ACUTE PSYCHOPHYSIOLOGIC REACTIVITY AND RISK OF CARDIOVASCULAR-DISEASE - A REVIEW AND METHODOLOGIC CRITIQUE

ACUTE PSYCHOPHYSIOLOGIC REACTIVITY AND RISK OF CARDIOVASCULAR-DISEASE - A REVIEW AND METHODOLOGIC CRITIQUE
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DOI:
10.1037/0033-2909.96.3.435
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发表时间:
1984-01-01
影响因子:
22.4
通讯作者:
MANUCK, SB
MANUCK, SB
中科院分区:
心理学1区
文献类型:
--
作者:
KRANTZ, DS;MANUCK, SB

文献摘要

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最近的行为和生物医学研究表明,心理生理反应(反应)情绪压力可能是一个标记的过程中涉及的发展心血管疾病。反应性的评估侧重于功能的急性变化,而不是单独评估变量的静息水平。证据审查链接行为引起的心血管和内分泌变化,冠心病和原发性高血压。特别注意的是涉及测量方法的问题。不同的任务和情况似乎会引起不同的生理反应模式。目前不应将反应性本身视为已证实的风险因素。然而,证据确实证明了继续进行实验室和自然主义假设检验研究的合理性。作者建议进行方法学研究,以确定(a)引起不同受试者群体反应的刺激的心理维度,以及(B)产生的生理反应模式。这样的研究将为流行病学研究奠定基础,以进一步研究行为和疾病过程之间的关系。(5 ½ p参考)(PsycINFO数据库记录(c)2016阿帕,保留所有权利)
Recent behavioral and biomedical research has suggested that psychophysiologic responsiveness (reactivity) to emotional stress may be a marker of processes involved in the development of cardiovascular disorders. The assessment of reactivity focuses on acute changes in functioning as opposed to the sole assessment of resting levels of variables. Evidence is reviewed that links behaviorally induced cardiovascular and endocrine changes to coronary heart disease and essential hypertension. Particular attention is given to methodologic issues involving measurement. Different tasks and situations appear to elicit different patterns of physiologic responses. Reactivity per se should currently not be regarded as a proven risk factor. It is suggested that evidence does, however, justify continued laboratory and naturalistic hypothesis-testing research. The authors recommend methodologic studies to identify (a) the psychologic dimensions of stimuli that elicit reactivity in different subject groups, and (b) the patterns of physiologic responses produced. Such research would set the stage for epidemiologic studies to further examine relations between behavior and disease processes.(5 ½ p ref)(PsycINFO Database Record (c) 2016 APA, all rights reserved)