DOI QR코드

DOI QR Code

Effect of College Students' Perceived Stress, Cognitive Response to Stress, and Somatization on Heart Rate Variability

대학생의 지각된 스트레스, 인지적 스트레스, 신체화가 심박변이도에 미치는 영향

  • Park, Keum Suk (Health Care Center, Gangneung-Wonju National University) ;
  • Yoon, Hea Min (Health Care Center, Gangneung-Wonju National University)
  • Received : 2019.03.17
  • Accepted : 2019.07.08
  • Published : 2019.08.31

Abstract

Purpose: The purpose of this study was to investigate how college students' perceived stress, cognitive stress, and somatization affect their heart rate variability (HRV). Methods: This study is a cross-sectional survey research on 191 university students, registered at the G University. The perceived stress scale (PSS) and cognitive stress response scale, were used to assess level of stress. The somatization symptom scale of the Symptom Check List 90 (SCL-90), was used to assess level of somatization caused by stress. To assess heart rate variability (HRV), we conducted a five-minute test using a pulse wave analyzer, to analyze short-term HRV. Results: The SCL-90 somatization score had relatively high positive correlation (p< .001) with cognitive stress, but low positive correlation (p< .001) with perceived stress. Cognitive stress response had low negative correlation (p< .001) with 1nSDNN and 1nRMSSD among HRV parameters. Perceived stress was not correlated with HRV. Multiple regression analysis showed that variables of perceived stress, cognitive stress, and somatization symptoms, could not explain HRV. By contrast, one of the HRV indicators, 1nSDNN, was affected by age, gender, and aggressive-hostile thought, the latter being a subscale of the cognitive stress response scale. Conclusion: This study suggests that stress evaluation for people in early adulthood will be more effective, if the evaluation examines cognitive stress and heart rate variability.

