Mind over matter: reappraising arousal improves cardiovascular and cognitive responses to stress.

Researchers have theorized that changing the way we think about our bodily responses can improve our physiological and cognitive reactions to stressful events. However, the underlying processes through which mental states improve downstream outcomes are not well understood. To this end, we examined whether reappraising stress-induced arousal could improve cardiovascular outcomes and decrease attentional bias for emotionally negative information. Participants were randomly assigned to either a reappraisal condition in which they were instructed to think about their physiological arousal during a stressful task as functional and adaptive, or to 1 of 2 control conditions: attention reorientation and no instructions. Relative to controls, participants instructed to reappraise their arousal exhibited more adaptive cardiovascular stress responses-increased cardiac efficiency and lower vascular resistance-and decreased attentional bias. Thus, reappraising arousal shows physiological and cognitive benefits. Implications for health and potential clinical applications are discussed.

[1]  S. Mineka,et al.  A modern learning theory perspective on the etiology of panic disorder. , 2001, Psychological review.

[2]  C. MacLeod,et al.  Cognitive vulnerability to emotional disorders. , 2005, Annual review of clinical psychology.

[3]  J. Blascovich,et al.  Social psychophysiology and embodiment. , 2010 .

[4]  M. Nock,et al.  Delineating mechanisms of change in child and adolescent therapy: methodological issues and research recommendations. , 2003, Journal of child psychology and psychiatry, and allied disciplines.

[5]  F. Schmidt Meta-Analysis , 2008 .

[6]  B. Kudielka,et al.  Trier Social Stress Test , 2007 .

[7]  William G. Cochran,et al.  Experimental Designs, 2nd Edition , 1950 .

[8]  C. Kirschbaum,et al.  The 'Trier Social Stress Test'--a tool for investigating psychobiological stress responses in a laboratory setting. , 1993, Neuropsychobiology.

[9]  R. McNally,et al.  Cognitive processing of emotional information in posttraumatic stress disorder , 1995, Cognitive Therapy and Research.

[10]  R. McNally,et al.  Cognitive processing of idiographic emotional information in panic disorder. , 1994, Behaviour research and therapy.

[11]  J. Beck,et al.  Comparison of cognitive therapy and relaxation training for panic disorder. , 1994, Journal of consulting and clinical psychology.

[12]  Induced emotional biases have causal effects on anxiety , 2002 .

[13]  K. Roelofs,et al.  The effects of social stress and cortisol responses on the preconscious selective attention to social threat , 2007, Biological Psychology.

[14]  J. Pruessner,et al.  PERSONALITY PROCESSES AND INDIVIDUAL DIFFERENCES Cutting Stress Off at the Pass: Reducing Vigilance and Responsiveness to Social Threat by Manipulating Attention , 2007 .

[15]  Warren J Manning,et al.  Cardiac Index Is Associated With Brain Aging: The Framingham Heart Study , 2010, Circulation.

[16]  T. Brown,et al.  The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder , 2004 .

[17]  Xinwei Deng,et al.  Experimental design , 2012, WIREs Data Mining Knowl. Discov..

[18]  Mark B. Powers,et al.  Mechanism of change in cognitive-behavioral treatment of panic disorder: evidence for the fear of fear mediational hypothesis. , 2004, Journal of consulting and clinical psychology.

[19]  Jasper A. J. Smits,et al.  DISORDERS : A META-ANALYSIS OF RANDOMIZED PLACEBO-CONTROLLED TRIALS , 2008 .

[20]  Jim Blascovich,et al.  Threatened by the unexpected: physiological responses during social interactions with expectancy-violating partners. , 2007, Journal of personality and social psychology.

[21]  J. Fahrenberg,et al.  Methodological guidelines for impedance cardiography. , 1990, Psychophysiology.

[22]  Roger E. Kirk,et al.  Experimental design: Procedures for the behavioral sciences (3rd ed.). , 1995 .

[23]  K. Matthews,et al.  Does Background Stress Heighten or Dampen Children's Cardiovascular Responses to Acute Stress? , 1997, Psychosomatic medicine.

[24]  D. Watson,et al.  Development and validation of brief measures of positive and negative affect: the PANAS scales. , 1988, Journal of personality and social psychology.

[25]  James J Gross,et al.  Individual differences in cognitive reappraisal: experiential and physiological responses to an anger provocation. , 2007, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[26]  Matthew K Nock,et al.  Attentional bias toward suicide-related stimuli predicts suicidal behavior. , 2010, Journal of abnormal psychology.

[27]  C. MacLeod,et al.  Selective attention and emotional vulnerability: assessing the causal basis of their association through the experimental manipulation of attentional bias. , 2002, Journal of abnormal psychology.

[28]  E. Haan,et al.  Correlations among Salivary Testosterone, Mood, and Selective Attention to Threat in Humans , 1999, Hormones and Behavior.

[29]  J. Gross Emotion regulation: affective, cognitive, and social consequences. , 2002, Psychophysiology.

[30]  M. Craske,et al.  Interoceptive exposure versus breathing retraining within cognitive-behavioural therapy for panic disorder with agoraphobia. , 1997, The British journal of clinical psychology.

[31]  R. Dienstbier,et al.  Arousal and physiological toughness: implications for mental and physical health. , 1989, Psychological review.

[32]  Toni Schmader,et al.  Turning the knots in your stomach into bows: Reappraising arousal improves performance on the GRE. , 2010, Journal of experimental social psychology.

[33]  Charles T. Taylor,et al.  The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. , 2008, Journal of abnormal psychology.

[34]  M. Pollack,et al.  A meta-analysis of treatment outcome for panic disorder , 1995 .

[35]  C. MacLeod,et al.  Induced processing biases have causal effects on anxiety , 2002 .

[36]  A. Leaf Preventive medicine for our ailing health care system. , 1993, JAMA.

[37]  J Blascovich,et al.  Social "facilitation" as challenge and threat. , 1999, Journal of personality and social psychology.

[38]  L. F. Barrett Solving the Emotion Paradox: Categorization and the Experience of Emotion , 2006, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[39]  S. Fiske,et al.  The Handbook of Social Psychology , 1935 .

[40]  Katya Rubia,et al.  The neurobiology of Meditation and its clinical effectiveness in psychiatric disorders , 2009, Biological Psychology.

[41]  J. Gross Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. , 1998, Journal of personality and social psychology.

[42]  H. Gray,et al.  Why Egalitarianism Might Be Good for Your Health , 2007, Psychological science.