Browse > Article
http://dx.doi.org/10.22722/KJPM.2022.30.1.7

Effect of Stress Level and Stress Vulnerability of Workers on Heart Rate Variability  

Lee, Jonggook (Department of Psychiatry, Gongju National Hospital)
Seo, Heeyoung (Department of Psychiatry, Gongju National Hospital)
Jeon, Seonyeong (Division of Mental Health Services, Gongju National Hospital)
Park, Sun Kyu (Division of Mental Health Services, Gongju National Hospital)
Bang, Ju Hyun (Division of Mental Health Services, Gongju National Hospital)
Hwang, Young Baum (Division of Mental Health Services, Gongju National Hospital)
Im, Kyung Bin (Division of Mental Health Services, Gongju National Hospital)
Publication Information
Korean Journal of Psychosomatic Medicine / v.30, no.1, 2022 , pp. 7-15 More about this Journal
Abstract
Objectives : The purpose of this study is to identify the effect of office workers' stress level and stress vulnerability on heart rate variability (HRV), confirm the significance of objective stress indicators obtained through subjective stress and heart rate variability devices, and examine their effectiveness as an integrated stress measurement tool in community mental health projects. Methods : From June to July in 2020, 929 workers participated in the stress management and mental health promotion project carried out by K hospital, and their recorded database was used for study analysis with their agreements. Multiple linear regression analysis was performed to find out the effects of general stress level, and stress vulnerability on heart rate variability. Results : All general characteristics were found to have a significant effect on SDNN (ln), RMSSD (ln), LF (ln), and HF (ln), but work experience did not significantly affect RMSSD (ln). Stress level and stress vulnerability did not significantly affect heart rate variability, but stress perception, a sub-factor of stress level, was found to have a significant effect on RMSSD (ln) (β=0.118, p=0.023). Conclusions : In this study, stress perception, a sub-factor of stress level, was found to be a factor affecting RMSSD (ln). This indicates an association with the activity of parasympathetic nerves in stressful situations, and more follow-up studies are needed to use it as a direct indicator of chronic stress and integrated stress in the community mental health field.
Keywords
Stress level; Stress vulnerability; Heart rate variability;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Park KM, Park EY. The effect of stress vulnerability on stress level. The Korean Society of Stress Medicine 2018;26:52-59.   DOI
2 Gidron Y, Deschepper R, De Couck M, Thayer JF, Velkeniers B. The vagus nerve can predict and possibly modulate non-communicable chronic diseases: introducing a neuroimmunological paradigm to public health. J Clin Med 2018;7.
3 Samsung Economic Research Institute. SERI management notes2, Knowledge Hub for Creative Solutions, c2011 [cited 2019 March 22], Available From: https://www.seri.org/_index_.html.
4 Korea Health Promotion Institute. National Health Promotion Comprehensive Plan-Status of Detailed Indicators. c2020 [cited 2020 October 22], Available From: https://www.khealth.or.kr/hpl/hplIdx/idxDataOne.do?menuId=MENU00819&idx_ix=301.
5 Massaro S, Pecchia L. Heart rate variability (HRV) analysis: a methodology for organizational neuroscience. Organizational Research Methods 2019;22:354-393.   DOI
6 Antelmi I, de Paula RS, Shinzato AR, Peres CA, Mansur AJ, Grupi CJ. Influence of age, gender, body mass index, and functional capacity on heart rate variability in a cohort of subjects without heart disease. Am J Cardiol 2004;93:381-385.   DOI
7 Lischke A, Weippert M, Mau-Moeller A, Paschke S, Jacksteit R, Hamm AO, Pahnke R. Sex-specific associations between inter-individual differences in heart rate variability and inter-individual differences in emotion regulation. Frontiers in Neuroscience 2019;12:1040.   DOI
8 SA-3000NEW Clinical Manual. Seoul: Medicore clincal research team; unknown;2002. p.12-27.
9 Kim W, Woo JM, Chae JH. Heart rate variability in psychiatry. J Korean Neuropsychiatr Assoc 2005;44:176-184.
10 SHIN HC. Measuring stress with questionnaires. J Korean Med Assoc 2013;56:485-495.   DOI
11 Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Frontiers in Public Health 2017;5:258.   DOI
12 Verkuil B, Brosschot JF, Thayer JF. Cardiac reactivity to and recovery from acute stress: temporal associations with implicit anxiety. Int J Psychophysiol 2014;92:85-91.   DOI
