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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Marital dissolution and blood pressure reactivity: evidence for the specificity of emotional intrusion-hyperarousal and task-rated emotional difficulty.
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Marital dissolution and blood pressure reactivity: evidence for the specificity of emotional intrusion-hyperarousal and task-rated emotional difficulty.

机译：婚姻溶解和血压反应性：证据证明情绪侵犯性-宫外压力和特定任务的情绪困难。

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OBJECTIVE: To assess blood pressure (BP) reactivity as recently separated adults completed a laboratory task asking to mentally reflect on their relationship experiences. Marital separations and the experience of divorce are associated with increased risk for early mortality and poor health outcomes. Few studies, however, have investigated the potential psychophysiological mechanisms that may account for these broad-based associations. METHOD: Seventy recently separated or divorced community-dwelling adults (26 men) completed self-report measures of divorce-related psychological adjustment. During a laboratory visit, quasi-continuous BP was assessed across four task periods, including a divorce-specific mental activation task (DMAT). A task-rated emotional difficulty (TRED) index was computed based on participants' immediate appraisals of the task demands. RESULTS: After accounting for relevant health-related covariates and depressed mood, participants who reported higher degrees of divorce-related emotional intrusion and physical hyperarousal demonstrated significantly elevated resting BP at entry into the study. When assessing change from a within-person control task to the DMAT, a three-way interaction indicated that men reporting high TRED scores evidenced significant increases in BP, whereas men reporting low TRED scores evidenced significant decreases in BP. Women evidenced no significant changes in BP across study periods. CONCLUSIONS: Results suggest that divorce-related emotional intrusion-hyperarousal and real-time ratings of emotional difficulty (when people think about their separation experience) may play a specific role in BP reactivity, especially for men. These data shed new light on the potential mechanisms that may link marital dissolution and poor health.
机译：目的：评估最近分离的成年人完成的一项实验室任务，要求他们从心理上反思他们的交往经历，以评估血压（BP）反应性。婚姻分离和离婚经历与早期死亡和健康状况差的风险增加有关。但是，很少有研究调查可能解释这些广泛关联的潜在心理生理机制。方法：70名最近分居或离婚的社区居民（26名男性）完成了与离婚有关的心理调节的自我报告。在实验室访问期间，在四个任务期间评估了准连续血压，包括离婚特定的心理激活任务（DMAT）。基于参与者对任务需求的即时评估，计算了任务等级的情绪困难（TRED）指数。结果：在考虑了与健康相关的相关协变量和情绪低落之后，报告离婚相关的情绪入侵和身体亢奋程度较高的参与者在进入研究时表现出明显的静息血压升高。在评估从人员内控制任务到DMAT的变化时，三向交互作用表明，报告TRED得分高的男性表明BP显着增加，而报告TRED得分低的男性表明BP显着下降。妇女在整个研究期间均未发现BP发生明显变化。结论：结果表明，与离婚有关的情绪侵犯，过高的和实时的情绪困难等级（当人们考虑他们的分居经历时）可能在BP反应性中起特定作用，尤其是对于男性。这些数据为可能将婚姻溶解和健康状况降低联系起来的潜在机制提供了新的启示。

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