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Social support in ordinary life and laboratory measures of cardiovascular reactivity: gender differences in habituation-sensitization

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Annals of Behavioral Medicine

Abstract

Background: Gender differences in coronary heart disease are mirrored by gender differences both in cardiovascular reactivity to stress and in the nature and content of social support networks. However, little research has examined the association between cardiovascular reactivity in the laboratory and social support outside; and none has established whether gender differences in such associations can elucidate relevant psychosomatic mechanisms. In addition, in general, studies of cardiovascular reactivity fail to take adequate account of cardiovascular response habituation.Purpose: The present study sought to examine gender differences in associations between psychometrically assessed social support and cardiovascular reactivity and, in particular, response habituation patterns.Method: Ninety-two undergraduate men and women underwent two consecutive cardiovascular reactivity assessments, after having provided psychometric assessments of quantity and quality of social support in ordinary life.Results: Inverse associations between social support and cardiovascular reactivity during the second assessment suggested that highly-supported women exhibited cardiovascular response habituation. For men, the opposite trend—that of support-related cardiovascular sensitization—was found. Results were unaffected by performance of the task used to elicit reactivity or by participant ratings of task dimensions.Conclusions: These findings suggest that men and women differ in the degree to which social support in ordinary life moderates cardiovascular stress responses in laboratories. This difference is highlighted when looking at how cardiovascular responses fluctuate over repeated testing. Habituation-sensitization patterns suggest that, when dealing with difficult tasks, women may derive benefit from background social relationships whereas men may find that such background relationships bring additional pressures.

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References

  1. Rutter A, Hine DW: Sex differences in workplace aggression: An investigation of moderation and mediation effects.Aggressive Behavior. 2005,31:254–270.

    Article  Google Scholar 

  2. Weidner G, Cain VS: The gender gap in heart disease: Lessons from Eastern Europe.American Journal of Public Health. 2003,93:768–770.

    Article  PubMed  Google Scholar 

  3. Inaba A, Thoits PA, Ueno K, et al.: Depression in the United States and Japan: Gender, marital status, and SES patterns.Social Science & Medicine. 2005,61:2280–2292.

    Article  Google Scholar 

  4. Linden W, Gerin W, Davidson K: Cardiovascular reactivity: Status quo and a research agenda for the new millennium.Psychosomatic Medicine. 2003,65:5–8.

    Article  PubMed  Google Scholar 

  5. Lovallo WR, Gerin W: Psychophysiological reactivity: Mechanisms and pathways to cardiovascular disease.Psychosomatic Medicine. 2003,65:36–45.

    Article  PubMed  Google Scholar 

  6. Schwartz AR, Gerin W, Davidson KW, et al.: Toward a causal model of cardiovascular responses to stress and the development of cardiovascular disease.Psychosomatic Medicine. 2003,65:22–35.

    Article  PubMed  Google Scholar 

  7. Treiber FA, Kamarck T, Schneiderman N, et al.: Cardiovascular reactivity and development of preclinical and clinical disease states.Psychosomatic Medicine. 2003,65:46–62.

    PubMed  Google Scholar 

  8. Light KC, Turner JR, Hinderliter A, Sherwood A: Race and gender comparisons: I. Hemodynamic responses to a series of stressors.Health Psychology. 1993,12:354–365.

    Article  PubMed  CAS  Google Scholar 

  9. Newton TL, Watters CA, Philhower CL, Weigel RA: Cardiovascular reactivity during dyadic social interaction: The roles of gender and dominance.International Journal of Psychophysiology. 2005,57:219–228.

    Article  PubMed  Google Scholar 

  10. Sarlo M, Palomba D, Buodo G, Minghetti R, Stegagno L: Blood pressure changes highlight gender differences in emotional reactivity to arousing pictures.Biological Psychology. 2005,70:188–196.

    Article  PubMed  Google Scholar 

  11. Stoney CM, Davis MC, Matthews KA: Sex differences in physiological responses to stress and in coronary heart disease: A causal link?Psychophysiology. 1987,24:127–131.

    Article  PubMed  CAS  Google Scholar 

  12. Cohen S: Psychosocial models of the role of social support in the etiology of physical disease.Health Psychology. 1988,7:269–297.

    Article  PubMed  CAS  Google Scholar 

  13. Eriksen W: The role of social support in the pathogenesis of coronary heart disease: A literature review.Family Practice. 1994,11:201–209.

    Article  PubMed  CAS  Google Scholar 

  14. House J, Landis SA, Umberson D: Social relationships and health.Science. 1988,241:540–545.

    Article  PubMed  CAS  Google Scholar 

  15. Thorsteinsson EB, James JE: A meta-analysis of the effects of experimental manipulations of social support during laboratory stress.Psychology & Health. 1999,14:869–886.

    Article  Google Scholar 

  16. Kors DJ, Linden W, Gerin W: Evaluation interferes with social support: Effects on cardiovascular stress reactivity in women.Journal of Social and Clinical Psychology. 1997,16:1–23.

