Swiss Paraplegic Research, Nottwil, Switzerland
Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
BMJ Open. 2024 Jul 30;14(7):e084395. doi: 10.1136/bmjopen-2024-084395.
Very little is known about daily life dynamics and mutual influences that tie together well-being and psychobiological stress responses in persons with spinal cord injury (SCI) and their romantic partners in particular. The role of social support and physical activity in the associations between emotional well-being and stress has not been investigated in the context of SCI yet and studies applying a dyadic approach, exploring the role of a romantic partner, are currently unavailable. The overall objective is thus to better understand the interplay between emotional well-being and the psychobiological stress marker cortisol, and to investigate the potentially moderating role of social support and physical activity in the well-being-stress association among persons with SCI and their romantic partners using a dyadic perspective.
The stRess and Health Among romantic couPles with Spinal cOrD injurY study, funded by the Swiss National Science Foundation (10001C_204739), aims to recruit N=150 community-dwelling persons with SCI and their romantic partners including three phases of data collection. The first phase includes a baseline questionnaire. The second phase, the time sampling phase, comprises an ecological momentary assessment design in the everyday life of couples where both partners provide concurrent salivary cortisol samples five times a day and complete assessments four times a day over seven consecutive days. Wrist-worn accelerometers record physical activity during this period. The third phase is an observational study in the laboratory, where a couples' discussion on the SCI management in their everyday life is recorded and coded to identify a couple-specific coping with SCI to enrich data. The dyadic data will be analysed using multilevel modelling, based on the actor-partner interdependence model framework.
The study was approved by the ethics committee of Northwest and Central Switzerland (2022-01072) and findings will be disseminated through peer-reviewed publications and conference presentations.
脊髓损伤（SCI）患者及其伴侣的日常生活动态及其相互影响，以及这些因素与幸福感和心理生物应激反应之间的关系，目前人们知之甚少。在 SCI 背景下，社会支持和身体活动在情感幸福感和应激之间的关联中的作用尚未得到研究，目前也没有研究采用对偶方法来探讨伴侣的作用。因此，本研究的总体目标是更好地了解情感幸福感和心理生物应激标志物皮质醇之间的相互作用，并从对偶的角度研究社会支持和身体活动在 SCI 患者及其伴侣的幸福感-应激关联中可能的调节作用。
该研究由瑞士国家科学基金会（10001C_204739）资助，名为“脊髓损伤伴侣的压力与健康研究”，旨在招募 N=150 名居住在社区的 SCI 患者及其伴侣，包括三个数据收集阶段。第一阶段包括基线问卷调查。第二阶段，时间采样阶段，采用生态瞬时评估设计，在夫妻的日常生活中，双方每天五次同时提供唾液皮质醇样本，并在连续七天内每天四次完成评估。腕戴式加速度计记录这段时间的身体活动。第三阶段是实验室中的观察性研究，记录并编码夫妻关于日常生活中 SCI 管理的讨论，以确定特定于夫妻的 SCI 应对方式，从而丰富数据。将使用多层次模型对双变量数据进行分析，基于演员-伙伴相互依存模型框架。
该研究已获得瑞士西北和中部地区伦理委员会（2022-01072）的批准，研究结果将通过同行评审的出版物和会议演讲进行传播。
