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Stress Physiology and Behavior Underwater

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The Physician’s Guide to Diving Medicine

Abstract

In this chapter we consider an important biomedical area—that of stress underwater—beginning with a discussion of the general nature of stress; factors that contribute toward stress problems in diving; the effects of variables such as cold, exercise, and fatigue (particularly as they relate to cardiovascular problems and performance); diving accidents; and, as an ultimate potential event to which all these factors contribute, the problem of diver panic, which is implicated in many if not most of the fatalities among recreational divers.

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References

  • Abrahamsson, H., and G. Jansson 1973. Reflex vagal inhibition of esophageal motility. Acta Physiol. Scand. 89: 600–602.

    Article  PubMed  CAS  Google Scholar 

  • Akert, M. D., and B. E. Gernandt 1962. Neurophysiological study of vestibular and limbic influences upon vagal outflow. Electroencephalogr. Clin. Neurophysiol. 14: 904–914.

    Article  PubMed  CAS  Google Scholar 

  • Andersen, H. T. 1966. Physiological adaptations in diving verterbrates. Physiol. Rev. 46: 212–243.

    PubMed  CAS  Google Scholar 

  • Angell-James, J. E., and M. de B. Daly 1972. Some mechanisms involved in the cardiovascular adaptations to diving. In: The Effects of Pressure on Organisms, edited by M. A. Sleigh and A. G. Macdonald. New York: Academic Press, p. 313–339.

    Google Scholar 

  • Appley, M. D., and R. Trumbull 1967. Psychological Stress. New York: Appleton-Century-Crofts.

    Google Scholar 

  • Bachrach, A. J. 1962. An experimental approach to superstitious behavior. J. Am. Folklore 75: 1–9.

    Article  Google Scholar 

  • Bachrach, A. J. 1970. Diving behavior. In: Human Performance in Scuba Diving. Proceedings of the Symposium on Underwater Physiology, Scripps Institution of Oceanography, LaJolla, California, April 1970. Chicago: Athletic Institute, p. 119–139.

    Google Scholar 

  • Bachrach, A. J. 1973. Never mind the diver’s mind. Skin Diver 22: 30–33.

    Google Scholar 

  • Bachrach, A. J. 1975. Underwater performance. In: The Physiology and Medicine of Diving and Compressed Air Work ( 2nd ed. ), edited by P. B. Bennett and D. H. Elliott. London: Bailliere, Tindall, p. 183–196.

    Google Scholar 

  • Bachrach, A. J. 1979. Diving stress. Undersea J. 12: 14–15.

    Google Scholar 

  • Bachrach, A.J. 1980a. Learning theory. In: Comprehensive Textbook of Psychiatry (3rd ed.), edited by H. I. Kaplan, A. M. Freedman, and B. J. Sadock. Baltimore: Williams and Wilkins, vol. 1, p. 378–392.

    Google Scholar 

  • Bachrach, A. J. 1980b. Psychological Research ( 4th ed. ). New York: Random House.

    Google Scholar 

  • Bachrach, A. J. 1980c. Stress in sport diving. In: Man and the Sea, edited by J. K. Adams, R. F. Leahy, P. R. Lynch, and R. L. Miller. Philadelphia: Ctr. Marine Studies, Temple Univ., p. 11–15.

    Google Scholar 

  • Baddeley, A. D. 1972. Selective attention and performance in dangerous environments. Br. J. Psychol. 63: 537–546.

    Article  PubMed  CAS  Google Scholar 

  • Bangs, C. C. 1980. Immersion hypothermia. Emergency Jan: 43–45.

    Google Scholar 

  • Barr, M. L. 1979. The Human Nervous System ( 3rd ed. ). New York: Harper and Row, p. 105.

    Google Scholar 

  • Bennett, P. B. 1966. The Aetiology of Compressed Air Intoxication and Inert Gas Narcosis. London: Pergamon Press.

