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Godfrey DA, Kaufman EA, Crowell SE. Non-suicidal Self-injury History Moderates the Association Between Maternal Emotional Support and Adolescent Affect During Conflict. Child Psychiatry Hum Dev 2024; 55:415-425. [PMID: 36028639 DOI: 10.1007/s10578-022-01417-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/17/2022] [Indexed: 11/24/2022]
Abstract
Onset of non-suicidal self-injury (NSSI) is most frequent during adolescence. Etiological models indicate that abnormal affective reactivity and regulation within interpersonal contexts is related to heightened NSSI risk. The current study examined the effects of maternal emotional support on adolescent sympathetic nervous system (SNS) activity and observed anger during a conflict discussion among 56 mother-daughter dyads consisting of healthy adolescents and adolescents with a history of self-injury. During the conflict discussion task, maternal emotional support and adolescent anger were coded from behavior, and cardiovascular pre-ejection period was used to index SNS responding. Results demonstrated that maternal emotional support was negatively associated with adolescent anger and SNS activity during the conflict. However, these associations were not significant among adolescents with heightened NSSI history. Maternal emotional support may serve as an interpersonal mechanism for adolescent physiological and behavioral regulation, yet may function differently among adolescents with more frequent NSSI.
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Affiliation(s)
- Donald A Godfrey
- Department of Psychology, University of Houston, 4505 Cullen Blvd, Houston, TX, 77204, USA
| | - Erin A Kaufman
- Department of Psychology, University of Western Ontario, 361 Windermere Road, London, ON, N6A 3K7, Canada.
| | - Sheila E Crowell
- Department of Psychology, University of Utah, 380 S. 1530 E. BEH S. 502, Salt Lake City, UT, 84112, USA
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2
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Zauner J, Plischke H, Stijnen H, Schwarz UT, Strasburger H. Influence of common lighting conditions and time-of-day on the effort-related cardiac response. PLoS One 2020; 15:e0239553. [PMID: 33027252 PMCID: PMC7540875 DOI: 10.1371/journal.pone.0239553] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 09/08/2020] [Indexed: 11/18/2022] Open
Abstract
Melanopic stimuli trigger diverse non-image-forming effects. However, evidence of a melanopic contribution to acute effects on alertness and performance is inconclusive, especially under common lighting situations. Effects on cognitive performance are likely mediated by effort-related physiological changes. We assessed the acute effects of lighting in three scenarios, at two times of day, on effort-related changes to cardiac contraction as indexed by the cardiac pre-ejection period (PEP). In a within-subject design, twenty-seven participants performed a cognitive task thrice during a morning and a late-afternoon session. We set the lighting at 500 lux in all three lighting scenarios, measured horizontally at the desk level, but with 54 lux, 128 lux, or 241 lux melanopic equivalent daylight illuminance at the eye level. Impedance cardiography and electrocardiography measurements were used to calculate PEP, for the baseline and task period. A shorter PEP during the task represents a sympathetic heart activation and therefore increased effort. Data were analysed with linear mixed-effect models. PEP changes depended on both the light scene and time of day (p = 0.01 and p = 0.002, respectively). The highest change (sympathetic activation) occurred for the medium one of the three stimuli (128 lux) during the late-afternoon session. However, effect sizes for the singular effects were small, and only for the combined effect of light and time of day middle-sized. Performance scores or self-reported scores on alertness and task demand did not change with the light scene. In conclusion, participants reached the same performance most efficiently at both the highest and lowest melanopic setting, and during the morning session. The resulting U-shaped relation between melanopic stimulus intensity and PEP is likely not dependent solely on intrinsic ipRGC stimuli, and might be moderated by extrinsic cone input. Since lighting situations were modelled according to current integrative lighting strategies and real-life indoor light intensities, the result has implications for artificial lighting in a work environment.
