老年婚姻中对配偶人际痛苦的反应：一种混合方法研究。
Reactivity to a Spouse's Interpersonal Suffering in Late Life Marriage: A Mixed-Methods Approach.
作者信息
Mitchell Hannah-Rose, Levy Becca R, Keene Danya E, Monin Joan K
机构信息
Yale School of Public Health, New Haven, CT, USA
Yale School of Public Health, New Haven, CT, USA.
出版信息
J Aging Health. 2015 Sep;27(6):939-61. doi: 10.1177/0898264315569456. Epub 2015 Feb 5.
OBJECTIVE
To determine how older adult spouses react to their partners' interpersonal suffering.
METHOD
Spouses of individuals with musculoskeletal pain were recorded describing their partners' suffering while their blood pressure (BP) was monitored. After the account, spouses described their distress. Speeches were transcribed and analyzed with Linguistic Inquiry and Word Count software and coded for interpersonal content. Multivariate regression analyses were conducted with interpersonal content variables predicting BP and distress. Exploratory qualitative analysis was conducted using ATLAS.ti to explore mechanisms behind quantitative results.
RESULTS
Describing partners' suffering as interpersonal and using social (family) words were associated with higher systolic BP reactivity. Husbands were more likely to describe partners' suffering as interpersonal. Qualitative results suggested shared stressors and bereavement-related distress as potential mechanisms for heightened reactivity to interpersonal suffering.
DISCUSSION
Spouses' interpersonal suffering may negatively affect both men and women's cardiovascular health, and older husbands may be particularly affected.
目的
确定老年配偶如何应对其伴侣的人际痛苦。
方法
记录患有肌肉骨骼疼痛个体的配偶在其血压（BP）受到监测时描述其伴侣痛苦的情况。描述之后，配偶们描述了自己的苦恼。对发言进行转录，并用语言查询与字数统计软件进行分析，并对人际内容进行编码。使用人际内容变量预测血压和苦恼进行多元回归分析。使用ATLAS.ti进行探索性定性分析，以探究定量结果背后的机制。
结果
将伴侣的痛苦描述为人际性的，并使用社交（家庭）词汇与较高的收缩压反应性相关。丈夫更有可能将伴侣的痛苦描述为人际性的。定性结果表明，共同的压力源和与丧亲相关的苦恼是对人际痛苦反应增强的潜在机制。
讨论
配偶的人际痛苦可能对男性和女性的心血管健康产生负面影响，老年丈夫可能受到的影响尤为明显。
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