Department of Psychology, University of Zurich, Switzerland.
Department of Psychology, University of Zurich, Switzerland.
Clin Psychol Rev. 2023 Dec;106:102344. doi: 10.1016/j.cpr.2023.102344. Epub 2023 Oct 4.
Globally, one out of three people suffer from a mental health issue during their lifetime. In romantic relationships, impaired mental health does not only affect the individual but also their partner and therefore needs to be coped with dyadically. In this systematic review, we summarize research examining dyadic coping (DC) in the context of mental health and individual and relational outcomes. We searched for peer-reviewed articles published between January 1990 and April 2023 on PsycInfo, Medline, and PSYNDEX on DC and mental health within romantic relationships. A total of 60 qualitative, quantitative, and intervention studies met the inclusion criteria, reporting on 16,394 individuals and 4,945 dyads. To synthesize the studies, we used a narrative synthesis approach. Overall, stress expression and positive DC yielded beneficial individual and relational outcomes, whereas, for negative DC, the opposite was true. Results differed between mental health clusters and context played an important role (e.g., symptom severity, life phase). Due to the great diversity of studies and variables, further research should focus on understudied mental health clusters (e.g., anxiety disorders). Clinicians are advised to view mental health issues as a dyadic rather than an individual phenomenon ("we-disease") and develop tailored couple-centered interventions.
在全球范围内，每三个人中就有一人在其一生中患有精神健康问题。在恋爱关系中，受损的精神健康不仅会影响个人，还会影响其伴侣，因此需要以双方面的方式来应对。在本次系统综述中，我们总结了研究双方面对（DC）在精神健康以及个体和关系结果背景下的研究。我们在 PsycInfo、Medline 和 PSYNDEX 上搜索了 1990 年 1 月至 2023 年 4 月期间发表的同行评议文章，内容涉及恋爱关系中 DC 和精神健康。共有 60 项定性、定量和干预研究符合纳入标准，报告了 16394 个人和 4945 对伴侣的数据。为了综合这些研究，我们使用了叙述性综合方法。总的来说，压力表达和积极的 DC 产生了有益的个体和关系结果，而对于消极的 DC，则恰恰相反。结果因精神健康聚类的不同而有所差异，并且背景也起着重要作用（例如，症状严重程度、生活阶段）。由于研究和变量的多样性很大，进一步的研究应集中在研究较少的精神健康聚类上（例如，焦虑障碍）。临床医生应将精神健康问题视为一种双方面的而非个体的现象（“我们的疾病”），并制定针对夫妻的干预措施。
