Anger inhibition, cardiovascular recovery, and vagal function: A model of the link between hostility and cardiovascular disease
Anger inhibition, cardiovascular recovery, and vagal function: A model of the link between hostility and cardiovascular disease
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DOI：
10.1007/bf02886382
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发表时间：
1998-09-01
影响因子：
3.8
通讯作者：
Thayer, JF
中科院分区：
文献类型：
--
作者：
Brosschot, JF;Thayer, JF
敌意和心血管疾病（CVD）之间的关联模型提出了愤怒抑制，缓慢的心血管恢复，和低副交感神经活动（迷走神经张力）的基础上。这种模型与传统的模型相反，传统的模型强调愤怒的表达、心血管反应和高交感神经张力。我们认为，在社会现实中，愤怒抑制的发生率在很大程度上超过愤怒表达的发生率，无论首选的表达风格。此外，缓慢的心血管恢复，而不是高反应性，可能是与愤怒抑制相关的心血管疾病风险的潜在机制。愤怒抑制和缓慢的心血管恢复都与持续的低迷走神经张力有关。因此，愤怒抑制/迷走神经抑制模型似乎更符合日常生活中愤怒的实际性质和已知的心血管控制机制。该模型可以更好地解释慢性病理生理状态，被认为是借给心血管疾病。重要的是，实验性抑制/恢复范例也可以允许测试心血管恢复的潜在行为和认知加速器。作为一个重要的社会介导的健康风险，可以阐明使用愤怒抑制/迷走神经抑制模型的一个例子，我们讨论了黑，白的差异，已发现在CVD。
A model of the association between hostility and cardiovascular disease (CVD) is proposed based upon anger inhibition, slow cardiovascular recovery, and low parasympathetic activity (vagal tone). This model is opposed to the more conventional model that emphasizes anger expression, cardiovascular reactivity, and high sympathetic tone. We argue that in social reality, incidences of anger inhibition outnumber incidences of anger expression to a great extent, irrespective of preferred expression style. Moreover slow cardiovascular recovery, rather than high reactivity, may be the mechanism underlying the CVD risk associated with anger inhibition. Both anger inhibition and slow cardiovascular recovery are associated with a persistently low vagal tone. Thus, the anger inhibition/vagal inhibition model seems more consistent with the actual nature of anger in daily life and with the known cardiovascular control mechanisms. The model may better account for the chronic pathophysiological state that is believed to lend to CVD. importantly an experimental inhibition/recovery paradigm might also allow to test potential behavioral and cognitive accelerators of cardiovascular recovery. As an example of an important socially-mediated health risk that may be elucidated using the anger inhibition/vagal inhibition model, we discuss Black-White differences that have been found in CVD.