Skip to main content
Log in

Coping styles, opioid blockade, and cardiovascular response to stress

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

We investigated the hypothesis that the effects of Monitoring and Blunting coping styles are mediated in part by endogenous opioids. Mean arterial pressure (MAP) and heart rate (HR) were measured in 39 males before, during, and after a mental arithmetic stressor. Each subject experienced the protocol once under opioid blockade (naltrexone) and once in a placebo condition, in counterbalanced order. Monitoring and Blunting were assessed using the Miller Behavioral Style Scale. High Blunting and high Monitoring were both associated with poorer MAP recovery under opioid blockade than in the placebo condition. Similar effects were noted for Blunting on the measure of HR. These results indicate that the coping styles of Monitoring and Blunting may be associated with enhanced opioid mediation of cardiovascular recovery from stress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bandura, A., O Leary, A., Taylor, C. B., Gauthier, J., and Gossard, D. (1987). Perceived self-efficacy and pain control: Opioid and nonopioid mechanism.J. Pers. Soc. Psychol. 53: 563–571.

    PubMed  Google Scholar 

  • Bruehl, S., Carlson, C. R., and McCubbin, J. A. (1992). The relationship between pain sensitivity and blood pressure in normotensive.Pain 48: 463–467.

    PubMed  Google Scholar 

  • Cohen, J., and Cohen, P. (1983).Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates, Hillsdale, NJ.

    Google Scholar 

  • Cohen, F., and Lazarus, R. S. (1973). Active coping processes, coping dispositions and recovery from surgery.Psychosom. Med. 35: 375–389.

    PubMed  Google Scholar 

  • Cohen, S., and Williamson, G. M. (1991). Stress and infectious disease in humans.Psychol. Bull. 109: 5–24.

    PubMed  Google Scholar 

  • Efran, J. S., Chorney, R. L., Ascher, L. M., and Lukens, M. D. (1989). Coping styles, paradox, and the cold pressor task.J. Behav. Med. 12: 91–102.

    PubMed  Google Scholar 

  • Haynes, S. N., Gannon, L. R., Orimoto, L., O'Brien, W. H., and Brandt, M. (1991). Psychophysiological assessment of poststress recovery.Psychol. Assess. 3: 356–365.

    Google Scholar 

  • Hofer, M. A. (1982). Some thoughts on the transduction of experience from a developmental perspective.Psychosom. Med. 44: 19–28.

    PubMed  Google Scholar 

  • Jamner, L. D., and Schwartz, G. E. (1986). Self-deception predicts self-report and endurance of pain.Psychosom. Med. 48: 211–223.

    PubMed  Google Scholar 

  • Light, K. C., and Obrist, P. A. (1980). Cardiovascular responses to stress: Effects of opportunity to avoid, shock experience, and performance feedback.Psychophysiology 17: 243–252.

    PubMed  Google Scholar 

  • Manuck, S. B., Harvey, S. H., Lechleiter, S. L., and Neal, R. S. (1978). Effects of coping on blood pressure responses to threat of aversive stimulation.Psychophysiology 15: 544–549.

    PubMed  Google Scholar 

  • McCubbin, J. A. (1991). Diminished opioid inhibition of blood pressure and pituitary function in hypertension development. In McCubbin, J. A., Kaufmann, P. G., and Nemeroff, C. B. (eds.),Stress, Neuropeptides, and Systemic Disease, Academic Press, San Diego, pp. 445–466.

    Google Scholar 

  • McCubbin, J. A. (1993). Stress and endogenous opioids: Behavioral and circulatory interactions.Biol. Psychol. 35: 91–122.

    PubMed  Google Scholar 

  • McCubbin, J. A., Surwit, R. S., and Williams, R. B. (1985). Endogenous opiates, stress, and risk for hypertension.Hypertension 7: 808–811.

    PubMed  Google Scholar 

  • McCubbin, J. A., Surwit, R. S., and Williams, R. B. (1988). Opioid dysfunction and risk for hypertension: Naloxone and blood pressure responses during different types of stress.Psychosom. Med. 50: 8–14.

