Helgeson Vicki S
Carnegie Mellon University, Pittsburgh, PA.
Diabetes Spectr. 2017 May;30(2):108-116. doi: 10.2337/ds16-0020.
The study goal was to examine whether young adults with type 1 diabetes involve romantic partners in their illness, and, if so, how their involvement is related to relationship quality and psychological well-being.
A total of 68 people (mean age 25.5 years, [SD 3.7 years]) with type 1 diabetes (mean diabetes duration 6 years, [SD 6.7]) involved in a romantic relationship (mean relationship duration 25 months, [SD 27 months]) completed phone interviews. Communal coping (shared illness appraisal and collaborative problem-solving), partner supportive and unsupportive behavior, relationship quality, and psychological well-being were assessed with standardized measures. The study was partly descriptive in identifying the extent of communal coping and specific supportive and unsupportive behaviors and partly correlational in connecting communal coping and supportive or unsupportive behaviors to relationship quality and psychological well-being.
Descriptive findings showed that partners were somewhat involved in diabetes, but communal coping was less common compared to other chronically ill populations. The most common partner supportive behaviors were emotional and instrumental support. The most common partner unsupportive behavior was worry about diabetes. Correlational results showed that communal coping was related to greater partner emotional and instrumental support, but also to greater partner overprotective and controlling behaviors ( <0.01 for all). Communal coping was unrelated to relationship quality or psychological distress. Partner overinvolvement in diabetes management had a mixed relation to outcomes, whereas partner underinvolvement was uniformly related to poor outcomes.
People with type 1 diabetes may benefit from increased partner involvement in illness. This could be facilitated by health care professionals.
本研究的目标是调查患有1型糖尿病的年轻人是否让其恋爱伴侣参与到自身疾病中，若有，他们的参与与关系质量和心理健康之间有何关联。
共有68名患有1型糖尿病（平均糖尿病病程6年，标准差6.7年）且处于恋爱关系中（平均恋爱时长25个月，标准差27个月）的人（平均年龄25.5岁，标准差3.7岁）完成了电话访谈。使用标准化测量方法评估共同应对（共同的疾病评估和协作解决问题）、伴侣的支持和不支持行为、关系质量以及心理健康状况。该研究部分是描述性的，用以确定共同应对的程度以及具体的支持和不支持行为，部分是相关性的，将共同应对以及支持或不支持行为与关系质量和心理健康联系起来。
描述性结果显示，伴侣在一定程度上参与了糖尿病相关事宜，但与其他慢性病患者群体相比，共同应对并不常见。最常见的伴侣支持行为是情感支持和工具性支持。最常见的伴侣不支持行为是对糖尿病的担忧。相关性结果表明，共同应对与伴侣更多的情感和工具性支持相关，但也与伴侣更多的过度保护和控制行为相关（所有相关性均<0.01）。共同应对与关系质量或心理困扰无关。伴侣过度参与糖尿病管理与结果的关系好坏参半，而伴侣参与不足则始终与不良结果相关。
1型糖尿病患者可能会从伴侣更多地参与疾病管理中受益。医疗保健专业人员可以为此提供便利。
