Psychophysiological Stress Reactions Research Articles

Assisting couples to develop healthy relationships: Effects of couples relationship education on cortisol

Couple conflict in unhappy marriages is suggested to impair individual health via chronic psychophysiological stress reactions in couples' everyday lives. As a consequence, we hypothesized that standard couples relationship education (CRE) would decrease psychophysiological stress, namely salivary cortisol levels, during couple conflict in the laboratory as compared to a standard psychological stress paradigm. We considered cortisol to be of particular interest in this context, as it mediates endocrine and immune responses to stress, and thus might influence couples' health. Salivary cortisol was repeatedly investigated in 61 couples during (a) a standard psychological stress test with no relevance for the couples, and (b) a standard couple conflict discussion in the laboratory before and after CRE. In addition, increases in self-evaluated relationship quality were analyzed with regard to their influence on salivary cortisol. Data were analyzed using multilevel modeling. Cortisol responses to the couple-external psychological stress test were unaffected by CRE, but specifically cortisol responses during the couple conflict discussion were significantly reduced following CRE compared to pre-intervention levels. Moreover, cortisol decreases during conflict were partially mediated by increases in self-reported relationship quality following CRE. These data suggest that CRE might buffer the harmful effects of repeated conflict in close relationships. Rather than ameliorating overall stress resilience, CRE might thus specifically improve individual health through increased relationship quality and reduced HPA axis activity during couple conflict.

Attenuation of maternal psychophysiological stress responses and the maternal cortisol awakening response over the course of human pregnancy

The effects of maternal stress during pregnancy may depend, in part, on the timing in gestation of the occurrence of stress. The aim of the present study was to examine the effect of stage of gestation on maternal psychophysiological responses to stress using a standardized laboratory paradigm and on the cortisol response to awakening (CAR). A longitudinal design was employed to quantify maternal psychophysiological stress reactivity [changes in heart rate (HR), blood pressure, salivary cortisol, and psychological distress in response to the trier social stress test (TSST)] and the CAR at approximately 17 and 31 weeks gestation in a sample of 148 women. To account for the possible effects of habituation when being exposed to the same stress protocol twice, a non-pregnant comparison group (CG, N = 36) also underwent these assessments at two time points, with a comparable time interval between the assessments. In both groups, the TSST elicited significant changes in maternal HR, mean arterial pressure, and psychological distress levels but not a significant increase in cortisol levels. Among the pregnant women (pregnant group(PG)), the stressor-induced increases in HR, blood pressure, and psychological distress were significantly lower at the second (31 weeks gestation) compared to the first (17 weeks gestation) assessment of pregnancy (all p < 0.01). The maternal CAR was also significantly attenuated in later compared to earlier gestation (p = 0.003). In the CG, there were no significant differences in psychophysiological stress responses and in the CAR across the two assessments. Among pregnant women there is a progressive attenuation of psychophysiological stress responses with advancing gestation. This attenuation is unlikely to be attributable to habituation. Individual differences in the degree of attenuation of stress responses over gestation may represent a novel marker of stress susceptibility in human pregnancy.

Protective effect of interval exercise on psychophysiological stress reactivity in children

Two studies determined whether interval exercise reduces children's stress reactivity. For Experiment 1 children completed interval exercise (n=14) or watched TV (n=14) for 25 min. After 20 min rest children completed a speech task. Speech-induced diastolic blood pressure (DBP) reactivity was dampened in the exercise group (p<.05). For Experiment 2 children (n=22) completed interval exercise-speech and TV-speech conditions on separate days. Physical activity was assessed by accelerometry and aerobic fitness estimated by submaximal exercise. DBP, systolic BP, and heart rate (HR) reactivity to the speech stressor were dampened (p<.05) after exercise compared to TV watching. Fitness was positively associated with HR reactivity. Interval exercise that mimics usual patterns of physically active play dampens cardiovascular reactivity to interpersonal stress.

Assessment of Psychophysiological Stress Reactions During a Traumatic Reminder in Patients Treated With EMDR

This study investigates changes of stress-related psychophysiological reactions after treatment with EMDR. Sixteen patients with posttraumatic stress disorder (PTSD) following type I trauma underwent psychometric and psychophysiological assessment during exposure to script-driven imagery before and after EMDR and at 6-month follow-up. Psychophysiological assessment included heart rate (HR) and heart rate variability (HRV) during a neutral task and during trauma script listening. PTSD symptoms as assessed by questionnaire decreased significantly after treatment and during follow-up in comparison to pretreatment. After EMDR, stress-related HR reactions during trauma script were significantly reduced, while HRV indicating parasympathetic tone increased both during neutral script and during trauma script. These results were maintained during the follow-up assessment. Successful EMDR treatment may be associated with reduced psychophysiological stress reactions and heightened parasympathetic tone.

