Blood pressure-associated emotional dampening and risky behavior: Elevated resting blood pressure predicts risky simulated driving in women.

Elevated resting blood pressure (BP) is associated with dampened responses to emotionally meaningful stimuli. This BP-associated emotional dampening may also influence threat appraisal and, hence, motivation to avoid risk. The present study was designed to determine if resting BP is associated with risky driving behavior assessed in a high fidelity driving simulator. Fifty-one healthy women (n = 20) and men (n = 31) rested for BP determinations both before and after a simulated driving scenario in a DriveSafety automotive simulator with six visual channels, single-axis motion, and functioning controls and instrumentation. Resting systolic (SBP) and diastolic (DBP) BPs were obtained systematically with a calibrated GE Dinamap Pro V100. Risky driving was assessed by speed relative to the posted speed limit, and a speed-adjusted time to collision index of tailgating. Regression analyses indicated that sex interacted with resting BP, with significant associations between BP and risk in women, but not men. For example, risky driving in women was associated with higher resting DBP (p = .006), with similar but less reliable effects for resting SBP (p = .058). These results provide some partial, preliminary support for the notion that BP-associated emotional dampening may reduce threat appraisal and thereby decrease motivation for risk avoidance, but these effects are confined to women in this simulated driving scenario. Interacting central nervous system (CNS) mechanisms controlling BP and emotional responsivity may mediate the relationship between BP and risk-taking behavior. Relative expression of this relationship in women and men may depend on multiple psychosocial and physiological mechanisms. The association of higher BP with increased risk-taking behaviors may have relevance to the early pathogenesis of essential hypertension.

Blood Pressure, Emotional Dampening, and Risk Behavior: Implications for Hypertension Development.

OBJECTIVE: Elevated resting blood pressure (BP) is associated with risk for hypertension and emotional dampening, including reduced responses to emotionally meaningful stimuli. Perception of threat is a critical motivator in avoidance of risky health-damaging behavior. We hypothesize that BP-associated dampening of threat appraisal may increase risk-taking behavior. METHODS: We measured resting BP, perception of affect, and risk behavior in 92 healthy women (n = 49) and men (n = 43) recruited from university students and staff as well as members of the surrounding community. Mean (SE) age for the sample was 21.5 (4.3) year. BP was measured using an automated BP monitor, and risk behavior was assessed with a modified National College Health Risk Behavior Survey. We also measured recognition of affect using the Perception of Affect Task (PAT). RESULTS: Risk-taking behavior was positively correlated with both systolic (r(89) = .278, p = .008) and diastolic BP (r(89) = .309, p < .003). Regression analyses indicated that the association between risk-taking behavior and BP was not mediated by PAT scores. CONCLUSIONS: Results show that persons with higher resting BP levels report increased risk-taking behavior. PAT scores, while correlated with systolic BP, did not mediate the relationship between BP and risk. The relationship between BP and risk behavior reflects the potential involvement of central nervous system regulation of both BP and emotional responsivity, and its relationship to health-damaging behavior and risk for hypertension.

Psychometric properties of the Epworth Sleepiness Scale: A factor analysis and item-response theory approach.

The purpose of this study is to examine the psychometric properties of the Epworth Sleepiness Scale (ESS) in two languages, German and English. Students from a university in Austria (N = 292; 55 males; mean age = 18.71 ± 1.71 years; 237 females; mean age = 18.24 ± 0.88 years) and a university in the US (N = 329; 128 males; mean age = 18.71 ± 0.88 years; 201 females; mean age = 21.59 ± 2.27 years) completed the ESS. An exploratory-factor analysis was completed to examine dimensionality of the ESS. Item response theory (IRT) analyses were used to provide information about the response rates on the items on the ESS and provide differential item functioning (DIF) analyses to examine whether the items were interpreted differently between the two languages. The factor analyses suggest that the ESS measures two distinct sleepiness constructs. These constructs indicate that the ESS is probing sleepiness in settings requiring active versus passive responding. The IRT analyses found that overall, the items on the ESS perform well as a measure of sleepiness. However, Item 8 and to a lesser extent Item 6 were being interpreted differently by respondents in comparison to the other items. In addition, the DIF analyses showed that the responses between German and English were very similar indicating that there are only minor measurement differences between the two language versions of the ESS. These findings suggest that the ESS provides a reliable measure of propensity to sleepiness; however, it does convey a two-factor approach to sleepiness. Researchers and clinicians can use the German and English versions of the ESS but may wish to exclude Item 8 when calculating a total sleepiness score.

Carrots, Not Sticks: Adverse Impact and Wellness Programs.

OBJECTIVE: The purpose of this study was to determine if wellness programs are likely to produce an adverse impact in various protected groups and to determine what features of the program may contribute to adverse impact. METHODS: Using a nationally representative sample of US adults, we examined the proportions of protected groups that would be expected to encounter adverse impact using various health factors such as weight, blood pressure, and cholesterol levels. RESULTS: The results of this study indicate that disincentive-based programs pose a high risk of differentially selecting protected groups into program categories. This is especially true for members of multiple protected classes. CONCLUSIONS: We suggest organizations carefully consider both the type of program and the health factors incorporated into their wellness efforts and use incentives rather than disincentives to encourage health promotion.

