Zajdel Melissa, Naqvi Jeanean B, Niezink Nynke Md, Helgeson Vicki S
Carnegie Mellon University, Pittsburgh, PA, USA.
J Soc Pers Relat. 2023 Jun;40(6):1961-1986. doi: 10.1177/02654075221135873. Epub 2022 Oct 25.
Research has increasingly recognized the links of communal coping-a shared appraisal of a stressor and collaborative action to manage it-to positive adjustment outcomes in chronic illness. However, past literature rarely examines if these two components have unique links to relationship and health outcomes, if one component is more strongly linked than the other component to these outcomes, or if the two components interact to influence outcomes. Additionally, the impact of shared appraisal and collaboration may depend on the source-the patient or the romantic partner. In a study of 200 patients with newly diagnosed type 2 diabetes and their spouses, daily reports of shared appraisal and collaboration, mood, support interactions, and patient self-care were collected over 14 consecutive days. Multi-level modeling showed that both patient and spouse reports of shared appraisal and collaboration were linked independently to support interactions and better mood for patients and spouses, while collaboration alone was linked to self-care. Further, collaboration was generally more strongly linked to behavioral outcomes-support and self-care-than shared appraisal, while links to mood were similar for shared appraisal and collaboration. Shared appraisal and collaboration also interacted such that shared appraisal was particularly beneficial for those who reported low collaboration. Finally, results suggested one's own reports of shared appraisal and collaboration were more strongly linked to outcomes than partner reports. Overall, these findings demonstrate unique impacts of daily shared appraisal and collaboration on adjustment to chronic illness for patients and spouses.
研究越来越多地认识到共同应对（对压力源的共同评估以及为应对压力源而采取的协作行动）与慢性病患者积极的适应结果之间的联系。然而，过去的文献很少探讨这两个组成部分是否与人际关系和健康结果有独特的联系，是否其中一个组成部分比另一个组成部分与这些结果的联系更紧密，或者这两个组成部分是否相互作用以影响结果。此外，共同评估和协作的影响可能取决于来源——患者还是浪漫伴侣。在一项对200名新诊断的2型糖尿病患者及其配偶的研究中，连续14天收集了关于共同评估和协作、情绪、支持互动以及患者自我护理的每日报告。多层次模型显示，患者和配偶关于共同评估和协作的报告均独立地与支持互动以及患者和配偶更好的情绪相关联，而仅协作与自我护理相关联。此外，与共同评估相比，协作通常与行为结果（支持和自我护理）的联系更紧密，而共同评估和协作与情绪的联系相似。共同评估和协作也相互作用，以至于共同评估对那些报告协作程度低的人特别有益。最后，结果表明，自己关于共同评估和协作的报告比伴侣的报告与结果的联系更紧密。总体而言，这些发现表明每日共同评估和协作对患者及其配偶适应慢性病具有独特的影响。
