van Zijderveld G A, van Doornen L J, van Faassen I, Orlebeke J F, van Dyck R, Tilders F J
Department of Psychophysiology, Vrije Universiteit, Amsterdam, Netherlands.
Biol Psychol. 1993 Sep;36(3):157-81. doi: 10.1016/0301-0511(93)90016-2.
The influence of neurotic instability as manifested by functional somatic complaints (neurosomatism) and aerobic fitness on responses to mental stress and to intravenous adrenaline infusions were investigated in 44 university students. Adrenaline-induced changes from resting levels in state anxiety and somatic anxiety were significantly more pronounced in high than in low neurosomatic subjects and all anxiety ratings were generally negatively related to aerobic fitness. Cardiovascular reactivity was induced by mental stress and by adrenaline infusions, but was not altered by neurosomatism. In individuals assumed to be characterized by a susceptibility to adrenergic effects, interference of adrenaline-induced arousal with cognitive performance may not occur. In contrast, a further increase in performance may occur when adrenaline is infused. Performance measures correlated negatively with anxiety during the baseline task and the placebo task, but this negative relation was absent during the adrenaline infusion and was replaced by positive relations between performance and aerobic power. The complex relations between bodily symptoms of anxiety, aerobic fitness and mental stress are discussed.
对44名大学生进行了研究,以探讨功能性躯体主诉(神经躯体症)所表现出的神经质不稳定性以及有氧适能对心理应激反应和静脉注射肾上腺素反应的影响。在高神经躯体症受试者中,肾上腺素引起的状态焦虑和躯体焦虑相对于静息水平的变化明显比低神经躯体症受试者更显著,并且所有焦虑评分通常与有氧适能呈负相关。心理应激和肾上腺素输注均可诱发心血管反应性,但神经躯体症对此无影响。在假定具有肾上腺素能效应易感性的个体中,肾上腺素诱发的觉醒对认知表现可能不会产生干扰。相反,输注肾上腺素时可能会出现表现进一步提高的情况。在基线任务和安慰剂任务期间,表现测量与焦虑呈负相关,但在肾上腺素输注期间这种负相关不存在,取而代之的是表现与有氧能力之间的正相关。文中讨论了焦虑的躯体症状、有氧适能和心理应激之间的复杂关系。