What is the role of stress cardiovascular reactivity in health behaviour change? a systematic review, meta-analysis, and research agenda
Journal article
Authors | Cross, Ainslea, Naughton, Felix and Sheffield, David |
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Abstract | The stress reactivity hypothesis posits that the extremes of exaggerated and low or blunted cardiovascular reactivity (CVR) to stress may lead to adverse health outcomes via psychophysiological pathways. A potential indirect pathway between CVR and disease outcomes is through health-related behaviour and behaviour change. However, this is a less well understood pathway. A registered systematic review was undertaken to determine the association between cardiovascular reactivity (CVR) and health behaviour change, as well as identify mediators and moderators. Eight papers that met the inclusion criteria, focused on smoking cessation and weight loss, were identified. Pooling data from studies exploring the prospective relationship between CVR (as systolic blood pressure) and smoking cessation found that exaggerated CVR was associated with smoking relapse (Hedges’ g = 0.39, SE = 0.00, 95% CI 0.38 – 0.40, p < .001; I2 = 0%; N = 257) but did not find evidence that CVR responses were associated with changes in weight. In order to advance our understanding of reactivity as a modifiable determinant of health behaviour change, our review recommends exploring the association between CVR and other health behaviours, to determine the influence of blunted reactivity versus low motivational effort identify mediators and moderators and determine the focus of interventions. |
Keywords | cardiovascular reactivity, reactivity hypothesis, stress, behaviour change, smoking cessation, weight |
Year | 2020 |
Journal | psychology and health |
Publisher | Taylor & Francis |
ISSN | 0887-0446 |
Digital Object Identifier (DOI) | https://doi.org/10.1080/08870446.2020.1825714 |
Web address (URL) | http://hdl.handle.net/10545/625277 |
http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
hdl:10545/625277 | |
Publication dates | 30 Sep 2020 |
Publication process dates | |
Deposited | 23 Oct 2020, 11:18 |
Accepted | 15 Sep 2020 |
Rights | Attribution-NonCommercial-NoDerivatives 4.0 International |
Contributors | University of Derby and University of East Anglia |
File | File Access Level Open |
File | File Access Level Open |
File |
https://repository.derby.ac.uk/item/938yv/what-is-the-role-of-stress-cardiovascular-reactivity-in-health-behaviour-change-a-systematic-review-meta-analysis-and-research-agenda
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