What is the role of stress cardiovascular reactivity in health behaviour change? a systematic review, meta-analysis, and research agenda
Name:
author version CVR systematic ...
Embargo:
2021-09-30
Size:
107.0Kb
Format:
Microsoft Word 2007
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.Citation
Cross, A., Naughton, F., & Sheffield, D. (2020). 'What is the role of stress cardiovascular reactivity in health behaviour change? A systematic review, meta-analysis and research agenda'. Psychology & Health, pp. 1-20.Publisher
Taylor and FrancisJournal
psychology and healthDOI
10.1080/08870446.2020.1825714Additional Links
https://www.tandfonline.com/doi/full/10.1080/08870446.2020.1825714Type
ArticleLanguage
enISSN
0887-0446ae974a485f413a2113503eed53cd6c53
10.1080/08870446.2020.1825714
Scopus Count
Collections
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International