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10.1097/PSY.0000000000000848

http://scihub22266oqcxt.onion/10.1097/PSY.0000000000000848
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32796336!ä!32796336

suck abstract from ncbi


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pmid32796336      Psychosom+Med 2021 ; 83 (4): 351-357
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  • Heart Rate Reactivity to Acute Psychological Stress Predicts Higher Levels of Posttraumatic Stress Disorder Symptoms During the COVID-19 Pandemic #MMPMID32796336
  • Ginty AT; Young DA; Tyra AT; Hurley PE; Brindle RC; Williams SE
  • Psychosom Med 2021[May]; 83 (4): 351-357 PMID32796336show ga
  • OBJECTIVE: Increased autonomic arousal is a proposed risk factor for posttraumatic stress disorder (PTSD). Few studies have prospectively examined the association between physiological responses to acute psychological stress before a traumatic event and later PTSD symptoms. The present prospective study examined whether cardiovascular responses to an acute psychological stress task before the COVID-19 global pandemic predicted PTSD symptoms related to the ongoing pandemic. METHODS: Participants (n = 120) were a subsample of an ongoing research study. Phase 1 consisted of a 10-minute baseline and 4-minute acute psychological stress task with blood pressure and heart rate recorded throughout. Phase 2 was initiated 2 weeks after the COVID-19 pandemic declaration. Participants completed the Impact of Event Scale-Revised (IES-R) with respect to the ongoing pandemic. Hierarchical linear regression analyses were used to examine whether cardiovascular stress reactivity predicted COVID-19 PTSD symptoms. RESULTS: Heart rate reactivity significantly predicted IES intrusion (beta = -0.208, t = -2.28, p = .025, DeltaR2 = 0.041, confidence interval = -0.021 to -0.001) and IES hyperarousal (beta = -0.224, t = -2.54, p = .012, DeltaR2 = 0.047, confidence interval = -0.22 to - 0.003), but not IES avoidance (p = .077). These results remained statistically significant after adjustment for sex, socioeconomic status, baseline cardiovascular activity, neuroticism, race, ethnicity, body mass index, and adverse childhood experiences. There were no statistically significant associations between blood pressure and any of the Impact of Event Scale-Revised subscales (p values > .12). CONCLUSIONS: Diminished heart rate responses (i.e., lower physiological arousal) to acute psychological stress before the COVID-19 pandemic significantly predicted reported PTSD symptoms during the crisis.
  • |COVID-19/complications/*psychology[MESH]
  • |Female[MESH]
  • |Heart Rate/*physiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics/statistics & numerical data[MESH]
  • |Stress Disorders, Post-Traumatic/epidemiology/*etiology/physiopathology[MESH]
  • |Stress, Psychological/epidemiology/*etiology/physiopathology[MESH]
  • |Surveys and Questionnaires[MESH]
  • |Texas/epidemiology[MESH]


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