ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2026
Stress and cardiovascular disease: Testing a vigilance pathway in two contemporary theories.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
12 authors.
Funding
Abstract
objectiveDespite robust evidence linking psychological stress to cardiovascular disease (CVD), explanations for how risk is transmitted are limited by a lack of ecologically valid models. Recent conceptual advances including generalized unsafety theory of stress and social safety theory articulate persistent physiological activation driven by contextual exposure and compensatory situational vigilance as a pathway. This study provides an integrated first test of generalized unsafety theory of stress and social safety theory models on preclinical CVD.
methodA diverse community sample of 300 adults (
resultsAs hypothesized, greater environmental unsafety (geo-coded crime rates;
conclusionsResults align with a persistent activation conceptualization of stress and modestly support the specific theoretical assertions. These findings suggest future stress-CVD investigations should account for multilevel safety influences and continuous monitoring behavior to more accurately capture daily stress experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
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Registered trials
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