Abstract
During the semester and immediately before an examination, changes in the heart rate variability, blood pressure, and state anxiety induced by examination stress, as well as the dependence of these changes on the probabilistic prediction and actual examination mark, were investigated. Before an examination, most students exhibited an increase in state anxiety, diastolic blood pressure, and heart rate; the last of these is connected with an increase in the LF/HF ratio. The behavior of the cardiovascular system of the students (who were females) under psychoemotional stress varied considerably depending on how well they were prepared for the examination and on the subjective prediction of success. The importance of the type of heart rate regulation during the semester for the progress of examination stress was established.
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Yumatov, E.A., Kuz’menko, V.A., Badikov, V.I., et al., Emotional Stress in Students during Examinations, Fiziol. Chel., 2001, vol. 27, no. 2, p. 104 [Hum. Physiol. (Eng. Transl.), 2001, vol. 27, no. 2, p. 221].
Kharitonova, I.V., Gornushkina, E.Yu., Nikolaev, V.I., and Ovchinnikov, B.V., Features of Endocrine and Cardiovascular Response to Emotional Stress in Subjects with Different Types of Temperament, Fiziol. Chel., 2000, vol. 26, no. 3, p. 121 [Hum. Physiol. (Engl. Transl.), 2000, vol. 26, no. 3, p. 356].
Nozdrachev, A.D. and Shcherbatykh, Yu.V., Modern Methods of Functional Studies of the Autonomic Nervous System, Fiziol. Chel., 2001, vol. 27, no. 6, p. 95 [Hum. Physiol. (Eng. Transl.), 2001, vol. 27, no. 6, p. 732].
Vein, A.M., Zabolevaniya vegetativnoi nervnoi sistemy (Autonomic Nervous System Diseases), Moscow: Nauka, 1991.
Shcherbatykh, Yu.V., Influence of the Students’ Higher Nervous Activity Indices on the Character of the Examination Stress, Zh. Vyssh. Nervn. Deyat,, 2000, no. 6, p. 959.
Conny, M.A., Louis, A.A., Kollee, J., et al., Heart Rate Variability, Ann. Int. Med., 1993, vol. 118, no. 6, p. 436.
Virtanen, R., Jula, A., Salminen, J.K., et al., Anxiety and Hostility are Associated with Reduced Baroreflex Sensitivity and Increased Beat-to-Beat Blood Pressure Variability, Psychosom. Med., 2003, vol. 65, p. 751.
Fiziologiya krovoobrashhcheniya. Regulyatsiya krovoobrashhcheniya (rukovodstvo po fiziologii) (Physiology of Circulation: Regulation of Circulation: Textbook on Physiology), Tkachenko, L., Ed., Leningrad: Nauka: 1986.
Kuzemkin, V.A., On the Polyfunctional Analysis of Adaptive Reactions in Modeling of Mental Stress, Fiziol. Chel., 1982, vol. 8, no. 1, p. 100.
Sokolov, E.I., Podachin, V.P., and Belova, E.V., Emotsional’noe napryazhenie i reaktsii serdechno-sosudistoi sistemy (Emotional Stress and the Reactions of the Cardiovascular System), Moscow: Nauka, 1980.
Sakuragi, S., Sugiyama, Y., and Takeuchi, K., Effects of Laughing and Weeping on Mood and Heart Rate Variability, J. Physiol. Antropol. Appl. Hum. Sci., 2002, vol. 21, no. 3, p. 159.
Sakuragi, S. and Sugiyama, Y., Interactive Effects of Task Difficulty and Personality on Mood and Heart Rate Variability, J. Physiol. Antropol. Appl. Hum. Sci., 2004, vol. 23, p. 81.
Schwarz, A.M., Schächinger, H., Adler, R.H., and Goetz, S.M., Hopelessness is Associated with Decreased Heart Rate Variability during Championship Chess Games, Psychosom. Med., 2003, vol. 65, p. 658.
Hughes, J.W. and Stoney, C.M., Depressed Mood Is Related to High-Frequency Heart Rate Variability during Stressors, Psychosom. Med., 2000, vol. 62, p. 796.
Fedorov, B.M., Stress i sistema krovoobrashcheniya (Stress and the Circulation System), Moscow: Meditsina, 1990.
Schächinger, H., Weinbacher, M., Kiss, A., et al., Cardiovascular Indices of Peripheral and Central Sympathetic Activation, Psychosom. Med., 2001, vol. 63, p. 788.
