Pow Jessie, Stephenson Ellen, Hagedoorn Mariët, DeLongis Anita
Department of Psychology, Centre for Health and Coping Studies, The University of British Columbia, Vancouver, BC, Canada.
Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Front Psychol. 2018 Sep 20;9:1760. doi: 10.3389/fpsyg.2018.01760. eCollection 2018.
Research indicates that perceived support availability is beneficial, with support available from the spouse particularly important for well-being. However, actual support mobilization has shown mixed associations with recipient well-being. The primary goal of the present study was to go beyond examining the effects of global perceptions of support on recipient outcomes. Instead, we examined the effects of several specific types of support that have been found to be important in the clinical literature. In this study, we followed both members of couples in which one partner was diagnosed with rheumatoid arthritis. Patients provided reports on pain for both mornings and evenings across 1 week. Both partners also reported esteem, solicitous, and negative support mobilization received by the patient. We found that patient pain tended to increase across the day following increases in patient reports of negative support receipt and partner reports of solicitous support provision. We also found that patient pain tended to decrease across the day when partners reported increased levels of esteem support provision. Reverse causation analyses indicated higher levels of patient pain may lead partners to increase solicitous support mobilization to the patient. Findings underscore the importance of examining both partners' reports of support within a dyadic coping framework. They further suggest that not all forms of support are equally beneficial, calling for a finer grained assessment of specific support transactions.
研究表明，感知到的支持可用性是有益的，其中配偶提供的支持对幸福感尤为重要。然而，实际的支持动员与接受者的幸福感之间的关联呈现出好坏参半的情况。本研究的主要目标是超越考察整体支持感知对接受者结果的影响。相反，我们考察了临床文献中已发现的几种特定类型支持的影响。在这项研究中，我们跟踪了夫妻双方，其中一方被诊断患有类风湿性关节炎。患者提供了一周内早晚的疼痛报告。双方还报告了患者获得的尊重性、关切性和消极性支持动员情况。我们发现，随着患者报告的消极支持接受增加以及伴侣报告的关切性支持提供增加，患者的疼痛在一天中往往会加剧。我们还发现，当伴侣报告的尊重性支持提供水平提高时，患者的疼痛在一天中往往会减轻。反向因果分析表明，患者较高水平的疼痛可能会导致伴侣增加对患者的关切性支持动员。研究结果强调了在二元应对框架内考察双方支持报告的重要性。它们进一步表明，并非所有形式的支持都同样有益，这就需要对特定的支持互动进行更细致的评估。
