A Longitudinal Study of Age-Based Change in Blood Pressure Reactivity and Negative Affect Reactivity to Natural Stressors

被引:2
|
作者
Koffer, Rachel E. [1 ]
Kamarck, Thomas W. [2 ]
机构
[1] Arizona State Univ, Edson Coll Nursing & Hlth Innovat, Suite 301,550 N 3rd St, Phoenix, AZ 85004 USA
[2] Arizona State Univ, Dept Psychol, Phoenix, AZ 85004 USA
来源
PSYCHOSOMATIC MEDICINE | 2022年 / 84卷 / 05期
关键词
blood pressure reactivity; negative affect reactivity; stress; ambulatory blood pressure; aging; longitudinal analysis; ABP = ambulatory blood pressure; BP = blood pressure; CVD = cardiovascular disease; DBP = diastolic blood pressure; EMA = ecological momentary assessment; NA = negative affect; SBP = systolic blood pressure; CARDIOVASCULAR REACTIVITY; MENTAL STRESS; JOB STRAIN; LIFE; RESPONSES; RISK; ATHEROSCLEROSIS; VULNERABILITY; METAANALYSIS; SENSITIVITY;
D O I
10.1097/PSY.0000000000001075
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective Aging is theoretically accompanied by emotional gains, but physiological self-regulatory losses. Emotional and physiological regulation can be operationalized as the extent of an increase in negative affect and blood pressure upon experiencing a stressor (i.e., reactivity). The direction of age-based changes in negative affect reactivity to stressors is uncertain. In addition, evidence for age-based increases in blood pressure reactivity to stressors is based largely on age-based differences observed in cross-sectional and laboratory-based studies. The present study is the first to examine long-term longitudinal changes in stress-related reactivity for both blood pressure and negative affect in the natural environment. Methods A total of 375 healthy adults aged 50 to 70 years completed 6 days of hourly ambulatory blood pressure assessment and electronic diary reports of social conflict and task demand and control. Two hundred fifty-five participants repeated 3 days of assessment in a 6-year follow-up. With reactivity operationalized as the change in an outcome in association with momentary social conflict, task strain, or task demand (i.e., a model-derived slope parameter), multilevel models were used to assess aging-based change in blood pressure and negative affect reactivity over the course of the 6-year follow-up. Results Aging is associated with increased diastolic blood pressure reactivity to social conflict and task demand (beta(social_conflict) = 0.48, p = .007; beta(task_demand) = 0.19, p = .005), increases in negative affect reactivity to social conflict and task strain (beta(social_conflict) = 0.10, p < .001; beta(task_strain) = 0.08, p = .016), and increases in systolic blood pressure reactivity to task-based stress (beta(task_strain) = 1.29, p = .007; beta(task_demand) = 0.23 p = .032). Conclusion Findings suggest age-based increases in affective and cardiovascular reactivity to natural stressors.
引用
收藏
页码:612 / 620
页数:9
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