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The Use of Testosterone/Cortisol Ratio in Response to Acute Stress as an Indicator of Propensity to Anger in Informal Caregivers

Published online by Cambridge University Press:  19 September 2016

Ángel Romero-Martínez*
Affiliation:
Universidad de Valencia (Spain)
Luis Moya-Albiol
Affiliation:
Universidad de Valencia (Spain)
*
*Correspondence concerning this article should be addressed to Ángel Romero-Martínez. Universidad de Valencia (Spain). E-mail: [email protected]

Abstract

Caring for an offspring diagnosed with a psychological chronic disorder is used in research as a model of chronic stress. Indeed, it is usually associated with disturbances in the salivary cortisol (Csal) levels of the caregiver. An imbalance between salivary testosterone (Tsal) and Csal levels is a marker of proneness to social aggression. Given this, we aimed to establish whether the salivary testosterone/cortisol (Tsal/Csal) ratio response to acute stress could be employed as a marker of proneness to anger in informal caregivers of offspring with autism spectrum (ASD). Tsal/Csal ratio and anger responses to a set of different cognitive tasks as well as anger trait and expression were compared in these informal caregivers and controls. Caregivers, particularly those of offspring with ASD, had higher Tsal/Csal ratios than controls in response to acute stress, concretely after the stress in the case of fathers (p = .05) and before stress when analyzing mothers (p = .05). Moreover, ASD fathers and mothers obtained higher magnitude of the T/C ratio response to stress (p = .03 and p =.04, respectively), anger state (p = .02 and p = .02, respectively) and expression scores (p = .05 and p = .05, respectively) than controls. Finally, high Tsal/Csal ratio levels and response to stress were significantly associated with high anger feelings increases (p < .01 and p < .001, respectively), trait (p < .001 and p > .05, respectively) and expression (p < .05 and p > .05, respectively) in caregivers.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2016 

