a Department of Human Ecology , University of Alberta , Edmonton , AB , Canada .
Psychol Health. 2013;28(12):1442-59. doi: 10.1080/08870446.2013.822499. Epub 2013 Aug 1.
Using data from 117 spouses of patients diagnosed with type 2 diabetes and multiple-group path analysis, the current study explored the association of four relationship beliefs (satisfaction, sacrifice, confidence and instability) and four diabetes appraisals (consequences, distress, control and efficacy) with illness-specific coping behaviour: active engagement, protective buffering and overprotection. The potential moderating effect of gender was also tested. Results indicated gender did moderate the associations among the variables in the model, with the association of relationship satisfaction and active engagement being significantly stronger for men, while diabetes control was more strongly related to protective buffering for women. The only variables associated with active engagement were three relationship-specific cognitions: higher levels of relationship satisfaction (for men only), satisfaction with sacrifice and relationship confidence were all related to higher active engagement. The diabetes appraisals were the only variables associated with protective buffering and overprotection. Higher diabetes distress and diabetes control (for women only) and lower diabetes efficacy were predictive of greater protective buffering. Lower diabetes efficacy and higher diabetes control were associated with greater overprotection. Implications for theory, research and practice are discussed.
本研究使用了 117 名 2 型糖尿病患者配偶的数据，采用多群组路径分析方法，探讨了四种关系信念（满意度、牺牲、信心和不稳定性）和四种糖尿病评估（后果、苦恼、控制和效能）与疾病特定应对行为（积极参与、保护性缓冲和过度保护）之间的关系。还测试了性别调节作用的可能性。结果表明，性别确实调节了模型中变量之间的关系，其中关系满意度与积极参与的关系对男性更强，而糖尿病控制与女性的保护性缓冲关系更强。与积极参与相关的唯一变量是三种关系特定认知：较高的关系满意度（仅对男性）、对牺牲的满意度和关系信心都与更高的积极参与有关。糖尿病评估是与保护性缓冲和过度保护相关的唯一变量。较高的糖尿病困扰和糖尿病控制（仅对女性）以及较低的糖尿病效能预测更大的保护性缓冲。较低的糖尿病效能和较高的糖尿病控制与更大的过度保护有关。讨论了理论、研究和实践的意义。
