The Ecological Validity of Laboratory Stress Testing

  • Lorenz J. P. van Doornen
  • J. Rick Turner
Part of the Perspectives on Individual Differences book series (PIDF)

Abstract

Hyperreactivity of the cardiovascular system has been implicated as a risk factor for the future development of hypertension and coronary heart disease. At the present time, this assertion has the status of a plausible hypothesis; confirmation, or otherwise, rests with the outcome of longitudinal studies, such as those discussed in Chapter 15. Since it will be several years before data from some of these studies are available, where should attention be directed in the interim? One strategy is to focus on the relationship between responses seen in the laboratory and those evidenced in real-life situations.

Keywords

Ambulatory Blood Pressure Heart Rate Response Cold Pressor Cardiovascular Reactivity Cold Pressor Test 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anastasiades, P., Clark, D. M., Salkovskis, P. M., Middleton, H., Hackman, M. G., Gelder, M. G., & Johnston, D. W. (1990). Psychophysiological responses in panic and stress. Journal of Psychophysiology, 4, 331–338.Google Scholar
  2. Blix, A. S., Stromme, S. B., & Ursin, H. (1974). Additional heart rate: An indicator of psychological activation. Aerospace Medicine, 45, 1219–1222.PubMedGoogle Scholar
  3. Devereux, R. B., Pickering, T. G., Harshfield, G. A., Kleinert, H. D., Denby, L., Clark, L., Pregibon, D., Jason, M., Kleiner, B., Borer, J. S., & Laragh, J. H. (1983). Left ventricular hypertrophy in patients with hypertension: Importance of blood pressure response to regularly occurring stress. Circulation, 68, 470–476.PubMedCrossRefGoogle Scholar
  4. Dimsdale, J. E. (1984). Generalizing from laboratory studies to field studies in human stress physiology. Psychosomatic Medicine, 46, 463–469.PubMedGoogle Scholar
  5. Falkner, B., Kushner, H., Onesti, G., & Angelakos, E. T. (1981). Cardiovascular characteristics in adolescents who develop hypertension. Hypertension, 3, 521–527.PubMedCrossRefGoogle Scholar
  6. Floras, J. S., Hassan, M. O., Jones, J. V., & Sleight, P. (1987). Pressor responses to laboratory stresses and daytime blood pressure variability. Journal of Hypertension, 5, 715–719.PubMedCrossRefGoogle Scholar
  7. Fredrikson, M., Blumenthal, J. A., Evans, D. D., Sherwood, A., & Light, K. C. (1989). Cardiovascular responses in the laboratory and in the natural environment: Is blood pressure reactivity to laboratory-induced mental stress related to ambulatory blood pressure during everyday life?. Journal of Psychosomatic Research, 33, 753–762.PubMedCrossRefGoogle Scholar
  8. Giaconi, S., Palombo, C., Marabotti, C., Genovesi-Ebert, A., Volterrani, D., Mezzasalma, L., Fommei, E., & Ghione, S. (1986). Casual blood pressure, cardiovascular reactivity tests, and blood pressure monitoring in borderline hypertension. Journal of Hypertension, 4(5), S331–S333.Google Scholar
  9. Harshfield, G. A., James, G. D., Schlussel, Y., Yee, L. S., Blank, S. G., & Pickering, T. G. (1988). Do laboratory tests of blood pressure reactivity predict blood pressure variability in real life?. American Journal of Hypertension, 1, 168–174.PubMedCrossRefGoogle Scholar
  10. Houtman, I. L. D. (1990). Stress and coping in lecturing: A study of stress responses, individual differences and stress moderators. Dissertation, Vrije Universiteit, Amsterdam.Google Scholar
  11. Ironson, G. H., Gellman, M. D., Spitzer, S. B., Llabre, M. M., de Carlo Pasin, R., Weidler, D. J., & Schneiderman, N. (1989). Predicting home and work blood pressure measurement from resting baselines and laboratory reactivity in black and white Americans. Psychophysiology, 26, 174–184.PubMedCrossRefGoogle Scholar
  12. James, G. D., Pickering, T. G., Yee, L. S., Harshfield, G. A., Riva, S., & Laragh, J. H. (1988). The reproducibility of average ambulatory, home, and clinical pressures. Hypertension, 11, 545–549.PubMedCrossRefGoogle Scholar
  13. Johnson, E. H. (1989). Cardiovascular reactivity, emotional factors, and home blood pressures in black males with and without a parental history of hypertension. Psychosomatic Medicine, 51, 390–403.PubMedGoogle Scholar
  14. Johnston, D. W., Anastasiades, P., & Wood, C. (1990). The relationship between cardiovascular responses in the laboratory and in the field. Psychophysiology, 27, 34–44.PubMedCrossRefGoogle Scholar
  15. Johnston, D. W., Anastasiades, P., Vogele, C., Clark, D. M., Kitson, C., & Steptoe, A. (in press). The relationship between cardiovascular responses in the laboratory and in the field: The importance of active coping. To appear in T. H. Schmidt, B. T. Engel, & G. Blumchen (Eds.), Temporal variations of the cardiovascular system. Berlin: Springer-Verlag.Google Scholar
  16. Langewitz, W., Ruddel, H., Schachinger, H., & Schmieder, R. (1989). Standardized stress testing in the cardiovascular laboratory: Has it any bearing on ambulatory blood pressure values? Journal of Hypertension, 7(3), S41–S48.PubMedGoogle Scholar
