Key result
The magnitude of the cold shock response, indexed by peak heart rate, did not significantly impair divergent thinking performance during cold-water immersion, though lower skin temperatures were associated with worse task performance.
Why the study?
Intense acute stress impairs executive functioning, raising the question of whether the cold shock response from cold-water immersion impairs higher-level thinking to maximize survival.
Does cold-water immersion impair divergent thinking in active duty service members?
Does cold-water immersion impair divergent thinking in active duty service members?
Effect estimate: r = 0.14
p-value: p=0.48
Divergent thinking is relatively preserved during the initial 10 minutes of cold-water immersion, though skin cooling may impair task performance.
Introduction: A primary hazard of working in cold maritime environments is the potential for a substantial man overboard situation in freezing waters. Sudden cold-water immersion (CWI) triggers the cold shock response (CSR), which consists of cardiorespiratory responses that increase the chance of drowning. If cold shock response severity can be mitigated, life-saving actions must be taken within the first 10 min, as after this time frame drowning occurs due to cold incapacitation. To date, research shows that executive functioning is generally impaired by intense, acute stress, which implies the ability to think through potential actions to maximize survival would also be impaired by the cold shock response. Methods: To examine whether the severity of cold shock response impairs higher-level thinking in a group, 29 active duty service members completed a group format Divergent Association Task (DAT; 4-5 per group) prior to and during a 13-min cold-water immersion (water temperature: 1.3°C, air temperature: -2.7°C). Results: Results showed no relationship between cold shock response magnitude, indexed by peak heart rate, and DAT performance. However, results indicated that those with lower skin temperatures performed worse on the DAT. Discussion: Results suggest that the ability to engage in divergent thinking is relatively preserved in the critical ~10-min window although skin cooling may bias attention toward the cold stress impacting task performance. Furthermore, subjective reports of the severity of the initial gasp tracked with peak heart rate demonstrating potential utility of subjective responses in the absence of respiratory measurements.
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Smith et al. (2025) studied Healthy military service members (n=29). Cold-water immersion (1.3°C water, -2.7°C air) vs. Baseline (thermoneutral indoor environment) was evaluated on Correlation between peak heart rate (indexing cold shock response) and individual-within-group Divergent Association Task (DAT) score difference (r = 0.14, p=0.48). The magnitude of the cold shock response, indexed by peak heart rate, did not significantly impair divergent thinking performance during cold-water immersion, though lower skin temperatures were associated with worse task performance.
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