Subclinical Posttraumatic Stress Disorder Symptoms: Relationships with Blood Pressure, Hostility, and Sleep.

The purpose of this study was to examine the relationships among subclinical PTSD symptoms, blood pressure, and several variables linked to both frank PTSD and the basic psychobiological adaptation to stress. The authors recruited a sample of 91 healthy, young men and women between 18 and 35 years. We examined links among subclinical posttraumatic stress disorder symptoms, blood pressure, sleep quality, and hostility. Posttraumatic stress disorder symptoms were associated with poorer sleep quality and higher hostility scores in both women and men. In men, PTSD symptoms were also associated with elevated resting diastolic blood pressure, and sex was an important moderator of that relationship. Moreover, sleep quality and hostility are substantive mediators of the relationship between diastolic blood pressure and PTSD. Behavioral interventions designed to increase sleep quality and restructure hostile attitudes could potentially serve as preventive interventions for PTSD and the underlying cardiovascular comorbidities in young adults.

Lane heading difference: An innovative model for drowsy driving detection using retrospective analysis around curves.

Driving while sleepy is a serious contributor to automobile accidents. Previous research has shown that drowsy drivers produce systematic errors (variability) in vehicle behavior which are detectable using vehicle monitoring technology. The current study developed a new methodological approach using a vehicle heading difference metric to detect drowsy driving more effectively than other more commonly used methods. Twenty participants completed a driving scenario as well as several measures of fatigue in five testing sessions across a night of sleep deprivation. Each simulated highway driving session lasted 20 min, and was analyzed for lateral lane position variability and vehicle heading difference variability with two statistical methods. Fatigue measures monitored reaction time, attention, and oculomotor movement. The results showed that examining lane heading difference using the absolute value of the raw data detected driving variability better across the night than other statistical models. The results from the fatigue measures indicated an increase in reaction time and response lapses, as well as a decrease in oculomotor reactivity across the night. These results suggest that in fatigued drivers the statistical model using the absolute value of lane heading could be an improved metric for drowsy driving detection that could accurately detect detriments in driving ability at lower levels of fatigue.

Forced distribution rating systems: when does "rank and yank" lead to adverse impact?

Despite widespread use of forced distribution rating systems (FDRSs), the potential for this performance appraisal method to lead to adverse impact (AI) in a layoff context has yet to be examined empirically. Thus, the current study uses a Monte Carlo simulation to examine the likelihood of encountering AI violations when an FDRS is used in the context of layoffs. The primary research questions included an examination of how AI violations change depending on the definition of the employment action (i.e., retention vs. layoff), the length of the repeated layoffs, and whether or not laid off employees are replaced each year. The current study also examined the impact of the size of the organization, the percentage of the workforce laid off, and the type of AI calculation method used on the likelihood of AI violations. Results suggest that defining the employment action as layoffs (rather than as retentions) may result in a greater likelihood of AI violations, and AI violations are likely to peak in the 1st year of use. Further, replacing laid off employees may result in higher levels of AI over time as compared with not replacing layoffs. Additionally, the greatest risk for AI occurs when the organization size is large (i.e., N = 10,000) and when certain AI calculation methods are used. Results are discussed in terms of their practical and legal implications for organizations.

Head movements and simulator sickness generated by a virtual environment.

BACKGROUND: For virtual environments (VEs) to be useful in training it is important to understand the negative effects of VE exposure. The purpose of this study was to observe head movements in virtual and real environments and the relation between those movements and simulator sickness. METHOD: There were 48 men who were trained in 4-person teams in either a head-mounted display (HMD)-based VE or in a real world environment. Head position data were collected in both systems and simulator sickness scores were collected in the VE. The relationship of head movements and sickness scores in theVE was examined and the degree of head movements in the real world and VE compared. RESULTS: Differences were found in the length of time subjects spent moving their heads; subjects with the highest sickness scores moved their heads less often than other subjects in the VE. Also, subjects moved their heads significantly less and less often in the VE (means: 3 degrees x 50 ms(-1), 71% of trial time not moving head), compared to the real world (means: 10 degrees 50 ms(-1), 59% of trial time not moving head). CONCLUSIONS: This study observed that when head movements are quantified, past assumptions of the link between increased sickness scores and decreased head movements may not hold. Though not linked to simulator sickness, head movements were reduced in the VE compared to the real world. Though observational in nature, this study is one of the first to quantify head movements and how they may relate to simulator sickness.

Physiological compliance and team performance.

