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Differential heart rate reactivity and recovery after psychosocial stress (TSST) in healthy children, younger adults, and elderly adults: The impact of age and gender

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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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References

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Boutcher, S. H., & Stocker, D. (1996). Cardiovascular response of young and older males to mental challenge. Journal of Gerontology, B51, 261–267.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Gintner, G. G., Hollandsworth, J. G., & Intrieri, R. C. (1986). Age differences in cardiovascular reactivity under active coping conditions. Psychophysiology, 23, 113–120.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Kamarck, T. W., & Lovallo, W. R. (2003). Cardiovascular reactivity to psychological challenges. Conceptual and measurement considerations. Psychosomatic Medicine, 65, 9–21.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Lakatta, E. G. (1993). Cardiovascular regulatory mechanisms in advanced age. Physiological Reviews, 73, 413–467.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Linden, W., Gerin, W., & Davidson, K. (2003). Cardiovascular reactivity: Status quo and a research agenda fort he new millennium. Psychosomatic Medicine, 65, 5–8.

    Article  PubMed  Google Scholar 

  • Lovallo, W. R., & Gerin, W. (2003). Psychophysiological reactivity: Mechanisms and pathways to cardiovascular disease. Psychosomatic Medicine, 65, 36–45.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Matthews, K. A., & Stoney, C. M. (1988). Influences of sex and age on cardiovascular responses during stress. Psychosomatic Medicine, 50, 46–56.

    PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Schocken, D. D., & Roth, G. S. (1977). Reduced beta-adrenergic receptor concentrations in ageing man. Nature, 267, 856–858.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Seeman, T. E., & Robbins, R. J. (1994). Aging and hypothalamic-pituitary-adrenal response to challenge in humans. Endocrine Reviews, 15, 233–260.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Steptoe, A., Moses, J., & Edwards, S. (1990). Age-related differences in cardiovascular reactions to mental stress tests in women. Health Psychology, 9, 18–34.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Tersman, Z., Collins, A., & Eneroth, P. (1991). Cardiovascular responses to psychological and physiological stressors during the menstrual cycle. Psychosomatic Medicine, 53, 185–197.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

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Correspondence to Brigitte M. Kudielka.

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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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