Cacioppo J T, Uchino B N, Berntson G G
Department of Psychology, Ohio State University, Columbus 43210-1222, USA.
Psychophysiology. 1994 Jul;31(4):412-9. doi: 10.1111/j.1469-8986.1994.tb02449.x.
Heart rate reactivity has been conceptualized, at least implicitly, as a unidimensional construct ranging from low to high, reflecting individual differences in adrenergic reactivity to daily stressors. However, an individual's classification as high in heart rate reactivity ignores possible individual differences in the autonomic origins of this reactivity. Sixty-eight women were exposed to orthostatic and speech stressors to determine the psychometric properties (postural stability, convergent and discriminant validity) of heart rate, preejection period, and respiratory sinus arrhythmia. Results revealed that (a) basal, stress, simple reactivity (stress - baseline), and residualized change indices of heart rate, preejection period, and respiratory sinus arrhythmia were stable across postures and (b) heart rate reactivity was significantly related to preejection period and respiratory sinus arrhythmia reactivity, whereas the latter two measures were unrelated. Reactivity classifications may therefore be significantly improved by attention to concurrent estimates of the activity of both autonomic branches.
心率反应性至少在隐含意义上被概念化为一个从低到高的单维结构,反映了个体对日常应激源的肾上腺素能反应的差异。然而,将个体归类为心率反应性高忽略了这种反应性自主起源中可能存在的个体差异。68名女性暴露于直立位和言语应激源下,以确定心率、射血前期和呼吸性窦性心律失常的心理测量特性(姿势稳定性、聚合效度和区分效度)。结果显示:(a)心率、射血前期和呼吸性窦性心律失常的基础值、应激值、简单反应性(应激 - 基线)和残差变化指数在不同姿势下是稳定的;(b)心率反应性与射血前期和呼吸性窦性心律失常反应性显著相关,而后两者之间不相关。因此,通过关注自主神经系统两个分支活动的同时评估,反应性分类可能会得到显著改善。