Kardiovaskuläre Psychophysiologie

Zusammenfassung

Die kardiovaskuläre Psychophysiologie beschäftigt sich mit Zusammenhängen von psychosozialen und kardiovaskulären Variablen im Labor und Feld. Während frühere Studien primär an den Zusammenhängen von Stress und kardiovaskulärer Aktivierung interessiert waren, ist in neuerer Zeit eine deutliche Ausdifferenzierung der psychosozialen Variablen zu beobachten. Weiterhin verlagert sich die kardiovaskuläre Psychophysiologie zunehmend vom künstlichen Labor in das natürliche Feld. So finden sich im alltäglichen Setting nicht nur Zusammenhänge mit psychosozialen Risikovariablen (Anforderungserleben, Kontrollerleben, Besorgnis), sondern in zunehmendem Maße auch mit gesundheitsförderlichen psychosozialen Variablen (positiver Affekt, soziale Unterstützung etc.). Die Befunde werden diskutiert und Implikationen für die Praxis aufgezeigt.

Schlüsselwörter

ambulante Psychophysiologie - Blutdruck - Herzrate - Herzratenvariabilität - kardiovaskuläre Reaktivität - Stress

Literatur

• 1 Appelhans B M, Luecken L J. Heart rate variability as an index of regulated emotional responding.  Review of General Psychology. 2006;  10 229-240
• 2 Armario P, del Rey R H, Martin-Baranera M et al. Blood pressure reactivity to mental stress task as a determinant of sustained hypertension after 5 years of follow-up.  Journal of Human Hypertension. 2003;  17 181-186
• 3 Brosschot J F, Gerin W, Thayer J F. The perseverative cognition hypothesis: a review of worry, prolonged stress-related physiological activation, and health.  Journal of Psychosomatic Research. 2006;  60 113-124
• 4 Carroll D. A brief commentary on cardiovascular reactivity at the crossroads.  Biological Psychology. im Druck
• 5 Carroll D, Ebrahim S, Tilling K et al. Admissions for myocardial infarction and World Cup football: database survey.  British Medical Journal. 2002;  325 1439-1442
• 6 Carroll D, Smith G D, Shipley M J et al. Blood pressure reactions to acute psychological stress and future blood pressure status: A 10-year follow-up of men in the Whitehall II study.  Psychosomatic Medicine. 2001;  63 737-743
• 7 Cook S, Togni M, Schaub M C et al. High heart rate: a cardiovascular risk factor?.  European Heart Journal. 2006;  27 2387-2393
• 8 Dienstbier R A. Arousal and physiological toughness: implications for mental and physical health.  Psychological Review. 1989;  96 84-100
• 9 Ditzen B, Heinrichs M. Psychobiologische Mechanismen sozialer Unterstützung.  Zeitschrift für Gesundheitspsychologie. 2007;  15 143-157
• 10 Dunbar H F. Emotions and bodily changes.. New York: Columbia University Press; 1935
• 11 Fahrenberg J. Physiologische Grundlagen und Messmethoden der Herz-Kreislaufaktivität.. In: Rösler F Grundlagen und Methoden der Psychophysiologie. Enzyklopädie der Psychologie – Biologische Psychologie 4.. Göttingen: Hogrefe; 2001: 317-483
• 12 Fahrenberg J, Myrtek M. Psychophysiologie in Labor, Klinik und Alltag: 40 Jahre Projektarbeit der Freiburger Forschungsgruppe Psychophysiologie. Kommentare und neue Perspektiven. Psychophysiologie in Labor und Feld.. Bd. 14. Frankfurt am Main: Lang; 2005
• 13 Fahrenberg J, Myrtek M, Pawlik K et al. Ambulantes Assessment – Verhalten im Alltagskontext erfassen.  Psychologische Rundschau. 2007;  58 12-23
• 14 Fowles D C. Psychophysiology and psychopathology: a motivational approach.  Psychophysiology. 1988;  25 373-391
• 15 French D P, Senior V, Weinman J et al. Causal attributions for heart disease: A systematic review.  Psychology & Health. 2001;  16 77-98
• 16 Friedman B H. An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone.  Biological Psychology. 2007;  74 185-199
• 17 Glynn L M, Christenfeld N, Gerin W. The role of rumination in recovery from reactivity: cardiovascular consequences of emotional states.  Psychosomatic Medicine. 2002;  64 714-726
• 18 Greenland P, Daviglus M L, Dyer A R et al. Resting heart rate is a risk factor for cardiovascular and noncardiovascular mortality: the Chicago Heart Association Detection Project in Industry.  American Journal of Epidemiology. 1999;  149 853-862
• 19 Gump B B, Polk D E, Kamarck T W et al. Partner interactions are associated with reduced blood pressure in the natural environment: ambulatory monitoring evidence from a healthy, multiethnic adult sample.  Psychosomatic Medicine. 2001;  63 423-433
• 20 Hemingway H, Shipley M, Brunner E et al. Does autonomic function link social position to coronary risk? The Whitehall II study.  Circulation. 2005;  111 3071-3077
