Abstract
Background
Prayer is often used to cope with racism-related stress. Little is known about its impact on cardiovascular function.
Purpose
This study examined how prayer coping relates to cardiovascular reactivity (CVR), post-stress recovery, and affective reactivity in response to racism-related stress.
Methods
African American women (n = 81; mean age=20 years) reported their use of prayer coping on the Perceived Racism Scale and completed anger recall and racism recall tasks while undergoing monitoring of systolic and diastolic blood pressure (DBP), heart rate, heart rate variability (HRV), and hemodynamic measures. Prayer coping was examined for associations with CVR, recovery, and affective change scores using general linear models with repeated measures.
Results
Higher prayer coping was associated with decreased state stress and DBP reactivity during racism recall (p's < 0.05) and with decreased DBP and increased HRV during racism recall recovery(p's < 0.05).
Conclusions
Coping with racism by utilizing prayer may have cardiovascular benefits for African American women.
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References
Dimsdale JE. Psychological stress and cardiovascular disease. J Am Coll Cardiol. 2008; 51(13): 1237-1246.
Townsend M, Kladder V, Ayele H, Mulligan T. Systematic review of clinical trials examining the effects of religion on health. South Med J. 2002; 95(12): 1429-1434.
Masters KS, Spielmans GI. Prayer and health: Review, meta-analysis, and research agenda. J Behav Med. 2007; 30(4): 329-338.
Labbé EE, Fobes A. Evaluating the interplay between spirituality, personality and stress. Appl Psychophysiol Biofeedback. 2010; 35(2): 141-146.
Steffen PR, Hinderliter AL, Blumenthal JA, Sherwood A. Religious coping, ethnicity, and ambulatory blood pressure. Psychosom Med. 2001; 63(4): 523-530.
Gillum RF, Ingram DD. Frequency of attendance at religious services, hypertension, and blood pressure: The Third National Health and Nutrition Examination Survey. Psychosom Med. 2006; 68(3): 382-385.
Bell CN, Bowie JV, Thorpe RJ Jr. The interrelationship between hypertension and blood pressure, attendance at religious services, and race/ethnicity. J Relig Health. 2010 Mar 31.
Sørensen T, Danbolt LJ, Lien L, Koenig HG, Holmen J. The relationship between religious attendance and blood pressure: The HUNT Study, Norway. Int J Psychiatry Med. 2011; 42: 13-28.
Berntson GG, Norman GJ, Hawkley LC, Cacioppo JT. Spirituality and autonomic cardiac control. Ann Behav Med. 2008; 35(2): 198-208.
Kurita A, Takase B, Shinagawa N, et al. Spiritual activation in very elderly individuals assessed as heart rate variability and plasma IL/10/IL-6 ratios. Int Heart J. 2011; 52: 299-303.
Masters KS, Knestel A. Religious motivation and cardiovascular reactivity among middle aged adults: Is being pro-religious really that good for you? J Behav Med. 2011; 34: 449-461.
Masters KS, Hill RD, Kircher JC, Lensegrav Benson TL, Fallon JA. Religious orientation, aging, and blood pressure reactivity to interpersonal and cognitive stressors. Ann Behav Med. 2004; 28(3): 171-178.
Fitchett G, Powell LH. Daily spiritual experiences, systolic blood pressure, and hypertension among midlife women in SWAN. Ann Behav Med. 2009; 37(3): 257-267.
Yeager DM, Glei DA, Au M, Lin HS, Sloan RP, Weinstein M. Religious involvement and health outcomes among older persons in Taiwan. Soc Sci Med. 2006; 63(8): 2228-2241.
Seeman TE, Dubin LF, Seeman M. Religiosity/spirituality and health. A critical review of the evidence for biological pathways. Am Psychol. 2003; 58(1): 53-63.
Tartaro J, Luecken LJ, Gunn HE. Exploring heart and soul: Effects of religiosity/spirituality and gender on blood pressure and cortisol stress responses. J Health Psychol. 2005; 10: 753-766.
