Johnson Matthew D, Anderson Jared R, Walker Ann, Wilcox Allison, Lewis Virginia L, Robbins David C
Department of Human Ecology, University of Alberta.
School of Family Studies and Human Services, Kansas State University.
Health Psychol. 2014 Aug;33(8):841-844. doi: 10.1037/hea0000054. Epub 2014 Jan 20.
Guided by the developmental-contextual model of couples coping with chronic illness (Berg & Upchurch, 2007), the purpose of this study is to explore moderated associations between spousal protective buffering and illness outcomes for partners diagnosed with type 2 diabetes (dietary adherence, frequency of exercise, and HbA1c level). Patient diabetes appraisals (distress, control, self-efficacy, and consequences) were explored as potential moderators.
Participants were 117 married couples in which one member had been diagnosed with type 2 diabetes. Data were gathered from spouses and patients through a survey instrument and analyzed with path analysis.
Protective buffering was associated with fewer days of exercise when patients reported low diabetes distress and diabetes consequences. Additionally, protective buffering was associated with higher HbA1c when patients reported high diabetes control.
Protective buffering did not exhibit a uniform association with the type 2 diabetes outcomes. Rather, the association between spousal protective buffering and patient illness adjustment was dependent on patient appraisal of the illness. These findings contribute a nuanced addition to the literature documenting the role of couple coping in chronic illness management and also provide impetus for further, longitudinal investigation of the ways healthy spouses cope with partner illness.
以夫妻应对慢性病的发展情境模型（伯格和厄普丘奇，2007年）为指导，本研究旨在探讨配偶保护性缓冲与被诊断为2型糖尿病的伴侣的疾病结局（饮食依从性、运动频率和糖化血红蛋白水平）之间的调节关联。研究将患者对糖尿病的评估（痛苦、控制感、自我效能感和后果）作为潜在调节因素进行了探讨。
研究对象为117对已婚夫妇，其中一方被诊断为2型糖尿病。通过调查问卷从配偶和患者处收集数据，并采用路径分析进行分析。
当患者报告糖尿病痛苦程度低且糖尿病后果较小时，保护性缓冲与较少的运动天数相关。此外，当患者报告糖尿病控制感高时，保护性缓冲与较高的糖化血红蛋白水平相关。
保护性缓冲与2型糖尿病结局之间不存在一致的关联。相反，配偶保护性缓冲与患者疾病适应之间的关联取决于患者对疾病的评估。这些发现为记录夫妻应对在慢性病管理中的作用的文献增添了细微差别，也为进一步纵向研究健康配偶应对伴侣疾病的方式提供了动力。