• 21 Heponiemi T, Elovainio M, Pulkki L et al. Cardiac autonomic reactivity and recovery in predicting carotid atherosclerosis: the cardiovascular risk in young Finns study.  Health Psychology. 2007;  26 13-21
• 22 Holt-Lunstad J, Jones B Q, Birmingham W. The influence of close relationships on nocturnal blood pressure dipping.  International Journal of Psychophysiology. 2009;  71 211-217
• 23 Holt-Lunstad J, Uchino B N, Smith T W et al. Social relationships and ambulatory blood pressure: structural and qualitative predictors of cardiovascular function during everyday social interactions.  Health Psychology. 2003;  22 388-397
• 24 Houtveen J H, de Geus E JC. Noninvasive psychophysiological ambulatory recordings: Study design and data analysis strategies.  European Psychologist. 2009;  14 132-141
• 25 Huikuri H V, Mäkikallio T H, Airaksinen K E et al. Power-law relationship of heart rate variability as a predictor of mortality in the elderly.  Circulation. 1998;  97 2031-2036
• 26 Kamarck T W, Muldoon M F, Shiffman S et al. Experiences of demand and control in daily life as correlates of subclinical carotid atherosclerosis in a healthy older sample.  Health Psychology. 2004;  23 24-32
• 27 Kamarck T W, Muldoon M F, Shiffman S S et al. Experiences of demand and control during daily life are predictors of carotid atherosclerotic progression among healthy men.  Health Psychology. 2007;  26 324-332
• 28 Kamarck T W, Schwartz J E, Shiffman S et al. Psychosocial stress and cardiovascular risk: what is the role of daily experience?.  Journal of Personality. 2005;  73 1749-1774
• 29 Leor J, Poole W K, Kloner R A. Sudden cardiac death triggered by an earthquake.  New England Journal of Medicine. 1996;  334 413-419
• 30 Levine H J. Rest heart rate and life expectancy.  Journal of the American College of Cardiology. 1997;  30 1104-1106
• 31 Light K C. Hypertension and the reactivity hypothesis: The next generation.  Psychosomatic Medicine. 2001;  63 744-746
• 32 Lovallo W R. Do low levels of stress reactivity signal poor states of health?.  Biological Psychology. im Druck
• 33 Martens A, Greenberg J, Allen J JB. Self-esteem and autonomic physiology: parallels between self-esteem and cardiac vagal tone as buffers of threat.  Personality and Social Psychology Review. 2008;  12 370-389
• 34 Matthews K A, Woodall K L, Allen M T. Cardiovascular reactivity to stress predicts future blood pressure status.  Hypertension. 1993;  22 479-485
• 35 Matthews K A, Katholi C R, McCreath H et al. Blood pressure reactivity to psychological stress predicts hypertension in the CARDIA study.  Circulation. 2004;  110 74-78
• 36 Myrtek M. Streß und Typ-A-Verhalten, Risikofaktoren der koronaren Herzkrankheit? Eine kritische Bestandsaufnahme.  Psychotherapie Psychosomatik Medizinische Psychologie. 1985;  35 54-61
• 37 Myrtek M. Heart and emotion: Ambulatory monitoring studies in everyday life.. Cambridge, Mass: Hogrefe & Huber; 2004
• 38 Myrtek M, Aschenbrenner E, Brügner G. Emotions in everyday life: an ambulatory monitoring study with female students.  Biological Psychology. 2005;  68 237-255
• 39 Ogawa K, Tsuji I, Shiono K et al. Increased acute myocardial infarction mortality following the 1995 Great Hanshin-Awaji earthquake in Japan.  International Journal of Epidemiology. 2000;  29 449-455
• 40 Palatini P. Heart rate: a strong predictor of mortality in subjects with coronary artery disease.  European Heart Journal. 2005;  26 943-945
• 41 Parati G, Antonicelli R, Guazzarotti F et al. Cardiovascular effects of an earthquake: direct evidence by ambulatory blood pressure monitoring.  Hypertension. 2001;  38 1093-1095
• 42 Petrie K J, Cameron L D, Ellis C J et al. Changing illness perceptions after myocardial infarction: An early intervention randomized controlled trial.  Psychosomatic Medicine. 2002;  64 580-586
• 43 Pieper S, Brosschot J F, van der Leeden R F et al. Prolonged cardiac effects of momentary assessed stressful events and worry episodes.  Psychosomatic Medicine. 2010;  72 570-577
• 44 Porges S W. The polyvagal theory: phylogenetic substrates of a social nervous system.  International Journal of Psychophysiology. 2001;  42 123-146
• 45 Porges S W. The polyvagal perspective.  Biological Psychology. 2007;  74 116-143
• 46 Rosengren A, Hawken S, Ôunpuu S et al. Association of psychosocial risk factors with risk of acute myocardial infarction in 11 119 cases and 13 648 controls from 52 countries (the INTERHEART study): case-control study.  Lancet. 2004;  364 953-962
