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人际关系与心血管风险:特定关系背景下感知到的夫妻矛盾心理及其与炎症的关系。

Relationships and cardiovascular risk: perceived spousal ambivalence in specific relationship contexts and its links to inflammation.

机构信息

Department of Psychology, University of Utah.

出版信息

Health Psychol. 2013 Oct;32(10):1067-75. doi: 10.1037/a0033515. Epub 2013 Aug 5.

DOI:10.1037/a0033515
PMID:23914811
Abstract

OBJECTIVES

Although perceiving one's social ties as sources of ambivalence has been linked to negative health outcomes, the more specific contexts by which such relationships influence health remain less studied. We thus examined if perceived spousal relationship quality in three theoretically important contexts (i.e., support, capitalization, everyday life) predicted inflammation.

METHOD

Ninety-four married couples completed measures of perceived spousal positivity and negativity in support, capitalization, and everyday contexts. These scores were used to derive an index of relationship ambivalence whereby interactions were rated as containing both positive and negative aspects. Serum levels of IL-6, fibrinogen, and CRP were assessed from plasma.

RESULTS

Perceiving ambivalence toward one's spouse in a support context was linked to greater inflammation even when considering health behaviors, relationship-specific romantic attachment style, spouse negativity/positivity ratings, and overall marital satisfaction. Perceiving ambivalence toward a spouse during capitalization predicted higher fibrinogen levels only, whereas no links were found with perceived spousal ambivalence in everyday life contexts.

CONCLUSION

Perceptions of ambivalence during support may be a particularly important relational context in which marital ties influence health.

摘要

目的

尽管人们认为自己的社会关系是矛盾的来源与负面健康结果有关,但这些关系影响健康的更具体情况仍研究较少。因此,我们研究了在三个理论上重要的情境(即支持、资本化、日常生活)中感知到的配偶关系质量是否可以预测炎症。

方法

94 对已婚夫妇完成了支持、资本化和日常生活情境中感知到的配偶积极性和消极性的测量。这些分数被用来得出关系矛盾的指数,即互动被评定为既有积极的方面也有消极的方面。从血浆中评估了白细胞介素 6(IL-6)、纤维蛋白原和 CRP 的血清水平。

结果

即使考虑到健康行为、关系特定的浪漫依恋风格、配偶的消极/积极性评定和整体婚姻满意度,在支持情境中感知到对配偶的矛盾也与更高的炎症有关。在资本化过程中感知到配偶的矛盾仅预测纤维蛋白原水平更高,而在日常生活情境中没有发现与感知到的配偶矛盾有关的联系。

结论

在支持情境中感知到的矛盾感可能是婚姻关系影响健康的一个特别重要的关系情境。

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