Light K C, Turner J R, Hinderliter A L, Sherwood A
Department of Psychiatry, University of North Carolina at Chapel Hill 27599-7175.
Health Psychol. 1993 Sep;12(5):354-65. doi: 10.1037//0278-6133.12.5.354.
A sample of 155 adults, age 18-49 years, including nearly equal subgroups of Black and White men and women, underwent evaluation of cardiovascular reactivity during 5 behavioral stressors. Among the men, overall blood pressure increases to tasks did not differ, but Blacks showed generally higher total peripheral resistance, whereas Whites showed greater heart rate and cardiac output increases. Among the women, the same racial-group differences were evident during certain tasks, but not during others. Men showed greater overall systolic blood pressure increases than did women, and they also showed less recovery toward baseline levels in systolic and diastolic pressure and stroke volume 5 min after the stressors. Other gender differences were task specific. The possible contributions of structural changes in the myocardium and vasculature, of altered sympathetic receptor distribution, and of task-specific behavioral factors influencing task involvement are discussed.
155名年龄在18至49岁之间的成年人参与了研究,其中黑人和白人男性及女性的亚组人数大致相等。他们在5种行为应激源作用下接受了心血管反应性评估。在男性中,面对各项任务时总体血压升高情况并无差异,但黑人的总外周阻力普遍较高,而白人的心率和心输出量增加幅度更大。在女性中,某些任务期间存在同样的种族差异,但其他任务期间则不明显。男性的总体收缩压升高幅度大于女性,并且在应激源作用5分钟后,他们的收缩压、舒张压和每搏输出量恢复到基线水平的程度也较小。其他性别差异则因任务而异。文中讨论了心肌和血管结构变化、交感神经受体分布改变以及影响任务参与度的特定任务行为因素可能产生的作用。