Skip to main content
Log in

Depressed Affect is Associated with Poorer Cardiovascular Recovery in Young Women Following a Mental Stressor

  • Rapid Communication
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Depressed mood has been prospectively associated with hypertension. Altered ANS function, as reflected in poor CV recovery, may be one mechanism that underlies this relationship.

Purpose

The purpose of this study was to investigate the relationship between depressed mood and cardiovascular recovery following a standard mental stress task in healthy young women.

Methods

Depressed mood was assessed in 63 young women. Cardiovascular data were collected during a 5-min baseline period, 5-min public speaking stress task, and 15-min recovery period.

Results

Depressed mood accounted for 9.6% of the variation in HR reactivity (F(1,58) = 6.513, p = 0.013) and 4.5% of DBP recovery (F(1,58) = 4.538, p = 0.037).

Conclusions

Greater depressed mood was associated with greater HR reactivity and poorer DBP recovery. This is the first study to directly investigate associations between depressed mood and CV recovery following mental stress.

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.

Abbreviations

ANS:

Autonomic nervous system

AUC:

Area-under-the-curve

BDI:

Beck depression inventory

BMI:

Body mass index

BP:

Blood pressure

BPM:

Beats per minute

CES-D:

Center for Epidemiological Studies Depression Scale

CV:

Cardiovascular

CVD:

Cardiovascular disease

DBP:

Diastolic blood pressure

HPA:

Hypothalamic-pituitary-adrenal

HR:

Heart rate

MMHG:

Millimeters of mercury

SBP:

Systolic blood pressure

VAS:

Visual analog scales

References

  1. Davidson K, Jonas BS, Dixon KE, Markovitz JH. Do depression symptoms predict early hypertension incidence in young adults in the CARDIA study? Arch Intern Med. 2000; 160: 1495-1500.

    Article  CAS  PubMed  Google Scholar 

  2. Strine TW, Mokdad AH, Dube SR, et al. The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults. Gen Hosp Psychiatry. 2008; 30: 127-137.

    Article  PubMed  Google Scholar 

  3. McEwen BS. Protective and damaging effects of stress mediators. N Engl J Med. 1998; 338(3): 171-179.

    Article  CAS  PubMed  Google Scholar 

  4. Lovallo WR, Gerin W. Psychophysiological reactivity: Mechanisms and pathways to cardiovascular disease. Psychosom Med. 2003; 65: 36-45.

    Article  PubMed  Google Scholar 

  5. Sharpley CF. Heart rate reactivity and variability as psychophysiological links between stress, anxiety, depression and cardiovascular disease: Implications for health psychology interventions. Australian Psychologist. 2002; 37(1): 56-62.

    Article  Google Scholar 

  6. Kamarck TW, Lovallo WR. Cardiovascular reactivity to psychological challenge: Conceptual and measurement considerations. Psychosom Med. 2003; 65: 9-21.

    Article  PubMed  Google Scholar 

  7. Carroll D, Ring C, Hunt K, Ford G, MacIntyre S. Blood pressure reactions to stress and the prediction of future blood pressure: Effects of sex, age, and socioeconomic position. Psychosom Med. 2003; 65: 1058-1064.

    Article  PubMed  Google Scholar 

  8. Schwartz AR, Gerin W, Davidson K, et al. Toward a causal model of cardiovascular responses to stress and the development of cardiovascular disease. Psychosom Med. 2003; 65: 22-35.

    Article  PubMed  Google Scholar 

  9. Treiber FA, Kamarck T, Schneiderman N, Sheffield D, Kapuku G, Taylor T. Cardiovascular reactivity and development of preclinical and clinical disease states. Psychosom Med. 2003; 65: 46-62.

    PubMed  Google Scholar 

  10. Moseley JV, Linden W. Predicting blood pressure and heart rate change with cardiovascular reactivity and recovery: Results from 3-year and 10-year follow up. Psychosom Med. 2006; 68(6): 833-843.

    Article  PubMed  Google Scholar 

  11. Kibler JL, Ma M. Depressive symptoms and cardiovascular reactivity to laboratory behavioral stress. Int J Behav Med. 2004; 11(2): 81-87.

    Article  PubMed  Google Scholar 

  12. Carroll D, Phillips AC, Hunt K, Der G. Symptoms of depression and cardiovascular reactions to acute psychological stress: Evidence from a population study. Biol Psychol. 2007; 75(1): 68-74.

    Article  PubMed  Google Scholar 

  13. York KM, Hassan M, Li Q, Li H, Fillingim RB, Sheps DS. Coronary artery disease and depression: Patients with more depressive symptoms have lower cardiovascular reactivity during laboratory-induced mental stress. Psychosom Med. 2007; 69: 521-528.

    Article  PubMed  Google Scholar 

  14. Linden W, Earle TL, Gerin W, Christenfeld N. Physiological stress reactivity and recovery: Conceptual siblings separated at birth? J Psychosom Res. 1997; 42(2): 117-135.

    Article  CAS  PubMed  Google Scholar 

  15. Rutledge T, Linden W, Paul D. Cardiovascular recovery from acute laboratory stress: Reliability and concurrent validity. Psychosom Med. 2000; 62(5): 648-654.

    CAS  PubMed  Google Scholar 

  16. Stewart JC, France CR. Cardiovascular recovery from stress predicts longitudinal changes in blood pressure. Biol Psychol. 2001; 58(2): 105-120.

