Abstract
In addition to numerous reports about psychophysiological stress responses to acute stressors, there are few data available on gender differences of stress-induced heart rate responses in multiple age groups applying the same psychological stressor. Second, the assessment of poststress recovery appears to be neglected in the empirical literature. For this study, data from 5 independent studies were reanalyzed to investigate the impact of age and gender on heart rate responses and poststress recovery to a standardized psychosocial stress task (Trier Social Stress Test; TSST) in 28 children, 34 younger adults, and 26 older adults.
As expected, prestressor baselines correlated significantly with chronological age (r = -.27, p = .01). There was a marked age-related decrease in the heart rate stress response (p = .0003) with children and younger adults showing significantly higher increases than elderly persons. The analysis of gender effects showed that girls had higher heart rate increases during the stress exposure than boys (p = .03). In younger adults, stress responsivity was also higher in women (p = .03). Peak heart rate responses were comparable in older men and women, with only men returning to prestressor baselines during the observation period.
In sum, this reanalysis revealed differential heart rate responses and recovery after exposition to the TSST in healthy children, younger adults, and elderly adults.
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Allen, M. T., Stoney, C. M., Owens, J. F., & Matthews, K. A. (1993). Hemodynamic adjustments to laboratory stress: the influence of gender and personality. Psychosomatic Medicine, 55, 505–517.
Anishchenko, T., Igosheva, N., Yakusheva, T., Glushkovskaya-Semyachkina, O., & Khokhlova, O. (2001). Normalized entropy applied to the analysis of interindividual and gender-related differences in the cardiovascular effects of stress. European Journal of Applied Physiology, 85, 287–298.
Boutcher, S. H., & Stocker, D. (1996). Cardiovascular response of young and older males to mental challenge. Journal of Gerontology, B51, 261–267.
Buske-Kirschbaum, A., Jobst, S., Wustmans, A., Kirschbaum, C., Rauh, W., & Hellhammer, D. (1997). Attenuated free cortisol response to psychosocial stress in children with atopic dermatitis. Psychosomatic Medicine, 59, 419–426.
Buske-Kirschbaum, A., von Auer, K., Krieger, S., Weis, S., Rauh, W., Hellhammer, D. (2003). Blunted cortisol responses to psychosocial stress in asthmatic children: A general feature of atopic disease? Psycholsomatic Medicine, 65, 806–810.
Dickerson, S. S., & Kemeny, M. E. (2004). Acute stressors and cortisol responses: A theorical integration and synthesis of laboratory research. Psychological Bulletin, 130, 355–391.
Earle, T. L., Linden, W., & Weinberg, J. (1999). Differential effects of harassment on cardiovascular and salivary cortisol stress reactivity and recovery in women and men. Journal of Psychosomatic Research, 46, 125–141.
Furchtgott, E., & Busemeyer, J. K. (1979). Heart rate and skin conductance during cognitive processes as a function of age. Journal of Gerontology, 34, 183–190.
Gerin, W., Pickering, T. G., Glynn, L., Christenfeld, N., Schwartz, A., Carroll, D., et al. (2000). An historical context for behavioral models of hypertension. Journal of Psychosomatic Research, 48, 369–377.
Gintner, G. G., Hollandsworth, J. G., & Intrieri, R. C. (1986). Age differences in cardiovascular reactivity under active coping conditions. Psychophysiology, 23, 113–120.
Girdler, S. S., Turner, J. R., Sherwood, A., & Light, K. C. (1990). Gender differences in blood pressure control during a variety of behavioral stressors. Psychosomatic Medicine, 52, 571–591.
Haynes, S. N., Gannon, L. R., Orimoto, L., O’Brien, W. H., & Brandt, M. (1991). Psychophysiological assessment of poststress recovery. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 356–365.
Hocking Schuler, J. L., & O’Brien, W. H. (1997). Cardiovascular recovery from stress and hypertension risk factors: A meta-analytic review. Psychophysiology, 34, 649–659.
Imai, K., Sato, H., Hori, M., Kusuoka, H., Ozaki, H., Yokoyama, H., et al. (1994). Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. Journal of the American College of Cardiology, 24, 1529–1535.
Kamarck, T. W., & Lovallo, W. R. (2003). Cardiovascular reactivity to psychological challenges. Conceptual and measurement considerations. Psychosomatic Medicine, 65, 9–21.
Kirschbaum, C., Kudielka, B. M., Gaab, J., Schommer, N. C., & Hellhammer, D. H. (1999). Impact of gender, menstrual cycle phase, and oral contraceptives on the activity of the hypothalamus-pituitary-adrenal axis. Psychosomatic Medicine, 61, 154–162.
Kirschbaum, C., Pirke, K.-M., & Hellhammer, D. H. (1993). The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28, 76–81.
Krantz, D. S., & Manuck, S. B. (1984). Acute psychophysiological reactivity and risk of cardiovascular disease: A review and methodologic critique. Psychological Bulletin, 96, 435–464.
