“…In addition to altered sympathetic cardiovascular tone, MDD may be associated with peculiarities in sympathetic reactivity during stress or effort. It has been reported that MDD patients, as compared to healthy individuals, exhibit smaller increases in blood pressure, heart rate, and cardiac output during stressors such as public speaking, mirror tracing, serial subtractions, and emotional pictures (Ehrenthal, Herrmann‐Lingen, Fey, & Schauenburg, 2010; Jin, Steding, & Webb, 2015; Salomon, Clift, Karlsdottir, & Rottenberg, 2009). Similarly, in samples drawn from the general population and in patients with coronary artery disease, heart rate, and blood pressure responses during mental stress were inversely related to symptoms of depression (Carroll, Phillips, & Der, 2007; Phillips, 2011; Schwerdtfeger & Rosenkaimer, 2011; Silvia, Nusbaum, Eddington, Beaty, & Kwapil, 2014; York et al., 2007).…”