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Daily marital interaction quality and carotid artery intima-medial thickness in healthy middle-aged adults

机译:健康中年成年人的日常婚姻互动质量和颈动脉内中膜厚度

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OBJECTIVE: To examine the association between marital interaction quality during daily life and subclinical cardiovascular disease (CVD). Studies have shown that marital status and quality of marriage are associated with cardiovascular health. However, little is known about the role of marital interaction quality during daily life in contributing to these effects. METHODS: The sample consisted of 281 healthy, employed middle-aged adults who were married or living with a partner in a marital-like relationship (mean age = 42.0 years, 88% white, 52% men). Marital interaction quality was assessed using hourly real-time ecological momentary assessments for 4 days, with participants rating their current or recent partner interactions on positive and negative characteristics (e.g., agreeableness and conflict). Carotid artery intima-medial thickness (IMT) was assessed using ultrasound imaging. RESULTS: Adjusting for demographics, positive marital interaction was inversely associated with IMT (b =-0.02, F(1,275) = 9.18, p = .002), and negative marital interaction was positively associated with IMT (b = 0.02 F(1,275) = 10.29, p = .001). These associations were not accounted for by behavioral and biological CVD risk factors and were consistent across age, sex, race, and education. The associations were also independent of marital interaction frequency, nonmarital social interaction quality, and personality factors. Global reports of marital quality, in contrast, were not associated with IMT. CONCLUSIONS: Marital quality as measured during real-time interactions between partners was associated with subclinical CVD in healthy middle-aged adults. This study supports the use of real-time social interaction assessment for characterizing links between social relationships and cardiovascular health.
机译:目的:探讨日常生活中婚姻互动质量与亚临床心血管疾病(CVD)之间的关系。研究表明,婚姻状况和婚姻质量与心血管健康有关。然而,人们对婚姻互动质量在日常生活中对这些影响的作用所知甚少。方法:该样本由281名健康,就业的中年成年人组成,他们已婚或与伴侣生活在婚姻关系中(平均年龄= 42.0岁,白人88%,男性52%)。婚姻互动质量使用4天的每小时实时生态瞬时评估进行评估,参与者对他们当前或最近的伴侣互动的正面和负面特征(例如,同意和冲突)进行评分。使用超声成像评估颈动脉内膜中层厚度(IMT)。结果:根据人口统计学调整,积极的婚姻互动与IMT呈负相关(b = -0.02,F(1,275)= 9.18,p = .002),负面的婚姻互动与IMT呈正相关(b = 0.02 F(1,275) = 10.29,p = 0.001)。行为和生物CVD危险因素未解释这些关联,并且在年龄,性别,种族和教育程度方面保持一致。关联也不受婚姻互动频率,非婚姻社会互动质量和人格因素的影响。相比之下,全球婚姻质量报告与IMT无关。结论:在健康的中年成年人中,伴侣之间实时互动过程中测得的婚姻质量与亚临床CVD有关。这项研究支持使用实时社交互动评估来表征社交关系与心血管健康之间的联系。

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