    Google Scholar 

  17. Thorsteinsson EB, James JE, Gregg ME: Effects of video-relayed social support on hemodynamic reactivity and salivary cortisol during laboratory-based behavioral challenge.Health Psychology. 1998,17:436–444.

    Article  PubMed  CAS  Google Scholar 

  18. Lepore SJ: Cynicism, social support, and cardiovascular reactivity.Health Psychology. 1995,14:210–216.

    Article  PubMed  CAS  Google Scholar 

  19. Gerin W, Milner D, Chawla S, Pickering TG: Social support as a moderator of cardiovascular reactivity in women: A test of the direct effects and buffering hypotheses.Psychosomatic Medicine. 1995,57:16–22.

    PubMed  CAS  Google Scholar 

  20. Sheffield D, Carroll D: Social support and cardiovascular reactions to active laboratory stressors.Psychology & Health. 1994,9:305–316.

    Article  Google Scholar 

  21. Uchino BN, Garvey TS: The availability of social support reduces cardiovascular reactivity to acute psychological stress.Journal of Behavioral Medicine. 1997,20:15–27.

    Article  PubMed  CAS  Google Scholar 

  22. Hughes BM: Research on psychometrically evaluated social support and cardiovascular reactivity to stress: Accumulated findings and implications.Studia Psychologica. 2002,44:311–326.

    Google Scholar 

  23. Janicki DL, Kamarck TW, Shiffman S, Sutton-Tyrrell K, Gwaltney CJ: Frequency of spousal interaction and 3-year progression of carotid artery intima medial thickness: The Pittsburgh Healthy Heart Project.Psychosomatic Medicine. 2005,67:889–896.

    Article  PubMed  Google Scholar 

  24. Hughes B, Curtis R: Quality and quantity of social support as differential predictors of cardiovascular reactivity.Irish Journal of Psychology. 2000,21:16–31.

    Google Scholar 

  25. Roy MP, Steptoe A, Kirschbaum C: Life events and social support as moderators of individual differences in cardiovascular and cortisol reactivity.Journal of Personality and Social Psychology. 1998,75:1273–1281.

    Article  PubMed  CAS  Google Scholar 

  26. Väänänen A, Buunk BP, Kivimäki M, Pentti J, Vahtera, J: When it is better to give than to receive: Long-term health effects of perceived reciprocity in support exchange.Journal of Personality and Social Psychology. 2005,89:176–193.

    Article  PubMed  Google Scholar 

  27. Van Emmerik IJH: Gender differences in the creation of different types of social capital: A multilevel study.Social Networks. 2006,28:24–37.

    Article  Google Scholar 

  28. Bellman S, Forster N, Still L, Cooper CL: Gender differences in the use of social support as a moderator of occupational stress.Stress & Health. 2003,19:45–58.

    Article  Google Scholar 

  29. Taylor SE, Klein LC, Lewis BP, et al.: Biobehavioral responses to stress in females: Tend-and-befriend, not fight-or-flight.Psychological Review. 2000,107:411–429.

    Article  PubMed  CAS  Google Scholar 

  30. Taylor SE:The Tending Instinct: How Nurturing Is Essential to Who We Are and How We Live. New York: Times Books, 2002.

    Google Scholar 

  31. Belle D: Gender differences in the social moderators of stress. In Barnett RC, Biener L, Baruch GK (eds),Gender and Stress. New York: Free Press, 1987, 257–277.

    Google Scholar 

  32. Copeland EP, Hess RS: Differences in young adolescents’ coping strategies based on gender and ethnicity.Journal of Early Adolescence. 1995,15:203–219.

    Article  Google Scholar 

  33. Carter CS: Neuroendocrine perspectives on social attachment and love.Psychoneuroendocrinology. 1998,23:779–818.

    Article  PubMed  CAS  Google Scholar 

  34. Geary DC, Flinn MV: Sex differences in behavioral and hormonal response to social threat: Commentary on Taylor et al. (2000).Psychological Review. 2002,109:745–750.

    Article  PubMed  Google Scholar 

  35. Kelsey RM: Electrodermal lability and myocardial reactivity to stress.Psychophysiology. 1991,28:619–631.

    Article  PubMed  CAS  Google Scholar 

  36. Carroll D, Cross G, Harris MG: Physiological activity during a prolonged mental stress task: Evidence for a shift in the control of pressor reactions.Journal of Psychophysiology. 1990,4:261–269.

    Google Scholar 

  37. Turner JR:Cardiovascular Reactivity and Stress: Patterns of Physiological Response. New York: Plenum, 1994.

    Google Scholar 

  38. Zigmond AS, Snaith RP: The hospital anxiety and depression scale.Acta Psychiatrica Scandinavica. 1983,67:361–370.

    Article  PubMed  CAS  Google Scholar 

  39. Sarason BR, Sarason IG, Shearin EN, Pierce GR: A brief measure of social support: Practical and theoretical implications.Journal of Social and Personal Relationships. 1987,4:497–510.