Psychophysiological Response to Severe Sport Injury Among Competitive Male Athletes: A Preliminary Investigation

Features of posttraumatic distress have been associated with treatment noncompliance and delayed surgical recovery among general medical and trauma populations. Although cognitive-affective and behavioral features of posttraumatic distress have been demonstrated among adult and adolescent athletes with injuries, physiological responses associated with posttraumatic distress have not yet been examined in this population. The objective of this study was to examine psychophysiological stress reactivity to orthopedic trauma among male athletes who sustained a severe sport injury. Athletes with injuries (n= 7) and non-injured athlete controls (n= 5) completed self-report measures of psychological distress and were then shown injury video footage while heart rate and skin conductance measures were recorded. After exposure to orthopedic trauma-related video footage, athletes with injuries demonstrated significantly greater skin conductance reactivity and subjective distress compared to controls. As demonstrated among other medical and trauma populations, athletes with injuries exhibit exaggerated stress reactivity profiles when primed with orthopedic trauma stimuli.

Defensive Avoidance of Disapproval: The Relationship of a Defensive Style to Physical and Mental Health

This article presents an exploration of a clinically meaningful interpersonal style labeled here as defensive avoidance of disapproval (DAD), which involves a motivated inattention to physiological, affective, or cognitive reactions arising from stressful social transactions, thereby safeguarding a self-image of social competence. First, we discuss conceptual antecedents of DAD derived from post-Freudian theories of twentieth-century psychodynamic and interpersonally oriented clinicians. Second, we highlight measurement issues as they relate to DAD. Third, we review research on the association of DAD with psychophysiological stress reactivity and diminished health. Finally, DAD-related clinical implications are considered. Our discussion of DAD invites the (1) assessment of phenomenological "blind spots" regarding the physiological, affective, and cognitive components of disapproval-induced stress, (2) development of strategies to decrease premature therapy termination that may result from a defensive avoidance of social disapproval, and (3) cultivation of interventions to increase the high DAD patient's acknowledgement, rather than rejection, of the signs of social stress.

Clinical significance of stress reactivity for frequency of electric shock discharges in patients with implanted cardioverter-defibrillators

Recent research indicates that discharges of implanted cardioverter-defibrillators (ICD) are triggered by psychosocial stress. This study examined the presence of patterns of psychophysiological stress reactivity in ICD-patients. Further more potential relationship between factors of stress reactivity and the frequency of implantable cardioverter-defibrillators discharges was investigated. In 46 consecutive patients (38 male, 8 female; age: 26-80 years) with implantable cardioverter-defibrillators the following parameters of physiological reactivity were measured in a standardised experimental stress test: Heart rate, skin conductance, muscle tension and respiratory activity. In a standardised interview anxiety sensitivity, depression, desire for control, stress load, and attitude towards the defibrillator were evaluated and quantified. The relationship between the mentioned parameters were examined with factor analysis to reveal patterns of psychophysiological reactivity. Potential relationship between psychophysiological factors and frequency of shock delivery was verified with linear regression analysis. Factor analysis revealed four independent psychophysiological traits. The factors were named "Play Dead Reflex", "Heart Phobia", "Negativism" and "Irritability". Linear regression model showed significant correlation between "Play Dead Reflex" and discharge frequency. Results confirm the presence of specific psychophysiological stress reaction patterns in ICD-patients. The stress reaction pattern "Play Dead Reflex" could be discussed as a potential risk factor in developing life-threatening tachyarrhythmias leading to an increase in defibrillator discharges in patients with ICD. This hypothesis should be considered in prospective studies and psychosomatic treatment of concerned patients.

Psychophysiological stress reactions, trapezius muscle activity, and neck and shoulder pain among female cashiers before and after introduction of job rotation

The aim of this study was to evaluate the effects of the introduction of a job rotation model on supermarket cashiers, with respect to psychophysiological stress reactions, muscle activity of the trapezius muscle (which covers the upper back, the neck and the shoulder), and musculoskeletal symptoms in the neck and shoulders. Thirty-one female cashiers were investigated before and after job rotation was introduced. Before the reorganization the participants were only performing cash register work at the checkout counters. After the reorganization they shifted between cash register work and work in different departments in the supermarket. At follow-up the participants, all right-handed, had a significantly lower diastolic blood pressure, and surface electromyography (EMG) showed a significantly decreased muscle activity in the trapezius muscle on the left side. Musculoskeletal symptoms of the neck and shoulders were only partly changed, and there was no change in prevalence of musculoskeletal pain, which was around 70%. From questionnaires, but not from self-ratings during work, it was found that the introduction of job rotation had been experienced as positive in several regards, although the perceptions of stress and hurry were the same at follow-up.

