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感知歧视对 24 小时内动态血压和人际压力情感反应的影响。

The effects of perceived discrimination on ambulatory blood pressure and affective responses to interpersonal stress modeled over 24 hours.

机构信息

Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA.

出版信息

Health Psychol. 2010 Jul;29(4):403-11. doi: 10.1037/a0019045.

Abstract

OBJECTIVE

This research examined the impact of perceived discrimination on ambulatory blood pressure (ABP) and daily level affect during social interaction.

DESIGN

For 24 hrs, adult Black and White participants wore an ABP monitor and completed palm pilot diary entries about their social interactions.

MAIN OUTCOME MEASURES

Mean level and time-trend trajectories of blood pressure and heart rate were examined as well as mean level measures of positive and negative affect after stressful and nonstressful social interactions.

RESULTS

Analyses showed that, after controlling for important covariates, perceived discrimination predicted the slopes of both wake and nocturnal ABP responses, with those who reported more discrimination having steeper daytime trajectories for systolic and diastolic blood pressure and less nighttime dipping in heart rate over time as compared to those who had reported relatively infrequent discrimination. High levels of perceived discrimination were also related to positive and negative affective responses after stressful encounters.

CONCLUSIONS

These results suggest that, regardless of race, perceived discrimination is related to cardiovascular and affective responses that may increase vulnerability to pathogenic processes.

摘要

目的

本研究旨在探讨感知歧视对动态血压(ABP)和社会互动期间日常情绪水平的影响。

设计

在 24 小时内,成年黑人和白人参与者佩戴 ABP 监测器,并完成关于其社会互动的掌上电脑日记条目。

主要观察指标

血压和心率的平均水平和时间趋势轨迹,以及在有压力和无压力的社会互动后积极和消极情绪的平均水平。

结果

分析表明,在控制了重要的协变量后,感知歧视预测了觉醒和夜间 ABP 反应的斜率,与那些报告歧视较多的人相比,报告歧视相对较少的人白天的收缩压和舒张压轨迹更陡峭,心率夜间下降幅度较小。高感知歧视也与应激后积极和消极的情感反应有关。

结论

这些结果表明,无论种族如何,感知歧视与心血管和情感反应有关,这可能会增加发病机制的脆弱性。

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