Evidence map›Paper›PMID 33010599›Full record

ArticlePsychoneuroendocrinology2020

An experimental examination of worry and relaxation on cardiovascular, endocrine, and inflammatory processes.

Megan E Renna, Michael A Hoyt, Cristina Ottaviani, Douglas S Mennin

Open access · bronzeAbstract read
In one paragraph

Article in Psychoneuroendocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Association Between Phasic Vagal-Mediated Heart Rate Variability and Momentary Exhaustion in Daily Life.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Moving toward affective immunology: Legacy and future directions.Comprehensive psychoneuroendocrinology · 2024
    Article
  7. Review
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Megan E RennaThe Comprehensive Cancer Center, Ohio State University College of Medicine, Columbus, OH, USA; The Institute for Behavioral Medicine Research, Ohio State University College of Medicine, Columbus, OH, USA. Electronic address: Megan.Renna@osumc.edu.
Michael A HoytUniversity of California Irvine, Irvine, CA, USA.
Cristina OttavianiDepartment of Psychology, Sapienza University of Rome, Rome, Italy; Neuroimaging Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy.
Douglas S MenninTeachers College, Columbia University, New York, NY, USA.
Columbia University · USSapienza University of Rome · ITThe Ohio State University · USUniversity of California, Irvine · US

Funding

Training Program For Cancer Prevention and ControlT32CA229114 · NCI · OHIO STATE UNIVERSITY · PI Chyke Abadama Doubeni, Peter G. Shields · 2018 to 2026
$2.0M
Emotion-Regulation, Inflammatory Processes, and Depression in Prostate Cancer SurSC1CA187494 · NCI · HUNTER COLLEGE · PI HOYT, MICHAEL A · 2014 to 2017
$1.6M
NCI NIH HHS SC1 CA187494NCI NIH HHS T32 CA229114
6 · The paper itself

Abstract

backgroundWorry increases risk for long-term health issues by prolonging the physiological stress response. In contrast, relaxation may ameliorate the psychological and physiological burden resulting from worry. This study examined the impact of experimentally induced worry and relaxation on cortisol, heart rate variability (HRV), and inflammation.

methodParticipants (N = 80) completed both a worry and relaxation induction (presented in a fixed order) while HRV was collected continuously. Three blood samples were taken (at baseline, after the worry induction, and after the relaxation induction) to measure IL-6, IFN-γ, TNF-α and serum cortisol.

resultsThere were significant changes in IL-6 (p < 0.001), IFN-γ (p < 0.01), HRV (p < .001), and cortisol (p <  .001) but not in TNF-α (p = 0.65) across conditions. HRV decreased significantly from baseline to worry and then increased following relaxation. IL-6 was higher during relaxation compared to worry and baseline. Cortisol decreased significantly across conditions. Several patterns of covariance between inflammation and HRV and/or cortisol also emerged.

conclusionsThese findings offer novel insight into how worry influences the immune system and emphasize the utility of a multi-methods approach to understanding the impact of worry on physical health.

Indexed as

AdultAnxietyCardiovascular SystemEndocrine SystemFemaleHeart RateHumansHydrocortisoneInflammationMaleRelaxationSalivaStress, PhysiologicalStress, PsychologicalHydrocortisoneCortisolHeart rate variabilityInflammationPerseverationWorry

Identifiers

PMID33010599
PMCPMC7849652
OpenAlexW3090892304

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.