    PubMed  Google Scholar 

  • McCubbin, J. A., Surwit, R. S., Williams, R. B., Nemeroff, C. B., and McNeilly, M. (1989). Altered pituitary hormone response to naloxone in hypertension development.Hypertension 14: 636–644.

    PubMed  Google Scholar 

  • McCubbin, J. A., Wilson, J. F., Bruehl, S., Brady, M., Clark, K., and Kort, E. (1991). Gender effects on blood pressures obtained during an on-campus screening.Psychosom. Med. 53: 90–100.

    PubMed  Google Scholar 

  • McCubbin, J. A., Cheung, R., Montgomery, T. B., Bulbulian, R., and Wilson, J. F. (1992). Aerobic fitness and opioidergic inhibition of cardiovascular stress reactivity.Psychophysiology 29: 687–697.

    PubMed  Google Scholar 

  • Merluzzi, T. V., Taylor, C. B., Boltwood, M., and Gotestam, K. G. (1991). Opioid antagonist impedes exposure.J. Consult. Clin. Psychol. 59: 425–430.

    PubMed  Google Scholar 

  • Millan, M. J. (1986). Multiple opioid systems and pain.Pain 27: 303–347.

    PubMed  Google Scholar 

  • Miller, S. M. (1987). Monitoring and blunting: Validation of a questionnaire to assess two styles of information-seeking under threat.J. Pers. Soc. Psychol. 52: 345–353.

    PubMed  Google Scholar 

  • Miller, S. M., and Mangan, C. E. (1983). Interacting effects information and coping style in adapting to gynecologic stress: Should the doctor tell all?J. Pers. Soc. Psychol. 45: 223–236.

    PubMed  Google Scholar 

  • Miller, S. M., Brody, D. S., and Summerton, J. (1988). Styles of coping with threat: Implications for health.J. Pers. Soc. Psychol. 54: 142–148.

    PubMed  Google Scholar 

  • Miller, S. M., Leinbach, A., and Brody, D. S. (1989). Coping style in hypertensive patients: Nature and consequences.J. Consult. Clin. Psychol. 57: 333–337.

    PubMed  Google Scholar 

  • Morris, M., Salmon, P., Steinberg, H., Sykes, E. A., Bouloux, P., Newbould, E. McLoughlin, L., Besser, G. M., and Grossman, A. (1990). Endogenous opioids modulate the cardiovascular response to mental stress.Psychoneuroendocrinology 15: 185–192.

    PubMed  Google Scholar 

  • Phipps, S., and Zinn, A. B. (1986). Psychological response to amniocentesis. II. Effects of coping style.Am. J. Med. Genet. 25: 143–148.

    PubMed  Google Scholar 

  • SAS Institute Inc. (1985).SAS User's Guide: Statistics, Version 5, SAS Institute Inc., Cary, NC.

    Google Scholar 

  • Steketee, G., Bransfield, S., Miller, S. M., and Foa, E. B. (1989). The effects of information and coping style on the reduction of phobic anxiety during exposure.J. Anx. Disord. 3: 69–85.

    Google Scholar 

  • Suls, J., and Fletcher, B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: A meta-analysis.Health Psychol. 4: 249–288.

    PubMed  Google Scholar 

  • Taylor, S. E. (1990). Health Psychology: The science and the field.Am. Psychol. 45: 40–50.

    PubMed  Google Scholar 

  • Turner, J. R., Hewitt, J., Morgan, R., Sims, J., Carroll, D., and Kelly, K. (1986). Graded mental arithmetic as an active psychological challenge.Int. J. Psychophysiol. 3: 307–309.

    PubMed  Google Scholar 

  • Wilson, J. F. (1982). Recovery from surgery and scores on the Defense Mechanism Inventory.J. Pers. Assess. 46: 312–319.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Preparation of the manuscript was supported by NIH Research Awards HL32738 and HL35195, NIMH training Grant MH15730, and General Clinical Research Centers Award M01 RR 2602 to the University of Kentucky.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bruehl, S., McCubbin, J.A., Wilson, J.F. et al. Coping styles, opioid blockade, and cardiovascular response to stress. J Behav Med 17, 25–40 (1994). https://doi.org/10.1007/BF01856880

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01856880

Key Words

Navigation