The Moderating Role of Coping Style on Chronic Stress Exposure and Cardiovascular Reactivity Among African American Emerging Adults

Cavanagh, Lucia; Obasi, Ezemenari M.

doi:10.1007/s11121-020-01141-3

Cited by 20 publications

(18 citation statements)

References 61 publications

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“…Finally, avoidant coping was a unique predictor of lower SBP and DBP during stress and lower SBP during recovery, likely reflecting disengagement from the stress tasks. These results extend previous findings linking task-oriented coping and lower avoidant and emotion-oriented coping with more adaptive stress responses (29,30) and support the need for more research on the role of coping in CV reactivity to acute stress.…”

Section: Discussionsupporting

confidence: 88%

Early Life Stress, Coping, and Cardiovascular Reactivity to Acute Social Stress

Mrug

Pollock

et al. 2022

Psychosom Med

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Objective: Early life stress (ELS) occurring during childhood and adolescence is an established risk factor for later cardiovascular disease and dysregulated reactivity to acute social stress. This study examined whether ELS associations with baseline cardiovascular functioning, cardiovascular stress reactivity and recovery, and emotional stress reactivity vary across levels of emotion-oriented, task-oriented, and avoidant coping styles. Methods: The sample included 1027 adolescents and young adults (mean age = 19.29 years; 50% female; 64% Black, 34% non-Hispanic White) who reported on their ELS exposure and coping styles. Participants completed a standardized acute social stress test (the Trier Social Stress Test [TSST]), with heart rate (HR) and blood pressure (BP) measured before, during, and after the TSST. Self-reports of negative emotions during the TSST indexed emotional stress reactivity. Results: Multiple regression models adjusting for demographic factors and body mass index showed that ELS was associated with lower HR stress reactivity, avoidant coping was related to lower systolic BP and diastolic BP during stress and lower systolic BP during recovery, and higher emotion-oriented coping and lower task-oriented coping predicted greater emotional stress reactivity. A consistent pattern emerged where emotion-oriented coping amplified the associations between ELS and maladaptive stress responses (blunted cardiovascular stress reactivity and recovery; enhanced emotional stress reactivity), whereas lower levels of emotion-oriented coping were associated with resilient profiles among those who experienced ELS (lower resting HR, lower emotional stress reactivity, average HR and BP stress reactivity and recovery). However, low levels of emotion-oriented coping also conferred a risk of higher BP during recovery for those with high levels of ELS. Conclusions: These results suggest that low to moderate levels of emotion-oriented coping promote optimal cardiovascular and emotional reactivity to acute stress among individuals exposed to ELS.

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Section: Discussionsupporting

confidence: 88%

Early Life Stress, Coping, and Cardiovascular Reactivity to Acute Social Stress

Mrug

Pollock

et al. 2022

Psychosom Med

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“…Nevertheless, these data set the stage for more comprehensive investigations aiming to better understand relationships between various domains of psychosocial stress and cardiovascular health and function, particularly in Black women. In general, the literature suggests that psychosocial stress exposure is predictive of cardiovascular health (61); however, the additive power of internalization and coping techniques, within a broader context of structural racism, is immense (26-29). Therefore, in our relatively young cohort of Black women, it appears that one’s coping techniques may have a greater contribution to alterations in endothelial function than exposure to psychosocial stressors alone.…”

Section: Discussionmentioning

confidence: 99%

“…These alterations can subsequently impair vascular responsiveness/health (22, 23); however, the precise psychophysiological pathways and mechanisms remain incompletely understood (16). Interestingly, a growing literature suggests that internalization of stressful events and stress coping techniques (e.g., Superwoman Schema or John Henryism (24, 25)) may be more important to cardiovascular health and function than exposure to psychosocial stressors alone (26-29). Therefore, we investigated the relationship between vascular function and psychosocial stress exposure versus internalization and coping.…”

Section: Introductionmentioning

confidence: 99%

Peripheral and Cerebral Vascular Reactivity in Black and White Women: Examining the Impact of Psychosocial Stress Exposure Versus Internalization and Coping