    Google Scholar 

  • Berghage, T. E., P. A. Rohrbaugh, A. J. Bachrach, and F. W. Armstrong 1975. Navy diving: who’s doing it and under what conditions? Bethesda, MD: Naval Medical Research Institute.

    Google Scholar 

  • Bernard, C. 1856. Leçons de physiologie experimentale à appliquée à la médecine. Cours du semestre d’ été. Paris: Baillière, vol. II, pp. 49–52.

    Google Scholar 

  • Bevan, J. 1973. Diver panic—and how to beat it. Triton 18: 311–312.

    Google Scholar 

  • Blackman, A. C. 1975. What really causes accidents. Int. J. Occup. Health Saf. 44: 30–32.

    PubMed  CAS  Google Scholar 

  • Blau, T. H. 1980. The lure of the deep: scuba diving as a high-risk sport. In: The Many Faces of Indirect Self Destructive Behavior, edited by N. L. Farberow. New York: McGraw-Hill, p. 410–427.

    Google Scholar 

  • Blumenthal, J. A., R. Williams, Y. Kong, S. M. Schanberg, and L. W. Thompson 1978. Type A behavior and angiographically documented coronary disease. Circulation 58: 634–639.

    PubMed  CAS  Google Scholar 

  • Bove, A. A. 1977. The cardiovascular response to stress. Psychosomatics 18: 13–17.

    PubMed  CAS  Google Scholar 

  • Bove, A. A., A. L. Pierce, F. Barrera, A. Amsbaugh, and P. R. Lynch 1973. Diving bradycardia as a factor in underwater blackout. Aerosp. Med. 44: 245–248.

    PubMed  CAS  Google Scholar 

  • Bradley, M. E. 1981. An epidemiological study of fatal diving accidents in two commercial diving populations. In: Underwater Physiology VII. Proceedings of the Seventh Symposium on Underwater Physiology, edited by A. J. Bachrach and M. M. Matzen. p. 869–876. Bethesda, MD, Undersea Medical Society.

    Google Scholar 

  • Brown, E. B. 1953. Physiological effects of hyperventilation. Physiol. Rev. 33: 445.

    PubMed  CAS  Google Scholar 

  • Bruce, D. S., and D. F. Speck 1979. Human simulated diving experiments. Physiologist 22: 39–40.

    PubMed  CAS  Google Scholar 

  • Callaway, E., and D. Dembo 1958. Narrowed attention: a psychological phenomenon that accompanies a certain physiological change. AMA Arch. Neurol. Psychiatry 79: 74–90.

    PubMed  CAS  Google Scholar 

  • Cannon, W. B. 1939. The Wisdom of the Body. New York: Norton.

    Google Scholar 

  • Childs, C. M. 1978. Loss of consciousness in divers—a survey and review. In: [Proceedings] Medical Aspects of Diving Accidents Congress, Luxembourg/Kirshberg, 12-13 October 1978, p. 3–23.

    Google Scholar 

  • Childs, C. M., and J. N. Norman 1978. Unexplained loss of consciousness in divers. Med. Aeronaut. Spat.Med. Sub. Hyp. 17: 127–128.

    Google Scholar 

  • Collis, M. L. 1976. Survival behavior in cold water immersion. In: Proceedings, The Cold Water Symposium. Toronto: Royal Life Saving Soc., p. 25–27.

    Google Scholar 

  • Cooper, K. E. 1976. Hypothermia. In: Diving Medicine, edited by R. H. Strauss. New York: Grune and Stratton, p. 211–226.

    Google Scholar 

  • Craig, A. B. 1961. Underwater swimming and loss of consciousness. JAMA 176: 255–258.

    PubMed  Google Scholar 

  • Curley, M. D. 1978. Psychological stress in diving. Faceplate 9: 11–13.

    Google Scholar 

  • Davis, F. M., A. D. Baddeley, and T. R. Hancock 1975. Diver performance: the effect of cold. Undersea Biomed. Res. 2: 195–213.