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References

Anastasiadou, D., Medina-Pradas, C., Sepulveda, A. R., & Treasure, J. (2014). A systematic review of family caregiving in eating disorders. Eating Behaviors, 15, 464477. http://dx.doi.org/10.1016/j.eatbeh.2014.06.001 CrossRefGoogle ScholarPubMed
Banks, T., & Dabbs, J. M. Jr. (1996). Salivary testosterone and cortisol in a delinquent and violent urban subculture. The Journal of Social Psychology, 136(1), 4956. http://dx.doi.org/10.1080/00224545.1996.9923028 CrossRefGoogle Scholar
Benson, P. R., & Karlof, K. L. (2009). Anger, stress proliferation, and depressed mood among parents of children with ASD: A longitudinal replication. Journal of Autism and Developmental Disorders, 39, 350362. http://dx.doi.org/10.1007/s10803-008-0632-0 CrossRefGoogle ScholarPubMed
Cacioppo, J. T., Burleson, M. H., Poehlmann, K. M., Malarkey, W. B., Kiecolt-Glaser, J. K., Berntson, G. G., … Glaser, R. (2000). Autonomic and neuroendocrine responses to mild psychological stressors: Effects of chronic stress on older women. Annals Behavioral Medicine, 22, 140148 http://dx.doi.org/10.1007/BF02895778 CrossRefGoogle ScholarPubMed
Chang, H. Y., Chiou, C. J., & Chen, N. S. (2010). Impact of mental health and caregiver burden on family caregivers’ physical health. Archives of Gerontology and Geriatrics, 50, 267271. http://dx.doi.org/10.1016/j.archger.2009.04.006 CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc., Publishers.Google Scholar
de Andrés-García, S., Moya-Albiol, L., & González-Bono, E. (2012). Salivary cortisol and immunoglobulin A: Responses to stress as predictors of health complaints reported by caregivers of offspring with autistic spectrum disorder. Hormones & Behavior, 62, 464474. http://dx.doi.org/10.1016/j.yhbeh.2012.08.003 CrossRefGoogle ScholarPubMed
de Andrés-García, S., Sariñana-González, P., Romero-Martínez, A., Moya-Albiol, L., & Gonzalez-Bono, E. (2013). Cortisol response to stress in caregivers of offspring with autism spectrum disorder is associated with care recipient characteristics. Stress, 16, 510519. http://dx.doi.org/10.3109/10253890.2013.798294 CrossRefGoogle ScholarPubMed
Denson, T. F., Ronay, R., von Hippel, W., & Schira, M. M. (2013). Endogenous testosterone and cortisol modulate neural responses during induced anger control. Social Neurosciense, 8, 165177. http://dx.doi.org/10.1080/17470919.2012.655425 CrossRefGoogle ScholarPubMed
Dickerson, S. S., Gruenewald, T. L., & Kemedy, M. E. (2004). When the social self is threatened: Shame, physiology, and health. Journal of Personality, 72, 11911216. http://dx.doi.org/10.1111/j.1467-6494.2004.00295.x CrossRefGoogle ScholarPubMed
Dickerson, S. S., & Kemeny, M. E. (2004). Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130, 355391. http://dx.doi.org/10.1037/0033-2909.130.3.355 CrossRefGoogle ScholarPubMed
Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The global assessment scale: A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766771. http://dx.doi.org/10.1001/archpsyc.1976.01770060086012 CrossRefGoogle Scholar
Epel, E. S., Lin, J., Dhabhar, F. S., Wolkowitz, O. M., Puterman, E., Karan, L., & Blackburn, E. H. (2010). Dynamics of telomerase activity in response to acute psychological stress. Brain, Behavior, and Immunity, 24, 531539. http://dx.doi.org/10.1016/j.bbi.2009.11.018 CrossRefGoogle ScholarPubMed
Glenn, A. L., Raine, A., Schug, R. A., Gao, Y., & Granger, D. A. (2011). Increased testosterone-to-cortisol ratio in psychopathy. Journal of Abnormal Psychology, 120, 389399. http://dx.doi.org/10.1037/a0021407 CrossRefGoogle ScholarPubMed
Gordis, E. B., Granger, D. A., Susman, E. J., & Trickett, P. K. (2006). Asymmetry between salivary cortisol and alpha-amylase reactivity to stress: Relation to aggressive behavior in adolescents. Psychoneuroendocrinology, 31, 976987.CrossRefGoogle ScholarPubMed
Granger, D. A., Schwartz, E. B., Booth, A., & Arentz, M. (1999). Salivary testosterone determination in studies of child health and development. Hormones and Behavior, 35, 1827. http://dx.doi.org/10.1006/hbeh.1998.1492 CrossRefGoogle ScholarPubMed
Hauth, I., de Bruijn, Y. G., Staal, W., Buitelaar, J. K., & Rommelse, N. N. (2014). Testing the extreme male brain theory of autism spectrum disorder in a familial design. Autism Research, 7, 491500. http://dx.doi.org/10.1002/aur.1384 CrossRefGoogle Scholar
Heinz, A., Hermann, D., Smolka, M. N., Rieks, M., Gräf, K. J., Pöhlau, D., … Bauer, M. (2003). Effects of acute psychological stress on adhesion molecules, interleukins and sex hormones: Implications for coronary heart disease. Psychopharmacology, 165, 111117.CrossRefGoogle ScholarPubMed
Herrero, N., Gadea, M., Rodriguez-Alarcón, G., Espert, R., & Salvador, A. (2010). What happens when we get angry? Hormonal, cardiovascular and asymmetrical brain responses. Hormones & Behavior, 57, 276283. http://dx.doi.org/10.1016/j.yhbeh.2009.12.008 CrossRefGoogle ScholarPubMed
Kirschbaum, C., Pirke, K. M., & Hellhammer, D. H. (1993). The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28, 7681.CrossRefGoogle Scholar
Leggett, A. N., Zarit, S. H., Kim, K., Almeida, D. M., & Klein, L. C. (2015). Depressive mood, anger, and daily cortisol of caregivers on high-and low-stress days. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 70, 820829. http://dx.doi.org/10.1093/geronb/gbu070 CrossRefGoogle ScholarPubMed
