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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Asthma self-efficacy, high frequency heart rate variability, and airflow obstruction during negative affect in daily
Tavis S Campbell1, Kim L Lavoie, Simon L Bacon
1Department of Psychology, University of Calgary, Calgary, Canada T2N 1N4. t.s.campbell@ucalgary.ca
Emotional stress worsens asthma by increasing parasympathetic nervous system activity, especially in those with low asthma self-efficacy. This leads to reduced lung function (PEFR) during negative emotional states.
Area of Science:
- Psychoneuroimmunology
- Respiratory Medicine
- Autonomic Nervous System Research
Background:
- Emotional stress is a known asthma trigger, but the underlying mechanisms are unclear.
- Stress may affect asthma via behavioral pathways (e.g., self-care) or physiological pathways (e.g., parasympathetic activity).
- The interaction between these pathways in daily life asthma exacerbation is not well understood.
Purpose of the Study:
- To investigate the relationship between asthma self-efficacy, emotional stress, and physiological responses.
- To examine how negative affect and physical activity influence airflow obstruction and autonomic nervous system activity in asthma patients.
Main Methods:
- Fifty-three mild to moderate asthma patients completed the Asthma Self-Efficacy Scale.
- A 15-hour ambulatory assessment monitored high frequency heart rate variability (HFHRV) and peak expiratory flow rate (PEFR).
- Participants completed daily diaries on physical activities and emotional affect.
Main Results:
- Lower asthma self-efficacy was linked to higher HFHRV (parasympathetic activity) and reduced PEFR during negative affect.
- Physical activity decreased HFHRV regardless of asthma self-efficacy levels.
- These associations were observed during real-life, daily activities.
Conclusions:
- Low asthma self-efficacy may heighten the physiological stress response in asthma patients.
- Increased parasympathetic activity during negative affect correlates with airflow obstruction in individuals with lower self-efficacy.
- Findings highlight the interplay between psychological factors and physiological responses in asthma exacerbation.
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