Parra-Gaete César, Hermosa-Bosano Carlos
Grupo de Investigación Bienestar, Salud y Sociedad, Escuela de Psicología y Educación, Universidad de Las Américas, Quito, Ecuador.
Psychophysiology. 2025 Mar;62(3):e70046. doi: 10.1111/psyp.70046.
Blunted cardiovascular reactivity (CVR) is associated with adverse health outcomes such as depression, obesity, and increased carotid intima-media thickness. Research indicates that significant negative life events (NLE) contribute to reduced CVR and related health issues, with individual perceptions and coping mechanisms playing a crucial role. Optimism, which is linked to fewer reported NLEs and better cardiovascular health, may improve coping processes, thereby reducing NLE's impact on CVR. This study investigated how NLEs mediate the relationship between optimism and CVR. The sample consisted of 199 adults recruited from universities in Ecuador. Participants completed psychological assessments prior to a controlled 45-min experimental session, which included baseline cardiac activity measurements followed by the PASAT task. The findings indicated that the number of NLEs mediates the relationship between optimism and diastolic blood pressure (DBP) reactivity, while optimism also exerts a direct effect on CVR beyond this mediation. Specifically, a significant inverse relationship was observed between the number of NLEs and DBP reactivity, alongside a positive relationship between optimism and DBP reactivity. Additionally, pessimism was associated with reduced systolic blood pressure (SBP) reactivity, though neither pessimism nor NLEs showed any effect on heart rate. These results highlight the protective role of optimism in modulating stress-related impacts on CVR and align with previous research suggesting that low CVR might be a result of maladaptive stress responses.
心血管反应性(CVR)迟钝与诸如抑郁、肥胖和颈动脉内膜中层厚度增加等不良健康结果相关。研究表明,重大负面生活事件(NLE)会导致CVR降低及相关健康问题,个人认知和应对机制起着关键作用。乐观与较少报告的NLE以及更好的心血管健康相关,可能会改善应对过程,从而减少NLE对CVR的影响。本研究调查了NLE如何介导乐观与CVR之间的关系。样本包括从厄瓜多尔各大学招募的199名成年人。参与者在一个45分钟的对照实验环节之前完成了心理评估,该实验环节包括基线心脏活动测量,随后进行PASAT任务。研究结果表明,NLE的数量介导了乐观与舒张压(DBP)反应性之间的关系,而乐观在此中介作用之外也对CVR有直接影响。具体而言,观察到NLE的数量与DBP反应性之间存在显著的负相关关系,同时乐观与DBP反应性之间存在正相关关系。此外,悲观与收缩压(SBP)反应性降低有关,不过悲观和NLE对心率均无任何影响。这些结果凸显了乐观在调节压力对CVR相关影响方面的保护作用,并且与之前的研究结果一致,即低CVR可能是适应不良的应激反应的结果。