Basolo-Kunzer M, Diamond S, Maliszewski M, Weyermann L, Reed J
Issues Ment Health Nurs. 1991 Apr-Jun;12(2):133-48. doi: 10.3109/01612849109040509.
The purpose of this study was to compare the marital and family adjustment of headache patients and their spouses, before pain control treatment, to couples without chronic pain. Minuchin's (1978) family systems theory of psychosomatic illness was tested, using an adult sample. This sample consisted of 117 headache-patient-and-spouse couples and a control group of 108 married couples without chronic pain. A survey design was used with marital and family assessment instruments. Marital and family questionnaires were given to headache patients and their spouses before beginning treatment and were sent to couples without chronic pain. "Headache couples" reported greater differences in consensus, cohesion, affection, and sexual relationships than did control couples. Headache patients reporting greater marital adjustment were more likely to have continuous pain than those reporting less marital adjustment. Headache patients' pain per day correlated positively with greater family cohesion and adaptability. Headache patients' severity of pain correlated positively with greater marital affection. The spouses' marital cohesion, affection, and family cohesion and adaptability correlated positively with increased severity of patients' pain.
本研究的目的是比较头痛患者及其配偶在疼痛控制治疗前与无慢性疼痛的夫妇的婚姻和家庭适应情况。使用成人样本对米努钦（1978年）的身心疾病家庭系统理论进行了测试。该样本包括117对头痛患者及其配偶组成的夫妇，以及108对无慢性疼痛的已婚夫妇组成的对照组。采用调查设计，使用婚姻和家庭评估工具。在开始治疗前，向头痛患者及其配偶发放婚姻和家庭问卷，并发送给无慢性疼痛的夫妇。与对照组夫妇相比，“头痛夫妇”在共识、凝聚力、情感和性关系方面的差异更大。报告婚姻适应情况较好的头痛患者比报告婚姻适应情况较差的患者更有可能持续疼痛。头痛患者每天的疼痛程度与更高的家庭凝聚力和适应性呈正相关。头痛患者的疼痛严重程度与更高的婚姻情感呈正相关。配偶的婚姻凝聚力、情感以及家庭凝聚力和适应性与患者疼痛严重程度的增加呈正相关。
