Meier Caroline, Bodenmann Guy, Moergeli Hanspeter, Peter-Wight Melanie, Martin Mike, Buechi Stefan, Jenewein Josef
Department of Psychiatry and Psychotherapy, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.
J Clin Psychol Med Settings. 2012 Sep;19(3):243-54. doi: 10.1007/s10880-011-9279-7.
COPD (chronic obstructive pulmonary disease) is associated with psychological distress for patients as well as their partners. Dyadic coping can be negatively impacted by stressors. This study's objective was to compare the dyadic coping of couples in which one partner suffered from COPD with healthy couples of the same age. A total of 43 complete couples with COPD and 138 healthy couples participated in this pilot study. The surveys were sent by mail. The response rate of the COPD sample was 24.3%. In order to analyze the effect of gender and role (patient vs. partner) on dyadic coping, linear mixed models were calculated. To analyze the effect of gender and group (COPD group vs. normative comparison group) on dyadic coping, two-way analyses of variance were calculated for independent samples. COPD patients and their partners indicated that the patients received more support and were less able to provide support to their partners. This difference was also evident in comparison with the normative comparison group. In addition, couples with COPD perceived higher levels of negative coping and provided a considerably lower assessment of their positive dyadic coping. The dyadic coping of couples with COPD is unbalanced and more negative when compared to that of healthy couples. Interventions aimed at supporting COPD couples should seek to improve couples' dyadic coping in addition to individual coping strategies.
慢性阻塞性肺疾病(COPD)会给患者及其伴侣带来心理困扰。二元应对可能会受到压力源的负面影响。本研究的目的是比较一方患有COPD的夫妻与同龄健康夫妻的二元应对情况。共有43对患有COPD的完整夫妻和138对健康夫妻参与了这项试点研究。调查问卷通过邮件发送。COPD样本的回复率为24.3%。为了分析性别和角色(患者与伴侣)对二元应对的影响,计算了线性混合模型。为了分析性别和组别(COPD组与正常对照组)对二元应对的影响,对独立样本进行了双因素方差分析。COPD患者及其伴侣表示,患者得到的支持更多,但向伴侣提供支持的能力较弱。与正常对照组相比,这种差异也很明显。此外,患有COPD的夫妻感知到更高水平的消极应对,并且对他们的积极二元应对的评价要低得多。与健康夫妻相比,患有COPD的夫妻的二元应对是不平衡的,且更消极。旨在支持患有COPD的夫妻的干预措施除了个人应对策略外,还应致力于改善夫妻的二元应对。