Cited by 909Stress Responses and CortisolHeart Rate Variability and Autonomic ControlResilience and Mental Health

The DOI matches its Crossref record; 126 of the 126 references it cites were found in a registry or an index.

Arousal and physiological toughness: implications for mental and physical health

Dienstbier, Richard A.·1989·Psychological Review

Abstract

From W.B. Cannon's identification of adrenaline with "fight or flight" to modern views of stress, negative views of peripheral physiological arousal predominate. Sympathetic nervous system (SNS) arousal is associated with anxiety, neuroticism, the Type A personality, cardiovascular disease, and immune system suppression; illness susceptibility is associated with life events requiring adjustments. "Stress control" has become almost synonymous with arousal reduction. A contrary positive view of peripheral arousal follows from studies of subjects exposed to intermittent stressors. Such exposure leads to low SNS arousal base rates, but to strong and responsive challenge- or stress-induced SNS-adrenal-medullary arousal, with resistance to brain catecholamine depletion and with suppression of pituitary adrenal-cortical responses. That pattern of arousal defines physiological toughness and, in interaction with psychological coping, corresponds with positive performance in even complex tasks, with emotional stability, and with immune system enhancement. The toughness concept suggests an opposition between effective short- and long-term coping, with implications for effective therapies and stress-inoculating life-styles.

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Crossref · 10.1037/0033-295x.96.1.84

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Metadata

Authors
Dienstbier, R. A.
Affiliations
University of Nebraska–Lincoln (US)
Corresponding author
Dienstbier, Richard A.
Venue
Psychological Review
Published
1989
Volume
96
Issue
1
Pages
84-100
ISSN
  • 0033-295X (ISSN-L)
  • 1939-1471
OpenAlex
W2015107972
Cited by
909
References
126
Citations by year
2026: 14 · 2025: 32 · 2024: 18 · 2023: 21 · 2022: 34 · 2021: 36 · 2020: 24 · 2019: 32 · 2018: 40 · 2017: 40 · 2016: 33 · 2015: 31 · 2014: 49 · 2013: 33 · 2012: 33
FWCI
4.90
Type
journal article
Language
en
Open access
closed
Locations
  • Psychological Review (publishedVersion)
  • PubMed (publishedVersion)
  • Lincoln (University of Nebraska) (submittedVersion)
Topics
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
physiological arousal, sympathetic nervous system, stress, stress inoculation training, coping, catecholamines, immune enhancement, emotional stability, performance, cardiovascular disease, anxiety, neuroticism, Type A behavior pattern, stress management
MeSH terms
Adaptation, Psychological, Adrenal Cortex, Adrenal Medulla, Adrenocorticotropic Hormone, Arousal, Disease Susceptibility, Epinephrine, Humans, Hydrocortisone, Norepinephrine, Psychophysiologic Disorders, Sympathetic Nervous System

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