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创伤后应激症状对夫妻急性应激诱导后呼吸性窦性心律不齐调节的二元效应。

The dyadic effects of posttraumatic stress symptoms on the regulation of respiratory sinus arrhythmia following an acute stress induction among couples.

作者信息

Barden Eileen P, Wang Binghuang A, Gates Melissa V, Poole Leanna Z, Balderrama-Durbin Christina M

机构信息

Behavioral Science Division, National Center for PTSD, VA Boston Healthcare System.

Department of Psychology, Binghamton University (State University of New York).

出版信息

Psychol Trauma. 2025 Mar;17(3):553-562. doi: 10.1037/tra0001765. Epub 2024 Aug 5.

DOI:10.1037/tra0001765
PMID:39101899
Abstract

OBJECTIVE

Posttraumatic stress symptoms (PTSS) can have detrimental influences on both individual and couple functioning, including how individuals respond to stressors and regulate emotions. Respiratory sinus arrhythmia (RSA) can serve as a key indicator of emotion regulation; however, few studies have examined psychophysiological stress reactions within a couple's context.

METHOD

Forty-three couples ( = 86 individuals) with a trauma history were assessed for PTSS and RSA at baseline. One partner then completed a stressor task using a film-clip depicting sexual assault. Afterward, the couple was reunited and completed a dyadic discussion task where both partners' RSA was continuously measured while they discussed the stressed partner's thoughts and feelings about the stressful film-clip.

RESULTS

Moderated repeated measures actor-partner interdependence models were conducted, examining the self and coregulation of RSA and moderation of such regulation by PTSS. There was significant self-regulation from both partners, and a coregulation process whereby the nonstressed partner's RSA influenced the rate of change in RSA of their stressed partner. Additionally, greater PTSS in the nonstressed partner was associated with a weakening of both self and coregulation.

CONCLUSION

Patterns of both self- and coregulation, within and between romantic partners emerged and illustrate the impact of PTSS within these dyadic physiologic processes. Findings have theoretical and clinical implications in physiological dyadic interactions and potential stress recovery, particularly emphasizing the relevance of examining biomarkers such as RSA among partners with a trauma history during recovery from stress. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

目的

创伤后应激症状(PTSS)会对个体及伴侣的功能产生不利影响,包括个体如何应对压力源和调节情绪。呼吸性窦性心律不齐(RSA)可作为情绪调节的关键指标;然而,很少有研究在伴侣关系背景下考察心理生理应激反应。

方法

对43对(共86名个体)有创伤史的伴侣在基线时进行PTSS和RSA评估。然后一方伴侣使用一段描绘性侵犯的电影片段完成一项应激源任务。之后,这对伴侣团聚并完成一项二元讨论任务,在讨论应激伴侣对压力性电影片段的想法和感受时,持续测量双方伴侣的RSA。

结果

进行了调节重复测量的行为者-伴侣相互依赖模型,考察RSA的自我调节和共同调节以及PTSS对此类调节的调节作用。双方伴侣都有显著的自我调节,并且存在一种共同调节过程,即非应激伴侣的RSA会影响其应激伴侣RSA的变化率。此外,非应激伴侣中较高的PTSS与自我调节和共同调节的减弱都有关联。

结论

浪漫伴侣内部和之间出现了自我调节和共同调节模式,这说明了PTSS在这些二元生理过程中的影响。研究结果在生理二元互动和潜在应激恢复方面具有理论和临床意义,尤其强调在应激恢复过程中,对有创伤史的伴侣之间如RSA等生物标志物进行考察的相关性。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)

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