Golikov, A.P. and Ryabinin, V.A., Regulation of the Blood Circulation System in Hypertensive Crises Using Mathematical Analysis of the Cardiac Rhythm, Fiziol. Chel., 2000, vol. 26, no. 4, p. 43 [Hum. Physiol. (Eng. Transl.), 2000, vol. 26, no. 4, p. 416].
Mashin, V.A. and Mashina, M.N., Analysis of the Heart Rate Variability in Negative Functional States in the Course of Psychological Relaxation Sessions, Fiziol. Chel., 2000, vol. 26, no. 4, p. 48 [Hum. Physiol. (Eng. Transl.), 2000, vol. 26, no. 4, p. 420].
Vrijkotte, T.G.M., van Doornen, L.G.P., and de Geus, E.J.C., Effects of Work Stress on Ambulatory Blood Pressure, Heart Rate and Heart Rate Variability, Hypertension, 2000, vol. 35, p. 880.
Sherwood, A., Johnson, K., Blumenthal, J.A., and Hinderliter, A.L., Endothelial Function and Hemodynamic Responses during Mental Stress, Psychosom. Med., 1999, vol. 61, p. 365.
Dishman, R.K., Nakamura, I.Y., Garcia, M.E., et al., Heart Rate Variability, Trait Anxiety and Perceived Stress among Physically Fit Men and Women, Int. J. Psychophysiol., 2000, vol. 37, no. 2, p. 121.
Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology: Heart Rate Variability: Standards of Measurements, Physiological Interpretation and Clinical Use, Circulation, 1996, vol. 93, no. 5, p. 1043.
Menezes, J.A.S., Daher, M.T., De Pavia, J.M.R., et al., Closed Loop Stimulation and Evaluation of the Effect of the Autonomic Nervous System Using Heart Rate Variability, Progr. Biomed. Res., 2000, vol. 7, no. 4, p. 248.
Mokrane, A. and Nadeau, R., Dynamics of Heart Rate Response to Sympathetic Nerve Stimulation, Am. J. Physiol. Heart Circ. Physiol., 1998, vol. 275, no. 3, p. 995.
Bigger, J.T., Fleiss, J.L., Steinman, R.C., et al., RR Variability in Healthy, Middle-Aged Persons Compared with Patients with Chronic Coronary Heart Disease or Recent Acute Myocardial Infarction, Circulation, 1995, vol. 91, p. 1936.
Carney, R.M., Kenneth, F.E., Stein, P.K., et al., Change in Heart Rate and Heart Rate Variability during Treatment for Depression in Patients with Coronary Heart Disease, Psychosom. Med., 2000, vol. 62, p. 639.
Kotel’nikov, S.A., Nozdrachev, A.D., and Odinak, M.M., Cardiac Rhythm Variability: Approaches to Mechanisms, Fiziol. Chel., 2002, vol. 28, no. 1, p. 130 [Hum. Physiol. (Engl. Transl.), 2002, vol. 28, no. 1, p. 114].
La Rovere, M.T., Pinna, G.D., Maestri, R., et al., Short-Term Heart Rate Variability Strongly Predicts Sudden Cardiac Death in Chronic Heart Failure Patients, Circulation, 2003, vol. 107, p. 565.
Horsten, M., Ericson, M., Perski, A., et al., Psychosocial Factors and Heart Rate Variability in Healthy Women, Psychosom. Med., 1999, vol. 61, p. 49.
Gevorkyan, E.S., Minasyan, S.M., Adamyan, Ts.I., et al., Peculiarities of the Heart Rate Control during Competitive Entrance Examinations, Fiziol. Chel., 2004, vol. 30, no. 3, p. 54 [Hum. Physiol. (Engl. Transl.), 2004, vol. 30, no. 3, p. 298].
Gevorkyan, E.S., Minasyan, S.M., Ksadzhikyan, N.N., and Dayan A.V., Functional States of Students under Mental Load, Gig. San., 2005, no. 3, p. 55.
Minasyan, S.M., Gevorkyan, E.S., and Ksadzhikyan, N.N., Hemodynamic Indices in Schoolchildren under Examination Stress, Gig. San., 2005, no. 3, p. 46.
Sudakov, K.V., Individual’naya ustoichivost’ k emotsional’nomu stressu (Individual Resistance to Emotional Stress), Moscow: Nauchno-Issled. Inst. Normal’noi Fiziologii Ross. Akad. Med. Nauk, 1998.
Sudakov, K.V., Sistemnye mekhanizmy emotsional’nogo stressa (Systemic Mechanisms of Emotional Stress), Moscow: Meditsina, 1981.
