Mindful partnering: Does this novel theoretical construct predict reduced stress, mental and physical health, as well as mortality risk?

项目总结/摘要 低质量的人际关系也是心理和身体健康问题的有力预测因素 死亡率。这种联系部分是由于生理压力失调和相关的磨损 这种人际关系对身体造成的压力，也是生理上的传递 从伙伴到伙伴的压力状态。以前确定的预测关系，从而身体和精神 健康缺乏一个统一概念来综合它们，而且往往是不可改变的。研究表明，压力， 死亡风险和健康问题可以通过自我意识（即，专注于当下， 对内部和外部环境的非判断性认识）。此外，广义上讲，人际关系- 充实是指一种以专注的注意力和同情心意识到他人的方式， 高质量的关系。正念伙伴关系，一种与一个人的合作伙伴充分关注的方式， 对自我/他人的同情，接受/不判断，以及关系中的情绪意识/自我调节- 船，是一个理论框架，作者已经开发。本项目的目的是研究 有意识的伙伴关系在多大程度上预测了压力以及身体/心理健康。该委员会的具体目标 项目是调查在何种程度上较低水平的正念伙伴关系与较低的：（1） 应激症状以及生理应激反应和婚姻冲突中的共同升级，（2）symp- （3）负性的身体健康和死亡风险。将测试目标1和2 在一项更大规模的正在进行的研究中，夫妇们将完成测量有意识伴侣关系的调查， 和压力症状，并在冲突讨论期间进行视频记录，而他们的生理（心率和 呼吸，以评估呼吸性窦性心律不齐）。视频稍后将被编码为有意识的合作伙伴- ing.目标3将在父母研究的样本中进行测试，在这项研究中，夫妇将完成问卷调查， 注意伴侣关系和整体健康（自我和伴侣），以及发送唾液样本（稍后分析 端粒长度，细胞衰老和死亡风险的指标）。我的长期目标包括：a）检查 亲密关系与压力以及心理/身体健康之间的关联，B）确定 注意伙伴关系的好处，以及c）发展技能，以成为一个独立的研究人员 准备开发和测试一种正念伴侣疗法如果这个项目支持潜在的精神 和身体的好处，它将进一步的使命的NCCIH确定一个可修改的 机构（即，注意伙伴关系），可以防止压力，焦虑，和其他症状，除了亲， 身体健康长寿。

Project Summary/Abstract Poor quality interpersonal relationships are a robust predictor of mental and physical health problems, as well as mortality. This linkage is due in part to the physiological stress dysregulation and associated wear and tear on the body caused by such stressful interpersonal relationships, and also the transmission of physiological stress states from partner-to-partner. Previously identified predictors of relational and thus physical and mental health lack a unifying concept to synthesize them, and often are not modifiable. Research suggests that stress, mortality risk, and health problems can be reduced through intrapersonal mindfulness (i.e., present-focused, nonjudgmental awareness of the internal and external environment). In addition, broadly, interpersonal mind- fulness refers to a manner of being aware of others with focused attention and compassion, and is associated with high quality relationships. Mindful partnering, a way of connecting with one’s partner with full attention, compassion for self/other, acceptance/nonjudgement, and emotional awareness/self-regulation in the relation- ship, is a theoretical framework that the authors have developed. The purpose of this project is to examine the extent to which mindful partnering predicts stress as well as physical/mental health. The specific aims of the project are to investigate the extent to which lower levels of mindful partnering are associated with lesser: (1) stress symptoms as well as physiological stress reactivity and co-escalation during marital conflict, (2) symp- toms of anxiety and depression, and (3) negative physical health and mortality risk. Aims 1 and 2 will be tested in a sample from a larger ongoing study in which couples will complete surveys measuring mindful partnering and stress symptoms and be video-recorded during a conflict discussion while their physiology (heart rate and respiration, to assess respiratory sinus arrhythmia) is measured. Videos will later be coded for mindful partner- ing. Aim 3 will be tested in a sample from a parent study in which couples will complete questionnaires meas- uring mindful partnering and overall health (self and partner) as well as send in saliva samples (later assayed for telomere length, an indicator of cellular aging and mortality risk). My long term goals include a) examining the associations among intimate relationships and stress as well as mental/physical health, b) identifying the benefits of mindful partnering, and c) developing the skills in order to become an independent researcher equipped to develop and test a mindful partnering couples therapy. If this project supports the potential mental and physical benefits of mindful partnering, it will further the mission of NCCIH of identifying a modifiable mechanism (i.e., mindful partnering) that may prevent stress, anxiety, and other symptoms in addition to pro- moting physical health and longevity.