Sex Differences in Stress Reactivity to the Trier Social Stress Test in Virtual Reality

Abstract Background: The aim of the present study is to investigate the sex differences in stress reactivity to the Trier Social Stress Test (TSST) in a virtual reality(TSST-VR). Methods: Healthy young male (n = 30) and female (n = 30) undergraduates were randomly assigned to a psychosocial stress protocol (TSST) condition or to a non-stressful control condition (Placebo-TSST) under VR. Electrodermal activity (EDA), heart rate (HR) and heart rate variability (HRV) were measured throughout the study. The subjective scales of stress and emotion were also conducted. Results: The results showed that after VR, the stress group reported higher stress perceptions than the non-stress group. Compared with females, the males stronger EDA and higher HRV before the VR, and lower HR during VR as well as higher HRV after VR. The correlation between subjective and objective reactivity demonstrated that HRV during VR was negatively correlated to depression and negative affect. The HRV after VR was negatively correlated to the positive coping but was positively correlated to the depression. Conclusions: These findings suggest that the TSST-VR could be used as an available tool for testing gender differences to social stress induction in experimental settings. Compared with females, males were more sensitive to stress.