Physiological compliance (PC) refers to the correlation between physiological measures of team members over time. The goals of this study were to examine ways of measuring PC in heart rate variability (HRV) data and the relationship between PC and team performance. Teams were tasked with entering both real and simulated rooms and "shooting" individuals with a weapon and identifying individuals without a weapon. The linear correlation and directional agreement PC methods were shown to be the most sensitive to differences in performance, with greater PC being associated with better performance. The correlation method when applied to a measure of respiratory sinus arrhythmia (RSA) revealed a significant difference between high and low performers (t[8]=-2.31, p=0.03) and the directional agreement applied to inter-beat-intervals and RSA revealed trend-level differences (t[4.62]=-1.86, p=0.06 and t[8]=-1.68, p=0.07). These results suggest that PC may have merit for predicting team performance.

Internet-based assessment of bowel symptoms and quality of life.

(Table is included in full-text article). Internet-based questionnaires will, no doubt, continue to gain popularity. Internet presents an attractive medium for the researcher to collect large amounts of data with relatively little effort. The questionnaires can be available to respondents all over the world, 24 h a day, with very little labor involved. The questionnaires can be electronically scored immediately upon completion. Results can then be stored in an analyzable form or be used instantly to redirect the respondent to follow-up questionnaires. Nonetheless, good questionnaire design and psychometric principles still apply. This is true even when porting a valid paper and pencil test to the Internet. In addition, technical and logistical issues in web-based testing can affect the reliability and validity of the questionnaires. Researchers are cautioned to follow good questionnaire development practices and consider the unique problems of Internet-based instruments.

Modeling the behavior of the 4/5ths rule for determining adverse impact: reasons for caution.

The Equal Employment Opportunity Commission's 4/5ths rule has been used for over 20 years in applied psychology and employment law. The rule signals that there is adverse impact when the protected group selection ratio is less than 80% of the highest scoring group's selection ratio. We conducted several simulations and found, consistent with some previous management science literature, that the 4/5ths rule often resulted in false-positive readings of adverse impact even when there were no underlying (population) standardized group differences between subgroups. We then incorporated tests of statistical significance and found that adding such tests to the 4/5ths rule eliminated many false-positive indications of adverse impact. We also examined simulated selection systems based on meta-analytic values from the selection literature. The frequency of adverse impact signals from the 4/5ths rule increased markedly relative to simulations with no subgroup population differences. Adding statistical tests mitigated the number of indications of adverse impact to some extent.

Opioid analgesia in persons at risk for hypertension.

OBJECTIVE: Acute pain sensitivity is reduced in clinical hypertension, but the precise relationship between pain perception and altered blood pressure control is not well-characterized. A negative correlation between resting blood pressure and pain sensitivity is observed throughout the normotensive range, suggesting links between basic mechanisms of blood pressure control and pain regulation. The opioid peptides are important endogenous analgesic mechanisms, but their role in the hypoalgesia of blood pressure elevations has not been well-established. The current study sought to examine the effects of endogenous opioids on blood pressure-associated hypoalgesia in young adults at risk for hypertension development. METHODS: The effects of the opioid receptor antagonist, naltrexone, on cold pressor pain sensitivity were assessed in young adult men (n = 49) and women (n = 76) with mildly elevated casual blood pressure. RESULTS: Results indicate interactions between hypertension risk and the effects of opioid blockade on pain sensitivity. CONCLUSIONS: These findings suggest exaggerated opioid analgesia in persons at enhanced risk for hypertension and point to important links between altered neuropeptide regulation of pain and altered blood pressure control mechanisms in the early stages of hypertension.

Blood pressure control and hormone replacement therapy in postmenopausal women at risk for coronary heart disease.

BACKGROUND: Coronary heart disease (CHD) in women is strongly associated with estrogen deprivation. For example, risk for CHD increases dramatically after menopause. However, the role of hormone replacement therapy (HRT) in CHD prevention currently is unresolved. To better understand CHD in women, the precise mechanisms by which estrogen affects circulatory function require clarification. Evidence suggests that exogenous estrogen may affect blood pressure (BP) control, but its interaction with other CHD risk factors has not been systematically characterized. The present study examines the role of mildly elevated resting BP, family history of CHD, and HRT on BP responses to stress in postmenopausal women. METHODS: Postmenopausal women on long-term HRT were recruited along with a control group of postmenopausal women not on HRT. These women were divided into higher versus lower risk for CHD on the basis of resting BP and family history of CHD. BP control mechanisms were assessed before, during, and after a computer-controlled laboratory stressor. RESULTS: Results indicate that women with elevated resting BP and positive family history of CHD have exaggerated BP reactivity to stress and that HRT inhibits this effect. CONCLUSIONS: This study suggests that unmedicated postmenopausal women with mildly elevated resting BP and positive family history of CHD have altered BP control as indicated by exaggerated BP responses to stress. HRT eliminates the cumulative effect of resting BP and family history on BP reactivity, suggesting that the circulatory effects of estrogen replacement may operate, at least in part, through normalization of BP reactivity in higher-risk postmenopausal women.