Caregiver desynchrony:Subjective and expressive emotion

照顾者不同步：主观情绪和表达情绪

• 批准号: 6465737
• 负责人: Shelby Langer
• 金额: $ 8.11万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-06-10 至 2004-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6465737
• 关键词: anxiety; behavior test; behavioral /social science research tag; caregivers; clinical research; coping; depression; dyadic interaction; emotions; face expression; hematopoietic tissue transplantation; human subject; longitudinal human study; marriage /marital status; patient oriented research; psychological aspect of cancer; psychological stressor; psychophysiology; spouses; stem cell transplantation; videotape /videodisc; anxiety; behavior test; behavioral /social science research tag; caregivers; clinical research; coping; depression; dyadic interaction; emotions; face expression; hematopoietic tissue transplantation; human subject; longitudinal human study; marriage /marital status; patient oriented research; psychological aspect of cancer; psychological stressor; psychophysiology; spouses; stem cell transplantation; videotape /videodisc

DESCRIPTION (provided by applicant): This R03, in response to PA-00-106 Basic and Translational Research in Emotion, will focus on spousal caregivers (CGs) of hematopoietic stem cell transplant (SCT) patients - persons known to report elevated levels of depression and anxiety as compared to their patient counterparts. The specific aims of the proposed investigation are: 1) examine expression of negative emotion among CGs - as function of patient presence, a situational variable, 2) examine desynchrony among subjective and expressive indicators of emotion, as a function of patient presence and 3) examine correlates of dispositional inhibition desynchrony. Forty SCT couples will be recruited for the study, one year post-transplant. CGs will complete measures affect, dispositional inhibition, marital satisfaction and physical health. In a within-subjects design, CGs will then engage in two videotaped, oral emotional expression (EE) exercises - one in the presence of the patient the other in the absence of the patient. (The patient will not appear in the video.) Blinded raters exposed either to transcripts or facial videos of the sessions will make judgments about the negativity of CGs' lexical and facial expressions, respectively. In line with work on protective buffering and chronic inhibition, CGs are predicted express greater negativity and synchrony in the absence versus presence of the patient; inverse relationships between desynchrony and marital satisfaction, and desynchrony and health, are also predicted. This small grant will allow us to demonstrate feasibility for assessing EE and the existence of desynchrony among CGs. Findings will support an R01 designed to examine implications of such desynchrony: physiologic mechanisms, long-term psychological, physical and interpersonal sequelae. As survivorship expands, so too does the pool of long-term CGs. Collectively, this work will serve as a springboard for person-specific and relationship-protective interventions.

描述（由申请人提供）：此R03，响应PA-00-106 BASIC 情感转化研究将专注于配偶护理人员（CGS） 造血干细胞移植（SCT）患者 - 已知报告的人 与患者相比，抑郁和焦虑程度升高 同行。拟议调查的具体目的是：1）检查 CGS中负面情绪的表达 - 作为患者存在的功能， 情境变量，2）检查主观和表现力之间的不良 情绪的指标，作为患者存在的函数和3）检查处置抑制作用的相关性。 这项研究将招募40对夫妇，后期一年。 CGS将完成措施影响，处置抑制，婚姻 满意度和身体健康。在主题内设计中，CGS将 参与两个录像的口头情感表达（EE）练习 - 一个在 患者的存在在没有患者的情况下。 （病人 不会出现在视频中。 会议的面部视频将对CGS的负面影响做出判断 分别是词汇和面部表情。符合保护性的工作 缓冲和慢性抑制作用，CG被预测明显更大的负面 在不存在与患者存在的情况下同步；逆 Deanchrony与婚姻满意度以及Desnchrony和Desnchrony之间的关系 还可以预测健康。 这项小赠款将使我们能够证明评估EE的可行性 CGS之间的Deconnchrony存在。调查结果将支持R01设计的 检查这种脱节的含义：生理机制，长期 心理，身体和人际后遗症。随着生存的扩大， 长期CG的池也是如此。总的来说，这项工作将作为 特定于人际关系和关系保护干预措施的跳板。