Cardiovascular responses to acute stress have been examined for mediation and moderation of the stress-illness relation, but few studies of functional abdominal pain (FAP) have evaluated cardiovascular responses with none examining this factor in the relation of psychosocial stress and health outcomes. Adolescents and young adults (Mean age = 19.50, SD = 3.36) with a history of childhood FAP (n = 239) and healthy controls (n = 127) self-reported background life stress and health status (perceived general and mental health, somatic symptoms, functional disability). Cardiovascular response via blood pressure was assessed for two laboratory stressors. Results showed that individuals with a history of FAP in childhood had significantly higher background life stress and poorer health in adolescence and young adulthood. Childhood FAP demonstrated cardiovascular blunted reactivity and poorer recovery following laboratory stressors than healthy controls. Childhood FAP with low cardiovascular reactivity and higher background stress had poorer perceived general health compared with healthy controls. FAP is associated with a long-term vulnerability to stress and poorer health.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-11292012-192034 |
| Date | 12 December 2012 |
| Creators | Shelby, Grace Deniece |
| Contributors | Craig Smith, PhD, Lynn Walker, PhD, Stephen Bruehl, PhD, Bruce Compas, PhD |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-11292012-192034/ |
| Rights | restricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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