Suso-Ribera Carlos, Sullivan Michael J L, Suso-Vergara Santiago
Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castellón de la Plana, Spain.
Department of Psychology, McGill University, Montreal, Canada.
Pain Res Manag. 2018 Sep 26;2018:7927656. doi: 10.1155/2018/7927656. eCollection 2018.
Past decades have seen a surge of studies investigating the role of spouses in chronic illness. The present study explored an interpersonal model of health-related quality of life in chronic pain settings. Spouse personality was tested as a moderator of pain intensity-to-health associations in patients with chronic pain.
This is a cross-sectional study. Participants were 185 noncancer chronic pain patients and their spouses. Patients were mostly females (58.4%). Mean age was approximately 56 years for patients and spouses. Patients completed a measure of pain intensity, health-related quality of life, and personality. Spouses also reported on their personality characteristics. Spouse personality was used as the moderator in the relationship between patients' pain intensity and health status. Patient personality was used as a covariate in the moderation analyses.
Spouse neuroticism moderated the relationship between pain intensity and physical health status, while spouse introversion moderated the pain-to-mental health association.
Results support the idea that the relationship between a chronic stressor, namely, chronic pain, and health-related quality of life may be complex and contextually determined by spousal characteristics. Clinical implications are discussed in the context of couples.
在过去几十年里，对配偶在慢性病中所起作用的研究激增。本研究探讨了慢性疼痛环境下与健康相关生活质量的人际模型。配偶的个性被作为慢性疼痛患者疼痛强度与健康关联的调节因素进行测试。
这是一项横断面研究。参与者为185名非癌症慢性疼痛患者及其配偶。患者大多为女性（58.4%）。患者和配偶的平均年龄约为56岁。患者完成了疼痛强度、与健康相关生活质量及个性的测量。配偶也报告了他们的个性特征。配偶个性被用作患者疼痛强度与健康状况关系的调节因素。患者个性在调节分析中用作协变量。
配偶的神经质调节了疼痛强度与身体健康状况之间的关系，而配偶的内向性调节了疼痛与心理健康的关联。
结果支持这样一种观点，即慢性应激源（即慢性疼痛）与健康相关生活质量之间的关系可能很复杂，且在背景上由配偶特征决定。在夫妻关系的背景下讨论了临床意义。
