Type D 성격 여대생의 급성 스트레스에 따른 자율신경계 반응 : 심박률 변동성을 중심으로
Autonomic Nervous Response of Female College Students with Type D Personality during an Acute Stress Task: Heart Rate Variability
김명선 (성신여자대학교)
초록
급성 스트레스 상황에 따른 Type D 성격의 자율신경계 반응을 심박률 변동성을 중심으로 조사하였다. Type DS-14의 점수에 근거하여 Type D 집단(n=23명)과 non-Type D 집단(n=23명)을 구성하였다. 심박률 변동성(heart rate variability, HRV)을 이용하여 기저선, 스트레스 단계 및 회복 단계 동안의 심박활동을 측정하였으며 스트레스 과제로는 Stroop 색채단어 검사가 사용되었다. 반복측정 변랑분석을 통해 두 집단의 심박활동을 비교하였으며, 회귀분석을 통해 Type D 척도와 스트레스 취약성 척도가 기저선 상태에서의 심박활동의 변화를 예측할 수 있는지를 알아보았다. 연구 결과, Type D 집단은 non-Type D 집단보다 고주파수(high frequency, HF) 활성화가 더 낮았고 저주파수(low frequency, LF) 활성화는 더 높았다. 스트레스 과제 수행 시, non-Type D 집단에서는 교감신경계 활성화 지표(LF component, LF/HF)가 증가하고 부교감신경계 활성화 지표(HF component)가 감소하는 것이 관찰된 반면, Type D 집단에서는 심박활동 비율상의 유의한 변화가 나타나지 않았다. 또한, Type D 척도의 총점수, 부정적 정서 소척도와 사회적 억제 소척도는 기저선 상태에서의 심박활동 반응에 대한 유의한 예측인자로 나타났다. 이러한 결과는 Type D 성격이 non-Type D 성격에 비해 교감신경계 활성화 비율이 높거나 또는 부교감신경계 활성화 비율이 낮음을 시사한다. 즉, Type D가 스트레스에 취약한 성격임을 시사하며, Type D에서 관찰된 심박 활동 양상, 즉 높은 교감신경계 혹은 낮은 부교감신경계 활성화는 Type D 성격이 심장혈관 장애 등을 포함한 정신신체 질환과 관련될 수 있음을 시사한다.
- keywords
- acute stress, heart rate variability, high frequency, low frequency, Type D personality, 급성 스트레스, 심박률 변동성, 고주파수 활성화, 저주파수 활성화, Type D 성격, acute stress, heart rate variability, high frequency, low frequency, Type D personality
Abstract
This study investigated the responses of the autonomic nervous system of individuals with Type D personality during an acute stressful situation. Twenty-three female students of Type D personality and 23 female students with non-Type D personality. Stroop Color-Word Task was used to induce a stressful situation, heart rate variability (HRV) was used to measure the responses of the autonomic nervous system during the baseline, acute stress, recovery periods. To analyze the data, the repeated measures analysis of variance was used to compare the autonomic nervous system of the Type D group to that of the non-Type D group. Regression analysis is used to determine if the Type D scale and stress vulnerability predicted the activities of the autonomic nervous system during the baseline period. The results of this study demonstrated that the Type D group's normalized low frequency (LF norm) and ratio of low frequency to high frequency (LF/HF ratio) were higher than those for the non-Type D group, while its normalized high frequency (HF norm) was lower than that for the non-Type D group in all three periods. There were no statistically significant differences among the three periods in terms of LF norm, HF norm, and LF/HF ratio in the Type D group. The study demonstrated that the total scores of the Type DS-14 and scores of social inhibition and negative affect were independent predictors of LF norm and HF norm during the baseline. The Type D group showed increased activation of the sympathetic nervous system and/or decreased activation of the parasympathetic nervous system. These results support the hypothesis that the Type D personality is vulnerable to the stress. Also, the highly activated sympathetic and/or lowly activated parasympathetic nervous systems, which were observed in the Type D group during the baseline, indicated that the Type D individual is susceptible to psychosomatic disorders.