Shcherbatykh, Yu.V., Self-Regulation of Autonomic Homeostasis in Emotional Stress, Fiziol. Chel., 2000, vol. 26, no. 5, p. 151 [Hum. Physiol. (Engl. Transl.), 2000, vol. 26, no. 5, p. 641].
Lucini, D., Norbiato, G., Clerici, M., and Pagani, M., Hemodynamic and Automatic Adjustments to Real Life Stress Conditions in Humans, Hypertension, 2002, vol. 39, p. 184.
Koh, K.B., Park, J.K., Kim, C.H., and Cho, S., Development of the Stress Response Inventory and Its Application in Clinical Practice, Psychosom. Med., 2001, vol. 63, p. 668.
Cacioppo, J.T., Malarkey, W.B., Kiecolt-Glaser, J.K., et al., Heterogeneity in Neuroendocrine and Immune Responses to Brief Physiological Stressors as a Function of Autonomic Cardiac Activation, Psychosom. Med., 1995, vol. 57, p. 154.
On Measures for Improving the Organization of Medical Care for Patients with Arterial Hypertension in the Russian Federation: Order of the Ministry of Health of Russian Federation no. 4 of 24 Jan 2003), Profil. Zabol. Ukrepl. Zdor., 2003, vol. 6, no. 2, p. 26.
Sato, N. and Miyake, S., Cardiovascular Reactivity to Mental Stress: Relationship with Menstrual Cycle and Gender, J. Physiol. Antropol. Appl. Hum. Sci., 2004, vol. 23, p. 215.
Seebauer, M., Früehwirth, M., and Moser, M., Changes in Respiratory Sinus Arrhythmia during the Menstrual Cycle Depend on Average Heart Rate, Eur. J. Appl. Physiol., 2002, vol. 87, p. 309.
Baevskii, R.M., Theoretical Basis of the Use of Heart Rate Variability Analysis to Estimate the Level of Regulatory System Stress, in Komp’yuternaya elektrografiya na rubezhe stoletii XX–XXI (Computer Electrocardiography at the Turn of the 21st Century) (Proc. Int. Symposium), Moscow, 1999, p. 116.
Baevskii, R.M., Barsukova, Zh.P., and Berseneva, A.P., Otsenka funktsional’nogo sostoyaniya organizma na osnove matematicheskogo analiza serdechnogo ritma: Metodicheskie rekomendatsii (Estimation of the Human Functional State on the Basis of Mathematical Analysis of the Heart Rate: Methodological Recommendations), Vladivostok: 1988.
Shcherbatykh, Yu.V., Autonomic Manifestations of Examination Stress, Extended Abstract of Doctoral (Biol.) Dissertation, St. Petersburg: 2001.
Baevskii, R.M. and Ivanov, G.G., Heart Rate Variability: Theoretical Aspects and Possibilities of Clinical Use, Ul’trazvuk. Funkts. Diagn., 2001, no. 3, p. 108.
Baevskii, R.M., Kirillov, O.I., and Kletskin, S.Z., Matematicheskii analiz izmenenii serdechnogo ritma pri stresse (Mathematical Analysis of Heart Rate Changes in Stress), Moscow: Nauka, 1984.
Shcherbatykh, Yu.V., What Does Spectral Analysis of the Heart Rate Variability Show?, Prikl. Inform. Asp. Med., 1999, vol. 2, no. 4, p. 40.
Shcherbatykh, Yu.V., Ekzamenatsionnyi stress: diagnostika, techenie i korrektsiya (Examination Stress: Diagnosis, Progress, and Correction), Voronezh: Studia IAN, 2000.
Tonhajzerova, I., Javorka, K., and Petraskova, M., Changes in the Heart Rate Variability during Mental Stress, Ceskoslov. Pediatr., 2000, vol. 55, no. 9, p. 562.
McCraty, R., Atkinson, M., Tiller, W.A., et al., The Effects of Emotions on Short-Term Power Spectrum Analysis of Heart Rate Variability, Am. J. Cardiol., 1995, vol. 76, no. 14, p. 1089.
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Original Russian Text © D.A. Dimitriev, A.D. Dimitriev, Yu.D. Karpenko, E.V. Saperova, 2008, published in Fiziologiya Cheloveka, 2008, Vol. 34, No. 5, pp. 89–96.
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Dimitriev, D.A., Dimitriev, A.D., Karpenko, Y.D. et al. Influence of examination stress and psychoemotional characteristics on the blood pressure and heart rate regulation in female students. Hum Physiol 34, 617–624 (2008). https://doi.org/10.1134/S0362119708050101
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DOI: https://doi.org/10.1134/S0362119708050101