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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Emotion Regulation and Immune Functioning During Grief: Testing the Role of Expressive Suppression and Cognitive Reappraisal in Inflammation Among Recently Bereaved Spouses
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Emotion Regulation and Immune Functioning During Grief: Testing the Role of Expressive Suppression and Cognitive Reappraisal in Inflammation Among Recently Bereaved Spouses

机译：悲伤期间的情感调节和免疫功能：测试最近亲人配偶炎症中的表达抑制和认知再现的作用

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Objective Losing a spouse is a distressing life event that can negatively affect both mental and physical health. Stress-induced health consequences often include increased risk of cardiovascular disease and altered immune system functioning marked by increased inflammation. Here, we sought to identify individual difference factors that covary with problematic inflammatory outcomes. Method We measured recently bereaved spouses' (n = 99) propensity to use emotion regulation strategies and peripheral inflammation, as measured by levels of proinflammatory cytokines after ex vivo stimulation of peripheral leukocytes with T-cell agonists. Specifically, we measured participants' use of cognitive reappraisal, an adaptive emotion regulation strategy in many contexts, and expressive suppression, a less adaptive emotion regulation strategy that involves actively inhibiting emotions after already experiencing them. Results Bereaved spouses who self-reported frequently using expressive suppression as an emotion regulation strategy tended to have a more pronounced inflammatory response, as indexed by higher levels of a composite cytokine index consisting of interleukin (IL) 17A, IL-2, IL-6, tumor necrosis factor alpha, and interferon-gamma (b = 0.042), as well as tumor necrosis factor alpha (b = 0.083) and interferon-gamma (b = 0.098) when analyzed individually. Notably, these associations were observed in both unadjusted and adjusted models, with the latter including known covariates of inflammation and other potential confounding variables. Conclusions These findings suggest that bereaved spouses' use of emotion regulation strategies is associated with altered immune functioning, and such a link may be an important biological pathway by which interventions targeting affect may improve immune system-related health outcomes.
机译：目的失去配偶是一种令人痛苦的生活事件，可能会对心理和身体健康产生负面影响。应激诱导的健康后果通常包括增加心血管疾病的风险，并且通过增加的炎症标志着改变的免疫系统功能。在这里，我们试图识别与有问题的炎症结果的个人差异因素。方法我们最近衡量了亲人配偶的（n = 99），以使用情绪调节策略和外周炎症的倾向，如促炎细胞因子在与T细胞染色剂的外周白细胞刺激后促炎细胞因子的水平测量。具体而言，我们在许多背景下测量了参与者使用认知重新评估，自适应情绪调节策略，以及表现力的抑制，一种较不适当的情感调节策略，涉及在已经经历它们后积极抑制情绪。结果常用抑制作为情感调节策略的经常自我报告的丧亲探亲配偶倾向于具有更明显的炎症反应，其由由白细胞介素（IL）17a，IL-2，IL-6组成的复合细胞因子指数的更高水平分析，肿瘤坏死因子α和干扰素-γ（B = 0.042），以及单独分析时肿瘤坏死因子α（B = 0.083）和干扰素-γ（B = 0.098）。值得注意的是，这些关联在两个不调整和调整的模型中观察到，后者包括已知的炎症协变量和其他潜在的混杂变量。结论这些调查结果表明，亲人配偶的情感调节策略的使用与改变的免疫功能相关，这种联系可能是靶向影响的干预措施的重要生物途径，可能会改善免疫系统相关的健康结果。

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