    PubMed  CAS  Google Scholar 

  • Dean, P. J., and R. F. Thatcher 1975. Analysis of human factors in aircraft accidents. Aviat. Space Environ. Med. 46: 1260–1262.

    PubMed  CAS  Google Scholar 

  • DeJoursM, P. 1965. Hazards of hypoxia during diving. In: Physiology of Breath-Hold Diving and the Ama of Japan, edited by H. Rahn and T. Yokayama. Washington, DC: Natl. Acad. Sci./Natl. Res. Council, p. 1832013193.

    Google Scholar 

  • Desautels, D. A., and T. J. Poulton 1980. Cave-diving fatalities: twenty years experience (Abstract). Annual Scientific Meeting, Gulf Coast Chapter, Undersea Medical Society, March 1980.

    Google Scholar 

  • Durkheim, E. 1951. Suicide, transl. by J. A. Spaulding and G. Simpson. Glencoe, IL: Free Press, Book I. (1st ed. 1897.)

    Google Scholar 

  • Egstrom, G. H. 1970. Effect of equipment on diving performance. In: Human Performance and Scuba Diving. Proceedings of the Symposium on Underwater Physiology, Scripps Institution of Oceanography, La Jolla, California, April 1970. Chicago: Athletic Inst., p. 5–16.

    Google Scholar 

  • Egstrom, G. H. 1976. Diving equipment. In: Diving Medicine, edited by R. H. Strauss. New York: Grune and Stratton, p. 23–34.

    Google Scholar 

  • Egstrom, G. H. 1977. Thermal regulation in man. In: Thermal Problems in Diving, edited by G. H. Egstrom. Wilmington, CA: Commercial Diving Ctr., p. 3–16.

    Google Scholar 

  • Egstrom, G. H. 1981. Human engineering of scuba diving equipment. In: Program, Underwater Canada’81, Toronto, Canada, March 28, 1981.

    Google Scholar 

  • Egstrom, G. H. 1982. SCUBA-diving practice and equipment. In: The Physiology and Medicine of Diving and Compressed Air Work ( 3rd ed. ), edited by P. B. Bennett and D. H. Elliott. London: Balliere, Tindall 31–45.

    Google Scholar 

  • Egstrom, G. H., and A. J. Bachrach 1971. Diver panic. Skin Diver 20: 36ff.

    Google Scholar 

  • Egstrom, G. H., G. Weltman, A. D. Baddeley, W. J. Cuccaro, and M. A. Willis 1972. Underwater work performance and work tolerance. Rep. UCLA-ENG-7243. Los Angeles: Univ. of California Sch. Eng. Appl. Sci., p. 63.

    Google Scholar 

  • Eldridge, L. 1979a. Cardiovascular problems in scuba diving. In: Proceedings of the 11th International Conference on Underwater Education, Houston, Texas, October 11–14, 1979. Colton, CA: Natl. Assoc. Underwater Instructors, p. 105–118.

    Google Scholar 

  • Eliot, R. S. 1979. Stress and the Major Cardiovascular Disorders. New York: Futura. Engel, G. L. 1970. Sudden death and the “medical model” in psychiatry. Can. Psychiatr. Assoc. J. 15: 527–538.

    Google Scholar 

  • Engel, G. L. 1978. Psychological stress, vasodepressor (vasovagal) syncope, and sudden death. Ann. Intern. Med. 89: 403–412.

    PubMed  CAS  Google Scholar 

  • Fain, J. N., and M. P. Czech 1975. Glucocorticoid effects in lipid mobilization and adipose tissue metabolism. In: Handbook of Physiology. Ednocrinology. Adrenal Gland, edited by J. Blaschko, G. Sayers, and A. D. Smith. Washington, DC: Am. Physiol. Soc., sect. 7, vol. 6, p. 169–178.

    Google Scholar 

  • Flynn, E. T., P. W. Catron, and G. Bayne 1981. Immersion hypothermia and thermal protective garments for divers. Lesson 40. In: Diving Medical Officer Student Guide. Memphis, TN: Naval Technical Training Command.

