Identifying the most effective acute stress induction methods for producing SAM- and HPA-related physiological responses: a meta-analysis.

IF 2.3 3区心理学 Q2 PSYCHIATRY Anxiety Stress and Coping Pub Date : 2025-01-09 DOI:10.1080/10615806.2025.2450620

Tad T Brunyé, Sara Anne Goring, Ester Navarro, Hannah Hart-Pomerantz, Sophia Grekin, Alexandra M McKinlay, Franziska Plessow

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Abstract

Background and objectives: Laboratory-based stress inductions are commonly used to elicit acute stress but vary widely in their procedures and effectiveness. We compared the effects of stress induction techniques on measures of two major biological stress systems: the early sympathetic-adrenal-medullary (SAM) and the delayed hypothalamic-pituitary-adrenal (HPA) axis response.

Design: A review and meta-analysis to examine the relationship between stress induction techniques on cardiorespiratory and salivary measures of SAM and HPA system activity.

Methods: A systematic literature search identified 245 reports and 700 effects.

Results: The overall effect of stress induction techniques on the stress response was moderate (Fisher's z_r = 0.44), inducing stronger SAM-related (z_r = 0.48) versus HPA-related (z_r = 0.37) responses. Three factors moderated these associations: the stress system examined (SAM vs HPA), the specific stress induction technique employed (e.g., Cold Pressor), the physiological sampling time relative to the stress induction, and participant sex. Loud music elicited the most robust SAM-related effects, whereas combined stress inductions elicited the most robust HPA-related effects. Men showed stronger stress responses than women.

Conclusions: Stress induction techniques variably elicit SAM - and HPA-related responses. Results recommend specific induction techniques for targeting stress systems, highlighting the importance of carefully selecting methodologies in laboratory contexts.

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确定产生SAM和hpa相关生理反应的最有效的急性应激诱导方法：一项荟萃分析。

背景和目的：基于实验室的应激诱导通常用于引起急性应激，但其程序和有效性差异很大。我们比较了应激诱导技术对两种主要生物应激系统的影响：早期交感神经-肾上腺-髓质（SAM）和延迟下丘脑-垂体-肾上腺（HPA）轴反应。设计：回顾和荟萃分析，研究应激诱导技术对心肺和唾液测量SAM和HPA系统活性之间的关系。方法：系统检索245篇报道和700例疗效。结果：应激诱导技术对应激反应的总体影响为中等（Fisher’s zr = 0.44），诱导的sam相关反应（zr = 0.48）强于hpa相关反应（zr = 0.37）。三个因素调节了这些关联：所检查的应激系统（SAM vs HPA），所采用的特定应激诱导技术（例如，冷压），相对于应激诱导的生理采样时间，以及参与者的性别。嘈杂的音乐引起最强烈的sam相关效应，而联合应激诱导引起最强烈的hpa相关效应。男性表现出比女性更强的压力反应。结论：应激诱导技术可引起SAM和hpa相关的不同反应。结果推荐了针对应力系统的特定诱导技术，强调了在实验室环境中仔细选择方法的重要性。

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来源期刊

Anxiety Stress and Coping Multiple-

CiteScore

7.20

自引率

0.00%

发文量

期刊介绍： This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.