Department of Psychology, Rutgers University.
J Fam Psychol. 2013 Oct;27(5):712-21. doi: 10.1037/a0034181. Epub 2013 Sep 16.
Spouses frequently attempt to influence (control) or support their chronically ill partners' adherence behaviors. Studies have documented effects of spousal control and support on chronically ill individuals, but little is known about how these two forms of involvement in a partner's disease management may be associated with spouses' stress or the quality of their interactions with their ill partners. The current study sought to address this gap by examining spouses' day-to-day involvement in their marital partner's management of type 2 diabetes (n = 129). Multilevel analyses of daily diary data revealed that on days when spouses exerted control, they reported more stress and more tense marital interactions, although these associations were more pronounced when patients exhibited poor adherence, had been ill for a longer period of time, and had more comorbid health conditions. On days when spouses provided support, in contrast, they reported less stress and more enjoyable marital interactions. The findings from the current study suggest that spouses' day-to-day stress and quality of interactions with their partners are associated with spouses' involvement in their partners' disease management, with health-related social control and support exhibiting distinctive associations.
配偶经常试图影响（控制）或支持他们慢性病伴侣的遵医行为。研究记录了配偶控制和支持对慢性病患者的影响，但对于这两种参与伴侣疾病管理的方式如何与配偶的压力或与患病伴侣互动的质量相关，知之甚少。本研究通过考察配偶在日常参与配偶 2 型糖尿病管理中的情况（n=129），试图弥补这一空白。对日常日记数据的多层次分析显示，当配偶施加控制时，他们报告的压力更大，婚姻互动更紧张，尽管当患者表现出较差的依从性、患病时间更长且合并更多健康状况时，这些关联更为明显。相比之下，当配偶提供支持时，他们报告的压力较小，婚姻互动也更愉快。本研究的结果表明，配偶的日常压力和与伴侣互动的质量与配偶参与伴侣的疾病管理有关，与健康相关的社会控制和支持表现出不同的关联。
