Caregiver desynchrony:Subjective and expressive emotion

描述（由申请人提供）：本R 03，响应PA-00-106 Basic 和情感转化研究，将侧重于配偶照顾者（CG） 造血干细胞移植（SCT）患者-已知报告的人 与他们的病人相比， 同行建议调查的具体目的是：1）检查 CG中的负面情绪表达-作为患者存在的函数， 一个情境变量，2）检查主观和表达之间的距离 情绪指标，作为患者存在的函数; 3）检查气质抑制的相关性。 在移植后一年，将招募40对SCT夫妇进行研究。 CG将完成测量影响、性格抑制、婚姻 满意度和身体健康。在受试者内设计中，CG将 参与两个录像，口头情绪表达（EE）练习-一个在 在病人缺席的情况下，另一个病人在场。(The患者 不会出现在视频中）。设盲的评估者暴露于成绩单或 会议的面部视频将对CG的消极性做出判断。 词汇和面部表情。与保护性工作相一致 缓冲和慢性抑制，预测CG表达更大的负性 和病人缺席与在场时的同步性;相反 幸福感与婚姻满意度之间的关系， 健康也是可以预测的。 这笔小额赠款将使我们能够证明评估EE的可行性， CG之间存在着差异。研究结果将支持R 01设计 研究这种疾病的影响：生理机制，长期 心理、身体和人际关系后遗症。随着幸存者人数的增加， 长期CG池也是如此。总的来说，这项工作将作为一个 针对个人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.