• 47 Rottenberg J. Cardiac vagal control in depression: a critical analysis.  Biological Psychology. 2007;  74 200-211
• 48 Rozanski A, Blumenthal J A, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy.  Circulation. 1999;  99 2192-2217
• 49 Rutledge T, Hogan B E. A quantitative review of prospective evidence linking psychological factors with hypertension development.  Psychosomatic Medicine. 2002;  64 758-766
• 50 Sandercock G RH, Brodie D A. The role of heart rate variability in prognosis for different modes of death in chronic heart failure.  Pacing and Clinical Electrophysiology. 2006;  29 892-904
• 51 Schwartz A R, Gerin W, Davidson K W et al. Toward a causal model of cardiovascular responses to stress and the development of cardiovascular disease.  Psychosomatic Medicine. 2003;  65 22-35
• 52 Schwerdtfeger A. Predicting autonomic reactivity to public speaking: don’t get fixed on self-report data!.  International Journal of Psychophysiology. 2004;  52 217-224
• 53 Schwerdtfeger A, Friedrich-Mai P. Social interaction moderates the relationship between depressive mood and heart rate variability: evidence from an ambulatory monitoring study.  Health Psychology. 2009;  28 501-509
• 54 Schwerdtfeger A, Konermann L, Schönhofen K. Self-efficacy as a health-protective resource in teachers? A biopsychological approach.  Health Psychology. 2008;  27 358-368
• 55 Segerstrom S C, Nes L S. Heart rate variability reflects self-regulatory strength, effort, and fatigue.  Psychological Science. 2007;  18 275-281
• 56 Siepmann M, Aykac V, Unterdörfer J et al. A pilot study on the effects of heart rate variability biofeedback in patients with depression and in healthy subjects.  Applied Psychophysiology and Biofeedback. 2008;  33 195-201
• 57 Singh B N. Morbidity and mortality in cardiovascular disorders: impact of reduced heart rate.  Journal of Cardiovascular and Pharmacological Therapy. 2001;  6 313-331
• 58 Sinnreich R, Kark J D, Friedlander Y et al. Five minute recordings of heart rate variability for population studies: repeatability and age-sex characteristics.  Heart. 1998;  80 156-162
• 59 Spitzer S B, Llabre M M, Ironson G H et al. The influence of social situations on ambulatory blood pressure.  Psychosomatic Medicine. 1992;  54 79-86
• 60 Stein P K, Barzilay J I, Chaves P HM et al. Novel measures of heart rate variability predict cardiovascular mortality in older adults independent of traditional cardiovascular risk factors: the Cardiovascular Health Study (CHS).  Journal of Cardiovascular Electrophysiology. 2008;  19 1169-1174
• 61 Steptoe A, Wardle J, Marmot M. Positive affect and health-related neuroendocrine, cardiovascular, and inflammatory processes.  Proceeding of the National Academy of Sciences USA. 2005;  102 6508-6512
• 62 Thayer J F, Lane R D. A model of neurovisceral integration in emotion regulation and dysregulation.  Journal of Affective Disorders. 2000;  61 201-216
• 63 Thayer J F, Lane R D. The role of vagal function in the risk for cardiovascular disease and mortality.  Biological Psychology. 2007;  74 224-242
• 64 Troxel W M, Buysse D J, Hall M et al. Social integration, social contacts, and blood pressure dipping in African-Americans and whites.  Journal of Hypertension. 2010;  28 265-271
• 65 Tverdal A, Hjellvik V, Selmer R. Heart rate and mortality from cardiovascular causes: a 12 year follow-up study of 379,843 men and women aged 40–45 years.  European Heart Journal. 2008;  29 2772-2781
• 66 Uchino B N. Social support and health: a review of physiological processes potentially underlying links to disease outcomes.  Journal of Behavioral Medicine. 2006;  29 377-387
• 67 Villareal R P, Liu B C, Massumi A. Heart rate variability and cardiovascular mortality.  Current Atherosclerosis Reports. 2002;  4 120-127
• 68 Wright R A, Kirby L D. Effort determination of cardiovascular response: An integrative analysis with applications in social psychology.. In: Mark P Z Advances in Experimental Social Psychology.. Volume 33. San Diego: Academic Press; 2001: 255-307
• 69 Zanstra Y J, Johnston D W. Cardiovascular reactivity in real life settings: Measurement, mechanisms and meaning.  Biological Psychology. im Druck
• 70 Zucker T L, Samuelson K W, Muench F et al. The effects of respiratory sinus arrhythmia biofeedback on heart rate variability and posttraumatic stress disorder symptoms: a pilot study.  Applied Psychophysiology and Biofeedback. 2009;  34 135-143