Samios Christina, Pakenham Kenneth I, O'Brien Jill
Department of Psychology, Bond University, Robina, Gold Coast, Queensland, 4229, Australia,
Ann Behav Med. 2015 Feb;49(1):74-83. doi: 10.1007/s12160-014-9633-8.
Multiple sclerosis (MS) can affect adjustment at both the individual and couple level.
This study examined differences and associations between MS patient and spouse adjustment, and whether one partner's adjustment predicts the other partner's adjustment over time.
A total of 160 couples at Time 1 and 98 couples at Time 2 completed questionnaires.
Mixed-model ANOVAs found that patients reported poorer adjustment than their spouse on a range of adjustment indicators and that positive affect and relationship satisfaction declined over time for both patients and spouses. Intraclass correlations found that patient and spouse scores on all adjustment indicators were related at Time 1. Multilevel modelling showed that one's partner's relationship satisfaction at Time 1 positively predicted one's own relationship satisfaction at Time 2.
The findings indicate that a focus on the interpersonal nature of adjustment to MS may be beneficial for future research and practice.
多发性硬化症（MS）会在个体和伴侣层面影响适应情况。
本研究考察了MS患者及其配偶适应情况的差异与关联，以及一方伴侣的适应情况是否能随时间推移预测另一方伴侣的适应情况。
共有160对夫妻在时间1完成问卷，98对夫妻在时间2完成问卷。
混合模型方差分析发现，在一系列适应指标上，患者报告的适应情况比其配偶差，且患者和配偶的积极情绪及关系满意度随时间下降。组内相关分析发现，在时间1时，患者和配偶在所有适应指标上的得分相关。多层次建模显示，一方伴侣在时间1时的关系满意度能正向预测其自身在时间2时的关系满意度。
研究结果表明，关注MS适应的人际本质可能对未来研究和实践有益。
