Acute Experiences of Negative Interpersonal Interactions: Examining the Dynamics of Negative Mood and Ambulatory Blood Pressure Responses Among Black and Hispanic Urban Adults.
Acute Experiences of Negative Interpersonal Interactions: Examining the Dynamics of Negative Mood and Ambulatory Blood Pressure Responses Among Black and Hispanic Urban Adults.
复制标题
负面人际交往的急性经历：检查黑人和西班牙裔城市成年人的负面情绪和动态血压反应的动态。
DOI：
10.1093/abm/kaad033
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Brondolo,Elizabeth
中科院分区：
文献类型：
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作者：
Zawadzki,MatthewJ;Graham-Engeland,JenniferE;Robles,PatrickL;Hussain,Maryam;Fair,EmilyV;Tobin,JonathanN;Cassells,Andrea;Brondolo,Elizabeth
消极的人际交往与动态血压（ABP）的急性升高有关。然而，这种关系背后的机制尚不清楚。目的：本研究旨在验证负性人际交往是否预示着当下和后续观察中较高的ABP，以及负性情绪的增加是否介导了这些关系。这些关联在黑人和西班牙裔城市成年人中进行了测试，他们可能因歧视而有更高的负面人际交往风险。种族/民族和终身歧视作为调节因素进行了测试。方法采用24小时生态瞬间评估（EMA）设计，565名黑人和西班牙裔（23-65岁，M= 39.06，SD= 9.35，男性51.68%）参与者在白天每20分钟评估一次ABP，同时评估负面人际交往和情绪。这产生了12171对ABP和参与者人际互动的自我报告的成对评估，包括互动让他们感到被忽视、骚扰和不公平对待的程度，以及他们感到多么愤怒、紧张和悲伤。结果多水平模型显示，负性人际交往强度越大，瞬时ABP越高；同时和滞后分析显示，负性情绪的增加解释了负性人际交往与ABP的关系。歧视与更消极的人际交往有关，但种族/民族和终身歧视都没有减缓研究结果。结论人际交往影响心血管健康的心理生物学机制，可能是造成健康差异的原因之一。影响包括在负面互动后及时干预提供情绪恢复资源的潜力。
BackgroundNegative interpersonal interactions are associated with acute increases in ambulatory blood pressure (ABP). Yet, the mechanisms underlying this relationship are unclear.PurposeThis study tested whether negative interpersonal interactions predict higher ABP both in the moment and during subsequent observations, and whether increases in negative mood mediate these relations. These associations were tested among Black and Hispanic urban adults who may be at higher risk for negative interpersonal interactions as a function of discrimination. Race/ethnicity and lifetime discrimination were tested as moderators.MethodsUsing a 24-hr ecological momentary assessment (EMA) design, 565 Black and Hispanic participants (aged 23–65,M= 39.06,SD= 9.35; 51.68% men) had their ABP assessed every 20 min during daytime accompanied by an assessment of negative interpersonal interactions and mood. This produced 12,171 paired assessments of ABP and self-reports of participants’ interpersonal interactions, including how much the interaction made them feel left out, harassed, and treated unfairly, as well as how angry, nervous, and sad they felt.ResultsMultilevel models revealed that more intense negative interpersonal interactions predicted higher momentary ABP. Mediation analyses revealed that increased negative mood explained the relationship between negative interpersonal interactions and ABP in concurrent and lagged analyses. Discrimination was associated with more negative interpersonal interactions, but neither race/ethnicity nor lifetime discrimination moderated findings.ConclusionsResults provide a clearer understanding of the psychobiological mechanisms through which interpersonal interactions influence cardiovascular health and may contribute to health disparities. Implications include the potential for just-in-time interventions to provide mood restoring resources after negative interactions.