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帕金森病中的获益发现与关系质量:一项夫妻二元分析的初步研究

Benefit finding and relationship quality in Parkinson's disease: a pilot dyadic analysis of husbands and wives.

作者信息

Mavandadi Shahrzad, Dobkin Roseanne, Mamikonyan Eugenia, Sayers Steven, Ten Have Thomas, Weintraub Daniel

机构信息

Mental Illness Research, Education and Clinical Center, Philadelphia VA Medical Center.

Department of Psychiatry, Rutgers-Robert Wood Johnson Medical School.

出版信息

J Fam Psychol. 2014 Oct;28(5):728-34. doi: 10.1037/a0037847. Epub 2014 Sep 1.

Abstract

Parkinson's disease (PD) significantly impacts both patients' and spouses' emotional and physical health. However, despite the importance of social relationships for wellbeing, few studies have examined relationship quality and their correlates in individuals with PD and their partners. Specifically, no known studies have examined the association between benefit finding, or the experience of personal growth and other positive changes in the face of a stressor, and perceived marital quality. To address these gaps in the field, 25 married couples participated in a cross-sectional, pilot study. Patients were veterans diagnosed with idiopathic PD receiving care at the Philadelphia VA Medical Center. Each patient and spouse independently completed self-reported measures of sociodemographics, physical and mental wellbeing, caregiver burden, marital quality, and perceived benefits associated with having PD. Actor-partner interdependence models revealed that, after adjusting for covariates, greater perceived benefits from either having PD or living with a spouse with PD was associated with greater marital quality, both for that individual and their partner. Thus, perceiving positive consequences, such as personal growth, as a result of personally having PD or living with a spouse with PD is related to greater marital quality for both members of the marital dyad. Findings may inform individual and couples-based interventions that address the value of benefit finding and incorporate other techniques of positive reappraisal.

摘要

帕金森病(PD)对患者及其配偶的情绪和身体健康均有显著影响。然而,尽管社会关系对幸福感很重要,但很少有研究考察帕金森病患者及其伴侣的关系质量及其相关因素。具体而言,尚无已知研究考察在面对压力源时从困境中发现益处(即个人成长及其他积极变化的体验)与感知到的婚姻质量之间的关联。为填补该领域的这些空白,25对已婚夫妇参与了一项横断面试点研究。患者均为在费城退伍军人事务医疗中心接受治疗的被诊断为特发性帕金森病的退伍军人。每位患者及其配偶分别独立完成了关于社会人口统计学、身心健康、照料者负担、婚姻质量以及与患帕金森病相关的感知益处的自我报告测量。actor-伴侣相互依赖模型显示,在对协变量进行调整后,无论是自身患帕金森病还是与患帕金森病的配偶共同生活所感知到的更大益处,均与该个体及其伴侣更高的婚姻质量相关。因此,因自身患帕金森病或与患帕金森病的配偶共同生活而感知到诸如个人成长等积极后果,与婚姻双方更高的婚姻质量相关。研究结果可为基于个体和夫妻的干预措施提供参考,这些干预措施应重视从困境中发现益处的价值,并纳入其他积极重新评价的技巧。

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