Revenson T A, Schiaffino K M, Majerovitz S D, Gibofsky A
Graduate School, City University of New York, NY 10036.
Soc Sci Med. 1991;33(7):807-13. doi: 10.1016/0277-9536(91)90385-p.
This study considers social network interactions as a potential source of both stress and support for individuals coping with a chronic illness. The sample consisted of 101 recently-diagnosed rheumatoid arthritis patients. Symptoms of depression were assessed using the Center for Epidemiologic Studies Depression scale. Hierarchical multiple regression analyses examined the conjoint effects of social support and problematic interactions on symptoms of depression. Receipt of positive or helpful support from close friends and family was related to lower depression; receipt of problematic support was related to increased depression. A positive x problematic support interaction suggested that the costs of problematic support do not cancel out the benefits of positive support. Patients who reported both little support and a greater degree of problematic interactions experienced the highest level of symptoms. The findings emphasize the need to consider positive and negative aspects of support transactions conjointly in assessing their stress-reducing and health-protective potential.
本研究将社交网络互动视为应对慢性病的个体压力和支持的潜在来源。样本包括101名近期诊断出的类风湿性关节炎患者。使用流行病学研究中心抑郁量表评估抑郁症状。分层多元回归分析检验了社会支持和问题互动对抑郁症状的联合影响。从亲密朋友和家人那里获得积极或有益的支持与较低的抑郁水平相关；获得问题支持与抑郁增加相关。积极支持与问题支持的交互作用表明，问题支持的代价并不能抵消积极支持的益处。报告获得很少支持且问题互动程度较高的患者症状水平最高。研究结果强调，在评估支持性互动的减压和健康保护潜力时，需要同时考虑其积极和消极方面。
