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夫妻双方共同应对前列腺癌相关应激源时的情感变化。

Affect covariation in marital couples dealing with stressors surrounding prostate cancer.

机构信息

Department of Psychology, University of Utah, Salt Lake City, Utah, USA.

出版信息

Gerontology. 2011;57(2):167-72. doi: 10.1159/000318642. Epub 2010 Jul 8.

Abstract

BACKGROUND

Consistent with a dyadic perspective to coping with chronic illness, couples may experience covariation in their daily affective experiences, particularly as they deal with stressful events surrounding chronic illness, such as prostate cancer.

OBJECTIVE

Our purpose was to examine the daily covariation of negative and positive affect among husbands and wives and whether this covariation was enhanced when couples mentioned the same stressful event and reported frequently collaborating.

METHODS

Fifty-nine husbands diagnosed as having prostate cancer and their wives participated in a daily diary where they reported on the most stressful event of the day, positive and negative affect, coping strategies and whether their spouse was involved in a collaborative manner. Coders independently made judgments as to whether the stressful event mentioned by husbands and wives was the same.

RESULTS

Multivariate hierarchical linear models revealed that on days when wives experienced greater negative affect, husbands did so as well. However, negative affect covariation was only found when spouses mentioned the same daily stressful event. The mean levels of collaborative coping across the 14 days moderated this negative covariation effect for wives, such that negative affect covariation was enhanced when wives reported collaborating more frequently. Positive affect covariation was not found.

CONCLUSION

The results reveal that negative affect covariation may be most likely when spouses experience similar stressors and wives perceive frequently collaborating. Partners within close relationships experience similar negative affect as their spouse, pointing to the shared nature of illness in late life.

摘要

背景

与应对慢性疾病的二元视角一致,夫妻双方可能会在日常生活中的情感体验上产生共同变化,尤其是当他们应对与慢性疾病相关的压力事件时,例如前列腺癌。

目的

我们的目的是检验夫妻双方的负面和正面情绪在日常生活中的共同变化,以及当夫妻双方提到相同的压力事件并频繁合作时,这种共同变化是否会增强。

方法

59 名被诊断为患有前列腺癌的丈夫及其妻子参与了一项日常日记研究,他们报告了当天最具压力的事件、正面和负面情绪、应对策略以及他们的配偶是否以合作的方式参与其中。编码员独立判断夫妻双方提到的压力事件是否相同。

结果

多元层次线性模型显示,当妻子经历更大的负面情绪时,丈夫也会如此。然而,只有当配偶提到相同的日常压力事件时,才会发现负面情绪的共同变化。在 14 天内,协作应对的平均水平调节了妻子的这种负面共同变化效应,即当妻子报告更频繁地合作时,负面情绪的共同变化会增强。没有发现正面情绪的共同变化。

结论

研究结果表明,当配偶经历类似的压力源且妻子感知到频繁合作时,负面情绪的共同变化可能最为明显。在亲密关系中的伴侣会体验到与配偶相似的负面情绪,这表明晚年疾病具有共同的性质。

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