Chida Y, Steptoe A. Greater cardiovascular responses to laboratory mental stress are associated with poor subsequent cardiovascular risk status: A meta-analysis of prospective evidence. Hypertension. 2010; 55(4): 1026-1032.
Koenig HG, George LK, Hays JC, Larson DB, Cohen HJ, Blazer DG. The relationship between religious activities and blood pressure in older adults. Int J Psychiatry Med. 1998; 28(2): 189-213.
Bernardi L, Sleight P, Bandinelli G, et al. Effect of rosary prayer and yoga mantras on autonomic cardiovascular rhythms: Comparative study. BMJ. 2001; 323(7327): 1446-1449.
Gupta R, Prakash H, Gupta VP, Gupta KD. Prevalence and determinants of coronary heart disease in a rural population of India. J Clin Epidemiol. 1997; 50(2): 203-209.
Feinstein M, Liu K, Ning H, Fitchett G, Lloyd-Jones DM. Burden of cardiovascular risk factors, subclinical atherosclerosis, and incident cardiovascular events across dimensions of religiosity: The multi-ethnic study of atherosclerosis. Circulation. 2010; 121(5): 659-666.
Buck AC, Williams DR, Musick MA, Sternthal MJ. An examination of the relationship between multiple dimensions of religiosity, blood pressure, and hypertension. Soc Sci Med. 2009; 68(2): 314-322.
Roger VL, Go AS, Lloyd-Jones DM, American Heart Association Statistics Committee and Stroke Statistics Subcommittee, et al. Heart disease and stroke statistics—2011 update: A report from the American Heart Association. Circulation. 2011; 123(4): e18-e209.
Jolly S, Vittinghoff E, Chattopadhyay A, Bibbins-Domingo K. Higher cardiovascular disease prevalence and mortality among younger blacks compared to whites. Am J Med. 2010; 123(9): 811-818.
Brondolo E, Love EE, Pencille M, Schoenthaler A, Ogedegbe G. Racism and hypertension: A review of the empirical evidence and implications for clinical practice. Am J Hypertens. 2011; 24(5): 518-529.
Cardarelli R, Cardarelli KM, Fulda KG, et al. Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults—The North Texas Healthy Heart study. BMC Publ Health. 2010; 10: 285.
Brondolo E, Brady Ver Halen N, Pencille M, Beatty D, Contrada RJ. Coping with racism: A selective review of the literature and a theoretical and methodological critique. J Behav Med. 2009; 32(1): 64-88.
Chatters LM, Taylor RJ, Jackson JS, Lincoln KD. Religious coping among African Americans, Caribbean Blacks and non-Hispanic Whites. J Community Psychol. 2008; 36(3): 371-386.
Majumdar B, Ladak S. Management of family and workplace stress experienced by women of colour from various cultural backgrounds. Can J Public Health. 1998; 89(1): 48-52.
Din-Dzietham R, Nembhard WN, Collins R, Davis SK. Perceived stress following race-based discrimination at work is associated with hypertension in African-Americans. The Metro Atlanta Heart Disease Study, 1999–2001. Soc Sci Med. 2004; 58(3): 449-461.
Barksdale DJ, Farrug ER, Harkness K. Racial discrimination and blood pressure: Perceptions, emotions, and behaviors of black American adults. Issues Ment Health Nurs. 2009; 30: 104-111.
Clark R, Anderson NB, Clark VR, Williams DR. Racism as a stressor for African Americans. A biopsychosocial model. Am Psychol. 1999; 54(10): 805-816.
Lazarus RS. Coping theory and research: Past, present, and future. Psychosom Med. 1993; 55(3): 234-247.
Waldstein SR, Kop WJ, Schmidt LA, Haufler AJ, Krantz DS, Fox NA. Frontal electrocortical and cardiovascular reactivity during happiness and anger. Biol Psychol. 2000; 55(1): 3-23.
McNeilly MD, Anderson NB, Armstead CA, et al. The perceived racism scale: A multidimensional assessment of the experience of white racism among African Americans. Ethn Dis. 1996; 6: 154-166.
