Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 1/2020

05-06-2019

How trauma influences cardiovascular responses to stress: contributions of posttraumatic stress and cognitive appraisals

Auteurs: Sharon Y. Lee, Crystal L. Park, Linda S. Pescatello

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Mechanisms for the association between posttraumatic stress disorder (PTSD) symptoms and cardiovascular diseases remain poorly understood. The present study examined associations among PTSD symptoms, appraisals of a current stressor, baseline cardiovascular indices, and cardiovascular responses to the stressor, including appraisals as a potential mediator of PTSD symptoms and cardiovascular responses. A sample of 125 undergraduates provided information about demographics, physical health, trauma history, and PTSD symptoms. Weight, height, blood pressure (BP), and heart rate (HR) measurements were obtained. During a modified Trier Social Stress Task, appraisals of the stressor were assessed and BP and HR were measured again. Findings suggest that PTSD symptoms are associated with current physical health (resting BP and HR) and more negative appraisals of the stressor; in turn, more negative appraisals were associated with increases in cardiovascular response. In particular, threat appraisal mediated the relationship between PTSD symptoms and increases in systolic BP response.
Literatuur
go back to reference Allison, P. D. (1990). Change scores as dependent variables in regression analysis. Sociological Methodology,20, 93–114.CrossRef Allison, P. D. (1990). Change scores as dependent variables in regression analysis. Sociological Methodology,20, 93–114.CrossRef
go back to reference Blascovich, J. (2008). Challenge, threat, and health. In J. Y. Shah & W. L. Gardner (Eds.), Handbook of motivation science (pp. 481–493). New York, NY: Guilford Press. Blascovich, J. (2008). Challenge, threat, and health. In J. Y. Shah & W. L. Gardner (Eds.), Handbook of motivation science (pp. 481–493). New York, NY: Guilford Press.
go back to reference Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., et al. (2015). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychological Assessment,28, 1379–1391. https://doi.org/10.1037/pas0000254 CrossRefPubMed Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., et al. (2015). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychological Assessment,28, 1379–1391. https://​doi.​org/​10.​1037/​pas0000254 CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
go back to reference Fairbank, J. A., Hansen, D. J., & Fitterling, J. M. (1991). Patterns of appraisals and coping across different stressor conditions among former prisoners of war with and without posttraumatic stress disorder. Journal of Consulting and Clinical Psychology,59, 274–281.CrossRef Fairbank, J. A., Hansen, D. J., & Fitterling, J. M. (1991). Patterns of appraisals and coping across different stressor conditions among former prisoners of war with and without posttraumatic stress disorder. Journal of Consulting and Clinical Psychology,59, 274–281.CrossRef
go back to reference Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology,50, 992–1003.CrossRef Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology,50, 992–1003.CrossRef
go back to reference Kibler, J. L. (2018). An extension of the perseverative cognition hypothesis to posttraumatic stress disorder symptomatology: Cardiovascular recovery in relation to posttraumatic stress disorder severity and cognitive appraisals of stress. Journal of Traumatic Stress,31, 25–34.CrossRef Kibler, J. L. (2018). An extension of the perseverative cognition hypothesis to posttraumatic stress disorder symptomatology: Cardiovascular recovery in relation to posttraumatic stress disorder severity and cognitive appraisals of stress. Journal of Traumatic Stress,31, 25–34.CrossRef
go back to reference Kudielka, B. M., Hellhammer, D. H., Kirschbaum, C., Harmon-Jones, E., & Winkielman, P. (2007). Ten years of research with the Trier Social Stress Test—Revisited. In E. Harmon-Jones & P. Winkielman (Eds.), Social neuroscience: Integrating biological and psychological explanations of social behavior (pp. 56–83). New York: The Guilford Press. Kudielka, B. M., Hellhammer, D. H., Kirschbaum, C., Harmon-Jones, E., & Winkielman, P. (2007). Ten years of research with the Trier Social Stress Test—Revisited. In E. Harmon-Jones & P. Winkielman (Eds.), Social neuroscience: Integrating biological and psychological explanations of social behavior (pp. 56–83). New York: The Guilford Press.
go back to reference Law, M., Morris, J. K., & Wald, N. J. (2009). Use of blood pressure lowering drugs in the prevention of cardiovascular disease: Meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. BMJ,338, 1–19. https://doi.org/10.1136/bmj.b1665 CrossRef Law, M., Morris, J. K., & Wald, N. J. (2009). Use of blood pressure lowering drugs in the prevention of cardiovascular disease: Meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. BMJ,338, 1–19. https://​doi.​org/​10.​1136/​bmj.​b1665 CrossRef
go back to reference National Heart, Lung, and Blood Institute. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. NIH publication no. 98-4083. Bethesda: Department of Health and Human Services, National Institutes of Health. National Heart, Lung, and Blood Institute. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. NIH publication no. 98-4083. Bethesda: Department of Health and Human Services, National Institutes of Health.
go back to reference Norris, F. H., & Kaniasty, K. (1992). Reliability of delayed self-reports in disaster research. Journal of Traumatic Stress,5, 575–588.CrossRef Norris, F. H., & Kaniasty, K. (1992). Reliability of delayed self-reports in disaster research. Journal of Traumatic Stress,5, 575–588.CrossRef
go back to reference Rasmusson, A. M., & Friedman, M. J. (2002). Gender issues in the neurobiology of PTSD. In R. Kimerling, P. Ouimette, & J. Wolfe (Eds.), Gender and PTSD (pp. 43–75). New York, NY: Guilford Press. Rasmusson, A. M., & Friedman, M. J. (2002). Gender issues in the neurobiology of PTSD. In R. Kimerling, P. Ouimette, & J. Wolfe (Eds.), Gender and PTSD (pp. 43–75). New York, NY: Guilford Press.
go back to reference Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.​ptsd.​va.​gov
go back to reference Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison, C., et al. (2017). Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology,1, 2. https://doi.org/10.1016/j.jacc.2017.07.745 CrossRef Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Dennison, C., et al. (2017). Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology,1, 2. https://​doi.​org/​10.​1016/​j.​jacc.​2017.​07.​745 CrossRef
Metagegevens
Titel
How trauma influences cardiovascular responses to stress: contributions of posttraumatic stress and cognitive appraisals
Auteurs
Sharon Y. Lee
Crystal L. Park
Linda S. Pescatello
Publicatiedatum
05-06-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00067-8

Andere artikelen Uitgave 1/2020

Journal of Behavioral Medicine 1/2020 Naar de uitgave