title: Physical health problems, depressive mood, and cortisol secretion in old age: buffer effects of health engagement control strategies.
abstract: OBJECTIVE
  This study examined the protective role played by control behaviors aimed at overcoming physical health problems (health engagement control strategies; HECS) in the associations between older adults' physical health problems, depressive mood, and diurnal cortisol secretion. It was expected that adaptive levels of HECS would buffer the adverse effects of physical health problems on depressive mood and diurnal cortisol secretion.
  
  
  METHODS
  Physical health problems and HECS were measured in a cross-sectional sample of 215 community-dwelling older adults. In addition, participants' depressive mood and patterns of diurnal cortisol secretion were assessed across 3 days.
  
  
  RESULTS
  The findings demonstrate that physical health problems predicted high levels of depressive mood and diurnal cortisol secretion, but only among older adults who reported low levels of HECS (and not among older adults who reported high levels of HECS). Moreover, depressive mood completely mediated the buffering effect of HECS on the association between physical health problems and cortisol secretion.
  
  
  CONCLUSIONS
  The results suggest that adaptive levels of HECS represent a psychological mechanism that can protect older adults from experiencing the adverse emotional and biological consequences of physical health problems.
authors.affiliation: Department of Psychology, Centre for Research in Human Development, Concordia University, and Douglas Hospital Research Center, Montreal, Quebec, Canada. carsten.wrosch@concordia.ca
authors.forename: Carsten
authors.initials: C
authors.lastname: Wrosch
authors.forename: Richard
authors.initials: R
authors.lastname: Schulz
authors.forename: Gregory E
authors.initials: GE
authors.lastname: Miller
authors.forename: Sonia
authors.initials: S
authors.lastname: Lupien
authors.forename: Erin
authors.initials: E
authors.lastname: Dunne
mesh_terms: D000368:Aged; D000375:Aging / Q000502:physiology; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003863:Depression / Q000503:physiopathology*; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism*; D008297:Male; D011792:Quebec
chemical_list: D006854:Hydrocortisone