Psychosom Med 2021 Jul 7. Epub 2021 Jul 7.
Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA School of Psychology, National University of Ireland, Galway, Ireland Institute of Epidemiology & Health, University College London, London, UK Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center and VA Medical Center, Oklahoma, USA.
Objective: High cardiovascular reactions to psychological stress are associated with the development of hypertension, systemic atherosclerosis, and cardiovascular disease. However, it has become apparent that low biological stress reactivity also may have serious consequences for health, although less is known about the mechanisms of this. The objective of this narrative review and opinion paper is to summarise and consider where we are now in terms of the usefulness of the reactivity hypothesis and reactivity research, given that both ends of the reactivity spectrum appear to be associated with poor health, and to address some of the key criticisms and future challenges for the research area. Read More