13 Kim W. Heart rate variability in stressful events and mental disorder. Journal of Stress Research 2008;16:161-165.
14 Kim BS, Hong SH. Integration evaluation stress inspection specialist's guide. Seoul: Inpsyt;2018. p.1-50.
15 Adjei T, Xue J, Mandic DP. The female heart: sex differences in the dynamics of ECG in response to stress. Frontiers in Physiology 2018;9:1-27.   DOI
16 Park GM, Park EY. The effect of stress vulnerability on stress level. The Korean Society of Stress Medicine 2018;3:52-59.   DOI
17 Udo T, Mun EY, Buckman JF, Vaschillo EG, Vaschillo B, Bates ME. Potential side effects of unhealthy lifestyle choices and health risks on basal and reactive heart rate variability in college drinkers. Journal of Studies on Alcohol and Drugs 2013;74:787-796.   DOI
18 Chun HJ, Kim SS, Sung JD, Paek DM. Determinants of heart rate variability in general korean population. Korean Circulation Journal 2001;31:107-113.   DOI
19 Wood R, Maraj B, Lee CM, Reyes R. Short-term heart rate variability during a cognitive challenge in young and older adults. Age and Ageing 2002;31:131-135.   DOI
20 Vrijkotte TGM, van Doornen LJP, de Geus EJC. Effects of work stress on ambulatory blood pressure, heart rate, and heart rate variability. Hypertension 2000;35:880-886.   DOI
21 Koh HM, Shin HC. Correlation of stress and HRV in Korean between the age 30s and 40s. The Korean Journal of Stress Research. 2011;19:273-279.
22 Suh MH. Differences in heart rate variability depending on sex, level of stress, anxiety, and depression among college students: on the basis of neurovisceral integration model. Journal of Korean Biological Nursing Science 2021;23:22-30.   DOI
23 Koh KB, Park JK. Development of the cognitive stress response scale. Journal of Korean Neuropsychiatric Association 2004;43:320-328.
24 Jang EH, Kim AY, Yu HY. Relationships of psychological factors to stress and heart rate variability as stress responses induced by cognitive stressors. Science of Emotion & Sensibility 2018;21:71-82.   DOI
25 Park MG, Son CN. Mediating effects of worry in the relation of stress and somatization. Korean J Str Res 2011;19:361-369.
26 Lee Clara, Choi WS,Lee BC, Jeong KS, Cho YJ. Clinical use of Heart rate variability by comparison of measurement for 3 and 5 minutes. Korean Journal of Family Practice 2015;5:523-528.
27 Yang YK. Analysis of correlation between parameters of Heart Rate Variability (HRV) and Stress Index (SI) in female college students. The Korean Society of Sports Science 2019;28:1039-1046.
28 Lee SJ, Lim CY, Park YJ. Correlation analysis between integrated stress responses and EEG signals of construction workers. Journal of the Korea Institute of Building Construction 2020;20:93-102.   DOI
29 Park KS, Yoon HM. Effect of college students' perceived stress, cognitive response to stress, and somatization on heart rate variability. Journal of Korean Biological Nursing Science 2019; 21:178-187   DOI
30 Kim SY, Seo HW, Kim JW, SY Chung. Relationship between Heart Rate Variability (HRV) and BDI, STAI and STAXI. Journal of Oriental Neuropsychiatry 2011;22:87-100.
31 Kim JE, Park DW, Han JY, Lee JH. Comparisons of HRV parameters among anxiety disorder, depressive disorder and trauma-stressor related disorder. Korean Journal of Psychosomatic Medicine 2020;28:81-88.   DOI
32 Cho MK, Park DH, Yu JH, Ryu SH, Ha JH. The change of heart rate variability in anxiety disorder after given physical or psychological stress. Sleep Medicine and Psychophysiology 2014;21:69-73.   DOI
33 Hall M, Vasco R, Buysse D, Ombao H, Chen Q, Cashmere JD, Kupfer D, Thayer JF. Acute stress affects heart rate variability during sleep. Psychosom Med 2004;66:56-62.   DOI
34 Cotton DHG. Stress management-an integrated approach to therapy. New York, Brunner/Mazel;1990. p.27-110.