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Affiliation(s)
- Johannes Zauner
- Munich University of Applied Sciences, Munich, Germany
- * E-mail:
| | | | - Hanna Stijnen
- Institute of Physics, Chemnitz University of Technology, Chemnitz, Germany
| | - Ulrich T. Schwarz
- Institute of Physics, Chemnitz University of Technology, Chemnitz, Germany
| | - Hans Strasburger
- Institute of Medical Psychology, Ludwig-Maximilians-Universität, Munich, Germany
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3
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Gurel NZ, Huang M, Wittbrodt MT, Jung H, Ladd SL, Shandhi MMH, Ko YA, Shallenberger L, Nye JA, Pearce B, Vaccarino V, Shah AJ, Bremner JD, Inan OT. Quantifying acute physiological biomarkers of transcutaneous cervical vagal nerve stimulation in the context of psychological stress. Brain Stimul 2020; 13:47-59. [PMID: 31439323 PMCID: PMC8252146 DOI: 10.1016/j.brs.2019.08.002] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 07/24/2019] [Accepted: 08/04/2019] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Stress is associated with activation of the sympathetic nervous system, and can lead to lasting alterations in autonomic function and in extreme cases symptoms of posttraumatic stress disorder (PTSD). Vagal nerve stimulation (VNS) is a potentially useful tool as a modulator of autonomic nervous system function, however currently available implantable devices are limited by cost and inconvenience. OBJECTIVE The purpose of this study was to assess the effects of transcutaneous cervical VNS (tcVNS) on autonomic responses to stress. METHODS Using a double-blind approach, we investigated the effects of active or sham tcVNS on peripheral cardiovascular and autonomic responses to stress using wearable sensing devices in 24 healthy human participants with a history of exposure to psychological trauma. Participants were exposed to acute stressors over a three-day period, including personalized scripts of traumatic events, public speech, and mental arithmetic tasks. RESULTS tcVNS relative to sham applied immediately after traumatic stress resulted in a decrease in sympathetic function and modulated parasympathetic/sympathetic autonomic tone as measured by increased pre-ejection period (PEP) of the heart (a marker of cardiac sympathetic function) of 4.2 ms (95% CI 1.6-6.8 ms, p < 0.01), decreased peripheral sympathetic function as measured by increased photoplethysmogram (PPG) amplitude (decreased vasoconstriction) by 47.9% (1.4-94.5%, p < 0.05), a 9% decrease in respiratory rate (-14.3 to -3.7%, p < 0.01). Similar effects were seen when tcVNS was applied after other stressors and in the absence of a stressor. CONCLUSION Wearable sensing modalities are feasible to use in experiments in human participants, and tcVNS modulates cardiovascular and peripheral autonomic responses to stress.
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Affiliation(s)
- Nil Z Gurel
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
| | - Minxuan Huang
- Department of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA
| | - Matthew T Wittbrodt
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Hewon Jung
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA
| | - Stacy L Ladd
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA; Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA
| | - Md Mobashir H Shandhi
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA
| | - Yi-An Ko
- Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Atlanta, GA, USA
| | - Lucy Shallenberger
- Department of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA
| | - Jonathon A Nye
- Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA
| | - Bradley Pearce
- Department of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA
| | - Viola Vaccarino
- Department of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA; Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA, USA
| | - Amit J Shah
- Department of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA; Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA, USA; Atlanta VA Medical Center, Decatur, GA, USA
| | - J Douglas Bremner
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA; Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA; Atlanta VA Medical Center, Decatur, GA, USA
| | - Omer T Inan
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA; Coulter Department of Bioengineering, Georgia Institute of Technology, Atlanta, GA, USA
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Roder E, Koehler-Dauner F, Krause S, Prinz J, Rottler E, Alkon A, Kolassa IT, Gündel H, Fegert JM, Ziegenhain U, Waller C. Maternal separation and contact to a stranger more than reunion affect the autonomic nervous system in the mother-child dyad. Int J Psychophysiol 2020; 147:26-34. [DOI: 10.1016/j.ijpsycho.2019.08.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2019] [Revised: 08/19/2019] [Accepted: 08/20/2019] [Indexed: 11/16/2022]
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5
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Reyes del Paso GA, Langewitz W, Mulder LJM, van Roon A, Duschek S. The utility of low frequency heart rate variability as an index of sympathetic cardiac tone: a review with emphasis on a reanalysis of previous studies. Psychophysiology 2013; 50:477-87. [PMID: 23445494 DOI: 10.1111/psyp.12027] [Citation(s) in RCA: 580] [Impact Index Per Article: 52.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2012] [Accepted: 12/12/2012] [Indexed: 11/29/2022]
Abstract
This article evaluates the suitability of low frequency (LF) heart rate variability (HRV) as an index of sympathetic cardiac control and the LF/high frequency (HF) ratio as an index of autonomic balance. It includes a comprehensive literature review and a reanalysis of some previous studies on autonomic cardiovascular regulation. The following sources of evidence are addressed: effects of manipulations affecting sympathetic and vagal activity on HRV, predictions of group differences in cardiac autonomic regulation from HRV, relationships between HRV and other cardiac parameters, and the theoretical and mathematical bases of the concept of autonomic balance. Available data challenge the interpretation of the LF and LF/HF ratio as indices of sympathetic cardiac control and autonomic balance, respectively, and suggest that the HRV power spectrum, including its LF component, is mainly determined by the parasympathetic system.
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McCubbin JA, Pilcher JJ, Moore DD. Blood pressure increases during a simulated night shift in persons at risk for hypertension. Int J Behav Med 2011; 17:314-20. [PMID: 20878512 DOI: 10.1007/s12529-010-9117-6] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Shift work with sleep disruption is a systemic stressor that may possibly be associated with blood pressure dysregulation and hypertension. PURPOSE We hypothesize that rotation to a simulated night shift with sleep deprivation will produce blood pressure elevations in persons at risk for development of hypertension. METHOD We examined the effects of a simulated night shift on resting blood pressure in 51 diurnal young adults without current hypertension. Resting blood pressure was monitored throughout a 24-h period of total sleep deprivation with sustained cognitive work. Twelve participants (23.5%) reported one or more parents with a diagnosis of hypertension. Ten participants were classified as prehypertensive by JNC-7 criteria. Only two prehypertensive subjects reported parental hypertension. RESULTS Results indicate that, as the night shift progressed, participants with a positive family history of hypertension showed significantly higher resting diastolic blood pressure than those with a negative family history of hypertension (p = 0.007). Prehypertensive participants showed elevated blood pressure throughout the study. CONCLUSION These data suggest that rotation to a simulated night shift with sleep deprivation may contribute to blood pressure dysregulation in persons with a positive family history of hypertension.
