Ambulatory Blood Pressure Monitoring

Janicki-Deverts, Denise; Kamarck, Thomas W.

doi:10.4135/9781412976244.n8

Cited by 6 publications

(5 citation statements)

References 32 publications

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“…These results provide further evidence that the physiological effects of social-evaluative threat extend beyond the laboratory to daily life, and occur among working adults. Such effects are noteworthy given that cardiovascular stress responses predict future CVD (Chida & Steptoe, 2010), and ABP in particular is an important predictor in this regard (Janicki-Deverts & Kamarck, 2008). …”

Section: Discussionmentioning

confidence: 99%

Evaluative threat and ambulatory blood pressure: Cardiovascular effects of social stress in daily experience.

2012

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Objective Physiological effects of social evaluation are central in models of psychosocial influences on physical health. Experimental manipulations of evaluative threat evoke substantial cardiovascular and neuroendocrine responses in laboratory studies, but only preliminary evidence is available regarding naturally-occurring evaluative threats in daily life. In such non-experimental ambulatory studies, it is essential to distinguish effects of evaluative threat from related constructs known to alter stress, such as ability perceptions and concerns about appearance. Methods 94 married, working couples (mean age 29.2 years) completed a one-day (8am to 10pm) ambulatory blood pressure (ABP) protocol with random interval-contingent measurements using a Suntech monitor and Palm Pilot-based measures of control variables and momentary experiences of social-evaluative threat, concerns about appearance, and perceived ability. Results In hierarchical analyses for couples and multiple measurement occasions (Proc Mixed; SAS) and controlling individual differences (BMI, age, income) and potential confounds (e.g., posture, activity), higher reports of social-evaluative threat were associated with higher concurrent SBP (estimate = .87, SE = .34) and DBP (estimate = 1.06; SE = .26), both p <.02. Effects of social-evaluative threat remained significant when perceived ability and appearance concerns were controlled. Conclusions Naturally occurring social-evaluative threat during daily activity is associated with increased SBP and DBP. Given associations between ABP and risk of cardiovascular disease, the findings support conceptual models of threats to the social self as a potentially important influence on physical health.

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Section: Discussionmentioning

confidence: 99%

Evaluative threat and ambulatory blood pressure: Cardiovascular effects of social stress in daily experience.

2012

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“…Blood pressure and HR were measured through the use of ambulatory blood pressure monitors (#90217, Spacelabs Healthcare, Issaquah, WA, USA). Data analysis, sampling and measurement of ambulatory blood pressure were all consistent with the recommendations made by Janicki‐Deverts & Kamarck (), and the recommendations of Marler, Jacobs, Lehoczky, and Shapiro () were used to identify readings that are likely to be artefacts. A total of 13 outlying blood pressure (SBP, DBP and HR) readings were identified and removed from the data set.…”

Section: Methodsmentioning

confidence: 99%

Test Anxiety and Cardiovascular Responses to Daily Academic Stressors

Conley

Lehman

2011

Stress and Health

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Routine academic events may cause stress and produce temporary elevations in blood pressure. Students who experience test anxiety may be especially prone to cardiovascular activation in response to academic stress. This study drew on self-reported stress and ambulatory blood pressure measurements provided by 99 undergraduate participants (30% men, mean age=21 years) who participated over 4 days. Posture, activity level, recent consumption and the previous same-day reading were considered as covariates in a series of hierarchical linear models. Results indicate elevations in systolic blood pressure at times of acute academic stressors; neither diastolic blood pressure nor heart rate was linked with academic stress. In addition, those participants higher in test anxiety exhibited especially pronounced elevations in systolic blood pressure during times of acute academic stress. This research suggests that everyday academic stressors are linked with temporary increases in blood pressure and that test anxiety may contribute to these elevations. Test anxiety has implications for future academic and job success, and cardiovascular responses to everyday stress may contribute to health problems later in life.

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“…Typically measured in the office or laboratory setting using auscultatory (listening for sounds within the artery, in combination with a mercury sphygmomanometer) or oscillometric methods. Ambulatory blood pressure Automated blood pressure monitoring coupled with a portable device that allows monitoring in naturalistic environments (Janicki-Deverts & Kamarck, 2008).…”

Section: What Explains the Relationship Between Marital Quality And H...mentioning

confidence: 99%

Marital quality and health: A meta-analytic review.

Robles

Slatcher

Trombello

et al. 2014

Psychological Bulletin

1,220

990

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This meta-analysis reviewed 126 published empirical articles over the past 50 years describing associations between marital relationship quality and physical health in over 72,000 individuals. Health outcomes included clinical endpoints (objective assessments of function, disease severity, and mortality; subjective health assessments) and surrogate endpoints (biological markers that substitute for clinical endpoints, such as blood pressure). Biological mediators included cardiovascular reactivity and hypothalamic-pituitary-adrenal axis activity. Greater marital quality was related to better health, with mean effect sizes from r = .07 to .21, including lower risk of mortality, r = .11, and lower cardiovascular reactivity during marital conflict, r = −.13, but not daily cortisol slopes or cortisol reactivity during conflict. The small effect sizes were similar in magnitude to previously found associations between health behaviors (e.g., diet) and health outcomes. Effect sizes for a small subset of clinical outcomes were susceptible to publication bias. In some studies, effect sizes remained significant after accounting for confounds such as age and socioeconomic status. Studies with a higher proportion of women in the sample demonstrated larger effect sizes, but we found little evidence for gender differences in studies that explicitly tested gender moderation, with the exception of surrogate endpoint studies. Our conclusions are limited by small numbers of studies for specific health outcomes, unexplained heterogeneity, and designs that limit causal inferences. These findings highlight the need to explicitly test affective, health behavior, and biological mechanisms in future research, and focus on moderating factors that may alter the relationship between marital quality and health.

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Ambulatory Blood Pressure Monitoring

Cited by 6 publications

References 32 publications

Evaluative threat and ambulatory blood pressure: Cardiovascular effects of social stress in daily experience.

Evaluative threat and ambulatory blood pressure: Cardiovascular effects of social stress in daily experience.

Test Anxiety and Cardiovascular Responses to Daily Academic Stressors

Marital quality and health: A meta-analytic review.

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