Saile H, Dieterich A
Fachbereich I--Psychologie, Universität Trier.
Psychother Psychosom Med Psychol. 1992 Aug;42(8):273-8.
Based on a general family model Saile and Schmitz (1991) developed the Pain related inventory of family adaptability and cohesion (SIFAK), which assesses three aspects of family life related to chronic pain: adaptability in dealing with chronic pain, pain related enmeshment and pain related disengagement and alienation. 40 patients with chronic low back pain and their spouses completed a revised version of the SIFAK and measures of pain intensity, pain related disability and marital satisfaction. Patients and spouses agreed more on marital satisfaction than on pain related variables. In multiple regression analyses marital satisfaction and pain related disability--each in the view of patients and spouses--were predicted by pain and family related variables. Implications for future research (other data sources, other measurement methods) and for psychological treatment of chronic pain are discussed.
基于一个一般的家庭模型，赛勒和施密茨（1991年）开发了疼痛相关的家庭适应性与凝聚力量表（SIFAK），该量表评估了与慢性疼痛相关的家庭生活的三个方面：应对慢性疼痛的适应性、与疼痛相关的过度卷入以及与疼痛相关的疏离和脱离。40名慢性腰痛患者及其配偶完成了SIFAK的修订版以及疼痛强度、疼痛相关残疾和婚姻满意度的测量。患者和配偶在婚姻满意度上的共识多于在疼痛相关变量上的共识。在多元回归分析中，婚姻满意度和疼痛相关残疾——分别从患者和配偶的角度来看——由疼痛和家庭相关变量预测。文中讨论了对未来研究（其他数据来源、其他测量方法）以及慢性疼痛心理治疗的启示。