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Affiliation(s)
- James A McCubbin
- Department of Psychology, Clemson University, 319-B Brackett Hall, Clemson, SC 29634, USA.
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7
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Kagan J, Reznick JS. Task involvement and cardiac response in young children. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2007. [DOI: 10.1080/00049538408255086] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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8
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Fishbein DH, Herman-Stahl M, Eldreth D, Paschall MJ, Hyde C, Hubal R, Hubbard S, Williams J, Ialongo N. Mediators of the stress-substance-use relationship in urban male adolescents. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2006; 7:113-26. [PMID: 16791520 DOI: 10.1007/s11121-006-0027-4] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Exposure to chronic or severe acute stressors throughout the lifespan has been linked with numerous negative behavioral, emotional, cognitive, and physical consequences. Adolescence is considered to be a particularly vulnerable period given that the brain is experiencing dramatic developmental change during this time. The present study examined a sample of adolescents (N=125) considered to be at high risk for stress exposures and drug use by virtue of their environment and low income levels to identify possible neurocognitive (i.e., impulsivity, delay of gratification, emotional perception, and risky decision-making) and social competency mechanisms that may mediate this relationship. Using Mplus, a mediational model was tested using full information maximum likelihood estimates. Risky decision-making and poor social competency skills were related to previous stressful experiences; however, only social competencies mediated the effect of stressors on reports of past year marijuana, alcohol, and polydrug use. As such, stress appears to exert its negative impact through alterations in abilities to generate and execute prosocial decisions and behaviors. Interventions that directly address the effects of stress on social competencies may be especially important for children who have experienced adversity including those exposed to parental divorce, parental psychopathology, neglect or abuse, parental death, and poverty.
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Affiliation(s)
- Diana H Fishbein
- Behavioral Health Research Division, RTI International, Baltimore, Maryland 21224, USA.
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9
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Crowell SE, Beauchaine TP, McCauley E, Smith CJ, Stevens AL, Sylvers P. Psychological, autonomic, and serotonergic correlates of parasuicide among adolescent girls. Dev Psychopathol 2005; 17:1105-27. [PMID: 16613433 DOI: 10.1017/s0954579405050522] [Citation(s) in RCA: 137] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Although parasuicidal behavior in adolescence is poorly understood, evidence suggests that it may be a developmental precursor of borderline personality disorder (BPD). Current theories of both parasuicide and BPD suggest that emotion dysregulation is the primary precipitant of self-injury, which serves to dampen overwhelmingly negative affect. To date, however, no studies have assessed endophenotypic markers of emotional responding among parasuicidal adolescents. In the present study, we compare parasuicidal adolescent girls (n=23) with age-matched controls (n=23) on both psychological and physiological measures of emotion regulation and psychopathology. Adolescents, parents, and teachers completed questionnaires assessing internalizing and externalizing psychopathology, substance use, trait affectivity, and histories of parasuicide. Psychophysiological measures including electrodermal responding (EDR), respiratory sinus arrhythmia, and cardiac pre-ejection period (PEP) were collected at baseline, during negative mood induction, and during recovery. Compared with controls, parasuicidal adolescents exhibited reduced respiratory sinus arrhythmia (RSA) at baseline, greater RSA reactivity during negative mood induction, and attenuated peripheral serotonin levels. No between-group differences on measures of PEP or EDR were found. These results lend further support to theories of emotion dysregulation and impulsivity in parasuicidal teenage girls.
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Affiliation(s)
- Sheila E Crowell
- Department of Psychology, University of Washington, Seattle, WA 98195-1525, USA.
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10
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Kelsey RM, Soderlund K, Arthur CM. Cardiovascular reactivity and adaptation to recurrent psychological stress: Replication and extension. Psychophysiology 2004; 41:924-34. [PMID: 15563345 DOI: 10.1111/j.1469-8986.2004.00245.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
We analyzed the effects of evaluative observation and baseline duration on cardiovascular reactivity and adaptation to recurrent psychological stress. Cardiovascular reactivity to mental arithmetic stress was assessed in college men and women (N=224) during two pretest tasks, a test task, and a posttest task. Participants were assigned randomly in a 2 x 2 design to manipulations of baseline duration before the test task (4 min vs. 12 min) and evaluative observation during the test task (observed vs. control). Repeated exposure to stress attenuated cardiac but not vascular reactivity. Evaluative observation disrupted cardiac adaptation, resulting in a resurgence of beta-adrenergic cardiac reactivity during the test task. Cardiac adaptation resumed fully during the posttest task. Baseline duration had no effect on reactivity. The results replicate and extend previous work, and support the dual process theory of habituation and sensitization.
