Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroad

Soldiers regularly participate in missions abroad and subjectively adapt to this situation. However, they have an increased lifetime cardiovascular risk compared to other occupational groups. To test the hypothesis that foreign deployment results in different stress habituation patterns, we investig...

Full description

Bibliographic Details
Main Authors: Tanja Maier, Manuela Rappel, Dae-Sup Rhee, Sebastian Brill, Julia Maderner, Friederike Pijahn, Harald Gündel, Peter Radermacher, Benedikt Friemert, Horst-Peter Becker, Christiane Waller
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1011181/full
_version_ 1811177708503171072
author Tanja Maier
Manuela Rappel
Dae-Sup Rhee
Sebastian Brill
Julia Maderner
Friederike Pijahn
Harald Gündel
Peter Radermacher
Benedikt Friemert
Horst-Peter Becker
Christiane Waller
Christiane Waller
author_facet Tanja Maier
Manuela Rappel
Dae-Sup Rhee
Sebastian Brill
Julia Maderner
Friederike Pijahn
Harald Gündel
Peter Radermacher
Benedikt Friemert
Horst-Peter Becker
Christiane Waller
Christiane Waller
author_sort Tanja Maier
collection DOAJ
description Soldiers regularly participate in missions abroad and subjectively adapt to this situation. However, they have an increased lifetime cardiovascular risk compared to other occupational groups. To test the hypothesis that foreign deployment results in different stress habituation patterns, we investigated long-term psychological and bio-physiological stress responses to a repeated social stress task in healthy soldiers with and without foreign deployment. Ninety-one female and male soldiers from the BEST study (German armed forces deployment and stress) participated three times in the Trier Social Stress Test for groups (TSST-G) prior to, 6–8 weeks after and 1 year after the mission abroad and were compared to a control group without foreign deployment during the study period. They completed the State-Trait-Anxiety Inventory scale (STAI), the Primary Appraisal Secondary Appraisal questionnaire (PASA) and the Multidimensional Mood State Questionnaire (MDBF). Salivary cortisol and α-amylase, blood pressure, heart rate and heart rate variability were determined. Soldiers showed mental habituation over the three times with a significant decrease after the TSST-G in anxiousness (STAI) and cognitive stress appraisal (PASA), they were calmer and reported better mood (MDBF). Prior to the social stress part, the mood (MDBF) declined significantly. None of the biological and physiological markers showed any adaptation to the TSST-G. Mission abroad did not significantly influence any measured psychobiological marker when compared to soldiers without foreign deployment. Foreign deployment does not result in alterations in psychobiological social stress response patterns over 1 year after mission abroad which indicates that adaptation to acute social stress is highly maintained in healthy soldiers. The discrepancy between subjective perception and objective stress response has numerous clinical implications and should receive more attention.
first_indexed 2024-04-11T06:05:42Z
format Article
id doaj.art-d433e1a885b5442f85d00f90cd1e65e4
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-04-11T06:05:42Z
publishDate 2022-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-d433e1a885b5442f85d00f90cd1e65e42022-12-22T04:41:30ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-12-011310.3389/fpsyt.2022.10111811011181Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroadTanja Maier0Manuela Rappel1Dae-Sup Rhee2Sebastian Brill3Julia Maderner4Friederike Pijahn5Harald Gündel6Peter Radermacher7Benedikt Friemert8Horst-Peter Becker9Christiane Waller10Christiane Waller11Clinic for Psychosomatics and Psychotherapeutic Medicine, Ulm University Medical Center, Ulm, GermanyClinic for Psychosomatics and Psychotherapeutic Medicine, Ulm University Medical Center, Ulm, GermanyClinic for Psychosomatics and Psychotherapeutic Medicine, Ulm University Medical Center, Ulm, GermanyMilitary Hospital, Ulm, GermanyClinic for Psychosomatics and Psychotherapeutic Medicine, Ulm University Medical Center, Ulm, GermanyClinic for Psychosomatics and Psychotherapeutic Medicine, Ulm University Medical Center, Ulm, GermanyClinic for Psychosomatics and Psychotherapeutic Medicine, Ulm University Medical Center, Ulm, GermanyInstitute for Anesthesiological Pathophysiology and Process Engineering, Ulm University, Ulm, GermanyMilitary Hospital, Ulm, GermanyMilitary Hospital, Berlin, GermanyClinic for Psychosomatics and Psychotherapeutic Medicine, Ulm University Medical Center, Ulm, GermanyDepartment of Psychosomatics and Psychotherapeutic Medicine, Paracelsus Medical University, Nuremberg, GermanySoldiers regularly participate in missions abroad and subjectively adapt to this situation. However, they have an increased lifetime cardiovascular risk compared to other occupational groups. To test the hypothesis that foreign deployment results in different stress habituation patterns, we investigated long-term psychological and bio-physiological stress responses to a repeated social stress task in healthy soldiers with and without foreign deployment. Ninety-one female and male soldiers from the BEST study (German armed forces deployment and stress) participated three times in the Trier Social Stress Test for groups (TSST-G) prior to, 6–8 weeks after and 1 year after the mission abroad and were compared to a control group without foreign deployment during the study period. They completed the State-Trait-Anxiety Inventory scale (STAI), the Primary Appraisal Secondary Appraisal questionnaire (PASA) and the Multidimensional Mood State Questionnaire (MDBF). Salivary cortisol and α-amylase, blood pressure, heart rate and heart rate variability were determined. Soldiers showed mental habituation over the three times with a significant decrease after the TSST-G in anxiousness (STAI) and cognitive stress appraisal (PASA), they were calmer and reported better mood (MDBF). Prior to the social stress part, the mood (MDBF) declined significantly. None of the biological and physiological markers showed any adaptation to the TSST-G. Mission abroad did not significantly influence any measured psychobiological marker when compared to soldiers without foreign deployment. Foreign deployment does not result in alterations in psychobiological social stress response patterns over 1 year after mission abroad which indicates that adaptation to acute social stress is highly maintained in healthy soldiers. The discrepancy between subjective perception and objective stress response has numerous clinical implications and should receive more attention.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1011181/fullsocial stressmission abroadTSST-Ghabituationbiological stress axis responsesalivary cortisol
spellingShingle Tanja Maier
Manuela Rappel
Dae-Sup Rhee
Sebastian Brill
Julia Maderner
Friederike Pijahn
Harald Gündel
Peter Radermacher
Benedikt Friemert
Horst-Peter Becker
Christiane Waller
Christiane Waller
Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroad
Frontiers in Psychiatry
social stress
mission abroad
TSST-G
habituation
biological stress axis response
salivary cortisol
title Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroad
title_full Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroad
title_fullStr Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroad
title_full_unstemmed Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroad
title_short Mental but no bio-physiological long-term habituation to repeated social stress: A study on soldiers and the influence of mission abroad
title_sort mental but no bio physiological long term habituation to repeated social stress a study on soldiers and the influence of mission abroad
topic social stress
mission abroad
TSST-G
habituation
biological stress axis response
salivary cortisol
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1011181/full
work_keys_str_mv AT tanjamaier mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT manuelarappel mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT daesuprhee mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT sebastianbrill mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT juliamaderner mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT friederikepijahn mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT haraldgundel mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT peterradermacher mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT benediktfriemert mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT horstpeterbecker mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT christianewaller mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad
AT christianewaller mentalbutnobiophysiologicallongtermhabituationtorepeatedsocialstressastudyonsoldiersandtheinfluenceofmissionabroad