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应激心血管反应迟钝的发展前体。

The developmental precursors of blunted cardiovascular responses to stress.

机构信息

University of Virginia, Charlottesville, VA, USA.

University of Utah, Salt Lake City, UT, USA.

出版信息

Dev Psychobiol. 2021 Mar;63(2):247-261. doi: 10.1002/dev.21977. Epub 2020 May 17.

Abstract

Blunted cardiovascular responses to stress have been associated with both mental and physical health concerns. This multi-method, longitudinal study examined the role of chronic social-developmental stress from adolescence onward as a precursor to these blunted stress responses. Using a diverse community sample of 184 adolescents followed from age 13 to 29 along with friends and romantic partners, this study found that high levels of parental psychological control at age 13 directly predicted a blunted heart rate response and indirectly predicted blunted respiratory sinus arrhythmia (RSA) reactivity under stress. Heart rate effects were mediated via indicators of a developing passive response style, including observational measures of withdrawal during conflict with friends and romantic partners, social disengagement, and coping with stressors by using denial. RSA effects were mediated via withdrawal during conflict with romantic partners and coping by using denial. The current findings are interpreted as suggesting a mechanism by which a key social/developmental stressor in adolescence may alter relational and ultimately physiological patterns of stress responding into adulthood.

摘要

压力引起的心血管反应迟钝与身心健康问题都有关联。这项多方法、纵向研究考察了从青春期开始的慢性社会发展压力在这些压力反应迟钝之前的作用。本研究使用了一个多样化的社区样本,其中包括 184 名青少年,他们从 13 岁到 29 岁一直被跟踪,同时还包括他们的朋友和伴侣。研究发现,13 岁时父母心理控制程度高直接预测心率反应迟钝,间接预测应激时呼吸窦性心律失常(RSA)反应迟钝。心率的影响是通过发展中的被动反应方式的指标来介导的,包括在与朋友和伴侣发生冲突时观察到的回避、社会脱离以及通过否认来应对压力源。RSA 的影响是通过与伴侣发生冲突时的回避以及通过否认来应对压力来介导的。目前的研究结果表明,青春期的一个关键社会/发展压力源可能通过改变关系模式,最终改变成年期的压力反应生理模式。

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