Pence Laura B, Thorn Beverly E, Jensen Mark P, Romano Joan M
Department of Psychology, The University of Alabama, Tuscaloosa, AL 35487-0348, USA.
Clin J Pain. 2008 Oct;24(8):654-61. doi: 10.1097/AJP.0b013e31817708ea.
Primary: to examine the association between perceived spouse responses to patient well behaviors and important patient variables (pain behavior, pain intensity, pain interference, and depressive symptoms). Secondary: to examine whether perceived spouse responses to patient pain behaviors are associated with important pain-related variables.
Sixty-four patients with headache and their spouses completed self-report questionnaire packets that included measures of pain intensity, pain behaviors, depression, marital satisfaction, and perceived spouse responses to pain and well behaviors. Separate regression models were used to predict each dependent variable.
Patient reports of spouse negative responses to well behaviors were significantly associated with greater patient reported pain behavior and pain intensity, whereas perceptions of facilitative responses to well behaviors were not significantly related to any dependent variable. Patient reports of spouse solicitous responses to patient pain behaviors were associated with higher levels of pain behavior, depressive symptoms, pain intensity, and pain interference.
Perceptions of spouse responses to patient well behaviors seem to have important associations with patient functioning, yet have received insufficient research attention. The Spouse Response Inventory (SRI) thus represents a valuable addition to available research instruments because it assesses spouse responses to well behaviors.
主要目的：研究配偶对患者良好行为的感知反应与重要患者变量（疼痛行为、疼痛强度、疼痛干扰和抑郁症状）之间的关联。次要目的：研究配偶对患者疼痛行为的感知反应是否与重要的疼痛相关变量有关。
64名头痛患者及其配偶完成了自我报告问卷包，其中包括疼痛强度、疼痛行为、抑郁、婚姻满意度以及配偶对疼痛和良好行为的感知反应的测量。使用单独的回归模型来预测每个因变量。
患者报告配偶对良好行为的负面反应与患者报告的更多疼痛行为和疼痛强度显著相关，而对良好行为的促进性反应的感知与任何因变量均无显著关系。患者报告配偶对患者疼痛行为的关切反应与更高水平的疼痛行为、抑郁症状、疼痛强度和疼痛干扰相关。
配偶对患者良好行为的反应感知似乎与患者功能有重要关联，但尚未得到足够的研究关注。因此，配偶反应量表（SRI）是现有研究工具的一个有价值的补充，因为它评估了配偶对良好行为的反应。
