Somer E, Ben-Aryeh H, Laufer D
Wolfe Centre for Study of Psychological Stress, University of Haifa, Israel.
Int J Psychosom. 1993;40(1-4):17-21.
The purpose of the present study was to evaluate salivary composition as an indicator of psychological stress. A group of 26 new Israeli patients in a stress management clinic was studied in an attempt to assess both the effects of long standing trait-related stress as well as that of situational state related stress. Significantly higher state anxiety scores, blood pressure, pulse rate, and lower salivary flow rates were found in the patients before as compared to after the initial psychodiagnostic interview, illustrating the effect of a situational stress. Significantly lower salivary flow rates and elevated total protein concentrations were found in the patients after the interview as compared to healthy controls, illustrating the effect of sympathetic enhancement associated with more stable trait-related psychological stress. Salivary electrolytes (Na and K) and IgA did not differ significantly when the clinical sample was compared to the control group. Although male patients reported lower state anxiety than female patients did, their hemodynamic and salivary composition measures indicated a higher sympathetic arousal, possibly reflecting Israeli male patient difficulties in adapting their distress.
本研究的目的是评估唾液成分作为心理压力指标的情况。对一家压力管理诊所的26名以色列新患者进行了研究，旨在评估长期特质相关压力以及情境状态相关压力的影响。与初次心理诊断访谈后相比，患者在访谈前的状态焦虑评分、血压、脉搏率显著更高，唾液流速更低，这说明了情境压力的影响。与健康对照组相比，访谈后患者的唾液流速显著更低，总蛋白浓度升高，这说明了与更稳定的特质相关心理压力相关的交感神经增强的影响。当将临床样本与对照组进行比较时，唾液电解质（钠和钾）和免疫球蛋白A没有显著差异。尽管男性患者报告的状态焦虑低于女性患者，但他们的血流动力学和唾液成分测量结果表明交感神经唤醒更高，这可能反映了以色列男性患者在应对痛苦时的困难。