- keywords
- acute stress, heart rate variability, high frequency, low frequency, Type D personality, 급성 스트레스, 심박률 변동성, 고주파수 활성화, 저주파수 활성화, Type D 성격, acute stress, heart rate variability, high frequency, low frequency, Type D personality
참고문헌
김대성 (2001). 운전직 근로자들의 직업스트레스가 혈압, 심박수, 심박변동성에 미치는 영향에 관한 연구. 고려대학교대학원 박사학위 청구논문.
민경복, 민진영, 정최경희, 전형준, 조성일, 백도명 (2004). 일부 지역 주민에서 심박동수 변이와 대사증후군의 상관관계. 대한산업의학회지,16, 459-466.
장현갑, 강성군 (1999). 스트레스와 정신건강. 서울: 학지사.
장세진, 고상백, 최홍열, 우종민, 차봉석, 박종구, 천용희, 정호근 (2004). 직무스트레스, 심박동수변이 및 대사증후군. 대한산업의학회지, 16, 70-81.
통계청(2006). 사망원인통계.
Berntson, G. G., Cacioppo, J. T., Binkley, P. F., Uchino, B. N., Quigley, K. S., & Fieldstone, A. (1994). Autonomic cardiac control. III: psychological stress and cardiac response in autonomic space as revealed by pharmacological blockades. Psychophysiology, 31, 599-608.
Castro, M., Vigo, D., Weidema, H., Fahrer, R., Chu, E., Achával, D., Nogués, M., Leiguarda, R., Cardinali, D., & Guinjoan, S. (2008). Heart rate variability response to mental arithmetic stress in patients with schizophrenia: autonomic response to stress in schizophrenia. Schizophrenia Research, 99, 294-303.
Cohen, H., Benjamin, J., Geva, A., Matar, M., Kaplan, Z., & Kotler, M. (2000). Autonomic dysregulation in panic disorder and in post-traumatic stress disorder: application of power spectrum analysis of heart rate variability at rest and in response to recollection of trauma or panic attacks. Psychiatry Research, 96, 1-13.
Cranwell-Ward, J. (1990). Thriving on stress. London: Routledge.
Denollet, J. (1998). Personality and coronary heart disease: the type D scale-16 (DS-16). Annals of Behavioral Medicine, 20, 209-215.
Denollet, J. (2000). Type D personality: a potential risk factor refined. Journal of Psychosomatic Research, 49, 255-266.
Denollet, J. (2005). DS14 : standard assessment of negative affectivity, social inhibition, and type D personality. American psychosomatic medicine, 67, 89-97.
Denollet J., Pedersen, S. S., Vrints, C. J., & Conraads, V. M., (2006). Usefulness of type D personality in predicting five-year cardiac events above and beyond concurrent symptoms of stress in patients with coronary heart disease. The American Journal of Cardiology, 97, 970-973.
Delaney, J., & Brodie, D. (2000). Effects of short-term psychological stress on the time and frequency domains of heart-rate variability. Perceptual and Motor Skills, 91, 515-524.
Eysenck, S. B., & Eysenck, H. J. (1964). An improved short questionnaire for the measurement of extraversion and neuroticism. Life Sciences, 305, 1103-1109.
Friedman, M. D,. & Roseman, R. H. (1974). Type A behavior and your heart. New York: Knopf.
Habra, M. E., Linden, W., Anderson, J. C,. & Weinberg, J. (2003). Type D personality is related to cardiovascular and neuroendocrine reactivity to acute stress. Journal of Psychosomatic Research, 55, 235-245.
Hemingway, H., & Marmot, M. (1999). Psychosocial factors in the aetiology and prognosis of coronary heart disease: systematic review of prospective cohort studies. British Medical Journal, 318, 1460-1467.
Hjortskov, N., Rissén, D., Blangsted, A., Fallentin, N., Lundberg, U., & Søgaard, K. (2004). The effect of mental stress on heart rate variability and blood pressure during computer work. European Journal of Applied Physiology, 92, 84-89.
