Emotion suppression and mortality risk over a 12-year follow-up.
Emotion suppression and mortality risk over a 12-year follow-up.
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DOI：
10.1016/j.jpsychores.2013.07.014
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发表时间：
2013-10
影响因子：
4.7
通讯作者：
Muennig, Peter
中科院分区：
文献类型：
--
作者：
Chapman, Benjamin P.;Fiscella, Kevin;Kawachi, Ichiro;Duberstein, Paul;Muennig, Peter
关键词：
长期以来，人们一直怀疑情绪抑制对健康有影响，但实证研究得出的结果喜忧参半。我们在一个具有全国代表性的美国样本中研究了情绪抑制与全因死亡率、心血管死亡率和癌症死亡率之间的关系，随访时间超过12年。我们使用了2008年综合社会调查-国家死亡指数（NDI）队列，其中包括1996年对729人进行的情绪抑制量表。1996年至2008年期间，对111例死亡（37例死于心血管疾病，34例死于癌症）进行了前瞻性死亡率随访，采用考克斯比例风险模型对年龄、性别、教育和少数民族/种族进行了调整。情绪抑制评分的第75百分位数和第25百分位数与全因死亡率的风险比（HR）为1.35（95%置信区间[95% CI] = 1.00，1.82; p = 0.049）相关。对于癌症和心血管疾病死亡率，HR分别为1.70（95% CI = 1.01，2.88，p = 0.049）和1.47（95% CI = 0.87，2.47，p = 0.148）。情绪抑制可能会带来早期死亡的风险，包括癌症死亡。需要进一步开展工作，以更好地了解这种风险的生物心理社会机制，以及抑制与不同形式的死亡率之间的关联性质。
Suppression of emotion has long been suspected to have a role in health, but empirical work has yielded mixed findings. We examined the association between emotion suppression and all-cause, cardiovascular, and cancer mortality over 12 years of follow-up in a nationally representative US sample. We used the 2008 General Social Survey-National Death Index (NDI) cohort, which included an emotion suppression scale administered to 729 people in 1996. Prospective mortality follow up between 1996 and 2008 of 111 deaths (37 by cardiovascular disease, 34 by cancer) was evaluated using Cox proportional hazards models adjusted for age, gender, education, and minority race/ethnicity. The 75th vs. 25th percentile on the emotional suppression score was associated with hazard ratio (HR) of 1.35 (95% Confidence Interval [95% CI] = 1.00, 1.82; p = .049) for all-cause mortality. For cancer and cardiovascular disease mortality, the HRs were 1.70 (95% CI = 1.01, 2.88, p = 0.049) and 1.47 (95% CI = .87, 2.47, p = 0.148) respectively. Emotion suppression may convey risk for earlier death, including death from cancer. Further work is needed to better understand the biopsychosocial mechanisms for this risk, as well as the nature of associations between suppression and different forms of mortality.
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