Liening, S. H., & Josephs, R. A. (2010). It is not just about testosterone: Physiological mediators and moderators of testosterone’s behavioral effects. Social and Personality Psychology Compass, 4, 982994. http://dx.doi.org/10.1111/j.1751-9004.2010.00316.x CrossRefGoogle Scholar
Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel index. Maryland State Medical Journal, 14, 6165.Google ScholarPubMed
Miguel-Tobal, J. J., Casado, M., Cano-Vindel, A., & Spielberger, C. D. (2001). Adaptación española del Inventario de Expresión de Ira Estado-Rasgo STAXI-II. [Spanish version of the State-Trait Anger Expression Inventory-2, STAXI-II] Madrid, Spain: Tea Ediciones.Google Scholar
Montoya, E. R., Terburg, D., Bos, P. A., & van Honk, J. (2012). Testosterone, cortisol, and serotonin as key regulators of social aggression: A review and theoretical perspective. Motivacion and Emotion, 36, 6573. http://dx.doi.org/10.1007/s11031-011-9264-3 CrossRefGoogle ScholarPubMed
Norlander, B., & Eckhardt, C. (2005). Anger, hostility, and male perpetrators of intimate partner violence: A meta-analytic review. Clinical Psychology Review, 25, 119152. http://dx.doi.org/10.1016/j.cpr.2004.10.001 CrossRefGoogle ScholarPubMed
Peterson, C. K., & Harmon-Jones, E. (2012). Anger and testosterone: Evidence that situationally-induced anger relates to situationally-induced testosterone. Emotion, 12, 899902. http://dx.doi.org/10.1037/a0025300 CrossRefGoogle ScholarPubMed
Pruessner, J. C., Kirschbaum, C., Meinlschmidt, G., & Hellhammer, D. H. (2003). Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology, 29, 564566. http://dx.doi.org/10.1016/S0306-4530(02)00108-7 CrossRefGoogle Scholar
Romero-Martínez, A., de Andrés-García, S., Ruiz-Robledillo, N., González-Bono, E., & Moya-Albiol, L. (2014). High cognitive sensitivity to activational effects of testosterone in parents of offspring with autism spectrum disorders. Personality and Individual Differences, 71, 4550. http://dx.doi.org/10.1016/j.paid.2014.07.020 CrossRefGoogle Scholar
Romero-Martínez, A., González-Bono, E., Lila, M., & Moya-Albiol, L. (2013). Testosterone/cortisol ratio in response to acute stress: A possible marker of risk for marital violence. Social Neuroscience, 8, 240247. http://dx.doi.org/10.1080/17470919.2013.772072 CrossRefGoogle Scholar
Romero-Martínez, A., Lila, M., Sariñana-González, P., González-Bono, E., & Moya-Albiol, L. (2013). High testosterone levels and sensitivity to acute stress in perpetrators of domestic violence with low cognitive flexibility and impairments in their emotional decoding process: A preliminary study. Aggressive Behavior, 39, 355369. http://dx.doi.org/10.1002/ab.21490 CrossRefGoogle ScholarPubMed
Romero-Martínez, A., & Moya-Albiol, L. (2014). Prenatal testosterone of progenitors could be involved in the etiology of both anorexia nervosa and autism spectrum disorders of their offspring. American Journal Human Biology, 26, 863866. http://dx.doi.org/10.1002/ajhb.22597 CrossRefGoogle ScholarPubMed
Romero-Martínez, A., & Moya-Albiol, L. (2015a). Transmisión intergeneracional de la violencia contra la mujer en las relaciones de pareja: Factores neurobiológicos [Intergenerational transmission of violence against women in intimate relationships: Neurobiological factors]. In Moya-Albiol, L. (Ed.), Neurocriminología [Neurocriminology] (pp. 8189). Madrid, Spain: Pirámide.Google Scholar
Romero-Martínez, A., & Moya-Albiol, L. (2015b). An autistic endophenotype and testosterone are involved in an atypical decline in selective attention and visuospatial processing in middle-aged women. International Journal of Environmental Research and Public Health, 12, 1596015966. http://dx.doi.org/10.3390/ijerph121215033 CrossRefGoogle Scholar
Spielberger, C. D. (1999). Manual for the State-Trait Anger Expression Inventory-2. Odessa, FL: Psychological Assessment Resources.Google Scholar
Terburg, D., Morgan, B., & van Honk, J. (2009). The testosterone-cortisol ratio: A hormonal marker for proneness to social aggression. International Journal of Law and Psychiatry, 32, 216223. http://dx.doi.org/10.1016/j.ijlp.2009.04.008 CrossRefGoogle ScholarPubMed
Turner, D., Basdekis-Jozsa, R., & Briken, P. (2013). Prescription of testosterone-lowering medications for sex offender treatment in German forensic-psychiatric institutions. Journal of Sexual Medicine, 10, 570578. http://dx.doi.org/10.1111/j.1743-6109.2012.02958.x CrossRefGoogle ScholarPubMed
van Bokhoven, I., van Goozen, S. H. M., van Engeland, H., Schaal, B., Arseneault, L., Séguin, J. R., … Tremblay, R. E. (2005). Salivary cortisol and aggression in a population-based longitudinal study of adolescent males. Journal of Neural Transmission, 112, 10831096. http://dx.doi.org/10.1007/s00702-004-0253-5 CrossRefGoogle Scholar
van Honk, E. J., & Schutter, D. J. L. G. (2007). Vigilant and avoidant responses to angry facial expressions: Dominance and submission motives. In Harmon-Jones, E. & Winkielman, P. (Eds.), Social Neuroscience. New York, NY: Guilford Press.Google Scholar
von der, P. B., Sarkola, T., Seppa, K., & Eriksson, C. J. P. (2002). Testosterone, 5 alpha-dihydrotestosterone and cortisol in men with and without alcohol-related aggression. Journal of Studies on Alcohol and Drugs, 63, 518526. http://dx.doi.org/10.15288/jsa.2002.63.518 CrossRefGoogle ScholarPubMed