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儿童期家庭压力与女性健康:副交感神经活动作为风险和弹性因素。

Childhood Family Stress and Women's Health: Parasympathetic Activity as a Risk and Resiliency Factor.

机构信息

Department of Psychology, San Jose State University, San Jose, CA, 95192, USA.

Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA.

出版信息

Appl Psychophysiol Biofeedback. 2024 Dec;49(4):677-694. doi: 10.1007/s10484-024-09661-2. Epub 2024 Aug 23.

Abstract

Childhood family stress (CFS) exacerbates risk for physical health problems across the lifespan. Health risks associated with CFS are particularly relevant for women who tend to endorse more CFS than men. Importantly, some evidence suggests that individuals may vary in their susceptibility to CFS. Parasympathetic activity, which helps to regulate automatic bodily activity (e.g., breathing, digestion), has been proposed to represent a marker of plasticity to environmental exposure. However, no research to date has tested whether parasympathetic activity may modulate the impact of early adversity on health. We examined whether parasympathetic activity would moderate the link between CFS and health complaints in a sample of 68 undergraduate women (Mean age = 19.44). Participants self-reported CFS and health complaints. Parasympathetic activity was indexed using high-frequency heart rate variability (HF-HRV) and was evaluated by measuring changes in HF-HRV in response to and following a laboratory-based stress induction. Multiple regression analyses indicated that CFS was significantly associated with more health complaints. Further, HF-HRV in response to stress and during recovery relative to baseline significantly moderated relationship between CFS and health complaints. Specifically, more CFS was significantly associated with more health complaints among women who showed mean or greater decreases in HF-HRV in response to stress. Additionally, lower levels of CFS were associated with fewer health complaints among women who showed mean or greater HF-HRV during recovery relative to baseline. Findings highlight the importance of parasympathetic activity in modulating stress-health links.

摘要

儿童期家庭压力(CFS)会加剧整个生命周期内身体健康问题的风险。与 CFS 相关的健康风险对女性尤为重要,因为女性比男性更容易出现 CFS。重要的是,一些证据表明,个体可能在对 CFS 的易感性方面存在差异。副交感神经活动有助于调节自动身体活动(例如呼吸、消化),它被认为是对环境暴露的可塑性的标志物。然而,迄今为止,尚无研究测试副交感神经活动是否可以调节早期逆境对健康的影响。我们在 68 名本科女性(平均年龄=19.44)样本中检验了副交感神经活动是否可以调节 CFS 与健康问题之间的联系。参与者自我报告了 CFS 和健康问题。副交感神经活动通过高频心率变异性(HF-HRV)来衡量,通过测量 HF-HRV 在实验室应激诱导前后的变化来评估。多元回归分析表明,CFS 与更多的健康问题显著相关。此外,与基线相比,应激时和恢复期间的 HF-HRV 显著调节了 CFS 与健康问题之间的关系。具体来说,在应激时 HF-HRV 平均或更大程度降低的女性中,CFS 越多与更多的健康问题相关。此外,在恢复期间 HF-HRV 平均或更大程度增加的女性中,CFS 水平较低与较少的健康问题相关。研究结果强调了副交感神经活动在调节压力与健康联系方面的重要性。

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