Surface EMG and psychophysiological stress reactions in women during repetitive work.

In order to understand the high prevalence of musculoskeletal disorders associated with stressful work, it is important to explore the relationship between muscle activity and psychophysiological stress responses. The present real-life study examines surface trapezius electromyographic (sEMG) activity, heart rate, blood pressure, and levels of urinary catecholamines and salivary cortisol among 31 female employees working at supermarkets, where the prevalence of neck and shoulder disorders is high (60-70%). As expected, the results show that psychophysiological arousal was high during work. Significant correlations were found between self-reports indicating negative stress (stressed, exhausted, tense) and sEMG activity during work. No significant correlations were found between self-reports of positive reactions (stimulated, concentrated, happy) and sEMG activity. No associations were found between sEMG activity and pain or between negative stress ratings and pain. Objectively measured workload and physiological stress responses did not correlate significantly with sEMG activity. Thus, our data indicate that perceived negative stress may have a specific influence on muscle activity, which may be of importance for musculoskeletal disorders in jobs with low-to-moderate physical load and negative psychosocial factors.

Psychophysiological stress reactions in female and male urban bus drivers.

Male and female urban bus drivers were studied at work during everyday bus driving in urban traffic (work condition) and watching educational programs (comparison condition). The results showed that (a) both sexes had significantly higher adrenaline, noradrenaline, and cortisol excretion levels during work than during the comparison session; (b) during work and inactivity, there were no significant sex differences in hormone excretion for either hormone; (c) the percentage increase during work compared with control levels for all hormones was equally high in the female group as in the male group; and (d) there were no significant sex differences in self-reported mood (distress, well-being, control) during bus driving. The results are discussed in terms of type and intensity of stressors, gender differences in costs of adaptation, preventive measures, and the role of social influences in psychoneuroendocrine regulation.

Bussy business: How urban bus drivers cope with time pressure, passengers, and traffic safety.

Adhering to the schedule, providing service to passengers, and driving safely are among the most important psychosocial demands of the bus driver's job. The ways bus drivers cope with these varying and conflicting demands are addressed in this article, which uses data from 4 interrelated studies. In a large-scale questionnaire study (Study 1), behavioral styles in coping with these psychosocial demands were identified. Next, in Studies 2 and 3, the relations of these styles with well-being and health status were examined. Study 4 addressed the coping process during work itself by examining the relations among objective workload indicators, perceived effort, and psychophysiological stress reactions during work.

Bussy business: how urban bus drivers cope with time pressure, passengers, and traffic safety.

Adhering to the schedule, providing service to passengers, and driving safely are among the most important psychosocial demands of the bus driver's job. The ways bus drivers cope with these varying and conflicting demands are addressed in this article, which uses data from 4 interrelated studies. In a large-scale questionnaire study (Study 1), behavioral styles in coping with these psychosocial demands were identified. Next, in Studies 2 and 3, the relations of these styles with well-being and health status were examined. Study 4 addressed the coping process during work itself by examining the relations among objective workload indicators, perceived effort, and psychophysiological stress reactions during work.

Psychophysiological stress reactions in female and male urban bus drivers.

Psychophysiological stress reactions in female and male urban bus drivers.

Effects of work demands on immunoglobulin A and cortisol in air traffic controllers

The professional activity of air traffic controllers (ATC) is often considered to be rather stressful. Certain characteristics of this job are likely to produce stress; for example an ATC can not predict when a situation becomes critical and he is not able to regulate the workload. In order to assess psychophysiological stress reactions in this working situation, saliva samples were taken from 158 male air traffic controllers before and after each of two working sessions. In contrast to the expected immunosuppressive effects, the working sessions caused a marked increase in the concentration and secretion rate of salivary immunoglobulin A (sIgA), as well as in the concentration of salivary cortisol. The increase in sIgA, however, was not correlated with the salivary cortisol response or with the amount of actual or perceived workload, whereas the cortisol response was correlated with both workload measures. It is suggested that positive emotional engagement is responsible for the observed sIgA increase and that measuring this physiological response may be a valuable tool for differentiating between positive and negative stress effects or between successful and unsuccessful adaptation or coping with situational demands.

