What is the role of stress cardiovascular reactivity in health behaviour change? A systematic review, meta-analysis and research agenda

Cross, Ainslea, Naughton, Felix and Sheffield, David (2021) What is the role of stress cardiovascular reactivity in health behaviour change? A systematic review, meta-analysis and research agenda. Psychology and Health, 36 (9). pp. 1021-1040. ISSN 0887-0446

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Abstract

OBJECTIVE: The stress reactivity hypothesis posits that the extremes of exaggerated and low or blunted cardiovascular reactivity (CVR) to stress may lead to adverse health outcomes via psychophysiological pathways. A potential indirect pathway between CVR and disease outcomes is through health-related behaviour and behaviour change. However, this is a less well understood pathway. Design: A registered systematic review was undertaken to determine the association between cardiovascular reactivity (CVR) and health behaviour change, as well as identify mediators and moderators. Eight papers that met the inclusion criteria, focused on smoking cessation and weight loss, were identified. Results: Pooling data from studies exploring the prospective relationship between CVR (as systolic blood pressure) and smoking cessation found that exaggerated CVR was associated with smoking relapse (Hedges' g = 0.39, SE = 0.00, 95% CI 0.38 - 0.40, p < .001; I2 = 0%; N = 257) but did not find evidence that CVR responses were associated with changes in weight. In order to advance our understanding of reactivity as a modifiable determinant of health behaviour change, our review recommends exploring the association between CVR and other health behaviours, to determine the influence of blunted reactivity versus low motivational effort identify mediators and moderators and determine the focus of interventions.

Item Type: Article
Uncontrolled Keywords: cardiovascular reactivity,behaviour change,reactivity hypothesis,smoking cessation,stress,weight,applied psychology,public health, environmental and occupational health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3200/3202
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 22 Oct 2020 23:59
Last Modified: 19 Oct 2023 02:48
URI: https://ueaeprints.uea.ac.uk/id/eprint/77408
DOI: 10.1080/08870446.2020.1825714

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