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Journal of Clinical and
            Basic Psychosomatics                                                  Emotion and blood pressure variability
















            Figure 1. The affective face perception task. The two exemplary trials represent a fearful face and a happy face. Participants had a time window of 2.5 s to
            press the corresponding key in response to each face image, which was selected from the NimStim Set of Facial Expression. 44
            Both expressive suppression and cognitive reappraisal   3.2. Effects of response accuracy and ER on BPV
            scores were entered into the models. Regression models   3.2.1. Systolic BPV
            were controlled for gender, age, and body mass index,
            as these factors are known to influence ER and BP.  The   The results of the regression models are presented in
                                                     45
            equation of the regression models was listed below, and the   Table 3. In the model of the SBP range, none of the
            covariates were not included for simplicity:       predictors were correlated with the dependent variable.
                                                               The model of the SBP SD showed a similar pattern, except
            BPV = β  + β Accuracy + β Suppression + β Reappraisal +   that the interaction between accuracy and expressive
                      1
                   0
                                 2
                                               3
            β Accuracy * Suppression+ β  Accuracy * Reappraisal  (I)  suppression was significantly associated with SBP SD
             4
                                   5
                                                                                                 2
              In Equation I, BPV represents the indicators of short-  (β  = 3.12, SE = 1.50,  p=0.043, partial  R  = 0.015).  Post
                                                                 4
            term BPV, and the two BPV measures of SBP and DBP were   hoc analyses showed that among participants with low
            tested in separate models. “Suppression” and “Reappraisal”   affective accuracy (< 90%), SBP SD was not correlated
            represent the scores of ERQ  expressive suppression and   with expressive suppression (r = −0.11, p=0.631), whereas
            cognitive reappraisal, respectively. “Accuracy” represents   the correlation between the two variables was significant
            response accuracy in the affective face perception task. β    among those with high affective accuracy (>95%; r = 0.45,
                                                          0
            is the intercept, and β –β are the regression coefficients   p=0.049) (Figure 2).
                                 5
                              1
            of predictors and interaction terms. All predictors were   3.2.2. Diastolic BPV
            mean-centered.  Significant  interactions  were  probed  by
            simple slope analysis.  Statistical significance was set as an   The results of the model of DBP indicate that the interaction
                             46
            alpha of 0.05, and effect sizes were estimated with partial R    between accuracy and cognitive reappraisal significantly
                                                          2
            in regression models.                              predicted DBP range (β  = −5.73, SE = 2.59,  p=0.032,
                                                                                   5
                                                               partial R  = 0.018). Consistent with this finding, the results
                                                                      2
            3. Results                                         of DBP SD indicate that the accuracy-cognitive reappraisal
            3.1. Descriptive statistics                        interaction was a significant predictor (β  = −2.16,
                                                                                                    5
                                                               SE = 0.92, p=0.023, partial R  = 0.020). Moreover, cognitive
                                                                                     2
            Table 1 presents the demographic and descriptive statistics   reappraisal showed a marginal trend as a predictor of DBP
            of the sample. According to the recommendation of the   SD (β  = −0.11, SE = 0.05,  p=0.055).  Post hoc analyses
                                                                    3
            American Heart Association, descriptive statistics in   revealed that while DBP SD was associated with cognitive
            different genders were presented separately.  Female   reappraisal (r = −0.29, p=0.207), it was negatively correlated
                                                  47
            participants exhibited lower mean SBP and DBP compared   with cognitive reappraisal (r = −0.51, p=0.023) (Figure 2).
            to male participants, while other variables did not differ
            markedly between genders.                          4. Discussion
              Correlations of variables are displayed in  Table 2.   We examined the association between short-term BPV
            Expressive suppression was positively correlated with   and affective reactivity as well as ER strategies. Affective
            mean HR but not with any BP or BPV measures. Mean BP   response accuracy and ER were assessed by a face
            and HR were positively correlated with all BPV measures.  perception task and the ERQ, respectively. BPV metrics,
              Furthermore,  behavioral  performance,  that  is,  mean   including ranges and SDs, were calculated based on the six
            RT and response accuracy, in the affective face perception   SBP and DBP readings from a standardized BP assessment
            task was not correlated with ERQ scores (Table 2),   protocol. Our hypotheses were partially supported.
            indicating that the regression analyses were not impacted   Although affective response and ER were not independently
            by multicollinearity.                              associated with  BPV, their  interaction predicted BPV

            Volume 3 Issue 4 (2025)                         46                              doi: 10.36922/jcbp.8134
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