  17. Lavie, C. J., Schmieder, R. E., & Messerli, F. H. (1988). Ambulatory blood pressure monitoring: Practical considerations. American Heart Journal 116, 1146–1151.PubMedCrossRefGoogle Scholar
  18. McKinney, M. E., Miner, M. H., Ruddel, H., Mcllvain, H. E., Witte, H., BueU, J. C., Eliot, R. S., & Grant, L. B. (1985). The standardized mental stress test protocol: Test-retest reliability and comparison with ambulatory blood pressure monitoring. Psychophysiology, 22, 453–463.PubMedCrossRefGoogle Scholar
  19. Manuck, S. B., & Krantz, D. S. (1984). Psychophysiologic reactivity in coronary heart disease. Behavioral Medicine Update, 6, 11–15.Google Scholar
  20. Manuck, S. B., Corse, C. D., & Winkelman, P. A. (1979). Behavioral correlates of individual differences in blood pressure reactivity. Journal of Psychosomatic Research, 23, 281–288.PubMedCrossRefGoogle Scholar
  21. Matthews, K. A., Manuck, S. B., & Saab, P. G. (1986). Cardiovascular responses of adolescents during a naturally occurring stressor and their behavioral and psychophysiological predictors. Psychophysiology, 23, 198–209.PubMedCrossRefGoogle Scholar
  22. Menkes, M. S., Matthews, K. A., Krantz, D. S., Lundberg, U., Mead, L. A., Quagish, B., Lian, K. Y., Thomas, C. B., & Pearson, T. A. (1989). Cardiovascular reactivity to the cold pressor test as a predictor of hypertension. Hypertension, 14, 524–530.PubMedCrossRefGoogle Scholar
  23. Morales-Ballejo, H. M., Eliot, R. S., Boone, J. L., & Hughes, J. S. (1988). Psychophysiological stress testing as a predictor of mean daily blood pressure. American Heart Journal, 116, 673–681.PubMedCrossRefGoogle Scholar
  24. Obrist, P. A. (1981). Cardiovascular psychophysiology: A perspective. New York: Plenum Press.CrossRefGoogle Scholar
  25. Parati, G., Pomidossi, G., Casadei, R., Groppelli, A., Ravogli, A., Trazzi, S., Cesana, B., & Mancia, G. (1986). Limitations of lab stress testing in the assessment of subjects’ cardiovascular reactions to stress. Journal of Hypertension, 4(6), S51–S53.Google Scholar
  26. Perloff, D., Sokolov, M., & Cowan, R. (1983). The prognostic value of ambulatory blood pressures. Journal of the American Medical Association, 249, 2792–2798.PubMedCrossRefGoogle Scholar
  27. Pickering, T. G., & Gerin, W. (1990). Cardiovascular reactivity in the laboratory and the role of behavioral factors in hypertension: A critical review. Annals of Behavioral Medicine, 12, 3–16.CrossRefGoogle Scholar
  28. Pollak, M. H. (1991). Heart rate reactivity to laboratory tasks and ambulatory heart rate in daily life. Psychosomatic Medicine, 53, 1–12.Google Scholar
  29. Sherwood, A. (1991, April 19-21). The use of impedance cardiography in cardiovascular reactivity research. Paper presented at the SUNY/APA Scientific Conference on Cardiovascular Reactivity, Buffalo, New York.Google Scholar
  30. Sherwood, A., & Turner, J. R. (in press). Postural stability of hemodynamic responses during mental challenge. Psychophysiology.Google Scholar
  31. Southard, D. R., Coates, T. J., Kolodner, K., Parker, F. C., Padgett, N., & Kennedy, H. L. (1986). Relationship between mood and blood pressure in the natural environment: An adolescent population. Health Psychology, 5(5), 469–480.PubMedCrossRefGoogle Scholar
  32. Steptoe, A., Melville, D. R., & Ross, A. (1984). Behavioral response demands, cardiovascular reactivity, and essential hypertension. Psychosomatic Medicine, 46, 33–48.PubMedGoogle Scholar
  33. Turner, J. R., & Sherwood, A. (1991). Postural effects on blood pressure reactivity: Implications for studies of laboratory-field generalization. Journal of Psychosomatic Research, 35, 289–295.PubMedCrossRefGoogle Scholar
  34. Turner, J. R., Girdler, S. S., Sherwood, A., & Light, K. C. (1990). Cardiovascular responses to behavioral Stressors: Laboratory-field generalization and inter-task consistency. Journal of Psychosomatic Research, 34, 581–589.PubMedCrossRefGoogle Scholar
  35. van Doornen, L. J. P., & van Blokland, A. W. (in press). The relationship between cardiovascular and catecholamine reactions to laboratory-and real-life stress. Psychophysiology.Google Scholar
  36. van Egeren, L. F., & Sparrow, A. W. (1989). Laboratory stress testing to assess real-life cardiovascular reactivity. Psychosomatic Medicine, 51, 1–9.PubMedGoogle Scholar
  37. Warwick-Evans, L., Walker, J., & Evans, J. (1988). A comparison of psychologically induced cardiovascular reactivity in laboratory and natural environments. Journal of Psychosomatic Research, 82, 493–505.CrossRefGoogle Scholar
  38. Watson, R. D. S., Stallard, T. J., Flinn, R. M., & Littler, W. A. (1980). Factors determining arterial pressure and its variability in hypertensive man. Hypertension, 2, 233–241.Google Scholar

Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • Lorenz J. P. van Doornen
    • 1
  • J. Rick Turner
    • 2
  1. 1.Division of PsychophysiologyFree University of AmsterdamAmsterdamThe Netherlands
  2. 2.Department of PsychiatryUniversity of North Carolina at Chapel HillChapel HillUSA

Personalised recommendations