatigue score

 − 0.061 (0.550)

 − 0.102 (0.326)

 − 0.115 (0.338)

 − 0.128 (0.283)

Health related Quality of Life (HRQoL), SF-36

Physical functioning

0.154 (0.131)

0.152 (0.143)

0.066 (0.582)

0.106 (0.373)

Role limitation due to physical problems

 − 0.086 (0.402)

 − 0.075 (0.471)

 − 0.149 (0.212)

 − 0.062 (0.607)

Role limitation due to emotional problems

 − 0.070 (0.495)

0.152 (0.145)

0.051 (0.672)

0.051 (0.670)

Social functioning

 − 0.061 (0.548)

0.027 (0.797)

 − 0.116 (0.330)

 − 0.028 (0.815)

Mental health

 − 0.140 (0.168)

0.189 (0.068)

0.068 (0.568)

0.105 (0.379)

Vitality

 − 0.106 (0.298)

0.234 (0.023)

0.103 (0.389)

0.129 (0.282)

Pain

 − 0.125 (0.220)

0.140 (0.177)

0.092 (0.441)

0.183 (0.124)

General health perception

0.019 (0.850)

0.207 (0.046)

0.015 (0.900)

 − 0.0210 (0.863)

Perceived difficulty (VAS)

 − 0.112 (0.287)

0.014 (0.899)

 − 0.154 (0.211)

 − 0.008 (0.949)

Perceived efforts (VAS)

0.066 (0.532)

0.005 (0.960)

 − 0.085 (0.493)

0.214 (0.080)

  1. Univariate linear regression analyses, r’s (p).
  2. MFI-20 Multidimensional Fatigue Inventory 20-items, SF-36 36-Item Short Form Medical Outcome; Questionnaire, NYHA New York Heart Association, HADS-A Hospital Anxiety and Depression Scale, anxiety symptoms subscale, HADS-D Hospital Anxiety and Depression Scale, depressive symptoms subscale, DS14 Type D Scale-14, VAS Visual Analogue Scale, ACE Angiotensin-converting enzyme.
  3. Sex (male [1]; female [2]), education (high school [1]; college/university degree [2]), NYHA functional class (I-II class [1]; III class [2]), smoking (yes [0]; no [1]), medication use (yes [0]; no [1]), Type D personality (yes [0]; no [1]); Visual analog scale range 0–5.
  4. To evaluate cortisol response (delta scores), we subtracted the averaged values of the cortisol measures (nmol/l) during Baseline rest from the averaged values during other TSST phases.
  5. *Significant correlations (p value < .05) in bold.