Martin

Al-daas

Cardenas

et al. 2023

Preprint

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Black women have the highest rates of cardiovascular and cerebrovascular disease prevalence and mortality in part due to blunted vascular function. Psychosocial stress likely also contributes but its relationship to vascular function, remains incompletely understood. Recent studies suggest that internalization and coping strategies are more important than stress exposure alone. We hypothesized that Black women have blunted peripheral and cerebral vascular function and that among Black women, this would be inversely related more with psychosocial stress internalization/coping relative to stress exposures alone. Healthy Black (n= 21; 20 2 yr) and White (n= 16; 25 7 yr) women underwent testing for forearm reactive hyperemia (RH), brachial artery flow-mediated dilation (FMD), and cerebrovascular reactivity (CVR). Psychosocial stress exposure (adverse childhood experiences, ACEs; past week discrimination, PWD) and internalization/coping techniques (John Henryism Active Coping Scale, JHAC12; Giscombe Superwoman Schema Questionnaire, G-SWS-Q) were assessed. RH and CVR (p> 0.05) was similar whereas FMD was lower in Black women (p= 0.007). Neither ACEs nor PWD were associated with FMD in either group (p> 0.05 for all). JHAC12 scores were negatively associated with FMD in Black (p= 0.014) but positively associated with FMD in White (p= 0.042) women. SWS-Motivation to Succeed was negatively associated (p= 0.044) and SWS-Resistance to Being Vulnerable tended to be negatively associated (p= 0.057) with FMD in Black women. These findings indicate that blunted FMD in Black women may be due more to internalization and maladaptive coping than stress exposure alone.

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“…Many studies have been conducted with coping strategies serving as a moderator variable between different variables, such as between stress and quality of life (Dardas & Ahmad, 2015), academic performance (Greer et al, 2015), burnout (Noureen et al, 2019;Solberg et al, 2021), cardiovascular reactivity (Cavanagh & Obasi, 2021), self-leadership (Maykrantz, 2017), and wellbeing (Solberg et al, 2021), between anxiety and self-efficacy (Arora et al, 2021), between bullying and emotional abuse and harassment (Van den Brande et al, 2021), between job insecurity and mental health (Menendez-Espina et al, 2019), between parental efficacy and depressive symptoms (Woodman & Hauser-Cram, 2012), between negative urgency and psychological distress (Altan-Atalay & Zeytun, 2020), between work-family spillover and subjective well-being (Sirgy et al, 2020), and between illness perception and quality of life (Bazzazian et al, 2010).…”

Section: Coping Strategies As Moderating Variablementioning

confidence: 99%

The Role of Coping Strategies in the Resilience and Well-Being of College Students during COVID-19 Pandemic

Valladolid

2021

PSSJ

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The study aimed to investigate the relationship between resilience and well-being of college students during the Covid-19 pandemic and to determine the moderating role of coping strategies in this relationship. Resilience was defined based on the concept of Connor and Davidson (2003), who defined it as an individual characteristic that allows an individual to thrive in the face of adversity, coping strategies were categorized into approach or avoidant coping strategies as measured by COPE Brief, and well-being was conceptualized based on Warwick-Edinburgh's concept of mental well-being. It included 243 college students enrolled in one of the 12 online social science courses in one college in Metro Manila who were administered through online platform the Warwick-Edinburgh Mental Well-being Scale, Brief COPE, Connor-Davidson Resilience Scale (CD-RISC-10), and Impacts of the COVID-19 Pandemic on Life of Higher Education Students Questionnaire. Results showed a significant relationship between resilience and well-being. Approach coping strategy also showed significant positive relationships with the three criterion variables: academic, social, and mental well-being, indicating that the more a student employs approach coping strategy, the better is his or her academic, social, and mental well-being. On the other hand, the Avoidant coping strategy was negatively associated with academic-related emotions, showing that the less the use of the Avoidant coping approach, the more positive are the academic-related emotions felt by students during online classes. However, both coping strategies failed to moderate the relationship between resilience and well-being. It is recommended that schools implement programs and services that will train students on how to cope during pandemic.

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The Moderating Role of Coping Style on Chronic Stress Exposure and Cardiovascular Reactivity Among African American Emerging Adults

Cited by 20 publications

References 61 publications

Early Life Stress, Coping, and Cardiovascular Reactivity to Acute Social Stress

Early Life Stress, Coping, and Cardiovascular Reactivity to Acute Social Stress

Peripheral and Cerebral Vascular Reactivity in Black and White Women: Examining the Impact of Psychosocial Stress Exposure Versus Internalization and Coping

The Role of Coping Strategies in the Resilience and Well-Being of College Students during COVID-19 Pandemic

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