Cardiovascular Reactivity During Positive and Negative Marital Interactions

Nealey-Moore, Jill B.; Smith, Timothy W.; Uchino, Bert N.; Hawkins, Melissa; Olson-Cerny, Chrisana

doi:10.1007/s10865-007-9124-5

Cited by 97 publications

(122 citation statements)

References 72 publications

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“…Thus, the link between inflammatory processes and negative and competitive social interactions may also be mediated by an increase in prolactin or CRH in response to stress. Negative social interactions also lead to increases in blood pressure and heart rate (43,44), indices of activity of the autonomic nervous system, which is consistent with rodent models showing that social stress increases sympathetic activity (45). Given that sympathetic activity is positively related to inflammation, whereas parasympathetic activity is inversely related to inflammation (46,47), it is plausible that negative and competitive daily social interactions up-regulate inflammatory activity via the autonomic nervous system.…”

Section: Discussionsupporting

confidence: 69%

Negative and competitive social interactions are related to heightened proinflammatory cytokine activity

Chiang¹,

Eisenberger²,

Seeman

et al. 2012

Proc. Natl. Acad. Sci. U.S.A.

106

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Research has consistently documented that social relationships influence physical health, a link that may implicate systemic inflammation. We examined whether daily social interactions predict levels of proinflammatory cytokines IL-6 and the soluble receptor for tumor necrosis factor-α (sTNFαRII) and their reactivity to a social stressor. One-hundred twenty-two healthy young adults completed daily diaries for 8 d that assessed positive, negative, and competitive social interactions. Participants then engaged in laboratory stress challenges, and IL-6 and sTNFαRII were collected at baseline and at 25-and 80-min poststressor, from oral mucosal transudate. Negative social interactions predicted elevated sTNFαRII at baseline, and IL-6 and sTNFαRII 25-min poststressor, as well as total output of sTNFαRII. Competitive social interactions predicted elevated baseline levels of IL-6 and sTNFαRII and total output of both cytokines. These findings suggest that daily social interactions that are negative and competitive are associated prospectively with heightened proinflammatory cytokine activity.competition | social stress | immunology

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Section: Discussionsupporting

confidence: 69%

Negative and competitive social interactions are related to heightened proinflammatory cytokine activity

Chiang¹,

Eisenberger²,

Seeman

et al. 2012

Proc. Natl. Acad. Sci. U.S.A.

106

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“…40,41 Psychosocial stress, including occupational stress, social isolation, marital stress, and low socioeconomic status, have been associated with elevated blood pressure in the non-pregnant population. [42][43][44][45][46][47][48][49][50] The most commonly evaluated, however, is acute psychological stress. It has been postulated that stress and sleep disturbance interact to compound cardiovascular vulnerability.…”

Section: Psychosocial Correlates Of Sleep and Elevated Blood Pressurementioning

confidence: 99%

Sleep and Pregnancy-Induced Hypertension: A Possible Target for Intervention?

