Abstract

Objective

Despite longstanding interest in emotion regulation and cardiovascular health, limited studies have investigated the relationship between cognitive emotion regulation (CER) strategies and coronary heart disease (CHD) using objective measures of heart rate variability (HRV) and coronary stenosis. This study aimed to objectively explore the associations between CER strategies and both HRV and coronary stenosis and provide empirical evidence for the relationship between emotion regulation and CHD.

Methods

Questionnaires on CER strategies were distributed to 251 CHD patients and 250 healthy persons. HRV and coronary stenosis were measured for CHD respondents using the 24-h dynamic electrocardiogram and coronary angiography, respectively.

Results

CHD patients with low HRV/severe stenosis used maladaptive emotion regulation more frequently and adaptive emotion regulation less frequently. Various maladaptive emotion regulation strategies (e.g. acceptance, rumination, putting into perspective) were positively associated with lower HRV and coronary stenosis severity, while adaptive emotion regulation strategies (e.g. positive refocusing, refocusing on planning) were negatively associated with lower HRV and coronary stenosis severity.

Conclusions

Patients with more serious diseases exhibited increased maladaptive emotion regulation, which was associated with lower HRV and severe coronary stenosis. Further, adaptive emotion regulation was associated with higher HRV and moderate coronary stenosis.

中文翻译：

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认知情绪调节策略与冠心病之间的关系：心率变异性和冠状动脉狭窄的实证研究

摘要

目的

尽管长期以来对情绪调节和心血管健康感兴趣，但有限的研究已经使用心率变异性（HRV）和冠状动脉狭窄的客观测量方法研究了认知情绪调节（CER）策略与冠心病（CHD）之间的关系。这项研究旨在客观地探讨CER策略与HRV和冠状动脉狭窄之间的关系，并为情绪调节与冠心病之间的关系提供经验证据。

方法

向251名冠心病患者和250名健康人分发了有关CER策略的问卷。分别使用24小时动态心电图和冠状动脉造影对CHD应答者进行HRV和冠状动脉狭窄测量。

结果

心率变异性低/严重狭窄的冠心病患者使用适应不良的情绪调节的频率更高，而适应性情绪调节的频率则更低。各种适应不良的情绪调节策略（例如接受，反省，透视）与较低的HRV和冠状动脉狭窄严重程度呈正相关，而适应性情绪调节策略（例如，积极重新聚焦，重新规划）与较低的HRV和冠状动脉狭窄严重程度呈负相关。

结论

病情较严重的患者表现出不良适应情绪调节增强，这与较低的HRV和严重的冠状动脉狭窄相关。此外，适应性情绪调节与较高的HRV和中度冠状动脉狭窄相关。