School of Psychology, The University of Queensland, Brisbane, QLD, 4072, Australia.
J Behav Med. 2013 Aug;36(4):389-400. doi: 10.1007/s10865-012-9434-0. Epub 2012 Jun 12.
This study investigated the roles of mindfulness and acceptance on adjustment in couples coping with multiple sclerosis (MS) by examining the effects of an individual's mindfulness and acceptance on their own adjustment (actor effects) and the effects of their partner's mindfulness and acceptance on their adjustment (partner effects) using the Actor-Partner Interdependence Model. The study was a cross-sectional standard dyadic design that collected data from couples coping with MS. Sixty-nine couples completed measures of mindfulness, acceptance and adjustment (depression, anxiety, life satisfaction, positive affect and relationship satisfaction). As hypothesised there were actor effects of mindfulness and acceptance on better adjustment, however, the beneficial actor effects of mindfulness were only evident on depression and anxiety. The actor effects of both mindfulness and acceptance on relationship satisfaction were moderated by MS status. Regarding partner effects, there was support for the beneficial impact of acceptance on partner relationship satisfaction. In addition, the partner effect of acceptance moderated the actor effect of acceptance on depression, such that the actor effect on lower depression was weaker when the partner reported high acceptance. Findings support the roles of mindfulness and acceptance in shaping individual and dyadic adjustment in couples coping with chronic illness.
本研究通过考察个体的正念和接纳对自身调整（主体效应）的影响，以及伴侣的正念和接纳对其调整（伴侣效应）的影响，利用主体-伴侣相互依存模型，探讨了正念和接纳在多发性硬化症（MS）患者伴侣应对中的作用。该研究采用横断面标准对偶设计，从正在应对 MS 的伴侣中收集数据。69 对伴侣完成了正念、接纳和调整（抑郁、焦虑、生活满意度、积极情绪和关系满意度）的测量。正如假设的那样，正念和接纳对更好的调整有主体效应，但正念的有益主体效应仅在抑郁和焦虑上显现。正念和接纳对关系满意度的主体效应均受 MS 状况的调节。关于伴侣效应，接受对伴侣关系满意度有有益的影响。此外，接受的伴侣效应调节了接受对抑郁的主体效应，当伴侣报告较高的接受时，接受对较低抑郁的主体效应较弱。研究结果支持正念和接纳在塑造慢性疾病伴侣应对中个体和伴侣调整方面的作用。
