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. Author manuscript; available in PMC: 2012 Sep 1.
Published in final edited form as: Health Psychol. 2011 Sep;30(5):615–632. doi: 10.1037/a0023480

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