Skip to main content
Log in

The effect of mental stress on heart rate variability and blood pressure during computer work

  • Original Article
  • Published:
European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

The aim was to evaluate the cardiovascular and subjective stress response to a combined physical and mental workload, and the effect of rest. Twelve females who had no prior experience of laboratory experiments participated in the study. Computer-work-related mental stressors were either added to or removed from a standardized computer work session in the laboratory. Beat-to-beat blood pressure and electrocardiogram (ECG) were recorded continuously during the experiment. The participants reported subjective experiences of stress in six categories using an 11-point scale before and at the end of the work. Heart rate variability (HRV) variables were calculated from the ECG recordings, and a reduction in the high-frequency component of HRV and an increase in the low- to high-frequency ratio were observed in the stress situation compared to the control session. No changes were seen in the low-frequency component of HRV. The stressors induced an increase in blood pressure compared to baseline that persisted, and for the diastolic pressure it even increased in the subsequent control session. No differences were observed for subjective experience of stress with the exception of a time trend in the exhaustion scale, i.e. a progression in reported exhaustion with time. The results—and the dissociation between HRV and blood pressure variables—indicate that HRV is a more sensitive and selective measure of mental stress. It could be speculated that heart rate-derived variables reflect a central pathway in cardiovascular control mechanisms (“central command”), while the blood pressure response is more influenced by local conditions in the working muscles that partly mask the effect of changes in mental workloads. In the rest period after each work session, HRV and blood pressure variables were partly normalized as expected. However, an 8-min period of rest was insufficient to restore blood pressure to resting values.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Belkic K, Landsbergis P, Peter R, Schnall P, Baker D, Theorell T, Siegrist J, Karasek RA (2000) Research findings linking workplace factors for CVD outcomes: psychosocial factors—review of the empirical data among men. Occup Med 15:24–46

    Google Scholar 

  • Bernardi L, Wdowczyk-Szulc J, Valenti C, Castoldi S, Passino C, Spadacini G, Sleight P (2000) Effects of controlled breathing, mental activity and mental stress with or without verbalization on heart rate variability. J Am Coll Cardiol 35:1462–1469

    PubMed  Google Scholar 

  • Blangsted AK, Hansen K, Jensen C (2003) Muscle activity during computer-based office work in relation to self-reported job demands and gender. Eur J Appl Physiol 89:352–258

    PubMed  Google Scholar 

  • Blangsted AK, Søgaard K, Christensen H, Sjøgaard G (2004) The effect of physical and psychosocial loads on the trapezius muscle activity during computer keying tasks and rest periods. Eur J Appl Physiol (in press)

  • Bohlin G, Eliasson K, Hjemdahl P, Klein K, Frankenhaeuser M (1986) Pace variation and control of work pace as related to cardiovascular, neuroendocrine, and subjective responses. Biol Psychol 23:247–263

    Article  CAS  PubMed  Google Scholar 

  • Christenfeld N, Gerin W, Linden W, Sanders M, Mathur J, Deich J, Pickering TG (1997) Social support effects on cardiovascular reactivity: is a stranger as effective as a friend? Psychosom Med 59:389–406

    Google Scholar 

  • De Geus EJ, van Doornen LJ, de Visser DC, Orlebeke JF (1990) Existing and training induced differences in aerobic fitness: the relationship to physiological response patterns during different types of stress. Psychophysiology 27(4):457–78

    PubMed  Google Scholar 

  • Delaney JPA, Brodie DA (2000) Effects of short-term psychological stress on the time and frequency domains of heart-rate variability. Percept Mot Skills 91:515–524

    CAS  PubMed  Google Scholar 

  • Finsen L, Jensen C, Søgaard K, Borg V, Christensen H (2001) Muscle activity and cardiovascular response during computer mouse work with and without memory demands. Ergonomics 44:1312–1329

    Article  CAS  PubMed  Google Scholar 

  • Frankenhaeuser M, Lundberg U, Augustson H, Nilsson S, Hedman H, Wahlstöm K (1989) Work, stress, job satisfaction. Swedish Work Environment Fund, Resta Grafiska, Stockholm pp 1–20

  • Garde AH, Laursen B, Jørgensen AH, Jensen BR (2002) Effects of mental and physical demands on heart rate variability and blood pressure variability during computer work. Eur J Appl Physiol 87:456–461

    Article  CAS  PubMed  Google Scholar 

  • Gerin W, Litt M, Deich J, Pickering TG (1995) Self-efficacy as a moderator of perceived control effects on cardiovascular reactivity: Is enhanced control always beneficial? Psychosom Med 57:390–397

    CAS  PubMed  Google Scholar 

  • Glynn LM, Christenfeld N, Gerin W (1999) Gender, social support, and cardiovascular responses to stress. Psychosom Med 61:234–242

    CAS  PubMed  Google Scholar 

  • Grossman E, Oren S, Garavaglia GE, Schmieder R, Messerli FH (1989) Disparate hemodynamic and sympathoadrenergic responses to isometric and mental stress in essential hypertension. Am J Cardiol 64:42–44

    CAS  PubMed  Google Scholar 

  • Horsten M, Ericson M, Perski A, Wamala SP, Schenck-Gustaffson K, Orth-Gomér K (1999) Psychosocial factors and heart rate variability in healthy women. Psychosom Med 61:49–57

    CAS  PubMed  Google Scholar 

  • Hoshikawa Y, Yamamoto Y (1997) Effects of Stroop color-word conflict test on the autonomic nervous system responses. Am J Physiol 272:H1113–H1121

    PubMed  Google Scholar 

  • Jensen C (2003) Development of neck and hand–wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health 29(3):197–205