    Google Scholar 

  • Friedman, M., and R. H. Rosenman 1974. Type A Behavior and Your Heart. New York: Knopf.

    Google Scholar 

  • Fritz, M. 1979. Sind Taucher selbsmörder? [Are divers suicidal?] Tauchen 2: 24–25.

    Google Scholar 

  • Gandevia, S. C., D. I. McClosky, and E. K. Potter 1978. Inhibition of baroreceptor and chemoreceptor reflexes on heart rate by afferent from the lungs. J. Physiol. (Lond.) 276: 369–381.

    CAS  Google Scholar 

  • Garrard, M. P., P. A. Hayes, R. F. Carlyle, and M. J. Stock 1981. Metabolic and thermal status of divers during simulated dives to 55 bars. In: Underwater Physiology VII. Proceedings of the Seventh Symposium on Underwater Physiology, edited by A. J. Bachrach and M. M. Matzen. Bethesda, MD: Undersea Medical Society, p. 517–538.

    Google Scholar 

  • Glass, D. C. 1977. Behavior Patterns, Stress, and Coronary Disease. Hilldale, NJ: Erlbaum.

    Google Scholar 

  • Glass, D. C., A. B. Contrada, and A. B. Snow 1980. Stress, type A behavior and coronary disease. Weekly Psychology Update 1(1): 2–7. Princeton, NJ: Biomedia, Inc.

    Google Scholar 

  • Golden, F. St. C. 1972. Accidental hypothermia. J. R. Nav. Med. Serv. 58: 196–206.

    PubMed  CAS  Google Scholar 

  • Griffin, C. J., and R. Harris 1975. The regulatory influences of the trigeminal system. Monogr. Oral Sci. 4: 65–86.

    PubMed  CAS  Google Scholar 

  • Harnett, R. M., and M. G. Bijlani 1979. The involvement of cold water in recreational boating accidents. Final Report, Contract DOT-C672074-A. Washington, DC: U.S. Dept. of Transportation.

    Google Scholar 

  • Hayward, J. S., and A. M. Steinman 1975. Accidental hypothermia: an experimental study of rewarming. Aviat. Space Environ. Med. 46: 1236–1240.

    PubMed  CAS  Google Scholar 

  • Hayward, M. G., and W. R. Keatinge 1979. Progressive symptomless hypothermia in water: possible cause of diving accidents. Br. Med. J. 5 May 1979: 1182.

    Article  Google Scholar 

  • Hong, S. K. 1976. The physiology of breath-hold diving. In: Diving Medicine, edited by R. H. Strauss. New York: Grune and Stratton, p. 269–286.

    Google Scholar 

  • Huang, T. F., and C. T. Peng 1981. The influence of the inspiratory effort and swallowing on the cardiovascular response to simulated diving and breath-holding. In: Underwater Physiology VII. Proceedings of the Seventh Symposium on Underwater Physiology, edited by A. J. Bachrach and M. M. Matzen. Bethesda, MD: Undersea Medical Society, p. 267–271.

    Google Scholar 

  • Hughes, T., J. G. Carter, and S. Wolf 1978. Changes in cardiac rate, rhythm and conduction in man during the dive reflex (Abstract). Clin. Res. 26: 548A.

    Google Scholar 

  • Hurwitz, B., and J. J. Furedy 1979. The human dive reflex: an experimental, topographical and physiological analysis (Abstract). Psychophysiology 16: 192–193.

    Google Scholar 

  • Johnson, C. 1967. The physiology of hyperventilation. In: Hyperventilation and Hysteria, edited by T. P. Lowy. Springfield, IL: Charles C Thomas, p. 34–104.

    Google Scholar 

  • Jones, J. 1968. Go to the Widow Maker. New York: Dell Publ.

    Google Scholar 

  • Keatinge, W. R. 1969. Survival in Cold Water. Oxford: Blackwell Scientific Publ.

