Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers

Depression and anxiety have been linked with reduced stress-induced cardiovascular reactivity (CVR), which could be indicative of autonomic dysregulation. Less is known about the association between work-related fatigue and CVR. Truck drivers experience high levels of depression, anxiety, and fatigu...

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Main Authors:	Amber Guest, Stacy Clemes, James King, Yu-Ling Chen, Katharina Ruettger, Mohsen Sayyah, Aron Sherry, Veronica Varela-Mato, Nicola Paine
Format:	Default Article
Published:	2021
Subjects:	anxiety blood pressure cardiovascular reactivity depression fatigue stress heart rate stress reactivity
Online Access:	https://hdl.handle.net/2134/14579799
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id	rr-article-14579799
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spelling	rr-article-145797992021-06-04T00:00:00Z Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers Amber Guest (6064178) Stacy Clemes (1256949) James King (1252200) Yu-Ling Chen (1247823) Katharina Ruettger (7050650) Mohsen Sayyah (4784628) Aron Sherry (5179217) Veronica Varela-Mato (3204960) Nicola Paine (4352665) anxiety blood pressure cardiovascular reactivity depression fatigue stress heart rate stress reactivity <div>Depression and anxiety have been linked with reduced stress-induced cardiovascular reactivity (CVR), which could be indicative of autonomic dysregulation. Less is known about the association between work-related fatigue and CVR. Truck drivers experience high levels of depression, anxiety, and fatigue, with repeated psychophysiological stressors on the road, yet little is known about the effects of these conditions on their CVR. 386 truck drivers completed the Hospital Anxiety and Depression Scale (HADS) and the Occupational Fatigue Exhaustion/Recovery Scale (OFER-15). Systolic (SBP) and diastolic (DBP) blood pressure, and heart rate (HR) were measured at rest and during a stressor protocol to measure CVR. Multivariate regression analyses were used to determine relationships between variables and adjusted for nine key covariates. Higher symptoms of persistent fatigue were related to a reduced SBP reactivity (β = -0.237, p = .008) and reduced DBP reactivity (β = -0.256, p = .005), whilst there was a positive trend between acute fatigue and DBP reactivity (β = 0.168, p = .053). Higher symptoms of anxiety were related to a reduced SBP reactivity (β = -0.167, p = .011). This study demonstrated in a population of truck drivers, both anxiety and persistent fatigue were related to an attenuated SBP reactivity in a combined model, whereas there was a positive trend between acute fatigue solely and DBP reactivity. These novel findings may have serious implications for cardiovascular disease risk in truck drivers, and future research should attempt to establish the causal effect of these associations and the underlying physiological mechanisms.</div> 2021-06-04T00:00:00Z Text Journal contribution 2134/14579799 https://figshare.com/articles/journal_contribution/Attenuated_cardiovascular_reactivity_is_related_to_higher_anxiety_and_fatigue_symptoms_in_truck_drivers/14579799 CC BY 4.0
institution	Loughborough University
collection	Figshare
topic	anxiety blood pressure cardiovascular reactivity depression fatigue stress heart rate stress reactivity
spellingShingle	anxiety blood pressure cardiovascular reactivity depression fatigue stress heart rate stress reactivity Amber Guest Stacy Clemes James King Yu-Ling Chen Katharina Ruettger Mohsen Sayyah Aron Sherry Veronica Varela-Mato Nicola Paine Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers
description	Depression and anxiety have been linked with reduced stress-induced cardiovascular reactivity (CVR), which could be indicative of autonomic dysregulation. Less is known about the association between work-related fatigue and CVR. Truck drivers experience high levels of depression, anxiety, and fatigue, with repeated psychophysiological stressors on the road, yet little is known about the effects of these conditions on their CVR. 386 truck drivers completed the Hospital Anxiety and Depression Scale (HADS) and the Occupational Fatigue Exhaustion/Recovery Scale (OFER-15). Systolic (SBP) and diastolic (DBP) blood pressure, and heart rate (HR) were measured at rest and during a stressor protocol to measure CVR. Multivariate regression analyses were used to determine relationships between variables and adjusted for nine key covariates. Higher symptoms of persistent fatigue were related to a reduced SBP reactivity (β = -0.237, p = .008) and reduced DBP reactivity (β = -0.256, p = .005), whilst there was a positive trend between acute fatigue and DBP reactivity (β = 0.168, p = .053). Higher symptoms of anxiety were related to a reduced SBP reactivity (β = -0.167, p = .011). This study demonstrated in a population of truck drivers, both anxiety and persistent fatigue were related to an attenuated SBP reactivity in a combined model, whereas there was a positive trend between acute fatigue solely and DBP reactivity. These novel findings may have serious implications for cardiovascular disease risk in truck drivers, and future research should attempt to establish the causal effect of these associations and the underlying physiological mechanisms.
format	Default Article
author	Amber Guest Stacy Clemes James King Yu-Ling Chen Katharina Ruettger Mohsen Sayyah Aron Sherry Veronica Varela-Mato Nicola Paine
author_facet	Amber Guest Stacy Clemes James King Yu-Ling Chen Katharina Ruettger Mohsen Sayyah Aron Sherry Veronica Varela-Mato Nicola Paine
author_sort	Amber Guest (6064178)
title	Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers
title_short	Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers
title_full	Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers
title_fullStr	Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers
title_full_unstemmed	Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers
title_sort	attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers
publishDate	2021
url	https://hdl.handle.net/2134/14579799
_version_	1778613779895943168

Attenuated cardiovascular reactivity is related to higher anxiety and fatigue symptoms in truck drivers

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