Department of Psychology.
Health Psychol. 2023 Jan;42(1):53-62. doi: 10.1037/hea0001255. Epub 2022 Nov 21.
To test whether expectations of respect and appreciation from others, assessed in daily life, are associated with preclinical vascular disease.
Participants were an urban community sample of 483 employed adults (47% male, 17% Black, mean age = 42.8 years). Carotid intima-media thickness (IMT) was measured using B-mode ultrasound. Expectations of being treated with respect and appreciation were measured using the average of hourly assessments over the course of 4 days, and home and work averages were also examined separately.
Expectations of greater respect and appreciation from others were associated with significantly less carotid IMT even after adjustment for demographic factors, general positivity and negativity of social interactions, neuroticism, optimism, perceived discrimination, and concurrent biological risk factors. This association was similar across social contexts of work and home and also when expectations of respect and appreciation were examined separately. Lower expectations of respect and appreciation and more negative social interactions were both independently associated with greater IMT in fully adjusted models and effect sizes were similar to traditional biological risk factors such as BMI.
Midlife adults who anticipate greater respect and appreciation from others in everyday life evidence less preclinical vascular disease. Consistent with the literature showing that anticipation of social threats and unfair treatment may increase cardiovascular risk, expectations of being valued and treated with respect by others is associated with decreased risk. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
检验日常生活中对他人尊重和欣赏的期望是否与临床前血管疾病有关。
参与者是一个城市社区的 483 名在职成年人样本（47%为男性，17%为黑人，平均年龄为 42.8 岁）。使用 B 型超声测量颈动脉内膜-中层厚度（IMT）。使用 4 天内每小时评估的平均值来测量对被尊重和欣赏的期望，同时还分别检查了家庭和工作的平均值。
与他人的期望相比，对他人的尊重和欣赏程度更高，与颈动脉 IMT 显著减少有关，即使在调整了人口统计学因素、社会互动的总体积极性和消极性、神经质、乐观主义、感知歧视和同时存在的生物学危险因素后也是如此。这种关联在工作和家庭的社会背景下相似，当分别检查对尊重和欣赏的期望时也是如此。较低的尊重和欣赏期望以及更多的负面社会互动在完全调整后的模型中都与更大的 IMT 独立相关，并且其效应大小与 BMI 等传统生物学危险因素相似。
中年成年人如果在日常生活中期望得到他人更多的尊重和欣赏，那么他们的临床前血管疾病就会减少。与预期社会威胁和不公平待遇可能会增加心血管风险的文献一致，对他人的重视和尊重的期望与降低风险有关。
