Carnegie Mellon University, Pittsburgh, USA.
University of Utah, Salt Lake City, USA.
J Behav Med. 2022 Oct;45(5):716-727. doi: 10.1007/s10865-022-00337-y. Epub 2022 Jul 11.
The stress of diabetes management not only affects persons with type 1 diabetes (PWD) but also their social network. We examined the extent to which romantic partners of PWD (n = 199) identified their most significant daily stressor as diabetes-related (i.e., partner diabetes stress) using a 14-day daily diary design. Utilizing a communal coping framework, we examined appraisal and communication as predictors of partner diabetes stress and examined links of partner diabetes stress to supportive/unsupportive behavior and mood by assessing each construct daily. We also examined whether a survey measure of partner anxious attachment moderated these links. Results showed that viewing diabetes as a shared problem and greater diabetes communication were associated with greater partner diabetes stress. Partner diabetes stress was linked to partner provision of greater supportive and unsupportive behavior-especially so for anxiously attached partners. Importantly, partner diabetes stress was not linked to mood for PWDs or partners.
糖尿病管理带来的压力不仅会影响 1 型糖尿病患者（PWD），还会影响他们的社交网络。我们使用 14 天的日常日记设计，调查了 PWD 的浪漫伴侣（n=199）中有多少人将他们日常生活中最大的压力源认定为与糖尿病相关（即伴侣糖尿病压力）。利用共同应对框架，我们考察了评估和沟通作为伴侣糖尿病压力的预测因素，并通过每天评估每个结构，考察了伴侣糖尿病压力与支持/不支持行为和情绪的联系。我们还考察了伴侣焦虑依恋的调查测量是否调节了这些联系。结果表明，将糖尿病视为共同问题以及更多的糖尿病沟通与更大的伴侣糖尿病压力相关。伴侣糖尿病压力与伴侣提供更多的支持和不支持行为有关——对于焦虑依恋的伴侣尤其如此。重要的是，伴侣糖尿病压力与 PWD 或伴侣的情绪无关。