    PubMed  Google Scholar 

  • Jensen C, Finsen L, Søgaard K, Christensen H (2002a) Musculoskeletal symptoms and duration of computer and mouse use. Int J Ind Ergon 30:265–275

    Article  Google Scholar 

  • Jensen C, Ryholt CU, Burr H, Villadsen E, Christensen H (2002b) Work-related psychosocial, physical and individual factors associated with musculoskeletal symptoms in computer users. Work Stress 16:107–120

    Google Scholar 

  • Johnson JV, Hall EM (1988) Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. Am J Public Health 78:1336–1342

    CAS  PubMed  Google Scholar 

  • Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Admin Sci Quarterly 24:285–307

    Google Scholar 

  • Kristal-Boneh E, Raifel M, Froom P, Ribak J (1995) Heart rate variability in health and disease. Scand J Work Environ Health 21:85–95

    CAS  PubMed  Google Scholar 

  • Lundberg U (1996) Influence of paid and unpaid work on psychophysiological stress responses of men and women. J Occup Health Psychol 1:117–130

    Google Scholar 

  • Lundberg U, Frankenhaeuser M (1980) Pituitary–adrenal and sympathetic–adrenal correlates of distress and effort. J Psychosom Res 24:125–130

    Article  CAS  PubMed  Google Scholar 

  • Lundberg U, Granqvist M, Hansson T, Magnusson M, Wallin L (1989) Psychological and physiological stress responses during repetitive work at an assembly line. Work Stress 3(2):143–153

    Google Scholar 

  • Middleton HC, Sharma A, Agouzoul D, Sahakian BJ, Robbins TW (1999) Contrasts between the cardiovascular concomitants of tests of planning and attention. Psychophysiology 36:610–618

    Article  CAS  PubMed  Google Scholar 

  • Miyake S (1997) Factors influencing mental workload indexes. J UOEH 19:313–325

    CAS  PubMed  Google Scholar 

  • Mulder LJM (1992) Measurements and analysis methods of heart rate and respiration for use in applied environments. Biol Psychol 34:205–236

    PubMed  Google Scholar 

  • Myrtek M, Weber D, Brügner G, Müller W (1996) Occupational stress and strain of female students: results of physiological, behavioural, and psychological monitoring. Biol Psychol 42:379–391

    Article  CAS  PubMed  Google Scholar 

  • Nilsson LG, Baeckman L, Erngrund K, Nyberg L, Adolfsson R, Bucht G, Karlsson S, Widing M, Winblad B (1997) The Betula Prospective Cohort study: memory, health, and aging. Aging Neuropsychol Cogn 1:1–32

    Google Scholar 

  • Pagani M, Mazzuero G, Ferrari A, Liberati D, Cerutti S, Vaitl D, Tavazzi L, Malliani A (1991) Sympathovagal interaction during mental stress. A study using spectral analysis of heart rate variability in healthy control subjects and patients with a prior myocardial infarction. Circulation [Suppl II] 83:43–51

  • Peters ML, Godaert GLR, Ballieux RE, van Vliet M, Willemsen JJ, Sweep FCGJ, Heijnen CJ (1998) Cardiovascular and endocrine responses to experimental stress: effects of mental effort and controllability. Psychoneuroendocrinology 23:1–17

    Article  CAS  PubMed  Google Scholar 

  • Rissén D, Melin B, Sandsjö L, Dohns I, Lundberg U (2000) Surface EMG and psychophysiological stress reactions in women during repetitive work. Eur J Appl Physiol 2:215–222

    Article  Google Scholar 

  • Rowell LB (1986) Human circulation. Oxford University Press, New York

  • Sloan RP, Korten JB, Myers MM (1991) Components of heart rate reactivity during mental arithmetic with and without speaking. Physiol Behav 50(5):1039–1045

    Article  CAS  PubMed  Google Scholar 

  • Sloan RP, Shapiro PA, Bagiella E, Boni SM, Paik M, Bigger JT, Steinman RC, Gorman JM (1994) Effect of mental stress throughout the day on cardiac autonomic control. Biol Psychol 37:89–99

    Article  CAS  PubMed  Google Scholar 

  • Task Force of the European Society of Cardiology, The North American Society of Pacing and Electrophysiology (1996) Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Circulation 93:1043–1065

    PubMed  Google Scholar 

  • Theorell T, Ahlberg-Hulten G, Jodko M, Sigala F, de la Torre B (1993) Influence of job strain and emotion on blood pressure in female hospital personnel during work hours. Scand J Work Environ Health 19:313–318

    CAS  PubMed  Google Scholar 

  • Wærsted M, Bjørklund RA, Westgaard RH (1994) The effect of motivation on shoulder-muscle tension in attention-demanding tasks. Ergonomics 37(2):363–376

    PubMed  Google Scholar 

  • Wahlström K, Hagberg M, Johnson PW, Svensson J, Rempel D (2002) Influence of time pressure and verbal provocation on physiological and psychological reactions during work with a computer mouse. Eur J Appl Physiol 87:257–263

    Google Scholar 

Download references

Acknowledgements

The authors would like to thank the Swedish Council for Work Life Research for economic support. This work was undertaken as an activity within the project “Prevention of muscular disorders in operation of computer input devices (PROCID)”, a Concerted Action financed under the European Union research program BIOMED-2 (BMH-98-3903).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nis Hjortskov.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hjortskov, N., Rissén, D., Blangsted, A.K. et al. The effect of mental stress on heart rate variability and blood pressure during computer work. Eur J Appl Physiol 92, 84–89 (2004). https://doi.org/10.1007/s00421-004-1055-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00421-004-1055-z

Keywords

Navigation