Workload and psychophysiological stress reactions in air traffic controllers

Interactions between workload and psychophysiological stress symptoms were investigated in a population of 205 predominantly male air traffic controllers (ATCs) from the area control centre (ACC) and the airport control tower (TWR) in Zurich and Geneva. Each subject completed two questioning sessions and two working sessions, the first time during a period of low traffic and the second time during a period of high traffic. For the questioning sessions standardized questionnaires were used. For all investigated working sessions, different aspects of the subjective and objective workload were recorded. Before and after each session, a saliva sample for assessing the concentration of secreted cortisol was taken. The questionnaire parameters represented psychological stress symptoms, such as complaints of physical discomfort, depression, negative self-communication, work-increased anxiety, coping behaviour and subjective rating, and interpretation of various aspects of the working situation. The mean values measured were within the normal range, and only a few significant differences between the two questioning sessions were found. However, about 10 to 15% of the ATCs showed elevated values in psychological stress symptoms to an extent indicating that they might have serious stress problems at work and/or in their private life. The investigated working sessions showed that the ATCs' subjective ratings correspond clearly to their cortisol response and the objective workload. Thus, ATCs' complaints regarding excess work stress should be taken seriously.

Psychophysiological reactions during active and passive stress coping following smoking cessation

This study investigated the effects of 9 days' smoking abstinence on psychophysiological stress reactions. The subjects were 40 female smokers; 20 of them intended to give up smoking in the course of the study, whereas the remaining 20 had no such intention. A first session was carried out before, a second and a third during days 3 and 9 of abstinence. The nonabstainers were tested at corresponding intervals. Each session consisted of a 30-min stress-coping phase with relaxation phases before and after. While performing a rapid information processing task (RIP) the subjects had to sustain electrical shocks which were, according to instructions, but not in fact, either avoidable (active coping) or not (passive coping). Generally, the active coping instruction produced greater responses to the RIP task than did the passive coping instruction for heart rate, systolic and diastolic blood pressure but not for finger pulse amplitude, thus resembling a beta-adrenergic stimulation. RIP processing rate was not affected, but the response rate (total of hits and commission errors) was greater during active than during passive coping. However, none of these stress reactions differed between abstainers and nonabstainers. On the other hand, both heart rate and the craving to smoke decreased significantly in the abstainer group across the 9 days. Thus, it is concluded that a deprivation of 1 h, 3 or 9 days has no differential effect on physiological stress reactions.

Effects of Physical Exercise on Psychological and Cognitive Functioning of Older Adults

Abstract This article reviews the literature pertaining to exercise effects on psychological well-being and neuropsychological functioning among older adults. Early studies in this area were limited by methodological problems, including non-randomized control groups and inadequate exercise duration. Although recent studies have incorporated more sophisticated research designs and measurement techniques, results have been inconsistent. This review examines studies pertaining to changes in mood, personality, and cognitive functioning. In addition, studies of psychophysiological stress reactivity are included as a potentially useful biobehavioral indicator of change following exercise among older adults. The mechanisms by which exercise affects psychological, behavioral, and cognitive functioning will need to be clarified in future studies by incorporating a broader spectrum of subjects and outcome measures.

Aerobic Fitness, Physical Activity, and Psychophysiological Reactions to Mental Tasks

The association between aerobic fitness, exercise, and psychophysiological reactivity was assessed in cross-sectional and prospective analyses. Seventy-five healthy but sedentary adults carried out a sub-maximal exercise test and easy and difficult problem solving tasks. Blood pressure, heart rate, skin conductance level, respiration rate, tidal volume, and oxygen consumption were monitored and additional heart rate was also computed. Differences between relatively fit and unfit individuals were found in respiration rate during tasks and in skin conductance level during post-task recovery periods, with a tendency toward diminished heart rate reactivity in fitter people. Subjects were subsequently allocated to four conditions: high intensity aerobic training, moderate intensity aerobic training, an undemanding strength and flexibility program (designed as an attention-placebo condition), and waiting list control. Training programs were conducted over a 10-week period, and were followed by a second laboratory session. Appropriate changes in aerobic performance over the training period were observed in the 12-min run/walk test. There were no important modifications in psychophysiological stress reactions associated with the different experimental conditions. These results are discussed in relation to the literature concerning the effects of fitness and physical activity on physiological response patterns.

The influence of various types of control on psychophysiological stress reactions

The influence of personal control on reactions to shock was found to differ not only as a function of the type of control, but also as a function of the combination of control conditions. For example, behavioral control in the presence of information (cognitive control) reduced stress, whereas behavioral control in the absence of information augmented stress. These results are discussed with regard to the appropriateness of two different models, a “substitutive” versus an “interactive” model, for understanding the effects of personal control.

The influence of response effectiveness on the preference for warning and on psychophysiological stress reactions.

The influence of response effectiveness on the preference for warning and on psychophysiological stress reactions.