Ryan Lindsay H, Wan Wylie H, Smith Jacqui
Institute for Social Research, University of Michigan, 426 Thompson St. MISQ, Ann Arbor, MI, 48104, USA,
J Behav Med. 2014 Dec;37(6):1108-17. doi: 10.1007/s10865-014-9561-x. Epub 2014 Mar 13.
Using a nationally representative sample of couples aged 51+ in the United States (N = 1,923 couples), the current study investigated whether both partners' perceptions of relationship support and strain are associated with an individual's self-rated health and functional limitations. The sample had an average age of 67.17 years (SD = 9.0; range 50-97). Actor-Partner Interdependence Models adjusting for couple interdependencies were applied using multilevel models. After accounting for age, education, gender, race, and couple differences in length of marriage, results indicate that individual perceptions of support were significantly associated with higher self-rated health and fewer functional limitations. These individual-level benefits increased if the spouse also perceived positive support and low strain. Finally, the negative association of an individual's perceived support on functional limitations was greater in those with a spouse reporting low levels of perceived strain. Findings are discussed relative to theory on behavioral and psychological pathways between partners' perceptions of support and health.
本研究使用了美国51岁及以上夫妇的全国代表性样本（N = 1923对夫妇），调查了夫妻双方对关系支持和压力的认知是否与个人的自评健康状况和功能受限情况相关。样本的平均年龄为67.17岁（标准差 = 9.0；年龄范围为50 - 97岁）。使用多水平模型应用了调整夫妻相互依存关系的 Actor-伴侣相互依存模型。在考虑了年龄、教育程度、性别、种族以及夫妻婚姻长度差异后，结果表明，个人对支持的认知与较高的自评健康状况和较少的功能受限显著相关。如果配偶也感知到积极的支持和低压力，这些个人层面的益处会增加。最后，在配偶报告的感知压力水平较低的人群中，个人感知到的支持与功能受限之间的负相关更大。研究结果结合关于伴侣对支持的认知与健康之间行为和心理途径的理论进行了讨论。
