TY - JOUR
T1 - The association between self-reported stress and cardiovascular measures in daily life
T2 - A systematic review
AU - Vaessen, Thomas
AU - Rintala, Aki
AU - Otsabryk, Natalya
AU - Viechtbauer, Wolfgang
AU - Wampers, Martien
AU - Claes, Stephan
AU - Myin-Germeys, Inez
N1 - Funding Information:
Funding: This study was supported by the Remote Assessment of Disease and Relapse – Central Nervous System (RADAR-CNS) research programme from the Innovative Medicines Initiative 2 Joint Undertaking under a grant agreement number 115902. This Joint Undertaking receives support from the European Union’s Horizon 2020 research and innovation programme and the European Federation of Pharmaceutical Industries and Associations (EFPIA). Inez Myin-Germeys and Thomas Vaessen were funded by the Fonds voor Wetenschappelijk Onderzoek (FWO) Odysseus grant (GOF8416N). Thomas Vaessen was supported by a FWO postdoc grant (1243620N) and by a Horizon 2020 grant (ZL384206-MOODSTRATIFICATION).
Publisher Copyright:
Copyright: © 2021 Vaessen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2021/11/19
Y1 - 2021/11/19
N2 - BACKGROUND: Stress plays an important role in the development of mental illness, and an increasing number of studies is trying to detect moments of perceived stress in everyday life based on physiological data gathered using ambulatory devices. However, based on laboratory studies, there is only modest evidence for a relationship between self-reported stress and physiological ambulatory measures. This descriptive systematic review evaluates the evidence for studies investigating an association between self-reported stress and physiological measures under daily life conditions.METHODS: Three databases were searched for articles assessing an association between self-reported stress and cardiovascular and skin conductance measures simultaneously over the course of at least a day.RESULTS: We reviewed findings of 36 studies investigating an association between self-reported stress and cardiovascular measures with overall 135 analyses of associations between self-reported stress and cardiovascular measures. Overall, 35% of all analyses showed a significant or marginally significant association in the expected direction. The most consistent results were found for perceived stress, high-arousal negative affect scales, and event-related self-reported stress measures, and for frequency-domain heart rate variability physiological measures. There was much heterogeneity in measures and methods.CONCLUSION: These findings confirm that daily-life stress-dynamics are complex and require a better understanding. Choices in design and measurement seem to play a role. We provide some guidance for future studies.
AB - BACKGROUND: Stress plays an important role in the development of mental illness, and an increasing number of studies is trying to detect moments of perceived stress in everyday life based on physiological data gathered using ambulatory devices. However, based on laboratory studies, there is only modest evidence for a relationship between self-reported stress and physiological ambulatory measures. This descriptive systematic review evaluates the evidence for studies investigating an association between self-reported stress and physiological measures under daily life conditions.METHODS: Three databases were searched for articles assessing an association between self-reported stress and cardiovascular and skin conductance measures simultaneously over the course of at least a day.RESULTS: We reviewed findings of 36 studies investigating an association between self-reported stress and cardiovascular measures with overall 135 analyses of associations between self-reported stress and cardiovascular measures. Overall, 35% of all analyses showed a significant or marginally significant association in the expected direction. The most consistent results were found for perceived stress, high-arousal negative affect scales, and event-related self-reported stress measures, and for frequency-domain heart rate variability physiological measures. There was much heterogeneity in measures and methods.CONCLUSION: These findings confirm that daily-life stress-dynamics are complex and require a better understanding. Choices in design and measurement seem to play a role. We provide some guidance for future studies.
KW - Cardiovascular Diseases/physiopathology
KW - Data Management
KW - Humans
KW - Mental Disorders/physiopathology
KW - Stress, Psychological
KW - EVERYDAY LIFE
KW - WITHIN-PERSON
KW - CHILDHOOD TRAUMA
KW - BETWEEN-PERSON
KW - HEART-RATE-VARIABILITY
KW - SOCIAL-EVALUATIVE THREAT
KW - PSYCHOSOCIAL STRESS
KW - AMBULATORY BLOOD-PRESSURE
KW - EMOTIONAL REACTIVITY
KW - REAL-TIME
U2 - 10.1371/journal.pone.0259557
DO - 10.1371/journal.pone.0259557
M3 - (Systematic) Review article
C2 - 34797835
SN - 1932-6203
VL - 16
JO - PLOS ONE
JF - PLOS ONE
IS - 11
M1 - e0259557
ER -