Tough Hannah, Fekete Christine, Brinkhof Martin W G, Siegrist Johannes
Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
Swiss Paraplegic Research, Nottwil, Switzerland.
Disabil Health J. 2017 Apr;10(2):294-302. doi: 10.1016/j.dhjo.2016.12.008. Epub 2016 Dec 19.
Various social relationship constructs have been proposed to affect mental health. However, these constructs have rarely been studied in a comprehensive way in persons with chronic disabilities and their partners, inhibiting researchers from evaluating their relative importance.
To investigate 1) the variation in the quantity and quality of social relationships in persons with spinal cord injury (SCI) and their partners; 2) dyadic coherence within social relationship constructs; 3) the interrelationships between social relationship constructs; and 4) the associations of social relationship constructs with vitality and mental health.
Cross-sectional survey data from 133 couples of persons with SCI and their partners was used. Quantitative (social networks) and qualitative aspects (social support, relationship quality, loneliness, and reciprocity in partnerships) of social relationships were assessed. Correlations were performed to analyse dyadic coherence and interrelationships of social relationship constructs and multivariable regressions were applied to examine associations with vitality and mental health.
Loneliness, larger social networks and higher relationship quality were more prevalent in SCI. All social relationship constructs, apart from loneliness, were more similar within couples than between couples and the interrelationships between different constructs were small. Qualitative aspects of relationships were more important than the quantitative aspects in their associations to vitality and mental health. These associations were most consistent for loneliness, reciprocity and relationship quality in both groups.
In the long-term management of community functioning in persons with SCI and their partners, the fostering of high quality intimate relationships should take priority.
已提出多种社会关系结构会影响心理健康。然而，这些结构在慢性残疾者及其伴侣中很少得到全面研究，这阻碍了研究人员评估它们的相对重要性。
调查1）脊髓损伤（SCI）患者及其伴侣社会关系在数量和质量上的差异；2）社会关系结构中的二元一致性；3）社会关系结构之间的相互关系；4）社会关系结构与活力及心理健康之间的关联。
使用来自133对SCI患者及其伴侣的横断面调查数据。评估社会关系的定量（社会网络）和定性方面（社会支持、关系质量、孤独感以及伴侣关系中的互惠性）。进行相关性分析以分析社会关系结构的二元一致性和相互关系，并应用多变量回归来检验与活力和心理健康的关联。
孤独感、更大的社会网络和更高的关系质量在SCI患者中更为普遍。除孤独感外，所有社会关系结构在夫妻内部比在夫妻之间更为相似，不同结构之间的相互关系较小。关系的定性方面在与活力和心理健康的关联中比定量方面更重要。在两组中，这些关联在孤独感、互惠性和关系质量方面最为一致。
在SCI患者及其伴侣社区功能的长期管理中，应优先培养高质量的亲密关系。
