Attenuated Cardiovascular Reactivity to Acute Psychological Stress Predicts Future Fatigue Symptoms in Truck Drivers

J Occup Environ Med. 2023 Mar 1;65(3):228-234. doi: 10.1097/JOM.0000000000002715. Epub 2022 Sep 27.

Abstract

Objectives: This study aimed to investigate the impact of a 6-month health intervention on truck drivers' cardiovascular reactivity to stress and whether cardiovascular reactivity was predictive of depression, anxiety, or fatigue symptoms at 6-month follow-up.

Methods: Two hundred thirty-eight truck drivers completed a 6-month cluster randomized controlled trial to increase physical activity and completed a stress protocol (Stroop and mirror-tracing tasks) with measurements of heart rate, systolic blood pressure, and diastolic blood pressure taken, alongside fatigue, anxiety, and depressive symptoms assessment. Measures were taken at 0 and 6 months.

Results: Analyses showed a negative relationship between 0-month diastolic blood pressure reactivity and 6-month persistent fatigue. Trends toward negative relationships between systolic blood pressure reactivity and future anxiety and fatigue symptoms at 6 months were evident.

Conclusions: Our findings may have serious implications, as fatigue can be a major cause of road traffic collisions in truck drivers.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Traffic
  • Automobile Driving* / psychology
  • Fatigue
  • Humans
  • Motor Vehicles
  • Stress, Psychological

Associated data

  • ISRCTN/ISRCTN10483894