Evidence of the Associations between Individual and Partner Autonomy Support and Physiological Stress in the Context of Conversations about Weight among Couples Who are Overweight or Obese during a 6-Month Intervention.
Evidence of the Associations between Individual and Partner Autonomy Support and Physiological Stress in the Context of Conversations about Weight among Couples Who are Overweight or Obese during a 6-Month Intervention.
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DOI：
10.1080/10410236.2021.1880685
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发表时间：
2022-07
影响因子：
3.9
通讯作者：
Gorin AA
中科院分区：
文献类型：
--
作者：
Denes A;Crowley JP;Ponivas ALP;Cornelius T;Allred RJ;Gettens KM;Powers TA;Gorin AA
这项研究的目的是检查支持性沟通对夫妇减肥计划中与体重有关的谈话中急性生理应激反应的影响。参与者是47对已婚或同居的夫妇，每对伴侣的BMI为25- 40 kg/m2。夫妇被随机分为两组，一组是传统的减肥计划，另一组是包括在整个减肥过程中为伴侣提供支持的培训。在基线和6个月时，对伴侣之间关于体重管理的结构化对话进行录像。参与者在谈话前后提供唾液样本，分析皮质醇和唾液α-淀粉酶（sAA），以确定生理压力和对体重谈话的焦虑反应。结果表明，在讨论与体重有关的问题时，从伴侣那里得到支持与更大的生理压力有关，如较高的皮质醇和sAA水平所示，而向伴侣提供支持则与较低的皮质醇水平和较高的sAA水平有关。研究结果表明，接受支持并不是一种普遍的积极体验，特别是对于面临健康问题的人群。支持提供的混合结果与以前的研究一致，确定了情感交流与皮质醇水平之间的负相关，以及sAA与焦虑和情绪唤起之间的正相关。研究结果及其对理解夫妻关于体重的谈话的生理相关性的影响进行了讨论。
The aim of the study was to examine the impact of supportive communication on acute physiological stress responses during weight-related conversations taking place throughout a couples’ weight loss program. Participants were 47 married or cohabitating couples where each partner had a BMI of 25–40kg/m2. Couples were randomized as a dyad into a traditional weight loss program or a program that also included training in providing support to one’s partner throughout the weight loss process. Structured conversations between partners about weight management were videotaped at baseline and 6 months. Participants provided saliva samples before and after the conversations, which were assayed for cortisol and salivary alpha-amylase (sAA) to determine physiological stress and anxiety responses to conversations about weight. The results indicated that receiving support from one’s partner when discussing weight-related issues was associated with greater physiological stress, as indicated by higher cortisol and sAA levels, whereas providing support to one’s partner was associated with lower cortisol levels and higher sAA levels. The findings suggest that receiving support is not a universally positive experience, especially for populations facing health issues. The mixed findings for support provision align with previous studies identifying a negative association between affectionate communication and cortisol levels, as well as a positive association between sAA and anxiety and emotional arousal. The findings and their implications for understanding the physiological correlates of couples’ conversations about weight are discussed.
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影响因子：
8.2
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