Cumulative stress and autonomic dysregulation in a community sample
Open accessAbstract
Whether cumulative stress, including both chronic stress and adverse life events, is associated with decreased heart rate variability (HRV), a non-invasive measure of autonomic status which predicts poor cardiovascular outcomes, is unknown. Healthy community dwelling volunteers (N = 157, mean age 29 years) participated in the Cumulative Stress/Adversity Interview (CAI), a 140-item event interview measuring cumulative adversity including major life events, life trauma, recent life events and chronic stressors, and underwent 24-h ambulatory ECG monitoring. HRV was analyzed in the frequency domain and standard deviation of NN intervals (SDNN) calculated. Initial simple regression analyses revealed that total cumulative stress score, chronic stressors and cumulative adverse life events (CALE) were all inversely associated with ultra low-frequency (ULF), very low-frequency (VLF) and low-frequency (LF) power and SDNN (all p < 0.05). In hierarchical regression analyses, total cumulative stress and chronic stress each was significantly associated with SDNN and ULF even after the highly significant contributions of age and sex, with no other covariates accounting for additional appreciable variance. For VLF and LF, both total cumulative stress and chronic stress significantly contributed to the variance alone but were not longer significant after adjusting for race and health behaviors. In summary, total cumulative stress, and its components of adverse life events and chronic stress were associated with decreased cardiac autonomic function as measured by HRV. Findings suggest one potential mechanism by which stress may exert adverse effects on mortality in healthy individuals. Primary preventive strategies including stress management may prove beneficial.
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Despite limitations of retrospective measures, studies relying on retrospective reports of cumulative life stress have shown that lifetime stressor exposure negatively affects health-related processes and outcomes, including autonomic nervous system activity, systemic inflammatory activity, brain structure and function, rates of alcohol use, and physical and mental health status.
“Despite the limitations of retrospective measures of historical life stress exposure, studies relying on retrospective reports of cumulative life stress have been illuminating in showing that lifetime stressor exposure negatively affects health-related processes and outcomes, including autonomic nervous system activity (Lampert et al., 2016), systemic inflammatory activity (O’Donovan et al., 2012a”
From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Lampert et al., 2016
The Discussion (page not provided) reports that greater cumulative stress was associated with reduced heart-rate variability, a measure of cardiac autonomic function. It also says the cross-sectional study cannot establish causality, so the claim that stressor exposure negatively affects autonomic activity is stronger than the finding supports. This citation is attached to autonomic activity, not the other outcomes listed. (LLM, conf=0.85)
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More than a feeling: A unified view of stress measurement for population science
Epel, E. S., Crosswell, A. D., Mayer, S. E., Prather, A. A., Slavich, G. M., Puterman, E., & Mendes, W. B. (2018) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2018.03.001 · Cited by 1,077 · see citing works
“Despite the limitations of retrospective measures of historical life stress exposure, studies relying on retrospective reports of cumulative life stress have been illuminating in showing that lifetime stressor exposure negatively affects health-related processes and outcomes, including autonomic nervous system activit…”
BackgroundPsychosocial stress and cardiovascular disease
Dar, T., Radfar, A., Abohashem, S., Pitman, R. K., Tawakol, A., & Osborne, M. T. (2019) · Current Treatment Options in Cardiovascular Medicine · doi:10.1007/s11936-019-0724-5 · Cited by 248 · see citing works
- Authors
- Lampert, R., Tuit, K., Hong, K.-I., Donovan, T., Lee, F., & Sinha, R.
- Affiliations
- Yale University (US)
- Corresponding author
- Lampert, Rachel
- Venue
- Stress
- Publisher
- Informa UK Limited
- Published
- 2016-04-25
- Volume
- 19
- Issue
- 3
- Pages
- 269-279
- ISSN
- 1025-3890 (ISSN-L)
- 1607-8888
- PMC
- PMC5072401
- OpenAlex
- W2345203854
- Cited by
- 51
- References
- 83
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 1 · 2020: 9 · 2019: 5 · 2018: 3 · 2017: 4 · 2016: 1
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Stress (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (PL1-DA02485 9)
- National Institute on Drug Abuse (PL1DA024859)
- National Institute of Dental and Craniofacial Research (UL1DE019586)
- National Center for Research Resources
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- cumulative stress, chronic stress, life events, heart rate variability, cardiac autonomic function, autonomic dysfunction, cardiovascular risk, low-frequency power, stress management, primary prevention
- MeSH terms
- Adolescent, Adult, Autonomic Nervous System, Cardiovascular System, Female, Heart Rate, Humans, Life Change Events, Male, Middle Aged, Stress, Psychological, Electrocardiography, Ambulatory, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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