Ackroyd Katie, Fortune Dónal G, Price Siân, Howell Stephen, Sharrack Basil, Isaac Claire L
Department of Psychology, Clinical Psychology Unit, University of Sheffield, Sheffield, S10 2TN, UK.
J Clin Psychol Med Settings. 2011 Dec;18(4):372-9. doi: 10.1007/s10880-011-9265-0.
The purpose of this study was to investigate whether patients with multiple sclerosis (MS) and their partners show adversarial growth and to examine which psychological and disability variables contribute to this in patients and their partners. The study also investigated the relationship between growth and distress. Seventy-two patients with MS and their partners provided demographic information and completed measures of posttraumatic growth, illness perceptions, depression, cognitive function and disability. Both patients and partners showed adversarial growth, with patients reporting significantly higher growth than partners. The only significant predictor for patient growth was partner growth, and vice versa. Dissimilarity in illness representations between patients and their partners on the consequences of MS dimension, patient mood and patient growth accounted for significant variance in partner growth. The findings support the idea of a 'communal search for meaning' where patients and their partners experience the trauma of having a chronic illness and subsequently find positive aspects together.
本研究的目的是调查多发性硬化症（MS）患者及其伴侣是否表现出创伤后成长，并检验哪些心理和残疾变量在患者及其伴侣中促成了这种成长。该研究还调查了成长与痛苦之间的关系。72名MS患者及其伴侣提供了人口统计学信息，并完成了创伤后成长、疾病认知、抑郁、认知功能和残疾的测量。患者和伴侣均表现出创伤后成长，患者报告的成长显著高于伴侣。患者成长的唯一显著预测因素是伴侣成长，反之亦然。患者及其伴侣在MS维度后果、患者情绪和患者成长方面的疾病表征差异，在伴侣成长中占显著方差。研究结果支持了“共同寻求意义”的观点，即患者及其伴侣经历患有慢性病的创伤，随后共同找到积极方面。
