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Meta-analyses of cardiovascular reactivity to rumination: A possible mechanism linking depression and hostility to cardiovascular disease.
Abstract
Rumination is a way of cognitive coping associated with depression and hostility that prolongs cardiovascular responses to stress. If repeated over time, the associated autonomic dysregulation may be 1 mechanism linking depression and hostility to cardiovascular disease. The current meta-analyses investigate the magnitude of cardiovascular responses (heart rate, diastolic blood pressure, and systolic blood pressure) to induced state sadness and angry rumination which are associated with depression and hostility, respectively. A literature search identified 43 studies (3,348 participants) meeting inclusion criteria. A random effects model was applied to calculate cardiovascular reactivity weighted effect sizes during induced sadness and angry rumination. Large and significant effect sizes were found for all analyses, with the standardized mean statistic, d, for single group designs ranging from .75 to 1.39. Results suggest that angry rumination may have larger cardiovascular effects than sadness rumination, and that rumination likely affects blood pressure more than heart rate. Potential implications of this relationship are discussed in light of limitations of the current study and existing rumination research. (PsycINFO Database Record
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Induction of angry rumination is associated with increases in cardiovascular reactivity as measured by heart rate, diastolic blood pressure, and systolic blood pressure.
“A meta-analysis found that induction of angry rumination was associated with increases in cardiovascular reactivity as measured by heart rate, diastolic blood pressure, and systolic blood pressure. 31”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [31]
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Chronic activation of a negative engram induces behavioral and cellular abnormalitiesPreprint
Jellinger, A. L., Suthard, R. L., Yuan, B., Surets, M., Ruesch, E. A., Caban, A. J., Liu, X. S., Shpokayte, M., & Ramirez, S. (2024) · eLife · doi:10.7554/elife.96281.2
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Xu, M., & Chen, S. (2026) · Behavioral Sciences · doi:10.3390/bs16081266
Metadata
- Authors
- Busch, L. Y., Pössel, P., & Valentine, J. C.
- Affiliations
- University of Louisville (US)
- Venue
- Psychological Bulletin
- Published
- 2017-12
- Volume
- 143
- Issue
- 12
- Pages
- 1378-1394
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- OpenAlex
- W2763609971
- Cited by
- 68
- References
- 0
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 13 · 2023: 8 · 2022: 6 · 2021: 13 · 2020: 7 · 2019: 7 · 2018: 2 · 2017: 1
- FWCI
- 6.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- rumination, cardiovascular reactivity, depression, hostility, cardiovascular disease, heart rate, blood pressure, angry rumination, autonomic dysfunction, stress response, cognitive coping
- MeSH terms
- Rumination, Cognitive, Anger, Cardiovascular Diseases, Depression, Humans, Stress, Psychological
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