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dc.contributor.authorCross, Ainslea
dc.contributor.authorNaughton, Felix
dc.contributor.authorSheffield, David
dc.date.accessioned2020-10-23T11:18:06Z
dc.date.available2020-10-23T11:18:06Z
dc.date.issued2020-09-30
dc.identifier.citationCross, 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.en_US
dc.identifier.issn0887-0446
dc.identifier.doi10.1080/08870446.2020.1825714
dc.identifier.urihttp://hdl.handle.net/10545/625277
dc.description.abstractThe 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.en_US
dc.description.sponsorshipN/Aen_US
dc.language.isoenen_US
dc.publisherTaylor and Francisen_US
dc.relation.urlhttps://www.tandfonline.com/doi/full/10.1080/08870446.2020.1825714en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectcardiovascular reactivity, reactivity hypothesis, stress, behaviour change, smoking cessation, weighten_US
dc.titleWhat is the role of stress cardiovascular reactivity in health behaviour change? a systematic review, meta-analysis, and research agendaen_US
dc.typeArticleen_US
dc.contributor.departmentUniversity of Derbyen_US
dc.contributor.departmentUniversity of East Angliaen_US
dc.identifier.journalpsychology and healthen_US
dcterms.dateAccepted2020-09-15
dc.author.detail783835en_US


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