a Department of Communication, University of California Santa Barbara , Santa Barbara , CA , USA.
b Department of Psychology and Social Behavior, Pediatrics, and Program in Public Health, University of California , Irvine , CA , USA.
Health Commun. 2019 Sep;34(10):1107-1119. doi: 10.1080/10410236.2018.1461585. Epub 2018 Apr 18.
The theory of resilience and relational load was tested with 60 couples and their adolescent children (ages 11-18) with type I diabetes (T1D). The couples participated in a stress-inducing conversation task in their home, followed by a random assignment to a two-week intervention designed to increase their relationship maintenance. Before the intervention, stronger communal orientation predicted greater maintenance for husbands and wives, but maintenance only reduced T1D stress for wives. The wives' and adolescents' T1D stress were also correlated, but the husbands' T1D stress was not significantly associated with either of them. Better maintenance was associated with less conflict during couples' conversations. Maintenance was also directly associated with less perceived and physiological stress (cortisol) from the conversation. Finally, wives in the intervention reported the most thriving, communal orientation and the least loneliness. The intervention also reduced adolescents' general life stress, but it did not influence their T1D stress or thriving.
采用 resilience 和关系负荷理论，研究人员对 60 对患有 1 型糖尿病（T1D）的夫妇及其青少年子女（11-18 岁）进行了测试。这些夫妇在自己家中参与了一项诱发压力的谈话任务，随后随机分配到为期两周的干预措施中，旨在增加他们的关系维护。在干预之前，更强的共享取向预测夫妻双方的维护能力更强，但只有妻子的维护能力能减轻 T1D 带来的压力。妻子和青少年的 T1D 压力也存在相关性，但丈夫的 T1D 压力与他们两人均没有显著关联。更好的维护与夫妻谈话期间的冲突减少有关。维护还与谈话带来的感知和生理压力（皮质醇）减少直接相关。最后，接受干预的妻子报告称，她们的活力感、共享取向感最强，孤独感最弱。该干预还降低了青少年的一般生活压力，但并未影响他们的 T1D 压力或活力感。