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Affiliation(s)
- Robert M Kelsey
- Department of Pediatrics, Division of Cardiology, University of Tennessee Health Science Center, Memphis, Tennessee 38105, USA.
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11
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Riese H, Groot PFC, van den Berg M, Kupper NHM, Magnee EHB, Rohaan EJ, Vrijkotte TGM, Willemsen G, de Geus EJC. Large-scale ensemble averaging of ambulatory impedance cardiograms. ACTA ACUST UNITED AC 2003; 35:467-77. [PMID: 14587556 DOI: 10.3758/bf03195525] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Impedance cardiography has been used increasingly to measure human physiological responses to emotional and mentally engaging stimuli. The validity of large-scale ensemble averaging of ambulatory impedance cardiograms was evaluated for preejection period (PEP), interbeat interval, and dZ/dt(min) amplitude. We tested whether the average of "classical" 60-sec ensemble averages across periods with fixed activity, posture, physical load, social situation, and location could be accurately estimated from a single large-scale ensemble average spanning these entire periods. Impedance and electrocardiograms were recorded for about 24-h from 21 subjects. Recordings were scored by seven raters, using both methods for each subject. Good agreement (average intraclass correlation coefficient was .91) between both ensemble averaging methods was found for all three cardiac function measures. The results indicate that for unambiguous ambulatory impedance cardiograms, large-scale ensemble averaging is valid, which makes measuring prolonged changes in cardiac sympathetic activity by measuring ambulatory PEP feasible even in large epidemiological samples.
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Affiliation(s)
- Harriëtte Riese
- Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands.
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12
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Abstract
OBJECTIVE AND METHODS This article is a selective review of recent findings bearing on the conceptualization and measurement of cardiovascular reactivity to psychological challenge, with a focus on several issues relevant to the reliability, content validity, construct validity, and criterion validity of these measures. RESULTS AND CONCLUSIONS With respect to reliability, use of standardized task demands and aggregated scores are associated with enhanced short-term reliability, but the long-term reliability of cardiovascular reactivity has not been sufficiently documented. With respect to content validity, existing evidence suggests that "vascular" or "cardiac" tasks may evoke responses that reflect similar distributions of individual difference, whereas associations between responses to "physical" and "psychological" tasks are modest. The evidence is not clear at present with respect to the importance of including affective or interpersonal stimuli as part of trait reactivity assessments. With respect to construct validity, existing data show that cardiovascular reactivity to psychological challenge is largely independent of standard measures of autonomic function. With respect to criterion validity, recent studies point to a number of methodological limitations that may have restricted our ability to detect lab-to-life generalizability of reactivity measures in the past. Continued progress in understanding and measuring reactivity as an individual difference dimension is essential in helping us to evaluate emerging evidence examining the relationship between reactivity and disease risk.
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Affiliation(s)
- Thomas W Kamarck
- Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA.
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13
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Beauchaine TP, Katkin ES, Strassberg Z, Snarr J. Disinhibitory psychopathology in male adolescents: discriminating conduct disorder from attention-deficit/hyperactivity disorder through concurrent assessment of multiple autonomic states. JOURNAL OF ABNORMAL PSYCHOLOGY 2001; 110:610-24. [PMID: 11727950 DOI: 10.1037/0021-843x.110.4.610] [Citation(s) in RCA: 188] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
T. P. Beauchaine recently proposed a model of autonomic nervous system functioning that predicts divergent patterns of psychophysiological responding across disorders of disinhibition. This model was tested by comparing groups of male adolescents with attention-deficit/hyperactivity disorder (ADHD) and attention-deficit/hyperactivity disorder plus conduct disorder (CD/ADHD) with controls while performing a repetitive motor task in which rewards were administered and removed across trials. Participants then watched a videotaped peer conflict. Electrodermal responding (EDR), cardiac pre-ejection period (PEP), and respiratory sinus arrhythmia (RSA) were monitored. Compared with controls, the ADHD and CD/ADHD participants exhibited reduced EDR. The CD/ADHD group was differentiated from the ADHD and control groups on PEP and from the control group on RSA. Findings are discussed in terms of the motivational and regulational systems indexed. Implications for understanding rates of comorbidity between CD and ADHD are considered.
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Affiliation(s)
- T P Beauchaine
- Department of Psychology, University of Washington, Seattle 98195-1525, USA.
