ReviewPsychosomatic medicine2015
Cardiovascular recovery from psychological and physiological challenge and risk for adverse cardiovascular outcomes and all-cause mortality.
Review in Psychosomatic medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic Status and Cardiovascular Responses to Standardized Stressors: A Systematic Review and Meta-Analysis.Psychosomatic medicine · 2018Pooled it
- The Effects of Heart Rate Variability (HRV) Biofeedback on HRV Reactivity and Recovery During and After Anger Recall Task for Patients with Coronary Artery Disease.Applied psychophysiology and biofeedback · 2022Trial
- Angiotensin II receptor blocker attenuates stress pressor response in young adult African Americans.Journal of clinical hypertension (Greenwich, Conn.) · 2019Trial
- Examination of positive states of mind and heart rate variability: Stress appraisals as a mechanism in trauma-exposed adults.Psychoneuroendocrinology · 2025Article
- Contribution of physiological dynamics in predicting major depressive disorder severity.Psychophysiology · 2025Article
- Purpose in Life and Stress Reactivity.Methods in molecular biology (Clifton, N.J.) · 2025Article
- Energy availability modulates regional blood flow via estrogen-independent pathways in regularly menstruating young women.European journal of applied physiology · 2024Article
- Language Preference and its Moderating Role in Coping with Stress: The Hispanic Community Health Study/Study of Latinos.Medical research archives · 2023Article
- Autonomic nervous system flexibility for understanding brain aging.Ageing research reviews · 2023Review
- Associations between locus coeruleus MRI contrast and physiological responses to acute stress in younger and older adults.Brain research · 2022Article
- Advancing the Study of Resilience to Daily Stressors.Perspectives on psychological science : a journal of the Association for Psychological Science · 2022Review
- Cardiovascular reactivity, stress, and personal emotional salience: Choose your tasks carefully.Psychophysiology · 2022Article
- Internalized Shame and Social Stress-Induced Blood Pressure Patterns among Young Black Women.Ethnicity & disease · 2021Article
- Efficacy of internet-delivered cognitive behavioural therapy following an acute coronary event: A randomized controlled trial.Internet interventions · 2020Article
- Reactivity of salivary uric acid in response to social evaluative stress in African Americans.Biological psychology · 2020Article
- Salivary uric acid: Associations with resting and reactive blood pressure response to social evaluative stress in healthy African Americans.Psychoneuroendocrinology · 2019Article
- Socioeconomic status and central adiposity as determinants of stress-related biological responses relevant to cardiovascular disease risk.Brain, behavior, and immunity · 2019Article
- Distinct effects of early-life experience and trait aggression on cardiovascular reactivity and recovery.Physiology & behavior · 2019Article
- Blood pressure recovery to social stress in parentally bereaved and non-bereaved youths.Journal of psychosomatic research · 2018Article
- A Preliminary Study of the Relationship between Perceived Racism and Cardiovascular Reactivity and Recovery in Native Hawaiians.Journal of racial and ethnic health disparities · 2018Article
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4 authors.
Funding
Abstract
objectiveExaggerated cardiovascular (CV) reactivity to laboratory challenge has been shown to predict future CV morbidity and mortality. CV recovery has been less studied and has yielded inconsistent findings, possibly due to the presence of moderators. Reviews on the relationship between CV recovery and CV outcomes have been limited to cross-sectional studies and have not considered methodological factors. We performed a comprehensive meta-analytic review of the prospective literature investigating CV recovery to physical and psychological challenge and adverse CV outcomes.
methodsWe searched PsycINFO and PubMed for prospective studies investigating the relationship between CV recovery and adverse CV outcomes. Studies were coded for variables of interest and for effect sizes. We conducted a random-effects weighted meta-analysis. Moderators were examined with analysis of variance-analog and meta-regression analyses.
resultsThirty-seven studies met the inclusion criteria (n = 125,386). Impaired recovery from a challenge predicted adverse CV outcomes (summary effect, r = 0.17, p < .001). Physical challenge was associated with larger predictive effects than psychological challenge. Moderator analyses revealed that recovery measured at 1 minute postexercise, passive recovery, use of mortality as an outcome measure, and older sample age were associated with larger effects.
conclusionsPoor recovery from laboratory challenges predicts adverse CV outcomes, with recovery from exercise serving as a particularly strong predictor of CV outcomes. The overall effect size for recovery and CV outcomes is similar to that observed for CV reactivity and suggests that the study of recovery may have incremental value for understanding adverse CV outcomes.
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