Chronic Psychosocial Factors and Acute Physiological Responses to Laboratory-Induced Stress in Healthy Populations: A Quantitative Review of 30 Years of Investigations

This meta-analysis included 729 studies from 161 articles investigating how acute stress responsivity (including stress reactivity and recovery of hypothalamic-pituitary-adrenal [HPA] axis, autonomic, and cardiovascular systems) changes with various chronic psychosocial exposures (job stress; genera...

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Bibliographic Details
Published in:	Psychological bulletin 2008-11, Vol.134 (6), p.829-885
Main Authors:	Chida, Yoichi, Hamer, Mark
Format:	Article
Language:	eng
Subjects:	Affect Affective Behavior Aggression Anatomy Antisocial Behavior Anxieties Anxiety Behavior Behavioral psychophysiology Biological and medical sciences Blood Pressure - physiology Brain Burnout Cardiovascular Reactivity Coping Correlation Depression (Psychology) Experimental psychology Fatigue (Biology) Fundamental and applied biological sciences. Psychology Health Status Heart Disorders Heart Rate - physiology Homeostasis Hormones and behavior Human Humans Hyperactivity Hypertension Hypothalamo-Hypophyseal System - physiology Laboratories Laboratory Life Change Events Mental stress Meta Analysis Metabolism Mind and body Negative Attitudes Nervous system Neuroscience Neurosciences Personality Personality. Affectivity Physiological reactivity Physiology Pituitary-Adrenal System - physiology Psychological aspects Psychological Patterns Psychology Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychoneuroendocrinology Psychophysiology Psychosocial Factors Social Influences Stress Stress Reactions Stress Variables Stress, Physiological Symptoms (Individual Disorders) Systematic review Type A Personality
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Summary:	This meta-analysis included 729 studies from 161 articles investigating how acute stress responsivity (including stress reactivity and recovery of hypothalamic-pituitary-adrenal [HPA] axis, autonomic, and cardiovascular systems) changes with various chronic psychosocial exposures (job stress; general life stress; depression or hopelessness; anxiety, neuroticism, or negative affect; hostility, aggression, or Type-A behavior; fatigue, burnout, or exhaustion; positive psychological states or traits) in healthy populations. In either the overall meta-analysis or the methodologically strong subanalysis, positive psychological states or traits were associated with reduced HPA reactivity. Hostility, aggression, or Type-A behavior was associated with increased cardiovascular (heart rate or blood pressure) reactivity, whereas anxiety, neuroticism, or negative affect was associated with decreased cardiovascular reactivity. General life stress and anxiety, neuroticism, or negative affect were associated with poorer cardiovascular recovery. However, regarding the sympathetic nervous system and parasympathetic nervous system, there were no associations between the chronic psychosocial factors and stress reactivity or recovery. The results largely reflect an integrated stress response pattern of hypo- or hyperactivity depending on the specific nature of the psychosocial background.
ISSN:	0033-2909 1939-1455