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14
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Beauchaine TP, Gartner J, Hagen B. Comorbid depression and heart rate variability as predictors of aggressive and hyperactive symptom responsiveness during inpatient treatment of conduct-disordered, ADHD boys. Aggress Behav 2001. [DOI: 10.1002/1098-2337(200011)26:6<425::aid-ab2>3.0.co;2-i] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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15
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McCaffery JM, Muldoon MF, Bachen EA, Jennings JR, Manuck SB. Behaviorally-evoked plasma catecholamine response and 24-hour excretion of urinary catecholamines among cardiac and vascular reactors. Biol Psychol 2000; 52:53-69. [PMID: 10686372 DOI: 10.1016/s0301-0511(99)00029-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Individuals differ in the cardiac and vascular processes that underlie blood pressure elevations evoked by environmental stimuli; such differences may reflect variability in sympathoadrenal response. We separated 108 healthy, young-adult males into those with predominant elevations in either cardiac output or peripheral resistance when exposed to psychological challenges. We then asked if they differed on other measures of cardiovascular response, concomitant plasma catecholamine reactions or 24-h urinary excretion of catecholamines. Cardiac reactors, relative to vascular reactors, showed reduced cardiac pre-ejection period, a smaller reduction in stroke volume, and elevated plasma epinephrine response and 24-h urinary epinephrine excretion. Vascular reactors, relative to cardiac reactors, responded to mental stress with more elevated diastolic blood pressure, a rise in peripheral resistance and pulse wave velocity, and a greater reduction in stroke volume. Vascular reactors, however, did not show plasma norepinephrine response or 24-h urinary norepinephrine excretion that was greater than cardiac reactors. The results provide partial support for the hypothesis that variability in sympathoadrenal activity contributes to individual differences in cardiac and vascular reactivity, and extend prior observations by demonstrating covariation of behaviorally-elicited cardiac reactivity with the 24-h excretion of epinephrine.
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Affiliation(s)
- J M McCaffery
- Department of Psychology, University of Pittsburgh, 4015 O'Hara Street, Pittsburgh, PA 15260, USA
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16
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Mezzacappa ES, Kelsey RM, Katkin ES. The effects of epinephrine administration on impedance cardiographic measures of cardiovascular function. Int J Psychophysiol 1999; 31:189-96. [PMID: 10076773 DOI: 10.1016/s0167-8760(98)00058-0] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The effects of epinephrine administration on cardiovascular function were examined in 26 men who were given a bolus injection of either 1:10,000 epinephrine hydrochloride or physiological saline. Impedance cardiographic and continuous blood pressure measures were recorded during a 2-min pre-injection baseline and in the post-injection period. Compared to a saline control, epinephrine elicited greater shortening of heart period, pre-ejection period, and the R-B interval; greater increases in cardiac output, stroke volume, dZ/dt amplitude, Heather Index, and systolic and diastolic pressures; and greater decreases in total peripheral resistance (all P < 0.05). Left ventricular ejection time and the Q-R interval were not affected. The results indicate that inotropic indices that are readily measured by impedance cardiography should be considered as important non-invasive indices of adrenergically mediated responses to stress.
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Affiliation(s)
- E S Mezzacappa
- Columbia-Presbyterian Medical Center, Behavioral Medicine Program, New York, NY 10032, USA.
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Cacioppo JT, Uchino BN, Berntson GG. Individual differences in the autonomic origins of heart rate reactivity: the psychometrics of respiratory sinus arrhythmia and preejection period. Psychophysiology 1994; 31:412-9. [PMID: 10690921 DOI: 10.1111/j.1469-8986.1994.tb02449.x] [Citation(s) in RCA: 153] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Heart rate reactivity has been conceptualized, at least implicitly, as a unidimensional construct ranging from low to high, reflecting individual differences in adrenergic reactivity to daily stressors. However, an individual's classification as high in heart rate reactivity ignores possible individual differences in the autonomic origins of this reactivity. Sixty-eight women were exposed to orthostatic and speech stressors to determine the psychometric properties (postural stability, convergent and discriminant validity) of heart rate, preejection period, and respiratory sinus arrhythmia. Results revealed that (a) basal, stress, simple reactivity (stress - baseline), and residualized change indices of heart rate, preejection period, and respiratory sinus arrhythmia were stable across postures and (b) heart rate reactivity was significantly related to preejection period and respiratory sinus arrhythmia reactivity, whereas the latter two measures were unrelated. Reactivity classifications may therefore be significantly improved by attention to concurrent estimates of the activity of both autonomic branches.
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Affiliation(s)
- J T Cacioppo
- Department of Psychology, Ohio State University, Columbus 43210-1222, USA.
