Department of Communication, Rutgers University, New Brunswick, NJ 08901-1071, USA.
Health Commun. 2012;27(2):145-57. doi: 10.1080/10410236.2011.571755. Epub 2011 Aug 2.
This study is framed in Greene's (2009) health disclosure decision-making model (DD-MM) and explores the role of prognosis and symptom uncertainty in patterns of disclosure in a close relationship. Toward this end, an uncertainty and disclosure model is hypothesized in which prognosis and symptom uncertainty and relational quality are expected to predict perceived partner support, communication efficacy, and the depth, breadth, and frequency of disclosure to a partner about a chronic health condition. Patients with diagnosed heart-related conditions visiting a private medical office were recruited to complete anonymous surveys. Results indicated that (1) the key mechanisms identified in the DD-MM are associated with the depth, breadth, and frequency of disclosure to a partner about a health condition, and (2) uncertainty plays a prominent role in people's communication with their partner about the heart-related condition. The findings and implications of the study are discussed.
本研究以格林（Greene）的（2009）健康披露决策模型（DD-MM）为框架，探讨了预后和症状不确定性在亲密关系中披露模式中的作用。为此，提出了一个不确定性和披露模型，其中预计预后和症状不确定性以及关系质量将预测感知到的伴侣支持、沟通效果以及向伴侣披露慢性健康状况的深度、广度和频率。招募了患有已诊断的心脏相关疾病的患者在私人医疗办公室完成匿名调查。结果表明：（1）DD-MM 中确定的关键机制与向伴侣披露健康状况的深度、广度和频率有关；（2）不确定性在人们与伴侣就心脏相关疾病进行沟通方面起着重要作用。讨论了该研究的发现和意义。
