Understanding Relationship Ambivalence and its Links to Cardiovascular Health

了解矛盾心理及其与心血管健康的联系

• 批准号: 9921469
• 负责人: Bert N. Uchino
• 金额: $ 38.13万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9921469
• 关键词: Address; Attention; Behavior; Biological; Blood Pressure; Cardiovascular Diseases; Cardiovascular Physiology; Cardiovascular system; Cause of Death; Child; Cognitive; Couples; Development; Dimensions; Disease model; Environment; Family; Finches; Health; Individual; Inflammation; Laboratories; Life; Link; Literature; Maintenance; Measures; Mediating; Mediator of activation protein; Memory; Modeling; Morbidity - disease rate; Outcome; Parents; Pathway interactions; Perception; Principal Investigator; Process; Protocols documentation; Recording of previous events; Reporting; Research; Risk Factors; Social Interaction; Social support; Specific qualifier value; Testing; Time; Work; base; cardiovascular health; cardiovascular risk factor; coping; coronary artery calcification; discounting; epidemiology study; member; mortality; next generation; novel; physical conditioning; programs; prospective; psychosocial; social; social relationships; theories; therapy development; virtual

Of the psychosocial risk factors, positive and negative aspects of relationships are two of the most reliable predictors of cardiovascular morbidity and mortality. However, most prior work has examined positive and negative aspects of relationships in isolation. Such a practice ignores the possibility that these dimensions can co-occur (i.e., ambivalence) in specific ties. Our prior work has shown that ambivalent ties are common (close to 50% of important network ties) and stable over time. More important is the fact that perceptions of relationship ambivalence are related to increased cardiovascular risk, including greater ambulatory blood pressure, cardiovascular reactivity, inflammation, and coronary artery calcification. This proposal will thus pursue three major aims to tackle the issue of why such links occur based on the social ambivalence and disease (SAD) model. Aim 1 will test the antecedent factors that influence the development of ambivalent ties and link them to health (i.e., harsh early family environment, concurrent positive and negative relationship interactions). Aim 2 will examine the factors that influence the maintenance of ambivalent ties (i.e., commitment, indirect coping strategies, implicit relationship representations) and if they moderate links to health. Finally, aim 3 will seek to directly model the mechanisms linking these ambivalence factors to cardiovascular risk as specified by the SAD model. In order to pursue these major aims, 3 integrative studies will be conducted. These studies utilize different protocols and health-relevant cardiovascular assessments which capitalize on our prior work. Study 1 will test if the early family environment is linked to relationship ambivalence and cardiovascular health. Study 2 will track the development of ambivalence in early dating relationships and corresponding links to cardiovascular function. Study 3 will examine if relationship commitment, indirect coping strategies, and implicit relationship representations moderate the links between ambivalent ties and health in longer-term married couples. Finally, each of these studies will directly model relevant mechanisms based on a novel theoretical framework (i.e., SAD model). Importantly, these studies represent critical theoretical steps in linking relationships to health and our prior studies provide evidence for the feasibility and potential of the proposed work.

在社会心理风险因素中，关系的正面和负面方面是最大的两个 心血管发病率和死亡率的可靠预测指标。但是，大多数先前的工作都检查了积极 以及孤立关系的负面方面。这种做法忽略了这些实践的可能性 尺寸可以在特定关系中共同发生（即矛盾）。我们先前的工作表明矛盾的联系 是常见的（接近重要网络纽带的50％），并且随着时间的流逝而稳定。更重要的是事实 对关系矛盾的看法与心血管风险增加有关，包括更大 卧床血压，心血管反应性，炎症和冠状动脉钙化。这 因此，提案将追求三个主要旨在解决为什么基于社会发生这种联系的问题 矛盾和疾病（SAD）模型。 AIM 1将测试影响发展的前期因素 矛盾的联系并将其与健康联系起来（即，苛刻的早期家庭环境，同时存在的积极和 负相互作用）。 AIM 2将检查影响维护的因素 矛盾的联系（即承诺，间接应对策略，隐性关系表示）以及他们是否 与健康的中等链接。最后，AIM 3将寻求直接建模将这些矛盾性联系起来的机制 SAD模型指定的心血管风险的因素。 为了追求这些主要目标，将进行3项综合研究。这些研究利用 不同的方案和与健康相关的心血管评估，这些评估利用了我们先前的工作。学习 1将测试早期家庭环境是否与关系矛盾和心血管健康有关。 研究2将跟踪早期约会关系中的矛盾性的发展，并相应的联系 心血管功能。研究3将检查关系承诺，间接应对策略和 隐式关系表示在长期中矛盾的联系与健康之间的联系 已婚夫妇。最后，这些研究中的每一个都将直接基于新颖的机制来建模 理论框架（即SAD模型）。重要的是，这些研究代表了关键的理论步骤 将关系与健康和我们先前的研究联系起来为证据提供了证据 建议的工作。

项目成果

Social Support and Antibody Responses to Vaccination: A Meta-Analysis.

疫苗接种的社会支持和抗体反应：荟萃分析。

• DOI: 10.1093/abm/kaaa029
• 发表时间: 2020
• 期刊: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
• 作者: Uchino,BertN;Landvatter,Joshua;Zee,Katherine;Bolger,Niall
• 通讯作者: Bolger,Niall