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18
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McCubbin JA, Cheung R, Montgomery TB, Bulbulian R, Wilson JF. Aerobic fitness and opioidergic inhibition of cardiovascular stress reactivity. Psychophysiology 1992; 29:687-97. [PMID: 1334271 DOI: 10.1111/j.1469-8986.1992.tb02047.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The role of endogenous opioids in aerobic fitness-induced decrements in cardiovascular stress reactivity was examined by comparing the effects of opioid antagonism with naltrexone on responses to stress in young adults with high versus low levels of aerobic fitness. Two hundred forty subjects were given an activity questionnaire and males with the highest (Fit) and lowest (Nonfit) aerobic activity profiles were recruited for maximal oxygen consumption (VO2max) treadmill testing and psychological stress testing (final sample N = 28). Heart rate and blood pressures were measured during performance on a computer-controlled arithmetic task after pretreatment with either naltrexone (Trexan, DuPont) or a placebo. During placebo challenges, Fit subjects, compared with Nonfit, showed lower heart rate reactivity during stress and lower mean arterial blood pressures immediately before and during recovery from stress. Naltrexone eliminated these reactivity differences by increasing heart rate reactivity and raising mean arterial blood pressure in Fit subjects. These data suggest that aerobic fitness is associated with enhanced opioidergic inhibition of circulatory stress reactivity. Opioidergic modulatory effects on stress reactivity may comprise an important mechanism in fitness-associated risk reduction for cardiovascular disease.
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Affiliation(s)
- J A McCubbin
- Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington 40536-0086
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Bønaa KH, Arnesen E. Association between heart rate and atherogenic blood lipid fractions in a population. The Tromsø Study. Circulation 1992; 86:394-405. [PMID: 1638708 DOI: 10.1161/01.cir.86.2.394] [Citation(s) in RCA: 89] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND Prospective epidemiological studies indicate that elevated heart rate may carry increased risk for coronary heart disease. Little is known about the relation between heart rate and serum lipid and lipoprotein concentrations in the general population. METHODS AND RESULTS We assessed anthropometric and life-style determinants of heart rate and examined the association between heart rate and serum lipid and lipoprotein concentrations in a cross-sectional study of 9,719 men and 9,433 women 12-59 years old. Stratified and multivariate analyses were used to detect possible modification of effect and to control for confounding variables. Heart rate was positively associated with male sex and smoking, decreased with body height and physical activity, and showed a U-shaped relation to body mass index. In both sexes, there was a significant progressive increase in age-adjusted levels of total cholesterol, non-high density lipoprotein (HDL) cholesterol, and triglycerides and a decrease in HDL cholesterol with heart rate. Men with heart rate greater than 89 beats per minute had 14.5% higher non-HDL cholesterol and 36.3% higher triglyceride levels than men with heart rate less than 60 beats per minute. The corresponding differences in women were 12.5% and 22.2%. The associations remained significant when anthropometric and life-style factors were controlled for. The slopes relating total and non-HDL cholesterol level to heart rate were steeper with advancing age. CONCLUSIONS Increases in heart rate correlate with higher levels of atherogenic serum lipid fractions in the general population. Alterations in aortic impedance and/or autonomic influences may underlie these associations.
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Affiliation(s)
- K H Bønaa
- Institute of Community Medicine, University of Tromsø, Norway
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20
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Abstract
The relationship between electrodermal lability and myocardial reactivity to stress was examined in male undergraduates, who were classified as electrodermally labile (n = 19) or stabile (n = 19) based on the frequency of nonspecific skin conductance responses at rest. Heart rate, pre-ejection period, cardiac output, and skin conductance responses were recorded at rest, during task instructions, and during two mental arithmetic tasks that varied in level of difficulty. As predicted, labiles exhibited greater myocardial reactivity to the task instructions and the tasks than did stabiles, with more persistent group differences emerging for pre-ejection period and cardiac output than for heart rate. The group differences did not vary as a function of task difficulty, but did decline over time. These results support a positive relationship between electrodermal lability and beta-adrenergic myocardial reactivity to stress, particularly under conditions of task novelty or uncertainty, and suggest that electrodermal lability is related fundamentally to arousal and reactivity processes.
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Affiliation(s)
- R M Kelsey
- Center for the Study of Behavioral and Social Aspects of Health, State University of New York, Buffalo
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21
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Manuck SB, Cohen S, Rabin BS, Muldoon MF, Bachen EA. Individual Differences in Cellular Immune Response to Stress. Psychol Sci 1991. [DOI: 10.1111/j.1467-9280.1991.tb00110.x] [Citation(s) in RCA: 137] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Correlational studies suggest that psychological stress suppresses cellular immune function in some, but not all, individuals. Here, effects of acute mental stress on lymphocyte subpopulations and T-lymphocyte mitogenesis were examined experimentally in healthy young adults. CD8 (T-suppressor/cytotoxic) lymphocytes increased in number and T-cell response to stimulation by phytohemagglutinin was attenuated following exposure to a 20-min laboratory stressor, but only in persons who also showed heightened catecholamine and cardiovascular reactions to stress. Hence, individuals differ substantially in their immunologic responsivity to behavioral stimuli, and such differences parallel (and may be predicted by) interindividual variability in stress-induced sympathetic nervous system activation.
