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Cardiovascular Response to Psychosocial Repeated Stress in Caregivers of Offspring with Schizophrenia

Published online by Cambridge University Press:  29 May 2013

Esperanza González-Bono*
Affiliation:
Universitat de València (Spain)
Sara de Andrés-Garcia
Affiliation:
Universitat de València (Spain)
Ángel Romero-Martínez
Affiliation:
Universitat de València (Spain)
Luis Moya-Albiol
Affiliation:
Universitat de València (Spain)
*
*Correspondence concerning this article should be addressed to Esperanza Gonzalez-Bono. Department of Psychobiology, Facultad de Psicología, Universitat de València. Avda. Blasco Ibáñez, 21. 46010 Valencia (Spain). Phone: +34-963864474. Fax: +34-963864668. E-mail: [email protected]

Abstract

Taking care of offspring suffering a long-term illness such as schizophrenia is one of the more stressful life experiences. Care conditions may act as a protective factor in the health of the caregiver. The present study assesses heart rate (HR), blood pressure (BP), and mood responses to psychosocial stress in 16 mothers receiving specialised support for the care of their offspring (CARE+) and in 11 mothers caring for their offspring without support (CARE−). The CARE− group take care of less functional and more symptomatic offspring; and display higher basal, but lower HR, responses after stress than the CARE+ group. No significant group effects were found for BP. For mood states, there were significant decreases in the anger subscale in the CARE− group that were not found in the CARE+ group. HR was related to active and passive coping styles, trait anxiety, and years spent providing care. In the total sample, other significant relationships between cardiovascular responses and life events and personality traits have been found. In sum, the data suggests that specialised support for patients may modulate cardiovascular responses to repeated stress in caregivers.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2013 

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Footnotes

This study was supported by the Departamento de Comercio, Ciencia e Investigación de la Generalitat Valenciana (GV06/382, and PROMETEO2011/048) and by the Servicio de Investigación de la Universidad de Valencia (UV-INV-AE11-41173). All authors declare that there are no conflicts of interest.