Insulander, P., Juhlin-Dannfelt, A., Freyschuss, U., & Vallin H. (2003). Electrophysiologic effects of mental stress in healthy subjects: a comparison with epinephrine infusion. Journal of Electrocardiology. 36(4). 301-309.
Jain, D., Burg, M., Soufer, R., & Zaret, B. L. (1995). Prognostic implications of mental stress-induced silent left ventricular dysfunction in patients with stable angina pectoris. The American Journal of Cardiology, 76, 31-35.
Johnston, D. W., Cook, D. G ., & Shaper, A. G. (1987). Type A behavior and ischaemic heart disease in middle-aged British men. British Medical Journal, 295, 86-89.
Light, K. C., Koepke, J. P., Obrist, P. A., & Willis, P. W. (1983). Psychological stress induces sodium and fluid retention in men at high risk for hypertension. Science, 220, 429-431.
Malliani, A., Pagani, M., Lombardi, F., & Cerutti, S. (1991). Cardiovascular neural regulation explored in the frequency domain. Circulation, 84, 482-492.
Pagani, M. F., Lombardi, S., Guzzetti, O., Rimoldi, R., Furlan, P., Pizzinelli, G., Sandrone, G., Malfatto, S., Dell'Orto, E., Piccaluga, M., Turiel, G., Baselli, S., Cerutti, S., & Malliani, A. (1986). Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circulation Research, 59, 178-93.
Pagani, M. F., Rimoldi, O., Pizzinelli, P., Furlan, R., Crivellaro, W., Liberati, D., Cerutti, S., & Malliani, A. (1991). Assessment of the neural control of the circulation during psychological stress. Journal of the autonomic Nervous System, 35, 33-41.
Papousek, I., Schulter, G., & Premsberger, E. (2002). Dissociated autonomic regulation during stress and physical complaints. Journal of Psychosomatic Research, 52, 257-266.
Pedersen, S., & Denollet, J. (2003). Type D personality, cardiac events, and impaired quality of life: a review. European Journal of Cardiovascular Prevention & Rehabilitation, 10, 241-248.
Pedersen, S., & Denollet, J. (2004). Validity of the type D Personality construct in Danish post-Mi patients and healthy control. Journal of Psychosomatic Research, 57, 265-272.
Porges, S. W. (1992). Vagal tone: a physiologic marker of stress vulnerability. Pediatrics, 90, 498-504.
Ragland, D. R., & Brand, R. J. (1988). Type A behavior and mortality from coronary heart disease. The New England Journal of Medeicine, 318, 65-69.
Shekelle, R. B., Hulley, S. B., Neaton, J. D., Billings. J. H., Borhani. N. O., Gerace, T. A., Jacobs, D. R., Lasser, N. L., Mittlemark, M. B., & Stamler, J. (1985). The MRFTT behavior pattern study : II. Type A behavior and incidence of coronary heart disease. American Journal of Epidemiology, 122, 559-570.
Steptoe, A., & Brydon, L. (2005). Associations between acute lipid stress responses and fasting lipid levels 3 years later. Health Psychology, 24(6), 601-607.
Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysilogy (1996). Heart rate variability standards of measurement, physiological interpretation, and clinical use. European Heart Journal, 17, 354-381.
Tulen, J., Moleman, P., Van-Steenis, H., & Boomsma, F. (1989). Characterization of stress reactions to the stroop color word test. Phamacology, Biochemistry and Behavior, 32, 9-15.
Uchino, B., Cacioppo, J. T., Malarkey, W., & Glaser, R. (1995). Individual differences in cardiac sympathetic control predict endocrine and immune responses to acute psychological stress. Journal of Personality and Social Psychology, 69, 736-743.
Vrijkotte, T. G. M., Lorenz, J. P., van Doornen, L. J., & de Geus, E. J. C. (2000). Effects of work stress on ambulatory blood pressure, heart rate and heart rate variability. Hypertension, 35, 880-886.
Whitehead, D., Perkins-Porras, L., Strike, P., Magid, K., & Steptoe, A. (2007). Cortisol awakening response is elevated in acute coronary syndrome patients with type-․D personality. Journal of Psychosomatic Research, 62, 419-425.
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