患有躯体症状障碍的夫妻间的人际情感动态：情感互动中面部温度的二元一致性
Interpersonal Emotion Dynamics in Couples With Somatic Symptom Disorder: Dyadic Coherence in Facial Temperature During Emotional Interactions.
作者信息
Okur Güney Zeynep Emine, Cardone Daniela, Sattel Heribert, Ariens Sigert, Witthöft Michael, Merla Arcangelo, Kuppens Peter, Henningsen Peter
机构信息
From the Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology (Okur Güney, Witthöft), Johannes Gutenberg University of Mainz, Mainz; Department of Psychosomatic Medicine and Psychotherapy (Okur Güney, Sattel, Henningsen), Technical University of Munich, Munich, Germany; Department of Neurosciences, Imaging and Clinical Sciences (Cardone, Merla), University G. d'Annunzio of Chieti-Pescara, Pescara, Italy; and Faculty of Psychology and Educational Sciences, Quantitative Psychology and Individual Differences (Ariens, Kuppens), KU Leuven, Leuven, Belgium.
出版信息
Psychosom Med. 2022;84(2):188-198. doi: 10.1097/PSY.0000000000001032.
OBJECTIVE
Disturbances in emotional processes are commonly reported in patients with a somatic symptom disorder (SSD). Although emotions usually occur in social interactions, little is known about interpersonal emotion dynamics of SSD patients during their actual emotional encounters. This study examined physiological coherence (linkage) between SSD patients and their partners, and in healthy couples during their emotional interactions. Secondarily, we explored group-level relationships between participants' and their partners' subjective affect.
METHODS
Twenty-nine romantic couples (16 healthy and 13 SSD patient-couples) underwent a dyadic conversation task with neutral and anger-eliciting topics followed by a guided relaxation. Partners' cutaneous facial temperature was recorded simultaneously by functional infrared thermal imaging. Immediately after each condition, participants reported on their pain intensity, self-affect, and perceived partner-affect.
RESULTS
Emotional conditions and having a partner with an SSD significantly affected coherence amplitude on the forehead (F(2,54) = 4.95, p = .011) and nose tip temperature (F(2,54) = 3.75, p = .030). From baseline to anger condition, coherence amplitude significantly increased in the patient-couples, whereas it decreased in the healthy couples. Correlation changes between partners' subjective affect comparably accompanied the changes in physiological coherence in healthy and patient-couples.
CONCLUSIONS
Inability to reduce emotional interdependence in sympathetic activity and subjective affect during a mutual conflict observed in SSD patient-couples seems to capture emotion co-dysregulation. Interventions should frame patients' emotional experiences as embodied and social. Functional infrared thermal imaging confirms to be an ecological and reliable method for examining autonomic changes in interpersonal contexts.Registration Page: https://osf.io/8eyjr.
目的
躯体症状障碍（SSD）患者常报告存在情绪过程紊乱。尽管情绪通常在社交互动中出现，但对于SSD患者在实际情绪遭遇中的人际情绪动态知之甚少。本研究考察了SSD患者及其伴侣之间以及健康夫妻在情绪互动过程中的生理连贯性（联系）。其次，我们探讨了参与者与其伴侣的主观情感在群体层面上的关系。
方法
29对浪漫情侣（16对健康情侣和13对SSD患者情侣）进行了二元对话任务，话题包括中性和引发愤怒的话题，随后进行引导放松。通过功能性红外热成像同时记录伴侣面部皮肤温度。在每种情况结束后，参与者立即报告他们的疼痛强度、自我情感和感知到的伴侣情感。
结果
情绪状况以及有一名患有SSD的伴侣对额头的连贯幅度（F(2,54) = 4.95，p = .011）和鼻尖温度（F(2,54) = 3.75，p = .030）有显著影响。从基线到愤怒状态，患者情侣的连贯幅度显著增加，而健康情侣的连贯幅度则下降。在健康情侣和患者情侣中，伴侣主观情感之间的相关性变化与生理连贯性的变化相当。
结论
在SSD患者情侣中观察到的相互冲突期间，无法降低交感神经活动和主观情感中的情绪相互依存性，似乎体现了情绪共同失调。干预措施应将患者的情绪体验视为身体层面和社会层面的。功能性红外热成像被证实是一种用于检查人际情境中自主神经变化的生态且可靠的方法。注册页面：https://osf.io/8eyjr。
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