References

Baikie, K. A., & Wilhelm, K. (2005). Emotional and physical health benefits of expressive writing. Advances in Psychiatric Treatment, 11, 338346. http://dx.doi.org/10.1192/apt.11.5.338 Google Scholar
Bobes, J., Portilla, M. P., Bascaran, M. T., Saiz, P. A., & Bousoño, M. (2002). Escala de Evaluación de la Actividad Global [Global Activity Evaluation Scale]. In Banco de instrumentos básicos para la práctica de psiquiatría clínica. Madrid, Spain: Psiquiatría Editores.Google Scholar
Cacioppo, J. T., Burleson, M. H., Poehlmann, K. M., Malarkey, W. B., Kiecolt-Glaser, J. K., Berntson, G. G., … & Glaser, R. (2000). Autonomic and neuroendocrine responses to mild psychological stressors: Effects of chronic stress on older women. Annals of Behavioral Medicine, 22, 140148. http://dx.doi.org/10.1007/BF02895778 CrossRefGoogle ScholarPubMed
Carroll, D., Phillips, A. C., Ring, C., Der, G., & Hunt, K. (2005). Life events and hemodynamic stress reactivity in the middle-aged and elderly. Psychophysiology, 42, 269276. http://dx.doi.org/10.1111/j.1469-8986.2005.00282.x Google Scholar
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267283. http://dx.doi.org/10.1037/0022-3514.56.2.267 CrossRefGoogle ScholarPubMed
Castro, M. N., Vigo, D. E., Chu, E. M., Fahrer, R. D., de Achával, D., Costanzo, E. Y., ... & Guinjoan, S. M. (2009). Heart rate variability response to mental arithmetic stress is abnormal in first-degree relatives of individuals with schizophrenia. Schizophrenia Research, 109, 134140. http://dx.doi.org/10.1016/j.schres.2008.12.026 Google Scholar
Chida, Y., & Steptoe, A. (2010). Greater cardiovascular responses to laboratory mental stress are associated with subsequent cardiovascular risk status. A meta-analysis of prospective evidence. Hypertension, 55, 10261032. http://dx.doi.org/10.1161/HYPERTENSIONAHA.109.146621 Google Scholar
Chida, Y., & Hamer, M. (2008). Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: A quantitative review of 30 years of investigations. Psychological Bulletin, 134, 829885. http://dx.doi.org/10.1037/a0013342 CrossRefGoogle ScholarPubMed
Ehrenthal, J. C., Herrmann-Lingen, C., Fey, M., & Schauenburg, H. (2010). Altered cardiovascular adaptability in depressed patients without heart disease. World Journal of Biological Psychiatry, 11, 586593. http://dx.doi.org/10.3109/15622970903397714 Google Scholar
Fernandez, J. L., & Mielgo, M. (2001). EAE. Escalas de Apreciación del Estrés [Perceived Stress Scale] . Madrid, Spain: TEA Ediciones.Google Scholar
González-Bono, E., Moya-Albiol, L., Salvador, A., Carrillo, E., Ricarte, J., & Gomez-Amor, J. (2002). Anticipatory autonomic response to public speaking task in women: The role of trait anxiety. Biological Psychology, 60, 3749. http://dx.doi.org/10.1016/S0301-0511(02)00008-X Google Scholar
González-Bono, E., Rohleder, N.; Hellhammer, D. H., Salvador, A., & Kirschbaum, C. (2002). Glucose but not protein or fat load amplifies the cortisol response to psychosocial stress. Hormones and Behavior, 41, 328333. http://dx.doi.org/10.1006/hbeh.2002.1766 Google Scholar
González-Bono, E., De Andres-Garcia, S., & Moya-Albiol, L. (2011). The cortisol awakening response in caregivers of schizophrenic offspring shows sensitivity to patient status. Anxiety, Stress and Coping, 24, 107120. http://dx.doi.org/10.1080/10615806.2010.481792 Google Scholar
Halaris, A. (2009). Comorbidity between depression and cardiovascular disease. International Angiology, 28, 9299.Google Scholar
Hayashi, N., Someya, N., Maruyama, T., Hirooka, Y., Endo, M. Y., & Fukuba, Y. (2009). Vascular responses to fear-induced stress in humans. Physiology & Behavior, 98, 441446. http://dx.doi.org/10.1016/j.physbeh.2009.07.008 Google Scholar
Horwitz, S., Yogo, J., Juma, E., & Ice, G. H. (2009). Caregiving and cardiovascular disease risk factors in male and female Luo elders from Kenya. Annals of Human Biology, 36, 400410. http://dx.doi.org/10.1080/03014460902845720 Google Scholar
Jerusalem, M., & Schwarzer, R. (1992). Self-efficacy as a resource factor in stress appraisal processes. In Schwarzer, R. (Ed.), Self-efficacy: Thought control of action (pp. 195213). Washington, DC: Hemisphere.Google Scholar
Kay, S. R., Fizben, A., & Opler, A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenic Bulletin, 13, 261–76.CrossRefGoogle ScholarPubMed
Kirschbaum, C., Pirke, K. M., & Hellhammer, D. H. (1993). The Trier Social Stress Test - a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28, 7681. http://dx.doi.org/10.1159/000119004 CrossRefGoogle Scholar
Klumpers, U. M., Tulen, J. H., Timmerman, L., Fekkes, D., Loonen, A. J., & Boomsma, F. (2004). Responsivity to stress in chronic posttraumatic stress disorder due to childhood sexual abuse. Psychological Report, 94, 408410. http://dx.doi.org/10.2466/pr0.94.2.408-410 Google Scholar
Low, C. A., Salomon, K., & Matthews, K. A. (2009). Chronic life stress, cardiovascular reactivity, and subclinical cardiovascular disease in adolescents. Psychosomatic Medicine, 71, 927931. http://dx.doi.org/10.1097/PSY.0b013e3181ba18ed Google Scholar
