Itkowitz Norman I, Kerns Robert D, Otis John D
New England Institute for Behavioral Medicine, Stanford, Connecticut, USA.
J Behav Med. 2003 Feb;26(1):19-30. doi: 10.1023/a:1021790921471.
In addition to the recognized benefits of social support, there is evidence across several health-related disorders suggesting that specific types of support can contribute to negative outcomes. Informed by theory and research examining the role of pain-related interpersonal interactions in the perpetuation of chronic pain, this study examined whether specific responses from significant others to expressions of coronary heart disease(CHD) related symptoms and incapacity are associated with level of symptoms, degree of disability, and depressive symptom severity among persons with symptomatic CHD. Forty-nine persons with CHD completed self-report questionnaires of the constructs of interest. Regression analyses revealed that degree of perceived solicitious responding to CHD symptoms was associated with increased symptom severity, disability, and depressive symptoms. Results are consistent with an operant-conditioning model and suggest that positive attention from significant others contingent on expressions of CHD symptoms may unwittingly serve to reinforce symptom occurrence and expression, concomitant disability, and emotional distress.
除了社会支持所公认的益处外，有证据表明，在几种与健康相关的疾病中，特定类型的支持可能会导致负面结果。基于有关疼痛相关人际互动在慢性疼痛持续存在中所起作用的理论和研究，本研究调查了重要他人对冠心病（CHD）相关症状和功能丧失表达的特定反应，是否与有症状的冠心病患者的症状水平、残疾程度和抑郁症状严重程度相关。49名冠心病患者完成了关于相关构念的自我报告问卷。回归分析显示，对冠心病症状的过度关切反应程度与症状严重程度增加、残疾和抑郁症状相关。研究结果与操作性条件反射模型一致，表明重要他人基于冠心病症状表达给予的积极关注可能会在不知不觉中强化症状的出现和表达、随之而来的残疾以及情绪困扰。