    Google Scholar 

  • Keatinge, W. R., M. G. Hayward, and N. M. McIver 1980. Hypothermia during saturation diving in the North Sea. Br. Med. J. 280: 6210.

    Google Scholar 

  • Kidd, D. J. 1969. Underwater activities—physiology. In: Conference on Man in Cold Water. Ottawa: Canadian Society of Oceanology.

    Google Scholar 

  • Lewis, P. R. F. 1979. Skin diving fatalities in New Zealand. New Zealand Med. J. 1979: 472–475.

    Google Scholar 

  • Licht, K. F. 1975. Safety and accidents—a brief conceptual point of view. J. School Health 45: 530–534.

    Article  PubMed  CAS  Google Scholar 

  • Lief, H. I. 1955. Sensory association in the selection of phobic objects. Psychiatry (Wash. DC) 18: 331.

    CAS  Google Scholar 

  • Lown, B., R. A. DeSilva, P. Reich, and B. J. Murawski 1980. Psychophysiological factors in sudden cardiac death. Am. J. Psychiatry 137: 1325–1335.

    PubMed  CAS  Google Scholar 

  • McAniff, J. J. 1980. U.S. underwater diving fatality statistics 1970–1978. Rep. No. URI-SSR-80-13. Kingston: Univ. of Rhode Island. (Rep. NOAA Grant No. 4–3–158–31.)

    Google Scholar 

  • MacInnis, J. 1979. The icy facts on how cold water kills. Quest Magazine. June.

    Google Scholar 

  • Malinowski, B. 1925. Magic, science and religion. In: Science, Religion and Reality, edited by J. Needham. New York: Macmillan.

    Google Scholar 

  • Mandler, G. 1979. Thought processes, consciousness and stress. In: Human Stress and Cognition: An Information-Processing Approach, edited by V. Hamilton and D. M. Warburton. New York: Wiley, p. 179–201.

    Google Scholar 

  • Missirtlu, C., and B. Foy 1978. Underwater accident statistics: a Bayesian approach. In: Proceedings of European Undersea Biomedical Society and Medical Committee of the European Diving Technology Committee Congress on Medical Aspects of Diving Accidents. October 1978.

    Google Scholar 

  • Missri, J. C., and S. Alexander 1978. Hyperventilation syndrome: a brief review. JAMA 240: 2093–2096.

    Article  PubMed  CAS  Google Scholar 

  • Molnar, G. W. 1946. Survival of hypothermia by men immersed in the ocean. JAMA 131: 1046–1050.

    CAS  Google Scholar 

  • Myers, D. 1979. Cayman Island divers recompression chamber. In: Therapy of Serious Decompression Sickness and Arterial Gas Embolism. Bethesda, MD: Underseas Medical Society, p. 71–73. (Workshop.)

    Google Scholar 

  • Pezoldt, V. J. (editor) 1977. Rare Event!Accident Research Methodology. Washington, DC: National Bureau of Standards, Sp. Publ. 482.

    Google Scholar 

  • Richter, C. P. 1957. On the phenomenon of sudden death in animals and man. Psychosomatic Med. 19: 191–198.

    CAS  Google Scholar 

  • Rosenman, R. H., and M. Friedman 1974. Neurogenic factors in pathogensis of coronary heart disease. Med. Clin. N. Am. 58: 269–279.

    PubMed  CAS  Google Scholar 

  • Rosenman, R. H., M. Friedman, R. Straus, M. Wurm, R. Kositchek, W. Hahn, and N. T. Werthessen 1964. A predictive study of coronary heart disease: the Western collaborative group study. JAMA 189: 15–22.

    PubMed  CAS  Google Scholar 

  • Rosenman, R. H., C. D. Jenkins, R. J. Brand, M. Friedman, R. Strauss, and M. Wurm 1975. Coronary heart disease in the Western collaborative group study: final followup experience of 81/2 years. JAMA 233: 872–877.