Lucini, D., Cannone, V., Malacarne, M., Bruno, D., Beltrami, S., Pizzinelli, ... & Pagani, M. (2008). Evidence of autonomic dysregulation in otherwise healthy cancer caregivers: A possible link with health hazard. European Journal of Cancer, 44, 24372443. http://dx.doi.org/10.1016/j.ejca.2008.08.006 Google Scholar
McNair, D. M., Lorr, M., & Droppleman, L. F. (1971). How to use the Profile of Mood States (POMS) in clinical evaluations. San Diego, CA: Educational and Industrial Testing Service.Google Scholar
McTeague, L. M., Lang, P. J., Laplante, M. C., Cuthbert, B. N., Shumen, J. R., & Bradley, M. M. (2009). Aversive imagery in posttraumatic stress disorder: Trauma recurrence, comorbidity, and physiological reactivity. Biological Psychiatry, 67, 346356. http://dx.doi.org/10.1016/j.biopsych.2009.08.023 Google Scholar
Monin, J. K., Schulz, R., Martire, L. M., Jennings, J. R., Lingler, J. H., & Greenberg, M. S. (2010). Spouses’ cardiovascular reactivity to their partners’ suffering. Journal of Gerontology: Psychological Sciences, 65, 195201. http://dx.doi.org/10.1093/geronb/gbp133 CrossRefGoogle Scholar
Moya-Albiol, L., Salvador, A., Costa, R., Martínez-Sanchis, S., González-Bono, E., Ricarte, J., & Arnedo, M. (2001). Psychophysiological responses to the Stroop Task after a maximal cycle ergometry in elite sportsmen and physically active subjects. International Journal of Psychophysiology, 40, 4759. http://dx.doi.org/10.1016/S0167-8760(00)00125-2 CrossRefGoogle Scholar
Moya-Albiol, L., Salvador, A., Costa, R., Martinez-Sanchis, S., & González-Bono, E. (2003). Psychophysiological responses to acute stress in two groups of healthy women differing in fitness. Psicothema, 15, 563568.Google Scholar
Onder, G., Finne-Soveri, H., Soldato, M., Liperoti, R., Lattanzio, F., Bernabei, R., & Landi, F. (2009). Distress of caregivers of older adults receiving home care in European countries: Results from the aged in home care study. American Journal of Geriatric Psychiatry, 17, 899906. http://dx.doi.org/10.1097/JGP.0b013e3181b4beef Google Scholar
Phillips, A. C., Carroll, D., Ring, C., Sweeting, H., & West, P. (2005). Life events and acute cardiovascular reactions to mental stress: A cohort study. Psychosomatic Medicine, 67, 384392. http://dx.doi.org/10.1097/01.psy.0000160464.63264.5d Google Scholar
Phillips, A. C., Der, G., & Carroll, D. (2009). Self-reported health and cardiovascular reactions to psychological stress in a large community sample: Cross-sectional and prospective associations. Psychophysiology, 46, 10201027. http://dx.doi.org/10.1111/j.1469-8986.2009.00843.x Google Scholar
Phillips, A. C., Hunt, K., Der, G., & Carroll, D. (2011). Blunted cardiac reactions to acute psychological stress predict symptoms of depression five years later: Evidence from a large community study. Psychophysiology, 48, 142148. http://dx.doi.org/10.1111/j.1469-8986.2010.01045.x Google Scholar
Pico-Alfonso, M. A., Mastorci, F., Ceresini, G., Ceda, G. P., Manghi, M., Pino, O., … Sgoifo, A. (2007). Acute psychosocial challenge and cardiac autonomic response in women: The role of estrogens, corticosteroids, and behavioral coping styles. Psychoneuroendocrinology, 32, 451463. http://dx.doi.org/10.1016/j.psyneuen.2007.02.009 CrossRefGoogle ScholarPubMed
Rabe, S., Dörfel, D., Zöllner, T., Maercker, A., & Karl, A. (2006). Cardiovascular correlates of motor vehicle accident related posttraumatic stress disorder and its successful treatment. Applied Psychophysiology & Biofeedback, 31, 315330. http://dx.doi.org/10.1007/s10484-006-9027-1 CrossRefGoogle ScholarPubMed
Salomon, K., Clift, A., Karlsdóttir, M., & Rottenberg, J. (2009). Major depressive disorder is associated with attenuated cardiovascular reactivity and impaired recovery among those free of cardiovascular disease. Health Psychology, 28, 157165. http://dx.doi.org/10.1037/a0013001 Google Scholar
Sandin, B., & Chorot, P. (1995). Escala de Síntomas Somáticos-Revisada (ESS-R) [Revised Somatic Symptoms Scale, SSS-R] . Madrid, Spain: Universidad Nacional de Educación a Distancia (UNED).Google Scholar
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1982). Cuestionario de Ansiedad Estado-Rasgo [State-Trait Anxiety Inventory, STAI] . Madrid, Spain: TEA Ediciones.Google Scholar
Tucker, P., Jeon-Slaughter, H., Pfefferbaum, B., Khan, Q., & Davis, N. J. (2010). Emotional and biological stress measures in Katrina survivors relocated to Oklahoma. American Journal of Disaster Medicine, 5, 113125. http://dx.doi.org/10.5055/ajdm.2010.0013 CrossRefGoogle ScholarPubMed
von Känel, R., Mausbach, B. T., Patterson, T. L., Dimsdale, J. E., Aschbacher, K., Mills, P. J., ... Grant, I. (2008). Increased Framingham Coronary Heart Disease Risk Score in dementia caregivers relative to non-caregiving controls. Gerontology, 54, 131137. http://dx.doi.org/10.1159/000113649 Google Scholar
York, K. M., Hassan, M., Li, Q., Li, H., Fillingim, R. B., & Sheps, D. S. (2007). Coronary artery disease and depression: Patients with more depressive symptoms have lower cardiovascular reactivity during laboratory-induced mental stress. Psychosomatic Medicine, 69, 521528. http://dx.doi.org/10.1097/PSY.0b013e3180cc2601 CrossRefGoogle ScholarPubMed
Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The gerontologist, 20, 649655. http://dx.doi.org/10.1093/geront/20.6.649 Google Scholar