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Association of suboptimal health status with psychosocial stress, plasma cortisol and mRNA expression of glucocorticoid receptor alpha/beta in lymphocyte

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机构: [1]Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China, [2]Municipal Key Laboratory of Clinical Epidemiology, Beijing, China, [3]Health Medical Examination Center, Xuanwu Hospital, Capital Medical University, Beijing, China, and [4]Postgraduate Medicine, School of Medical Sciences, Edith Cowan University, Perth, Australia
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关键词: Cortisol glucocorticoid receptor hypothalamus-pituitary-adrenal mRNA expression psychosocial stress suboptimal health status

摘要:
Suboptimal health status (SHS) has become a new public health challenge in China. This study investigated whether high SHS is associated with psychosocial stress, changes in cortisol level and/or glucocorticoid receptor (GR) isoform expression. Three-hundred eighty-six workers employed in three companies in Beijing were recruited. The SHS score was derived from data collection in the SHS questionnaire (SHSQ-25). The short standard version of the Copenhagen Psychosocial Questionnaire (COPSOQ) was used to assess job-related psychosocial stress. The mean value of the five scales of COPSOQ and distribution of plasma cortisol and mRNA expression of GR alpha/GR beta between the high level of SHS group and the low level of SHS group were compared using a general linear model procedure. Multiple linear regression analysis was used to analyze the effect of psychosocial stress on SHS. We identified three factors that were predictive of SHS, including "demands at work'', "interpersonal relations and leadership'' and "insecurity at work''. Significantly higher levels of plasma cortisol and GR beta/GR alpha mRNA ratio were observed among the high SHS group. High level of SHS is associated with decreased mRNA expression of GR alpha. This study confirmed the association between chronic psychosocial stress and SHS, indicating that improving the psychosocial work environment may reduce SHS and then prevent chronic diseases effectively.

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出版当年[2014]版:
大类 | 3 区 医学
小类 | 3 区 行为科学 3 区 内分泌学与代谢 3 区 神经科学
最新[2023]版:
大类 | 4 区 心理学
小类 | 4 区 行为科学 4 区 内分泌学与代谢 4 区 神经科学
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出版当年[2013]版:
Q1 BEHAVIORAL SCIENCES Q2 NEUROSCIENCES Q2 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q2 BEHAVIORAL SCIENCES Q3 ENDOCRINOLOGY & METABOLISM Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者机构: [1]Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China, [2]Municipal Key Laboratory of Clinical Epidemiology, Beijing, China,
通讯作者:
通讯机构: [*1]Physical Examination Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. [*2]Postgraduate Medicine, School of Medical Sciences, Edith Cowan University, Perth, WA 6027, Australia.
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