Schwartz Lauren, Slater Mark A, Birchler Gary R, Atkinson Hampton J
V.A. Medical Center and University of California, San Diego, CAU.S.A.
Pain. 1991 Jan;44(1):61-67. doi: 10.1016/0304-3959(91)90148-Q.
Although several studies have shown that spouses of chronic pain patients may experience clinically significant depressive symptoms few studies have comprehensively examined the role of both patient and spouse-related factors in the development and maintenance of this emotional distress. Twenty-nine married male chronic benign low back pain patients and their spouses were recruited in order to examine the role of patient, spouse, and marital factors in spouse depressive symptomatology. The results indicated that 28% percent of the spouses in the sample reported significantly depressed mood. A 2-stage regression analysis was employed that revealed 3 significant predictors of spouse's depressed mood, namely patient's average pain; patient's reported levels of anger and hostility, and the spouse's level of marital satisfaction. These findings are discussed in terms of their implications for clinical interventions for pain patients and their families.
尽管多项研究表明，慢性疼痛患者的配偶可能会出现临床上显著的抑郁症状，但很少有研究全面考察患者及配偶相关因素在这种情绪困扰的发生和维持中所起的作用。为了研究患者、配偶及婚姻因素在配偶抑郁症状中的作用，招募了29名已婚男性慢性良性下腰痛患者及其配偶。结果显示，样本中28%的配偶报告有明显的情绪低落。采用两阶段回归分析，发现配偶情绪低落的3个显著预测因素，即患者的平均疼痛程度、患者报告的愤怒和敌意水平，以及配偶的婚姻满意度水平。将根据这些发现对疼痛患者及其家人的临床干预的意义进行讨论。