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Affiliation(s)
- Stephen B. Manuck
- Behavioral Physiology Laboratory, Department of Psychology, University of Pittsburgh
| | - Sheldon Cohen
- Department of Psyhcology, Carnegie-Mellon University
| | - Bruce S. Rabin
- Division of Immunopathology, Department of Pathology, University of Pittsburgh School of Medicine
| | - Matthew F. Muldoon
- Division of Clinical Pharmacology, Department of Medicine, University of Pittsburgh School of Medicine
| | - Elizabeth A. Bachen
- Behavioral Physiology Laboratory, Department of Psychology, University of Pittsburgh
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22
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Sherwood A, Allen MT, Fahrenberg J, Kelsey RM, Lovallo WR, van Doornen LJ. Methodological guidelines for impedance cardiography. Psychophysiology 1990; 27:1-23. [PMID: 2187214 DOI: 10.1111/j.1469-8986.1990.tb02171.x] [Citation(s) in RCA: 661] [Impact Index Per Article: 19.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Impedance cardiography was introduced over 20 years ago as a noninvasive and unobtrusive technique for measuring systolic time intervals and cardiac output. Although our understanding of the physiological events reflected in the impedance cardiogram has become more refined, the technique's theoretical basis remains somewhat controversial and acceptance of its validity has relied heavily upon empirical validation. Largely as a consequence of this status, there have been inadequate grounds on which to develop sound methodological standardization. Currently, the methodological approaches that have been most frequently adopted may be viewed as representing the standard. The various aspects of impedance methodology are discussed, and alternative approaches described, with the objective of providing an informed basis for choosing among these methodological alternatives. It is recommended that studies utilizing impedance cardiography should be reported with clear and detailed methodological description. This should help clarify the extent to which methodological differences may underlie any discrepant research observations, as well as facilitate the emergence of improved methodological standards.
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Affiliation(s)
- A Sherwood
- Department of Psychiatry, University of North Carolina, Chapel Hill 27599-7175
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23
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Kaji Y, Ariyoshi K, Tsuda Y, Kanaya S, Fujino T, Kuwabara H. Quantitative correlation between cardiovascular and plasma epinephrine response to mental stress. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY AND OCCUPATIONAL PHYSIOLOGY 1989; 59:221-6. [PMID: 2583166 DOI: 10.1007/bf02386191] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
To investigate the quantitative correlations between cardiovascular and endogenous catecholamine response to mental stress, we gave a mental arithmetic test to 20 young healthy men. A direct and non-invasive haemodynamic measurement was performed by serial M-mode echocardiography. Heart rate, blood pressure, cardiac output, stroke volume, ejection fraction, left ventricular end-systolic pressure-volume ratio and plasma epinephrine increased over the baseline period during the test. The peripheral resistance and left ventricular end-systolic volume decreased, whereas left ventricular end-diastolic volume and plasma norepinephrine were unaltered. Furthermore, the degree of change in each haemodynamic parameter showing significant reaction, was well correlated with that of the increase in plasma epinephrine. The data suggest that acute mental stress induces endogenous epinephrine secretion resulting in a beta-adrenergic activated state in the cardiovascular system, namely, positive chronotropism, positive inotropism and vasodilatation.
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Affiliation(s)
- Y Kaji
- First Department of Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan
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24
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25
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26
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VanDercar DH, Laperriere AR, Shyu LY, Ward MF, McCabe PM, Perry A, Schneiderman N. Microcomputer automated system for measuring systolic time intervals in response to exercise and a psychophysiological task. Psychophysiology 1988; 25:703-11. [PMID: 3241858 DOI: 10.1111/j.1469-8986.1988.tb01912.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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27
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28
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Jorgensen RS, Nash JK, Lasser NL, Hymowitz N, Langer AW. Heart rate acceleration and its relationship to total serum cholesterol, triglycerides, and blood pressure reactivity in men with mild hypertension. Psychophysiology 1988; 25:39-44. [PMID: 3353483 DOI: 10.1111/j.1469-8986.1988.tb00955.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Elias MF, Robbins MA, Schultz NR, Streeten DH, Elias PK. Clinical significance of cognitive performance by hypertensive patients. Hypertension 1987; 9:192-7. [PMID: 3818016 DOI: 10.1161/01.hyp.9.2.192] [Citation(s) in RCA: 57] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Fifty-four subjects with uncomplicated essential hypertension and 54 normotensive subjects were compared with regard to a widely employed clinical index of cognitive dysfunction (the Average Impairment Rating) calculated from neuropsychological tests that discriminate between brain-damaged and neurologically normal persons. Hypertensive subjects exhibited lower mean scores on this index when education was ignored, but results were not the same for highly educated and less well educated groups. There were no differences between exceptionally well educated hypertensive and normotensive subjects, but in the less well educated group, hypertensive subjects performed more poorly than normotensive subjects. The percentages of hypertensive and normotensive subjects scoring in a cognitively impaired range on the Average Impairment Rating were low and did not differ for either education group. These data indicate the important role of subtle differences in education level with respect to positive or negative findings for studies comparing hypertensive and normotensive subjects and illustrate the important role of clinical neuropsychological indices of cognitive dysfunction when one wishes to make meaningful inferences regarding cerebral cortical function in hypertensive subjects.
