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Prolonged cardiac activation, stressful events and worry in daily life.

Pieper, S.

Citation

Pieper, S. (2008, November 27). Prolonged cardiac activation, stressful events and worry in daily life. Retrieved from https://hdl.handle.net/1887/13285

Version: Not Applicable (or Unknown)

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13285

Note: To cite this publication please use the final published version (if applicable).

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Prolonged Cardiac Activation,

Stressful Events and Worry in Daily Life

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© Suzanne Pieper

ISBN: 978-90-8891-071-5

Cover: 'fight – flight' by Els Tjong Joe Wai, 2007

The research reported in this thesis was funded by the Netherlands Organisation for Scientific Research-Medical Sciences (NOW-MW).

All rights reserved. No part of this book may be reproduced in any form by print, photoprint, microfilm or any other means without permission from the author.

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Prolonged cardiac activation, stressful events and worry in daily life

PROEFSCHRIFT

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op donderdag 27 november 2008

klokke 13.45 uur door

Suzanne Pieper

geboren te Paramaribo, Suriname in 1977

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Promotiecommissie

Promotor Prof. Dr. C.M.J.G Maes

Copromotor Dr. J.F. Brosschot

Referent Prof. Dr. L.J.P. van Doornen (Universiteit Utrecht)

Overige leden Prof. Dr. J.F. Thayer (Ohio State University) Dr. S.A.E. Geurts (Radboud Universiteit Nijmegen) Dr. M.P. van der Doef

Prof. Dr. A.J.W. van der Does

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In every life we have some trouble, but when you worry you make it double.

Bobby McFerrin (1988)

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CONTENTS

Chapter 1: General Introduction... 9

Chapter 2: Prolonged Stress-Related Cardiovascular Activation: Is There Any?... 17

Chapter 3: Expanding Stress Theory: Prolonged Activation and Perseverative Cognition... 41

Chapter 4: Cardiac Effects of Momentary Assessed Worry Episodes and Stressful Events... 53

Chapter 5: Prolonged Cardiac Effects of Momentary Assessed Stressful Events and Worry Episodes... 79

Chapter 6: Daytime Stress, Worry and Negative Emotional Traits and Cardiac Activation during Sleep... 113

Chapter 7: General Discussion... 153

Samenvatting... 173

Dankwoord... 179

Curriculum Vitae... 183

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