Caregiver desynchrony:Subjective and expressive emotion

说明(申请人提供)：本R03，响应PA-00-106 BASIC 和情感中的翻译研究，将专注于配偶照顾者(CG) 造血干细胞移植(SCT)患者-已知的报告对象 与患者相比，抑郁和焦虑程度更高 对口单位。拟议调查的具体目的是：1)审查 负性情绪在CG中的表达--作为患者存在的函数， 情境变量，2)考察主观和表现力之间的去同步性 情绪指标，作为患者在场的函数，以及3)检查性格抑制去同步性的相关性。 40对SCT夫妇将在移植后一年被招募参加这项研究。 CGS将完成影响、性情抑制、婚姻的措施 满足感和身体健康。在受试者内部的设计中，CGS将 进行两个录像带的口头情感表达(EE)练习-一个在 在病人不在的情况下有病人在场。(病人) 不会出现在视频中。)盲人评分者要么接触到成绩单要么 会议的面部视频将对CGS的负面情绪做出判断 分别是词汇和面部表情。与保护方面的工作相一致 缓冲和慢性抑制，预测CGs表现出更大的负性 与病人在场时的同步性相反；相反 去同步化与婚姻满意度、去同步化与婚姻满意度的关系 健康，也被预测。 这笔小额赠款将使我们能够证明评估EE和 CG之间存在去同步性。调查结果将支持R01设计 检查这种去同步化的含义：生理学机制，长期 心理、身体和人际关系的后遗症。随着生存能力的扩大，所以 长期CG池也是如此。总体而言，这项工作将作为一种 针对个人的和保护关系的干预措施的跳板。

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.