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Cinciripini PM. Cognitive stress and cardiovascular reactivity. II. Relationship to atherosclerosis, arrhythmias, and cognitive control. Am Heart J 1986; 112:1051-65. [PMID: 3535465 DOI: 10.1016/0002-8703(86)90320-0] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
This is the second of a two-part series on the effects of cognitive stress on cardiovascular disease. This paper reviews the relationship between cognitive stress and cardiovascular reactivity as it relates to the development of atherosclerosis and arrhythmias. In addition, the moderation of cardiovascular reactivity by the opportunity to exercise control over the stressor is discussed. The findings may be summarized as follows. First, recent animal work has suggested that the magnitude of heart rate change in the presence of a conditioned aversive stimulus is positively correlated with the extent of coronary atherosclerosis under diets high and low in atherogenic potential. Second, cardiovascular reactivity in humans may be related to several factors that could have an influence on the pathogenesis of atherosclerosis. These factors include: increased beta-adrenergic driving, increased shearing force on the intimal lining of the vessels, changes in pulsatile flow and the subsequent smooth muscle reparatory process. Cognitive (psychological) stress has also been related to ST segment depression, rate-pressure product changes, and changes in cardiac contractility. Animal studies have shown that the susceptibility to ventricular fibrillation may be enhanced by the presence of a conditioned aversive stimulus and may be reduced through adaptation to the aversive environment. The balance between sympathetic and parasympathetic influences on the myocardium may also play a critical role in the susceptibility of an already diseased heart to succumb to fatal arrhythmias during a behavioral stressor. Finally, studies in which subjects may exercise some control over an aversive stimulus suggest that cardiovascular reactivity may be pronounced and sustained in situations requiring frequent adjustment to changes in the criteria for successful performance, and/or the presence of positive incentives.
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Steven Reznick J, Kagan J, Snidman N, Gersten M, Baak K, Rosenberg A. Inhibited and Uninhibited Children: A Follow-up Study. Child Dev 1986. [DOI: 10.1111/j.1467-8624.1986.tb00235.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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McCubbin JA, Surwit RS, Williams RB. Endogenous opiate peptides, stress reactivity, and risk for hypertension. Hypertension 1985; 7:808-11. [PMID: 4030048 DOI: 10.1161/01.hyp.7.5.808] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Endogenous opiate peptides can regulate neuroendocrine and circulatory responses to behavioral stress and may be important in the pathogenic effects of sympathoadrenal reactivity. We tested this hypothesis by examining the effect of the opiate antagonist naloxone on blood pressure responses to behavioral stress in young adults with high, medium, or low casual blood pressures. Naloxone increased mean arterial pressure responses to stress in subjects with low casual pressure, but had no significant effect on responses in subjects with high casual pressure. These results suggest opioidergic inhibition of sympathetic nervous system responses may be deficient in persons at risk for essential hypertension.
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Abstract
In a series of studies, cardiac activity, assessed with an impedance cardiograph, was monitored as college students performed either a visual search or pursuit rotor task. Heart rate, systolic time intervals, stroke volume, cardiac output and the Heather (1969) index of contractility were measured before, during and after performance. In the first study, visual search did not affect the participants' (N = 44) level of cardiac output or their length of the pre-ejection period. It is likely that the lack of charge in cardiac output resulted from a fall in stroke volume and in the Heather index while the task was performed. Heart rate was most rapid during performance and emerged as the only measure affected by the withdrawal of monetary incentives for failure to solve the visual search problem. In the second study, 40 subjects performed a pursuit rotor task and increases in cardiac output as well as changes in all of the other cardiac measures occurred. The level of task difficulty influenced the extent of heart rate increases and stroke volume decreases during performance. An additional 20 male subjects participated in a third study in which the level of difficulty of the pursuit rotor task was signalled and the order of the levels of difficulty was balanced across trial blocks. Under these conditions, the changes in cardiac activity before, during and after performance were similar to those observed in the first two studies. Heart rate was the only measure sensitive to the level of task difficulty. In general, the findings underscore the sensitivity of heart rate to changes in subtle aspects of psychological situations. To enlist increases in cardiac output and inotropic parameters extensive alterations in behavioral state are required.
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Robinson TN, Zahn TP. Psychoticism and arousal: Possible evidence for a linkage of p and psychopathy. PERSONALITY AND INDIVIDUAL DIFFERENCES 1985. [DOI: 10.1016/0191-8869(85)90029-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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35
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Langer AW, McCubbin JA, Stoney CM, Hutcheson JS, Charlton JD, Obrist PA. Cardiopulmonary adjustments during exercise and an aversive reaction time task: effects of beta-adrenoceptor blockade. Psychophysiology 1985; 22:59-68. [PMID: 3975320 DOI: 10.1111/j.1469-8986.1985.tb01561.x] [Citation(s) in RCA: 73] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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