Reatividade cardiovascular ao stress social em situação experimental

Autores

  • Miralda Emannuel Novaes

Palavras-chave:

Pressão arterial, reatividade cardiovascular, stress experimental, stress interpessoal, stress social

Resumo

Objective

This study tested the hypothesis that the stress created by social interactions could increase cardiovascular reactivity and that the magnitude of this increase would depend on whether the interaction offers social support or if it presents a social conflict.

Methods

The finger blood pressure and heart rate of 58 subjects were recorded continuously before, during and following a structured interview and a role­ playing task, involving socially stressful interactions between the subjects and a confederate. The twenty-four-hour ambulatory cardiovascular activity was also monitored for ali the subjects in their natural environment. The participants were divided into two groups according to the mean ambulatory arterial blood pressure.

Results

The blood pressure increased during the role-playing task, and to a lesser extent, during the interview, with no sustained increases in heart rate. Subjects with higher ambulatory blood pressure and Negro subjects did not show greater blood pressure reactivity than subjects with lower ambulatory blood pressure or Caucasian subjects. Women showed greater heart rate changes as compareci to men during scenes that involved social conflict and Caucasian men showed greater heart rate reactivity as compareci to Negro men during social challenge.

Conclusion

These findings indicate that socially stressful situations may represent a different kind of stressar and suggest the need for further research to directly compare responses to social and mental challenges.

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Referências

Martin JF, Higashiama E, Garcia E, Luizon MR, Cipullo JP. Perfil de crise hipertensiva. Prevalência e apresentação clínica. Arq Bras Cardiol. 2004; 83(2):125-36

Loures DL, Sant'Anna 1, Baldotto CS, Sousa EB, Nóbrega AC. Estresse mental e sistema cardiovascular. Arq Bras Cardiol. 2002; 78(5):525-30.

Miller SB, Dolgoy L, Friese M, Sita A. Dimensions of hostility and cardiovascular response to interpersonal stress. J Psychosom Res. 1996; 41(1):81-95.

Sherwood A, Hinderliter AL, Light KC. Physiological determinants of hyperreactivity to stress in borderline hypertension. Hypertension. 1995; 25(3):384-90.

Vingerhoets AJ, Ratliff-Crain J, Jabaaij L, Menges LJ, Baum A. Self-reported stressors, symptom complaints and psychobiological functioning 1: Cardiovascular stress reactivity. J Psychosom Res. 1996; 40(2):177-90.

Holt-Lunstad J, Uchino BN, Smith TW, Olson-Cerny C, Nealey-Moore JB. Social relationships and ambulatory blood pressure: structural and qualitative predictors of cardiovascular function during everyday interactions. Health Psychol. 2003; 22(4):388-97.

Gerin W, Pieper C, Levy R, Pickering TG. Social support in social interaction: a moderator of cardiovascular reactivity. Psychosom Med. 1992; 54(3):324-36.

Julius M, Harburg E, Cottington EM, Johnson EH. Anger-coping types, blood pressuce, and ali-cause mortality: a follow-up in Tecumseh, Michigan (1971-1983). Am J Epidemiai. 1986; 124(2):220-33.

Dimsdale JE, Pierce C, Shoenfeld D, Brown A, Zusman R, Graham R. Suppressed anger and blood pressure: the effects of race, sex, social class, obesity, and age. Psychosom Med. 1986; 48(6):430-6.

O. Goldstein HS, Edelberg R, Meier CF, Davis L. Relationship of resting blood pressure and heart rate to experienced anger and expressed anger. Psychosom Med. 1988; 50(4):321-9.

Henry JP, Grim CE. Psychosocial mechanisms of primary hypertension. J Hypertens. 1990; 8(9):783-93.

Perini C, Muller FB, Buhler FR. Suppressed aggression accelerates early development of essential hypertension. J Hypertens. 1991; 9(6):499-503.

Lynch JJ, Long JM, Thomas SA, Malinow KL, Katcher AH. The effects of talking on the blood pressure of hypertensive and normotensive individuais. Psychosom Med. 1981; 43(1):25-33.

Dimsdale JE, Stern MJ, Dillon E. The stress interview as a toai for examining phsysiological reactivity. Psychosom Med. 1988; 50(1):64-71.

Ewart CK, Kolodner KB. Social competence interview for assessing phsysiological reactivity in adolescents. Psychosom Med. 1991; 53(3):289-304.

Lamensdorf AM, Linden W. Family history of hypertension and cardiovascular changes during high and low affect provocation. Psychophysiology. 1992; 29(5):558-65.

Lipp MEN, Anderson DE. Cardiovascular reactivity to simulated social stress. Stress Medicine. 1999; 15(4):249-57.

Williams RB. Patterns of stress and reactivity. ln: Matthews KA, Weiss SM, Detre T, Dembroski TM, Falkner B, Manuck SB, et ai., editors. Handbook of stress, reactivity and cardiovascular disease. New York: Wiley; 1986, 109-25.

Dayton MP, Mikulas WL. Assertion and non-assertion supported by arousal reduction. J Behav Ther Exp Psychiatry. 1981; 12(4):307-9.

Morrison RL, Bellack AS, Manuck SB. Role of social competence in borderline essential hypertension. J Consult Clin Psychol. 1985; 53(2):248-55.

Rathus SA. A 30 item schedule for assessing assertiveness. J Behav Ther. 1973; 4:398-406.

Lipp MN, Anderson DE. Different measures of assertiveness in adults.Est Psico!. 1996; 13(1):19-26.

Wilson DK, Holmes SD, Arheart K, Alpert S. Cardiovascular reactivity in black and white siblings versus matched contrais. An Beh Med. 1995; 17(3):207-12.

Parati G, Casadei R, Groppelli A, Di Rienzo M, Maneia G. Comparison of finger and intra-arterial blood pressure monitoring at rest and during laboratory testing. Hypertension. 1989; 13(6 Pt 1):647-55.

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Publicado

2005-08-30

Como Citar

Novaes, M. E. (2005). Reatividade cardiovascular ao stress social em situação experimental. Revista De Ciências Médicas, 14(4). Recuperado de https://periodicos.puc-campinas.edu.br/cienciasmedicas/article/view/1160

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