Urey J R, Henggeler S W
Arch Phys Med Rehabil. 1987 Feb;68(2):69-74.
The present study examined marital characteristics of couples who are coping successfully with spinal cord injury (SCI) versus those who are not and the relationship of positive marital adjustment in SCI couples as compared with positive adjustment among able-bodied (AB) couples. In a 2 X 2 factorial design the marital relations of 10 nondistressed and 10 distressed SCI couples and 14 nondistressed and 10 distressed AB couples were examined. Assessments were conducted in the couples' homes and included self-report measures of recreational-social activities and sexual relations, and observations of marital communication skills. Multivariate analyses revealed significant interaction effect with posthoc comparisons, indicating that spouses in distressed SCI marriages engaged in significantly fewer activities alone and with their spouse and requested the greatest degree of change in the marital relationship in comparison with the other groups. There was a significant main effect for marital satisfaction, with distressed couples expressing more dissatisfaction in sexual relations and more negative communications during conflict resolution tasks. Although the results do not indicate that substantive differences exist in quantitative and qualitative aspects of marital relations between SCI and AB couples, several trends were observed which suggest the need for further research.
本研究考察了成功应对脊髓损伤（SCI）的夫妻与未成功应对的夫妻的婚姻特征，以及与健全（AB）夫妻相比，脊髓损伤夫妻中积极的婚姻调适情况。采用2×2析因设计，对10对无困扰和10对有困扰的脊髓损伤夫妻以及14对无困扰和10对有困扰的健全夫妻的婚姻关系进行了考察。评估在夫妻家中进行，包括娱乐社交活动和性关系的自我报告测量，以及婚姻沟通技巧的观察。多变量分析显示，在事后比较中存在显著的交互效应，表明与其他组相比，有困扰的脊髓损伤婚姻中的配偶单独和与配偶一起参与的活动显著减少，并且要求在婚姻关系中做出最大程度的改变。婚姻满意度存在显著的主效应，有困扰的夫妻在性关系中表达出更多不满，在冲突解决任务中沟通更消极。虽然结果并未表明脊髓损伤夫妻和健全夫妻在婚姻关系的数量和质量方面存在实质性差异，但观察到了一些趋势，表明有必要进行进一步研究。