    Article  Google Scholar 

  40. Jennings JR, Kamarck T, Stewart C, Eddy M, Johnson P: Alternate cardiovasuclar baseline assessment techniques: Vanilla or resting baseline.Psychophysiology. 1992,29:742–750.

    Article  PubMed  CAS  Google Scholar 

  41. Llabre MM, Spitzer SB, Saab PG, Ironson GH, Schneiderman N: The reliability and specificity of delta versus residualized change as measures of cardiovascular reactivity to behavioural challenges.Psychophysiology. 1991,28:708–711.

    Article  Google Scholar 

  42. Benjamin L: Facts and artifacts in using analysis of covariance to “undo” the law of initial values.Psychophysiology. 1967,4:187–206.

    Article  PubMed  CAS  Google Scholar 

  43. Williams RH, Zimmerman DW: Are simple gain scores obsolete?Applied Psychological Measurement. 1996,20:59–69.

    Article  Google Scholar 

  44. Jamieson J: Analysis of covariance (ANCOVA) with difference scores.International Journal of Psychophysiology. 2004,52:277–283.

    Article  PubMed  Google Scholar 

  45. Tabachnick BG, Fidell LS:Using Multivariate Statistics (3rd ed.). New York: HarperCollins, 1989.

    Google Scholar 

  46. Cohen J:Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates, 1988.

    Google Scholar 

  47. Cohen J: A power primer.Psychological Bulletin. 1992,112:155–159.

    Article  PubMed  CAS  Google Scholar 

  48. Greenhouse SW, Geisser S: On methods in the analysis of profile data.Psychometrika. 1959,24:95–112.

    Article  Google Scholar 

  49. Cohen S, Wills TA: Stress, social support, and the buffering hypothesis.Psychological Bulletin. 1985,98:310–357.

    Article  PubMed  CAS  Google Scholar 

  50. Bassett JR, Cairncross KD: Changes in the coronary vascular system following prolonged exposure to stress.Pharmacology, Biochemistry, and Behavior. 1977,6:311–318.

    Article  PubMed  CAS  Google Scholar 

  51. McCarty R, Horwatt K, Konarska M: Chronic stress and sympathetic-adrenal medullary responsiveness.Social Science & Medicine. 1988,26:333–341.

    Article  CAS  Google Scholar 

  52. Kelsey RM: Habituation of cardiovascular reactivity to psychological stress: Evidence and implications. In Blascovich J, Katkin ES (eds),Cardiovascular Reactivity to Psychological Stress and Disease. Washington, DC: American Psychological Association, 1993, 135–153.

    Chapter  Google Scholar 

  53. Fleming I, Baum A, Davidson LM, Rectanus E, McArdle S: Chronic stress as a factor in physiologic reactivity to challenge.Health Psychology. 1987,6:221–237.

    Article  PubMed  CAS  Google Scholar 

  54. Konarska M, Stewart RE, McCarty R: Sensitization of sympathetic-adrenal medullary responses to a novel stressor in chronically stressed laboratory rats.Physiology & Behavior. 1989,46:129–135.

    Article  CAS  Google Scholar 

  55. Carroll D, Cross G, Harris MG: Physiological activity during a prolonged mental stress task: Evidence for a shift in the control of pressor reactions.Journal of Psychophysiology. 1990,4:261–269.

    Google Scholar 

  56. Yamagishi H, Yoshiyama M, Shirai N, et al.: Protective effect of high diastolic blood pressure during exercise against exercise-induced myocardial ischemia.American Heart Journal. 2005,150:790–795.

    Article  PubMed  Google Scholar 

  57. Smith TW, Limon JP, Gallo LC, Ngu LQ: Interpersonal control and cardiovascular reactivity: Goals, behavioral expression, and the moderating effect of sex.Journal of Personality and Social Psychology. 1996,70:1012–1024.

    Article  PubMed  CAS  Google Scholar 

  58. Hughes BM, Callinan S: Trait dominance and cardiovascular reactivity to social and non-social stressors: Gender-specific implications.Psychology & Health. 2007,22:457–472.

    Article  Google Scholar 

  59. James JE: Critical review of dietary caffeine and blood pressure: A relationship that should be taken more seriously.Psychosomatic Medicine. 2004,66:63–71.

    Article  PubMed  CAS  Google Scholar 

  60. Ehlers A, Mayou RA, Sprigings DC, Birkhead J: Psychological and perceptual factors associated with arrhythmias and benign palpitations.Psychosomatic Medicine. 2000,62:693–702.

    PubMed  CAS  Google Scholar 

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This study was supported by a Scientific Research Grant from the Irish Heart Foundation.

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Hughes, B.M. Social support in ordinary life and laboratory measures of cardiovascular reactivity: gender differences in habituation-sensitization. ann. behav. med. 34, 166–176 (2007). https://doi.org/10.1007/BF02872671

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