School of Psychological Science, Oregon State University.
Health Psychol. 2020 Oct;39(10):912-920. doi: 10.1037/hea0000905. Epub 2020 Jun 25.
The goal of this study was to examine the role of stress and four different types of social support in satisfaction with life (SWL) among adults with rare diseases (RDs). We examined whether support is directly related to SWL (main effects model) or related through moderating the inverse relationship between stress and SWL (stress-buffering hypothesis).
Data came from a cross-sectional survey of adults living in the United States diagnosed with any RD. Participants ( = 1,203) filled out measures of stress, four short-form scales of social support (emotional, informational, tangible, companionship), and SWL. Hierarchical multiple regression was used to test both the main effects model and stress-buffering hypothesis.
Controlling for age, gender, years since diagnosis, and symptom severity, emotional support, but not informational or tangible support, positively predicted SWL. Companionship support was related to SWL over and above other factors. Stress negatively predicted SWL, but none of the types of support moderated this relationship.
Results suggest companionship and emotional support are beneficial to individuals with RDs regardless of their stress levels. Intervention research should focus on ways to foster more companionship and emotional support to improve SWL in this underserved population. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
本研究旨在探讨压力和四种不同类型的社会支持对罕见病(RD)成人生活满意度(SWL)的作用。我们检验了支持是否与 SWL 直接相关(主要效应模型),还是通过调节压力与 SWL 之间的负相关关系来相关(压力缓冲假设)。
数据来自对美国确诊患有任何 RD 的成年人进行的横断面调查。参与者(n=1203)填写了压力、四种社会支持短式量表(情感、信息、有形、陪伴)和 SWL 的量表。分层多元回归用于检验主要效应模型和压力缓冲假设。
在控制年龄、性别、诊断后年限和症状严重程度后,情感支持,但不是信息支持或有形支持,与 SWL 呈正相关。陪伴支持与 SWL 相关,且独立于其他因素。压力与 SWL 呈负相关,但四种支持类型均不能调节这种关系。
结果表明,无论压力水平如何,陪伴和情感支持对 RD 患者都是有益的。干预研究应关注如何促进更多的陪伴和情感支持,以提高这一服务不足人群的 SWL。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。