Department of Rehabilitation Medicine, University of Washington, P.O. Box 359612, Seattle, WA 98195-6490, USA Department of Psychiatry and Behavioral Sciences, University of Washington, P.O. Box 356560, Seattle, WA 98195-6560, USA Department of Psychology, Seattle University, P.O. Box 222000, Seattle, WA 98122, USA.
Pain. 2011 Jan;152(1):82-88. doi: 10.1016/j.pain.2010.09.015. Epub 2010 Oct 13.
The goals of the current study were to examine the associations between patient-reported spouse responses to pain and well behaviors as assessed by the Spouse Response Inventory (SRI) [22] and (1) patient-reported pain behavior, (2) depression, and (3) physical dysfunction, independent of patient demographics and pain severity. Moreover, we sought to examine the potential moderating influence of marital satisfaction on these relationships. We also evaluated the construct and concurrent validity and internal reliability of the SRI. The findings indicate that encouragement of well behaviors is related to lower levels of patient-reported pain behaviors, while negative responses to well behavior is related to greater patient physical dysfunction. Likewise, higher levels of negative responses to pain behaviors, as well as higher levels of solicitous responses to pain behaviors are generally related to poorer patient functioning. Furthermore, marital satisfaction did not moderate the relationship between any SRI subscales and patient-reported pain behaviors. In summary, our results support the internal reliability and validity of the SRI scales as measures of spousal responses to both pain and well behaviors. The current study also supports the importance of examining the potential impact of responses to both well and pain behaviors. Further research is needed to examine the potential impact of other contextual variables and marital satisfaction on the relationship of spouse responses to both well and pain behaviors.
本研究的目的是考察患者报告的配偶对疼痛和良好行为的反应与配偶反应量表（SRI）[22]之间的关联，这些关联与患者的人口统计学特征和疼痛严重程度无关，包括（1）患者报告的疼痛行为，（2）抑郁，和（3）身体功能障碍。此外，我们还试图探讨婚姻满意度对这些关系的潜在调节作用。我们还评估了 SRI 的结构、同时效度和内部信度。研究结果表明，鼓励良好行为与患者报告的疼痛行为水平较低有关，而对良好行为的消极反应与患者身体功能障碍程度较大有关。同样，对疼痛行为的消极反应水平较高，以及对疼痛行为的关切反应水平较高，通常与患者功能较差有关。此外，婚姻满意度并不能调节 SRI 各分量表与患者报告的疼痛行为之间的关系。总之，我们的研究结果支持 SRI 量表作为测量配偶对疼痛和良好行为的反应的内部可靠性和有效性。本研究还支持了检查对良好行为和疼痛行为的反应的潜在影响的重要性。需要进一步的研究来检验其他情境变量和婚姻满意度对配偶对良好行为和疼痛行为的反应关系的潜在影响。
