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The behavioural, cognitive, and neural correlates of blunted physiological reactions to acute psychological stress.

Ginty, Annie T. (2012)
Ph.D. thesis, University of Birmingham.

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The overarching aim of this thesis was to better understand the behavioural, cognitive, and neural corollaries of blunted cardiovascular and/or cortisol reactions to acute psychological stress. As such, it was also concerned to further test the proposition that blunted cardiovascular and cortisol reactions to acute psychological stress are markers of an unconscious dysfunction in the motivational areas of the brain. These aims were achieved by using a mixed methods interdisciplinary approach encompassing both laboratory stress studies and secondary analyses of epidemiological datasets. Chapter 2 adduced evidence that blunted cardiovascular and cortisol reactivity was associated with a non-substance addiction, namely exercise dependence. Chapter 3 demonstrated that blunted cardiovascular and cortisol reactivity was related to disordered eating behaviour. Differences in stress reactivity between healthy controls and exercise dependent individuals or disordered eaters could not be explained by actual stress task performance, how engaged or how stressful participants found the stress task, cardio-respiratory fitness, and a number of other potential confounders. Chapters 4, 5, and 6 demonstrated that poor cognitive ability was associated with blunted stress reactivity retrospectively, cross-sectionally, and prospectively. Additionally, Chapter 6 demonstrated that blunted cardiac reactivity predicted cognitive decline over a 7 year period. Chapter 7 revealed brain activation differences between pre-determined exaggerated and blunted cardiac stress reactors during an acute stress exposure in a fMRI paradigm. Blunted cardiac reactors showed hypo-activation in the areas of the brain associated with motivation and emotion compared to exaggerated reactors. There were no reactivity group differences in subjective measures of the stressfulness and difficulty of and engagement with the stress task. Overall, the research reported in this thesis provides further evidence that blunted cardiovascular and cortisol reactions to stress are associated with a number of adverse health and behavioural outcomes and may be a peripheral marker of some form of disengagement in those areas of the brain that support motivated behaviour.

Type of Work:Ph.D. thesis.
Supervisor(s):Carroll, Douglas and Phillips, Anna
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Sport and Exercise Sciences
Subjects:BF Psychology
QP Physiology
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
RC1200 Sports Medicine
Institution:University of Birmingham
ID Code:3618
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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