Kudielka, B. M., Schmidt-Reinwald, A. K., Hellhammer D. H., & Kirschbaum C. (1999). Psychological and endocrine responses to psychosocial stress and Dex-CRF in healthy post-menopausal women and young controls: The impact of age and a two-week estradiol treatment. Neuroendocrinology, 70, 422–430.
Kudielka, B. M., Schmidt-Reinwald, A. K., Hellhammer, D. H., Kirschbaum C. (2000). Psychosocial stress and functioning of the hypothalamic-pituitary-adrenal axis: No evidence for a reduced resilience in elderly men. Stress, 3, 229–240.
Lakatta, E. G. (1993). Cardiovascular regulatory mechanisms in advanced age. Physiological Reviews, 73, 413–467.
Linden, W., Earle, T. L., Gerin, W., & Christenfeld, N. (1997). Physiological stress reactivity and recovery: Conceptual siblings separated at birth? Journal of Psychosomatic Research, 42, 117–135.
Linden, W., Gerin, W., & Davidson, K. (2003). Cardiovascular reactivity: Status quo and a research agenda fort he new millennium. Psychosomatic Medicine, 65, 5–8.
Lovallo, W. R., & Gerin, W. (2003). Psychophysiological reactivity: Mechanisms and pathways to cardiovascular disease. Psychosomatic Medicine, 65, 36–45.
Manuck, S. B., Kaplan, J. R., & Clarkson, T. B. (1983). Behaviorally induced heart rate reactivity and atherosclerosis in cynomolgus monkeys. Psychosomatic Medicine, 45, 95–108.
Matthews, K. A., Salomon, K., Brady, S. S., Allen, M. T. (2003). Cardiovascular reactivity to stress predicts future blood pressure in adolescence. Psychosomatic Medicine, 65, 410–415.
Matthews, K. A., & Stoney, C. M. (1988). Influences of sex and age on cardiovascular responses during stress. Psychosomatic Medicine, 50, 46–56.
Pickering, T. G., & Gerin, W. (1990). Cardiovascular reactivity in the laboratory and the role of behavioral factors in hypertension. A critical review. Annals of Behavioral Medicine, 12, 3–16.
Polefrone, J. M., & Manuck, S. B. (1987). Gender differences in cardiovascular and neuroendocrine response to stress. In R. S. Barnett, L. Biener & G. K. Baruch (Eds.), Gender and stress (pp. 13–38). New York: Free Press.
Saab, P. G., Matthews, K. A., Stoney, C. M., & McDonald, R. H. (1989). Premenopausal women differ in their cardiovascular and neuroendocrine responses to behavioral stressors. Psychophysiology, 26, 270–280.
Schocken, D. D., & Roth, G. S. (1977). Reduced beta-adrenergic receptor concentrations in ageing man. Nature, 267, 856–858.
Schwartz, A. R., Gerin, W., Davidson, K. W., Pickering, T. G., Brosshot, J. F., Thayer, J. F., et al. (2003). Toward a causal model of cardiovascular responses to stress and the development of cardiovascular disease. Psychosomatic Medicine, 65, 22–35.
Seeman, T. E., & Robbins, R. J. (1994). Aging and hypothalamic-pituitary-adrenal response to challenge in humans. Endocrine Reviews, 15, 233–260.
Steptoe, A., Fieldman, G., Evans, O., & Perry, L. (1996). Cardiovascular risk and responsivity to mental stress: The influence of age, gender and risk factors. Journal of Cardiovascular Risk, 3, 83–93.
Steptoe, A., Moses, J., & Edwards, S. (1990). Age-related differences in cardiovascular reactions to mental stress tests in women. Health Psychology, 9, 18–34.
Tanaka, H., Monahan, K. D., & Seals, D. R. (2001). Age-predicted maximal heart rate revisited. Journal of the American College of Cardiology, 37, 153–156.
Tersman, Z., Collins, A., & Eneroth, P. (1991). Cardiovascular responses to psychological and physiological stressors during the menstrual cycle. Psychosomatic Medicine, 53, 185–197.
Treiber, F. A., Kamarck, T., Schneiderman, N., Sheffield, D., Kapuku, G., & Taylor, T. (2003). Cardiovascular reactivity and development of preclinical and clinical disease states. Psychosomatic Medicine, 65, 46–62.
Uchino, B. N., Kiecolt-Glaser, J. K., & Cacioppo, J. T. (1992). Age-related changes in cardiovascular responses as a function of a chronic stressor and social support. Journal of Personality and Social Psychology, 63, 839–846.
Watanabe, J., Thamilarasan, M., Blackstone, E. H., Thomas, J. D, & Lauer, M. S. (2001). Heart rate recovery immediately after treadmill exercise and left ventricular systolic dysfunction as predictors of mortality. Circulation, 104, 1911–1916.
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Kudielka, B.M., Buske-Kirschbaum, A., Hellhammer, D.H. et al. Differential heart rate reactivity and recovery after psychosocial stress (TSST) in healthy children, younger adults, and elderly adults: The impact of age and gender. Int. J. Behav. Med. 11, 116–121 (2004). https://doi.org/10.1207/s15327558ijbm1102_8
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DOI: https://doi.org/10.1207/s15327558ijbm1102_8