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中年夫妻的工作压力、积极情绪与身体健康:一项对偶分析。

Stressful work conditions, positive affect, and physical health of middle-aged couples: A dyadic analysis.

机构信息

Department of Human Development and Family Science, The University of Georgia, Athens, Georgia.

Center for Healthcare Policy and Research, University of California, Davis, Sacramento, California.

出版信息

Stress Health. 2019 Oct;35(4):382-395. doi: 10.1002/smi.2866. Epub 2019 May 30.

Abstract

This study investigated actor and partner effects involving middle-aged husbands' and wives' stressful work conditions (SWCs), positive affect (PA), and health outcomes in a dyadic trajectory context in three steps. First, examination of husbands' and wives' individual trajectories showed significant interindividual variations in SWCs and PA over time. Second, a dyadic growth curve model incorporating both husbands' and wives' growth curves of SWCs and PA showed that husbands' and wives' trajectories of SWCs over their early middle years (1991-1994) were negatively associated with their own parallel trajectories of PA independent of depressive symptoms trajectories. Finally, most of the growth factors of PA trajectories of husbands and wives (1991-1994) predicted their own residual changes in physical illness and overall physical health in 2001. In dyadic models, although contemporaneous correlations between most of the study constructs between husbands and wives were significant, all partner effects involving growth parameters of SWCs, PA, and health outcomes were not significant. Most of the indirect effects from SWCs growth factors to health outcomes through PA were significant. The findings suggested that PA was an important health resource for middle-aged husbands and wives that mediates the influence of one's SWCs on own physical health outcomes.

摘要

本研究在三步骤中调查了中年丈夫和妻子的工作压力条件(SWC)、积极情绪(PA)和健康结果的角色和伴侣效应,涉及到对偶轨迹背景。首先,检查丈夫和妻子的个体轨迹表明,SWC 和 PA 在时间上存在显著的个体间变化。其次,一个包含丈夫和妻子 SWC 和 PA 增长曲线的对偶增长曲线模型表明,丈夫和妻子在其中年早期(1991-1994 年)的 SWC 轨迹与他们自己独立于抑郁症状轨迹的平行 PA 轨迹呈负相关。最后,丈夫和妻子 PA 轨迹的大多数增长因素(1991-1994 年)预测了他们自己在 2001 年的身体疾病和整体身体健康的剩余变化。在对偶模型中,尽管丈夫和妻子之间大多数研究结构的同期相关性显著,但涉及 SWC、PA 和健康结果的所有伴侣效应均不显著。SWC 增长因素对 PA 的大多数间接影响通过 PA 对健康结果的影响是显著的。研究结果表明,PA 是中年丈夫和妻子的一个重要健康资源,它调节了一个人的 SWC 对自己身体健康结果的影响。

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