Flor H, Turk D C, Scholz O B
J Psychosom Res. 1987;31(1):63-71. doi: 10.1016/0022-3999(87)90099-7.
The effects of chronic illness on marital relationships and the spouses' emotional and physical health were examined in chronic pain patients, their spouses, and a control sample of spouses of diabetic patients. Results indicated that pain patients and their spouses experienced considerable change in marital and sexual satisfaction. Patients with better marital adjustment also reported higher overall pain levels and had more solicitous and maritally satisfied spouses. Spouses' marital adjustment was positively associated with patients' marital satisfaction and spouses' own mood. Spouses' dysphoric mood was related to patients' negative appraisal of the pain experience, spouses' perceived lack of life control, and spouses' marital dissatisfaction. Although spouses of chronic pain patients showed no more physical symptoms than spouses of diabetics, they reported significantly more pain symptoms that were related to elevated levels of depressed mood. The results indicate that not only is chronic pain associated with problems in the marital relationship but heightened distress and physical symptoms in spouses as well. These effects are related less to the existence of a chronic pain problem per se but rather to patients' and spouses' manner of coping with the situation.
在慢性疼痛患者及其配偶，以及糖尿病患者配偶的对照样本中，研究了慢性病对婚姻关系以及配偶的情绪和身体健康的影响。结果表明，疼痛患者及其配偶在婚姻和性满意度方面经历了相当大的变化。婚姻调适较好的患者也报告了更高的总体疼痛水平，并且有更体贴和婚姻满意度更高的配偶。配偶的婚姻调适与患者的婚姻满意度以及配偶自身的情绪呈正相关。配偶的烦躁情绪与患者对疼痛经历的负面评价、配偶感知到的生活缺乏掌控以及配偶的婚姻不满有关。尽管慢性疼痛患者的配偶没有比糖尿病患者的配偶表现出更多的身体症状，但他们报告的与情绪低落水平升高相关的疼痛症状明显更多。结果表明，慢性疼痛不仅与婚姻关系中的问题有关，还与配偶的痛苦加剧和身体症状有关。这些影响与其说是与慢性疼痛问题本身的存在有关，不如说是与患者和配偶应对这种情况的方式有关。
