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A Meta-Analytic Examination of Basal Cardiovascular Activity in Posttraumatic Stress Disorder
Abstract
Objective The objective of this meta-analytic study was to determine whether individuals with posttraumatic stress disorder (PTSD) have higher levels of basal cardiovascular activity relative to comparable groups of individuals without PTSD. Methods Meta-analytic data methods were applied to 34 studies that gathered indicators of basal cardiovascular activity including: heart rate (HR), systolic blood pressure, and diastolic blood pressure on subjects diagnosed with PTSD and two types of comparison groups. In total, cardiovascular measures were analyzed for 2670 subjects across all studies. Results Results indicate that individuals with a current PTSD diagnosis have higher resting HR relative to both trauma-exposed individuals without a PTSD diagnosis and non-trauma-exposed individuals. The results also suggest that PTSD is associated with elevations in blood pressure; however, the effect sizes were smaller in magnitude than those obtained for heart rate. A subset analysis revealed that the effect sizes for comparisons on basal HR were greatest in studies with the most chronic PTSD samples. Conclusion The meta-analysis supports previous qualitative reviews, finding a positive association between PTSD and basal cardiovascular activity. The discussion addresses possible mechanisms of action and the health-related implications of these findings.
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“Numerous studies have also linked PTSD to elevations in traditional CVD risk factors 23-27”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [23]
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“It is likely that these cardiovascular responses to trauma cues are mediated by the sympathetic branch of the autonomic nervous system, because individuals diagnosed with PTSD show elevated catecholamine levels, relative to comparison subjects without PTSD, after exposure to stressors (15, 16).”
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Metadata
- Authors
- Buckley, T. C., & Kaloupek, D. G.
- Affiliations
- Boston University (US)
- ORCID
- Kaloupek, Danny G.
- Venue
- Psychosomatic Medicine
- Published
- 2001-07
- Volume
- 63
- Issue
- 4
- Pages
- 585-594
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2097383944
- Cited by
- 288
- References
- 9
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 6 · 2023: 10 · 2022: 7 · 2021: 13 · 2020: 14 · 2019: 15 · 2018: 7 · 2017: 10 · 2016: 20 · 2015: 12 · 2014: 11 · 2013: 22 · 2012: 17
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- 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
- Keywords
- post-traumatic stress disorder, resting heart rate, blood pressure, systolic blood pressure, diastolic blood pressure, trauma exposure, chronic PTSD, autonomic nervous system, cardiovascular reactivity
- MeSH terms
- Arousal, Blood Pressure, Cardiovascular System, Heart Rate, Humans, Stress Disorders, Post-Traumatic
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