Haney

Buysse²,

Okun³

2013

Journal of Clinical Sleep Medicine

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Sleep disturbances in the general population are associated with elevated blood pressure. This may be due to several mechanisms, including sympathetic activation and hypothalamic-pituitary-adrenal (HPA) axis disturbance. Elevated blood pressure in pregnancy can have devastating effects on both maternal and fetal health and is associated with increased risk for preeclampsia and poor delivery outcomes. Preliminary evidence suggests that mechanisms linking sleep and blood pressure in the general population may also hold in the pregnant population. However, the effects of disturbed sleep on physiologic mechanisms that may directly infl uence blood pressure in pregnancy have not been well studied. The role that sleep disturbance plays in gestational blood pressure elevation and its subsequent consequences warrant further investigation. This review evaluates the current literature on sleep disturbance and elevated blood pressure in pregnancy and proposes possible treatment interventions. T he association between sleep disturbances and elevated blood pressure has been extensively studied in the general population. However, relatively few studies have investigated this relationship in the pregnant population. Pregnancy predisposes women to a variety of sleep disturbances.1,2 Similar to non-pregnant individuals, sleep disturbance in pregnancy may be a risk factor for elevated blood pressure, which can lead to maternal and fetal morbidity . 3,4Gestational hypertension, defi ned as a blood pressure higher than 140/90 diagnosed after 20 weeks of gestation, is associated with fetal growth restriction and abruptio placentae and can predispose to preeclampsia, as well as cardiovascular disease later in lif e. 1,[4][5][6] There are few studies evaluating the link between sleep and blood pressure during pregnancy. In this paper, we fi rst review the relationship between sleep and blood pressure in non-pregnant adults. We then outline factors that predispose pregnant women to poor sleep. We conclude with a review of the emerging literature on the associations between sleep and blood pressure in pregnancy. SLEEP AND BLOOD PRESSURE IN THE NON-PREGNANT POPULATIONIn the U.S. the average sleep duration has decreased by 1.5-2 h/night, with > 30% of Americans sleeping < 6 h/night. 7This phenomenon and the concurrent increase in hypertension intimated a possible link between sleep duration and blood pressure. Recently, a series of epidemiological papers have noted an association between sleep duration (both short and long) and elevated blood press ure [8][9][10][11] ; for example, the Sleep Heart Health Study reported that participants who slept < 5 or ≥ 9 h/night had a greater frequency of hypertension than individuals sleeping

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“…Marital conflict evokes increases in heart rate and blood pressure (Nealey-Moore, Smith, Uchino, Hawkins, & Olson-Cerny, 2007; T. W. Smith et al, 2009), a set of responses commonly labeled cardiovascular reactivity (Chida & Steptoe, 2010;Schwartz et al, 2003). Marital conflict also evokes release of stress hormones (e.g., cortisol) and inflammatory factors in the immune system, as well as suppression of other immune components (Kiecolt-Glaser et al, 2005;Robles & Kiecolt-Glaser, 2003).…”

mentioning

confidence: 99%

Matters of the variable heart: Respiratory sinus arrhythmia response to marital interaction and associations with marital quality.

Smith

Cribbet

Nealey-Moore

et al. 2011

Journal of Personality and Social Psychology

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181

146

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Maintenance of relationship quality requires self-regulation of emotion and social behavior, and women often display greater effort in this regard than do men. Furthermore, such efforts can deplete the limited capacity for self-regulation. In recent models of self-regulation, resting level of respiratory sinus arrhythmia, quantified as high-frequency heart rate variability (HF-HRV), is an indicator of selfregulatory capacity, whereas transient increases in HF-HRV reflect self-regulatory effort. To test these hypotheses in marriage, 114 young couples completed measures of marital quality and a positive, neutral, or negative initial marital task, preceded and followed by resting baseline assessments of HF-HRV. Couples then discussed a current marital disagreement. Resting HF-HRV was correlated with marital quality, suggesting that capacity for self-regulation is associated with adaptive functioning in close relationships. For women but not men, the negative initial task produced a decrease in resting HF-HRV. This effect was mediated by the husbands' negative affect response to the task and their ratings of wives as controlling and directive. When the subsequent disagreement discussion followed the negative initial task, women displayed increased HF-HRV during the discussion but a decrease when it followed the neutral or positive task. The valence of the initial task had no effect on men's HF-HRV during disagreement. Negative marital interactions can reduce women's resting HF-HRV, with potentially adverse health consequences. Women's reduced health benefit from marriage might reflect the depleting effects on self-regulatory capacity of their greater efforts to manage relationship quality.

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Cardiovascular Reactivity During Positive and Negative Marital Interactions

Cited by 97 publications

References 72 publications

Negative and competitive social interactions are related to heightened proinflammatory cytokine activity

Negative and competitive social interactions are related to heightened proinflammatory cytokine activity

Sleep and Pregnancy-Induced Hypertension: A Possible Target for Intervention?

Matters of the variable heart: Respiratory sinus arrhythmia response to marital interaction and associations with marital quality.

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