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感知伴侣反应能力、疼痛和睡眠:军人夫妇的一项对偶研究。

Perceived partner responsiveness, pain, and sleep: A dyadic study of military-connected couples.

机构信息

Department of Psychology.

出版信息

Health Psychol. 2020 Dec;39(12):1089-1099. doi: 10.1037/hea0001035.

Abstract

OBJECTIVE

The health-promoting influence of supportive close relationships has been extensively documented, yet the mechanisms of this effect are still being clarified. Leading researchers have theorized that examining particular interpersonal interactions and the mediating intrapersonal processes they facilitate is the key to understanding how close relationships benefit health. The purpose of this study was to investigate the influence of perceived partner responsiveness (PPR) on pain and sleep quality via affect in a sample of veterans and spouses (collectively called military-connected couples).

METHOD

Military-connected couples (N = 162) completed 32 days of daily diaries. Mediated actor-partner interdependence models were conducted using multilevel structural equation modeling to assess the effects of PPR at baseline on the daily levels of positive affect, negative affect, pain, and sleep across the following 32 days.

RESULTS

Indirect effects emerged such that affect mediated the association between PPR and pain for veterans only whereas affect mediated the association between PPR and sleep quality for both partners. Daily direct effects emerged as well; for example, positive affect was positively associated with higher sleep quality for both partners and lower pain for veterans. Partner effects were revealed such as veteran PPR was positively associated with spouse positive affect. Overall, greater PPR was associated with positive health outcomes for military-connected couples.

CONCLUSION

The implications of this study include providing insights for couple-oriented interventions for preventing and treating pain and sleep problems in couples who are at high risk of these health problems such as military-connected couples. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

目的

支持性亲密关系的促进健康影响已被广泛记录,但这种影响的机制仍在阐明中。主要研究人员提出,研究特定的人际互动以及它们促进的中介内在过程是理解亲密关系如何有益于健康的关键。本研究旨在通过退伍军人和配偶(统称为与军队有关的夫妇)样本中的情感来调查感知伴侣反应能力(PPR)对疼痛和睡眠质量的影响。

方法

与军队有关的夫妇(N=162)完成了 32 天的日常日记。使用多层次结构方程模型进行中介演员-伙伴相互依存模型,以评估基线时 PPR 对以下 32 天内的每日积极情绪,消极情绪,疼痛和睡眠水平的影响。

结果

出现了间接影响,即只有退伍军人的情感才能调节 PPR 与疼痛之间的关系,而对于两个伴侣,情感都可以调节 PPR 与睡眠质量之间的关系。每日直接影响也出现了;例如,积极的情感与两个伴侣的更高睡眠质量和退伍军人的更低疼痛呈正相关。还揭示了伴侣的影响,例如退伍军人的 PPR 与配偶的积极情感呈正相关。总的来说,更高的 PPR 与与军队有关的夫妇的积极健康结果相关。

结论

这项研究的意义包括为夫妇为导向的干预措施提供见解,以预防和治疗处于这些健康问题高风险的夫妇(例如与军队有关的夫妇)的疼痛和睡眠问题。

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