McNeilly M, Anderson NB, Robinson E, et al. The convergent, discriminant, and concurrent criterion validity of the Perceived Racism Scale: A multidimensional assessment of White racism among African Americans. In: Jones RL, ed. Handbook of Tests and Measurements for Black Populations. Hampton, VA: Cobb and Henry Publishers; 1996: 359-374.
Clark R. Perceptions of interethnic group racism predict increased vascular reactivity to a laboratory challenge in college women. Ann Behav Med. 2000; 22(3): 214-222.
Blascovich J, Katkin ES, eds. Cardiovascular Reactivity to Psychological Stress and Disease. Washington, DC: American Psychological Association; 1993.
Sherwood A, Allen MT, Fahrenberg J, Kelsey RM, Lovallo WR, van Doornen LJP. Methodological guidelines for impedance cardiography. Psychophysiology. 1990; 27: 1-23.
Debski TT, Kamarck TW, Jennings JR, Young LW, Eddy MJ, Zhang YX. A computerized test battery for the assessment of cardiovascular reactivity. Int J Biomed Comput. 1991; 27: 277-289.
de Geus EJC, Willemsen GHM, Klaver CHAM, van Doornen LJP. Ambulatory measurement of respiratory sinus arrhythmia and respiration rate. Biol Psychol. 1995; 41: 205-227.
Task Force of the European Society of Cardiology and the North American Society of Pacing Electrophysiology. Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Circulation. 1996; 93: 1043-1065.
Spielberger CD. Preliminary Manual for the State-Trait Personality Inventory. Tampa, FL: University of South Florida; 1979.
Schallmayer S, Hughes BM. Impact of oral contraception and neuroticism on cardiovascular stress reactivity across the menstrual cycle. Psychol Health Med. 2010; 15(1): 105-115.
Van Goozen SH, Frijda NH, Wiegant VM, Endert E, Van de Poll NE. The premenstrual phase and reactions to aversive events: A study of hormonal influences on emotionality. Psychoneuroendocrinology. 1996; 21(5): 479-497.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24(4): 385-396.
Igna CV, Julkunen J, Vanhanen H. Anger expression styles and blood pressure: Evidence for different pathways. J Hypertens. 2009; 27(10): 1972-1979.
Rabineau KM, Treiber FA, Poole J, Ludwig D. Interactive effects of anger expression and ET-1 Lys198Asn polymorphism on vasoconstriction reactivity to behavioral stress. Ann Behav Med. 2005; 30(1): 85-89.
Spielberger CD. State-Trait Anger Expression Inventory. Orlando, FL: Psychological Assessment Resources; 1988.
Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986; 51: 1173-1182.
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.
Kubicek WG, Karnegis JN, Patterson RP, Witsoe DA, Mattson RH. Development and evaluation of an impedance cardiac output system. Aerosp Med. 1966; 37(12): 1208-1212.
Prkachin KM, Mills DE, Zwaal C, Husted J. Comparison of hemodynamic responses to social and nonsocial stress: Evaluation of an anger interview. Psychophysiology. 2001; 38: 879-885.
McNeilly MD, Robinson EL, Anderson NB, et al. Effects of racist provocation and social support on cardiovascular reactivity in African American women. Int J Behav Med. 1995; 2(4): 321-338.
Huikuri HV, Jokinen V, Syvänne M, et al. Heart rate variability and progression of coronary atherosclerosis. Arterioscler Thromb Vasc Biol. 1999; 19(8): 1979-1985.
Acknowledgments
The first author's graduate research was partially supported by a National Institute of General Medical Sciences Initiative for Minority Student Development Grant (R25-GM55036). A Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) post-doctoral fellowship currently supports her research.
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The views expressed in this article are solely those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs, the University of Washington, the University of Maryland, or Ohio State University.
Conflict of Interest Statement
The authors have no conflict of interest to disclose.
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Cooper, D.C., Thayer, J.F. & Waldstein, S.R. Coping with Racism: The Impact of Prayer on Cardiovascular Reactivity and Post-stress Recovery in African American Women. ann. behav. med. 47, 218–230 (2014). https://doi.org/10.1007/s12160-013-9540-4
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DOI: https://doi.org/10.1007/s12160-013-9540-4