    Article  PubMed  CAS  Google Scholar 

  • Schoenfeld, W. N. 1950. An experimental approach to anxiety, escape and avoidance. In: Anxiety, edited by P. J. Hoch and J. Zubin. New York: Grune and Stratton.

    Google Scholar 

  • Selye, H. 1971. The evolution of the stress concept—stress and cardiovascular disease. In: Society, Stress, and Disease—The Psychosocial Environment and Psychosomatic Diseases, edited by L. Levi. London: Oxford Univ. Press, p. 299–311: 453–457.

    Google Scholar 

  • Sessle, B. J., and A. T. Storey 1972. Periodontal and facial influences of the laryngeal input to the brain stem of the cat. Arch. Oral Biol. 17: 1583–1595.

    Article  PubMed  CAS  Google Scholar 

  • Shepherd, J. T., and P. M. Vanhoutte 1979. The Human Cardiovascular System: Facts and Concepts. New York: Raven.

    Google Scholar 

  • Skuse, G. 1980. Report of the Diving Incidents Panel, Diving Officer’s Conference. London: British Sub-Aqua Club.

    Google Scholar 

  • U.S. Public Health Service 1972. Hardening of the Arteries. Washington. DC: Department of Health, Education and Welfare. (DHEW Publ. 73–431.)

    Google Scholar 

  • Vaughan, W. S. 1975. Diver temperature and performance changes during long-duration, cold water exposures. Undersea Biomed. Res. 2: 75–88.

    PubMed  Google Scholar 

  • Vaughan, W. S. 1977. Distraction effect of cold water on performance of higher-order tasks. Undersea Biomed. Res. 4: 103–116.

    PubMed  Google Scholar 

  • Waller, J. A. 1977. Epidemiologic approaches to injury research. In: Rare Event/Accident Research Methodology, edited by V. J. Pezoldt. Washington, DC: National Bureau of Standards (Sp. Publ. 482.)

    Google Scholar 

  • Webb, P. (Chairman) 1974. Thermal Problems in Diving. Bethesda, MD: Undersea Medical Society (6th Workshop).

    Google Scholar 

  • Webb, P. 1982. Current concepts of metabolism and thermal physiology. In: Underwater Physiology VII. Proceedings of the Seventh Symposium on Underwater Physiology, edited by A. J. Bachrach and M. M. Matzen. Bethesda, MD: Undersea Medical Society, p. 493–502.

    Google Scholar 

  • Webb, P., and J. F. Annis 1966. Respiratory heat loss with high density gas mixtures. Final Rep. Contract NONR 4965(00). Washington, DC: Office of Naval Research.

    Google Scholar 

  • Weltman, G., and G. H. Egstrom 1966. Perceptual narrowing in novice divers. Human Factors 8: 499.

    PubMed  CAS  Google Scholar 

  • White, S. W., and R. J. Mc>Ritchie 1973. Nasopharyngeal reflexes: integrative analysis of evoked respiratory and cardiovascular effects. Aust. J. Exp. Biol. Med. Sci. 51: 17–31.

    Article  PubMed  CAS  Google Scholar 

  • Wolf, S. 1967. The bradycardia of the dive reflex—a possible mechanism of sudden death. Cond. Reflex 1967: 88–95.

    Google Scholar 

  • Wolf, S. 1969. Central autonomic influences on cardiac rate and rhythm. Mod. Concepts Cardiovasc. Dis. 38: 29–34.

    Google Scholar 

  • Yankelovich Monitor 1979. Trend No. 44, Flirtation With Danger. New York: Yankelovich, Skelly and White, Inc.

    Google Scholar 

  • Zuckerman, M. 1979. Sensation Seeking: Beyond the Optimal Levels of Arousal. Hillsdale, NJ: Erlbaum.

    Google Scholar 

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Bachrach, A.J. (1984). Stress Physiology and Behavior Underwater. In: Shilling, C.W., Carlston, C.B., Mathias, R.A. (eds) The Physician’s Guide to Diving Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2671-7_12

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