    Article  CAS  PubMed  Google Scholar 

  17. Trivedi R, Sherwood A, Strauman TJ, Blumenthal JA. Laboratory-based blood pressure recovery is a predictor of ambulatory blood pressure. Biol Psychol. 2008; 77: 317-323.

    Article  PubMed  Google Scholar 

  18. Hocking Schuler JL, O'Brien WH. Cardiovascular recovery from stress and hypertension risk factors: A meta-analytic review. Psychophysiology. 1997; 34: 649-659.

    Article  Google Scholar 

  19. Fredrickson BL, Mancuso RA, Branigan C, Tugade MM. The undoing effect of positive emotions. Motiv Emotion. 2000; 24(4): 237-258.

    Article  Google Scholar 

  20. Aboussafy D, Campbell TS, Lavoie K, Aboud FE, Ditto B. Airflow and autonomic responses to stress and relaxation in asthmas: The impact of stressor type. Int J Psychophysiol. 2005; 57: 195-201.

    Article  PubMed  Google Scholar 

  21. Beck AT, Steer RA, Garbin MG. Psychometric properties of the beck depression inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988; 8: 77-100.

    Article  Google Scholar 

  22. O'Brien E, Waeber B, Parati G, Staessen J, Myers MG. Blood pressure measuring devices: Recommendations of the European Society of Hypertension. BMJ. 2007; 322: 531-536.

    Article  Google Scholar 

  23. Mancia G, De Backer G, Dominiczak A, et al. 2007 guidelines for the management of arterial hypertension. Eur Heart J. 2007; 28: 1462-1536.

    PubMed  Google Scholar 

  24. Beilin L, Huang R. Childhood obesity, hypertension, the metabolic syndrome and adult cardiovascular disease. Clin Exp Pharmacol Physiol. 2008; 35: 409-411.

    Article  CAS  PubMed  Google Scholar 

  25. Halperin RO, Gaziano JM, Sesso HD. Smoking and the risk of incident hypertension in middle-aged and older men. Am J Hypertens. 2008; 21: 148-152.

    Article  PubMed  Google Scholar 

  26. Pruessner JC, Kirschbaum C, Meinlschmid G, Hellhammer DH. Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology. 2003; 28: 916-931.

    Article  CAS  PubMed  Google Scholar 

  27. Manuck SB, Kasprowicz AL, Monroe SM, Larkin KT, Kaplan JR. Psychophysiologic reactivity as a dimension of individual differences. In: Schneiderman N, Weiss SM, Kaufmann PG, eds. Handbook of research methods in cardiovascular behavioral medicine. New York: Plenum; 1989: 365-382.

    Google Scholar 

  28. Christenfeld N, Glynn LM, Gerin W. On the reliable assessment of cardiovascular recovery: An application of curve-fitting techniques. Psychophysiology. 2000; 37: 543-550.

    Article  CAS  PubMed  Google Scholar 

  29. Glynn LM, Christenfeld N, Gerin W. The role of rumination in recovery from reactivity: Cardiovascular consequences of emotional states. Psychosom Med. 2002; 64(5): 714-726.

    Article  PubMed  Google Scholar 

  30. Steptoe A, Marmot M. Psychosocial, hemostatic, and inflammatory correlates of delayed poststress blood pressure recovery. Psychosom Med. 2006; 68(4): 531-537.

    Article  PubMed  Google Scholar 

  31. Davies SJC, Hood SD, Argyropoulos SV, et al. Depleting serotonin enhances both cardiovascular and psychological stress reactivity in recovered patients with anxiety disorders. J Clin Psychopharmacol. 2006; 26(4): 414-418.

    Article  CAS  PubMed  Google Scholar 

  32. Key BL, Campbell TS, Bacon SL. The influence of trait and state rumination on cardiovascular recovery from a negative emotional stressor. J Behav Med. 2008; 31(3): 237-248.

    Article  PubMed  Google Scholar 

  33. Malhorta A, Townsend RR. Clinical significance of systolic and pulse pressure. Emerg Med. 2000; 2000: 1-7.

    Google Scholar 

  34. Broadley AJM, Frenneauz MP, Moskvina V, Jones CJH, Korszun A. Baroreflex sensitivity is reduced in depression. Psychosom Med. 2005; 67: 648-651.

    Article  PubMed  Google Scholar 

  35. Mazure CM, Keita GP, Blehar MC. Summit on women and depression: Proceedings and recommendations. Washington, DC: American Psychological Association; 2002.

    Google Scholar 

  36. University of Calgary. University of Calgary Fact Book 2007–2008 (Partial Publication). Calgary: University of Calgary; 2008.

    Google Scholar 

Download references

Acknowledgements

The authors would like to acknowledge the contribution of the Heart and Stroke Foundation of Alberta, NWT and Nunavut, and the Undergraduate Student Research Program at the University of Calgary, without which this research would not have been possible.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tavis Campbell PhD.

About this article

Cite this article

Key, B.L., Ross, K.M., Bacon, S.L. et al. Depressed Affect is Associated with Poorer Cardiovascular Recovery in Young Women Following a Mental Stressor. ann. behav. med. 38, 154–159 (2009). https://doi.org/10.1007/s12160-009-9104-9

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12160-009-9104-9

Keywords

Navigation