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

项目摘要/摘要 质量差的人际关系也是心理和身体健康问题的有力预测因素 就像死亡一样。这种联系部分归因于生理压力失调和相关的磨损。 对身体造成的这种紧张的人际关系，也是生理的传递 从合作伙伴到合作伙伴强调状态。以前确定的关系的预测因素，从而预测身体和精神 健康缺乏一个统一的概念来综合它们，而且往往是不可修改的。研究表明，压力， 死亡风险和健康问题可以通过个人内在正念(即，关注当下， 对内部和外部环境的非评判意识)。此外，从广义上讲，人际关系思维- 满足感指的是以集中的注意力和同情心意识到他人的一种方式，并与 拥有高质量的人际关系。用心的伙伴关系，一种全神贯注地与伴侣联系的方式， 对自我/他人的同情，接受/不评判，以及关系中的情绪意识/自我调节- Ship，是作者发展的一个理论框架。本项目的目的是研究 有意识的伴侣关系能在多大程度上预测压力和身心健康。《公约》的具体目标 该项目将调查较低水平的专心合作与较少的关系的程度：(1) 婚姻冲突期间的应激症状以及生理应激反应和共同升级，(2)症状- 焦虑和抑郁，以及(3)身体健康和死亡的负面风险。目标1和目标2将进行测试 在一项正在进行的更大规模的研究中，夫妻将完成衡量专注性伴侣关系的调查 和压力症状，并在冲突讨论期间被录像，而他们的生理(心率和 呼吸，以评估呼吸性窦性心律失常)。视频稍后将为用心的伴侣编码- 英。目标3将在一项父母研究的样本中进行测试，在该研究中，夫妇将完成问卷调查，这意味着- 注意伙伴关系和整体健康(自我和伴侣)，并送来唾液样本(后来进行化验 对于端粒长度，一个细胞老化和死亡风险的指标)。我的长期目标包括： 亲密关系和压力以及心理/身体健康之间的联系，b)确定 用心合作的好处，以及c)培养成为独立研究人员的技能 准备开发和测试一种用心的伴侣伴侣疗法。如果这个项目支持潜在的心理 以及用心合作的实际好处，它将进一步促进NCCIH确定可修改的 预防压力、焦虑和其他症状的机制(即，用心的伙伴关系)除了有利于 保持身体健康和长寿。

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.