Table 3.
Studies reporting associations between mastery and cardiovascular reactivity to acute stress.
Study | Participants | Design | Mastery Construct |
Mastery Measure | CVD Outcome | Results/Findings | Effect Size (Cohen’s d) |
---|---|---|---|---|---|---|---|
Cattanach et al., 1988 | 30 undergraduate women (15 women meeting eating disorder criteria based on an eating disorder inventory and 15 controls not meeting criteria), ages 17-21 years |
Cross- sectional |
Personal Mastery |
Pearlin and Schooler Mastery Scale |
Blood pressure and pulse rate responses to a stressor task |
Mastery was not associated with responses to laboratory stressors in either group. |
Insufficient information to calculate effect size |
Light et al., 2004 | 25 recent mothers without history of drug-exposure during pregnancy or postpartum (age 29±1 years) and 10 recent mothers reporting cocaine use during pregnancy (age 30±2 years); participants were free of CVD |
Cross- sectional |
Personal Mastery |
Pearlin and Schooler Mastery Scale |
Resting and post-acute stressor measurements of blood pressure, plasma norepinephrine, plasma epinephrine, and plasma oxytocin; serum cortisol as well as urinary cortisol and catecholamines were also collected. |
Oxytocin at baseline and during the stressor task were positively associated with mastery in both groups. Mastery was unassociated with other biomarkers. |
Oxytocin: d = .85 (baseline) d = .70 (post- speech) Insufficient information to calculate effect size for other biomarkers |
Ma et al., 2007 | 38 healthy women (mean age 58±8 years) |
Cross- sectional |
Personal Mastery |
Pearlin and Schooler Mastery Scale |
Autonomic (skin conductance and heart rate variability) and endocrine (salivary cortisol) responses to acute stress versus a control task |
Skin conductance and cortisol responses to stress were buffered by mastery, such that women with high mastery showed no differences in their responses to the stress task compared to a control task. Women with low mastery exhibited higher reactivity to the stress task compared to the control task. There was no moderating effect of mastery on heart rate variability (HRV). |
Cortisol: d = .97 (Low Mastery) d = .28 (High Mastery) Skin Conductance: d = .42 (Low Mastery) d = .41 (High Mastery) HRV: (insufficient information to calculate) |
Pham et al., 2001 | 96 undergraduates, mean age 20 years |
Cross- sectional |
Personal Mastery |
Pearlin and Schooler Mastery Scale |
Blood pressure reactivity to tasks designed to evoke the aspects of college that are predictable, unpredictable, or neutral |
Mastery was unassociated with blood pressure reactivity in all tasks. |
Insufficient information to calculate effect size |
Roepke et al., 2008 | 69 elderly spousal Alzheimer caregivers, age ≥ 55 years |
Cross- sectional |
Personal Mastery |
Pearlin and Schooler Mastery Scale |
Norepinephrine reactivity to stress |
Mastery was significantly and negatively associated with norepinephrine reactivity to acute stress. |
d = −.52 |
Younger et al., 2008 | 73 men and women with rheumatoid arthritis, ages of 23- 81 |
Prospective laboratory study |
Personal Mastery |
Pearlin and Schooler Mastery Scale; items were divided into 2 components: fatalism and control |
Resting blood pressure and blood pressure reactivity to laboratory stressor tasks |
Those scoring high on the control component had lower mean arterial pressure at rest compared to those with low control. However, those with high control also exhibited higher blood pressure reactivity to stress compared to those with low control. |
d = −.65 (resting MAP) d = .94 (MAP reactivity to stress) |
Note. CVD = cardiovascular disease