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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Frequency of spousal interaction and 3-year progression of carotid artery intima medial thickness: the Pittsburgh Healthy Heart Project.
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Frequency of spousal interaction and 3-year progression of carotid artery intima medial thickness: the Pittsburgh Healthy Heart Project.

机译：配偶互动的频率和颈动脉内膜中层厚度3年的进展：匹兹堡健康心脏计划。

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OBJECTIVE: We employed Ecological Momentary Assessment (EMA) real-time recording in the natural setting to determine whether spousal interaction frequency predicts 3-year progression of carotid artery intima medial thickening (IMT). METHODS: Participants were 250 healthy, older adults (M age = 61, 48% female) who, at baseline, underwent 6 days of ambulatory monitoring using electronic diaries to collect data on mood, activity, and posture, as well as current or recent (past 10 minutes) social interactions. Participants also underwent ultrasound imaging of the carotid arteries at baseline and 3-year follow-up. Spousal interaction frequency was computed as the sum of total interactions with only the spouse during the 6 days of monitoring. RESULTS: Spousal interaction frequency did not predict IMT change in the sample as a whole (p = .87). However, a sex by spousal interaction by marital adjustment interaction (p = .02) indicated that more frequent spousal interaction was associated with less IMT progression among men with better marital adjustment (p = .03). In contrast, frequent spousal interaction predicted greater IMT progression among women with better martial adjustment (p < .01). This effect lost significance when women's total social interactions (sum of all interactions) were included in the model. Total social interaction frequency was an independent predictor of IMT among women but not men. CONCLUSIONS: These findings extend those of previous research by suggesting that frequent spousal interactions may be associated with long-term cardiovascular health among happily married older men and demonstrate how sampling daily experience may enhance our understanding of the possible health benefits of marriage.
机译：目的：我们在自然环境中采用了生态矩评估（EMA）实时记录，以确定配偶之间的相互作用频率是否可以预测颈动脉内膜内侧增厚（IMT）的3年进展。方法：参与者为250名健康的老年人（男性，年龄61岁，女性占48％），他们在基线时进行了6天的动态监测，使用电子日记收集有关情绪，活动和姿势以及当前或近期的数据（过去10分钟）社交互动。参与者还在基线和3年随访中对颈动脉进行了超声检查。配偶互动频率计算为在监测的6天中仅与配偶互动的总次数。结果：配偶的交互频率不能预测整个样本中IMT的变化（p = .87）。但是，通过婚姻调整互动进行的配偶互动性行为（p = .02）表明，婚姻调整更好的男性中，更频繁的配偶互动与较少的IMT进展相关（p = .03）。相反，频繁的配偶互动预示着女性在进行更好的武术调整后IMT进展更大（p <.01）。当将妇女的全部社会互动（所有互动的总和）包括在模型中时，这种影响就失去了意义。总的社会互动频率是女性而非男性中IMT的独立预测因子。结论：这些发现扩展了先前研究的范围，表明频繁的配偶互动可能与幸福的已婚男性之间的长期心血管健康有关，并证明了每天的采样经验如何增进我们对婚姻可能带来的健康益处的理解。

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