Keywords

References

  1. Saleh D, Camart N, Romo L. Predictors of stress in college students. Frontiers in Psychology. 2017;8(19):1-26. https://doi.org/10.3389/fpsyg.2017.00019
  2. May RW, Seibert GS, Sanchez-Gonzalez MA, Fincham FD. School burnout and heart rate variability: risk of cardiovascular disease and hypertension in young adult females. Stress. 2018;21(3):211-216. https://doi.org/10.1080/10253890.2018.1433161
  3. Choudhary AK, Alam T, Jiwane R, Kishanrao SS. A comparative analysis of dietary habits on sensory motor association and heart rate variability during menstrual cycle. Journal of Clinical and Diagnostic Research. 2016;10(1): CC04-CCO8. https://doi.org/10.7860/jcdr/2016/16421.7068
  4. El Ansari W, Khalil K, Stock C. Symptoms and health complaints and their association with perceived stressors among students at nine Libyan universities. International Journal of Environmental Research and Public Health. 2014;11:12088-12107. https://doi.org/10.3390/ijerph111212088
  5. Selye H. The stress of life, revised edition. New York: The McGraw-Hill Companies, Inc.;1978. p.29-54, p.408-410.
  6. Lee EY, Mun MS, Lee SH, Cho HS. Perceived stress and gastrointestinal symptoms in nursing students in Korea: a cross-sectional survey. BioMed Central Nursing. 2011;10(1):22. https://doi.org/10.1186/1472-6955-10-22
  7. Henningsen P, Zipfel S, Herzog W. Management of functional somatic syndromes. The Lancet, 2007;369:946-955. https://doi.org/10.1016/s0140-6736(07)60159-7
  8. Schaefert R, Hausteiner-Wiehle C, Hauser W, Ronel J, Herrmann M, Henningsen P. Non-specific, functional, and somatoform bodily complaints. Deutsches Arzteblatt International. 2012;109(47):803-813. https://doi.org/10.3238/arztebl.2012.0803
  9. Kim W, Woo JM, Chae JH. Heart rate variability in psychiatry. Journal of Korean Neuropsychiatric Association. 2005;44(2):176-184.
  10. Choi BM, Noh GJ. Heart rate variability, HRV. Korean Society for IntravenousAnesthesia. 2004;8(2):45-86.
  11. Massaro S, Pecchia L. Heart rate variability (HRV) analysis: a methodology for organizational neuroscience. Organizational Research Methods. 2019; 22(1):354-393. https://doi.org/10.1177/1094428116681072
  12. Chintala KK, Krishna BH, N MR. Heart rate variability in overweight health care students: correlation with visceral fat. Journal of Clinical and Diagnostic Research. 2015;9(1):CC06-CCO8. https://doi.org/10.7860/jcdr/2015/12145.5434
  13. Sookan T, McKune AJ. Heart rate variability in physically active individuals:reliability and gender characteristics. Cardiovascular Journal of Africa.2012;23(2):67-72. http://dx.doi.org/10.5830/CVJA-2011.108
  14. May R, McBerty V, Zaky A, Gianotti M. Vigorous physical activity predicts higher heart rate variability among younger adults. Journal of Physiological Anthropology. 2017;36(1):24. https://doi.org/10.1186/s40101-017-0140-z
  15. Pal GK, Agarwal A, Karthik S, Pal P, Nanda N. Slow yogic breathing through right and left nostril influences sympathovagal balance, heart rate variability, and cardiovascular risks in young adults. North American Journal of Medical Sciences. 2014;6(3):145-151. https://doi.org/10.4103/1947-2714.128477
  16. Jang A, Hwang SK, Padhye NS, Meininger JC. Effects of cognitive behavior therapy on heart rate variability in young females with constipation-predominant irritable bowel syndrome: a parallel-group trial. Journal of Neurogastroenterology and Motility. 2017;23(3):435-445. https://doi.org/10.5056/jnm17017
  17. Komori T. The relaxation effect of prolonged expiratory breathing. Mental Illness. 2018;10(1):7669. https://doi.org/10.4081/mi.2018.7669
  18. Kim CG, Cho MK, Kim JI. Effects of phytoncide aromatherapy on stress, symptoms of stress and heart rate variability among nursing students. Journal of Korean Biological Nursing Science. 2012;14(4):249-257. https://doi.org/10.7586/jkbns.2012.14.4.249
  19. Koh HM, Shin HC. Correlation of stress and HRV in Korean between the age 30s and 40s. The Korean Journal of Stress Research. 2011;19(4):273-279.
  20. Koh KB, Park JK. Development of the cognitive stress response scale. Journal of Korean Neuropsychiatric Association. 2004;43(3):320-328.
  21. Udo T, Mun EY, Buckman JF, Vaschillo EG, Vaschillo B, Bates ME. Potential side effects of unhealthy lifestyle choices and health risks on basal and reactive heart rate variability in college drinkers. Journal of Studies on Alcohol and Drugs. 2013;74(5):787-796. https://doi.org/10.15288/jsad.2013.74.787
  22. Cheema BS, Marshall PW, Chang D, Colagiuri B, Machliss B. Effect of an office worksite-based yoga program on heart rate variability: a randomized controlled trial. BioMed Central Public Health. 2011;11(1):578. https://doi.org/10.1186/1471-2458-11-578
  23. Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. http://dx.doi.org/10.3758/bf03193146
  24. Kim GM, Woo JM. Determinants for heart rate variability in a normal Korean population. Journal of Korean Medical Science. 2011;26(10):1293-1298. http://dx.doi.org/10.3346/jkms.2011.26.10.1293
  25. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24(4):385-396. http://dx.doi.org/10.2307/2136404
  26. Park JO, Seo YS. Validation of the perceived stress scale (PSS) on samples of Korean university students. The Korean Psychological Association. 2010;29(3): 611-629.
  27. Derogatis LR, Rickels K, Rock AF. The SCL-90 and the MMPI: a step in the validation of a new self-report scale. The British Journal of Psychiatry. 1976; 128(3): 280-289. DOI: https://doi.org/10.1192/bjp.128.3.280
  28. Kim KI, Won HT, Lee JH, Kim KY. Standardization study of symptom check list-90 in Korea: characteristics of normal responses. The Korean Neuropsychiatric Association. 1978;17(4):449-458.
  29. Park KJ, Jeong HJ. Assessing methods of heart rate variability. Annals of Clinical Neurophysiology. 2014;16(2):49-54. https://doi.org/10.14253/kjcn.2014.16.2.49
  30. Chun HJ, Kim SS, Sung JD, Paek DM. Determinants of heart rate variability in general korean population. Korean Circulation Journal. 2001;31(1):107-113. https://doi.org/10.4070/kcj.2001.31.1.107
  31. Waring WS, Goudsmit J, Marwick J, Webb DJ, Maxwell SR. Acute caffeine intake influences central more than peripheral blood pressure in young adults. American Journal of Hypertension. 2003;16(11): 919-924. https://doi.org/10.1016/S0895-7061(03)01014-8
  32. Wood R, Maraj B, Lee CM, Reyes R. Short-term heart rate variability during a cognitive challenge in young and older adults. Age and Ageing. 2002;31(2):131-135. https://doi.org/10.1093/ageing/31.2.131
  33. Adjei T, Xue J, Mandic DP. The female heart: sex differences in the dynamics of ECG in response to stress. Frontiers in Physiology.2018;9(1616):1-27. https://doi.org/10.1101/368845
  34. Seo SG, Kwon SM. Relations of self-esteem and narcissism with aggressiveness. Korean Journal of Clinical Psychology. 2002;21(4):809-826.
  35. Baumeister RF, Bushman BJ, Campbell WK. Self-esteem, narcissism, and aggression: does violence result from low self-esteem or from threatened egotism?. Current Directions in Psychological Science. 2000;9(1):26-29. https://doi.org/10.1111/1467-8721.00053

Cited by

  1. 대학생의 성별, 스트레스, 불안 및 우울 정도에 따른 심박변이도 차이: Neurovisceral integration model에 기반하여 vol.23, pp.1, 2021, https://doi.org/10.7586/jkbns.2021.23.1.22
  2. 건강인의 일중 심박변이도 변화 및 관련인자에 대한 예비연구 vol.42, pp.2, 2019, https://doi.org/10.13048/jkm.21014