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生理应激反应与恢复:一些实验室结果可应用于日常生活。

Physiological stress reactivity and recovery: Some laboratory results transfer to daily life.

作者信息

Bamert Melanie, Inauen Jennifer

机构信息

Department of Health Psychology and Behavioral Medicine, Institute of Psychology, University of Bern, Bern, Switzerland.

出版信息

Front Psychol. 2022 Aug 15;13:943065. doi: 10.3389/fpsyg.2022.943065. eCollection 2022.

Abstract

Stress is a prevalent theme in our daily lives and is related to numerous negative health outcomes. Laboratory research has studied the physiological stress response extensively with objective measures such as vagally-mediated heart rate variability (vmHRV). Recently, the vagal tank theory emerged as a promising approach to predicting adaptive vmHRV levels around stressful events. This study aimed to investigate whether the predictions of the vagal tank theory about vmHRV during stress reactivity and recovery translate into naturalistic stressful events in daily life. Sixty-seven students wore an EcgMove 4 sensor for 4 days to measure vmHRV. Through a combination of device-based and self-report assessment, vmHRV data were segmented into before, during, and after stressful events. VmHRV segments were analyzed with multilevel modeling, accounting for physiological and psychological covariates. VmHRV before stressful events predicted more adaptive vmHRV during the event but not vmHRV recovery afterwards. The results therefore partially support the vagal tank theory's predictions with data from daily life and allow recommendations for future studies of real-world stress reactivity and recovery. The value of intraindividual variations in vmHRV as predictors of adaptive stress response is underscored by these findings and could inform future interventions that seek to increase momentary vmHRV.

摘要

压力是我们日常生活中普遍存在的主题,并且与众多负面健康结果相关。实验室研究已通过诸如迷走神经介导的心率变异性(vmHRV)等客观测量方法广泛研究了生理应激反应。最近,迷走神经储备理论成为预测应激事件周围适应性vmHRV水平的一种有前景的方法。本研究旨在调查迷走神经储备理论对应激反应性和恢复过程中vmHRV的预测是否能转化为日常生活中的自然应激事件。67名学生佩戴EcgMove 4传感器4天以测量vmHRV。通过基于设备和自我报告评估的组合,将vmHRV数据分为应激事件之前、期间和之后。使用多水平模型分析vmHRV片段,并考虑生理和心理协变量。应激事件前的vmHRV预测事件期间更具适应性的vmHRV,但不能预测之后的vmHRV恢复。因此,结果部分支持了迷走神经储备理论基于日常生活数据的预测,并为未来关于现实世界应激反应性和恢复的研究提供了建议。这些发现强调了vmHRV个体内变化作为适应性应激反应预测指标的价值,并可为未来旨在增加瞬间vmHRV的干预措施提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa8e/9421134/00ccb5b0384f/fpsyg-13-943065-g0001.jpg

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