Laura J Dietz1, Steven Pham2, Nadine Melhem3, Giovanna Porta3, David A Brent4. 1. University of Pittsburgh at Johnstown, Johnstown, PA, United States. Electronic address: laura.dietz@pitt.edu. 2. Cincinnati Children's Hospital Medical Center, Cincinnati; the Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati. 3. University of Pittsburgh School of Medicine, Pittsburgh, PA, United States. 4. Western Psychiatric Institute & Clinic, Pittsburgh, PA, United States.
Abstract
OBJECTIVE: To examine differences in blood pressure response and recovery in a sample of bereaved and non-bereaved youths during an acute stress task conducted 5 years after time of parental death. METHODS: One-hundred and ninety-two (n = 192) bereaved and non-bereaved offspring (ages 11-29) participated in an adaptation of the Trier Social Stress Task (TSST) 5-years after the time of parental death. Blood pressure measurements were collected before, during, and after the laboratory stress protocol. Mixed models for repeated measures were used to analyze the effects of bereavement status and course of psychiatric disorder in the 5-year period after parental death in both offspring and caregivers on blood pressure response; linear regression was used to examine these associations with blood pressure recovery. RESULTS: Although there were no differences across groups in diastolic (DBP) or systolic blood pressure (SBP) response to stress, bereaved offspring demonstrated less SBP recovery to the TSST as compared to non-bereaved offspring. A significant interaction between bereavement status and race, and a marginally significant interaction between bereavement status and sex indicated poor SBP recovery for parentally bereaved racial/ethnic minority offspring as compared to parentally bereaved Caucasian offspring, and for parentally bereaved males compared to parentally bereaved females. CONCLUSIONS: Parentally bereaved youths demonstrate blood pressure response to social stress tasks similar to that of non-bereaved youths, but parentally bereaved ethnic/racial minority youths and parentally bereaved males evidence a less complete recovery from the effects of stress. The health consequences of poor blood pressure recovery in bereaved youths are discussed.
OBJECTIVE: To examine differences in blood pressure response and recovery in a sample of bereaved and non-bereaved youths during an acute stress task conducted 5 years after time of parental death. METHODS: One-hundred and ninety-two (n = 192) bereaved and non-bereaved offspring (ages 11-29) participated in an adaptation of the Trier Social Stress Task (TSST) 5-years after the time of parental death. Blood pressure measurements were collected before, during, and after the laboratory stress protocol. Mixed models for repeated measures were used to analyze the effects of bereavement status and course of psychiatric disorder in the 5-year period after parental death in both offspring and caregivers on blood pressure response; linear regression was used to examine these associations with blood pressure recovery. RESULTS: Although there were no differences across groups in diastolic (DBP) or systolic blood pressure (SBP) response to stress, bereaved offspring demonstrated less SBP recovery to the TSST as compared to non-bereaved offspring. A significant interaction between bereavement status and race, and a marginally significant interaction between bereavement status and sex indicated poor SBP recovery for parentally bereaved racial/ethnic minority offspring as compared to parentally bereaved Caucasian offspring, and for parentally bereaved males compared to parentally bereaved females. CONCLUSIONS: Parentally bereaved youths demonstrate blood pressure response to social stress tasks similar to that of non-bereaved youths, but parentally bereaved ethnic/racial minority youths and parentally bereaved males evidence a less complete recovery from the effects of stress. The health consequences of poor blood pressure recovery in bereaved youths are discussed.
Authors: Shakia T Hardy; Katelyn M Holliday; Sujatro Chakladar; Joseph C Engeda; Norrina B Allen; Gerardo Heiss; Donald M Lloyd-Jones; Pamela J Schreiner; Christina M Shay; Danyu Lin; Donglin Zeng; Christy L Avery Journal: JAMA Cardiol Date: 2017-06-01 Impact factor: 30.154
Authors: Hua Chen; Tomas Hemmingsson; Imre Janszky; Mikael Rostila; Yvonne Forsell; Linghui Meng; Yajun Liang; Krisztina D László Journal: BMJ Open Date: 2021-04-26 Impact factor: 2.692