Lusófona University, HEI-Lab: Digital Human-Environment Interaction Labs, Portugal.
Clinical Psychology for Children/Adolescents and Couples/Families, University of Zurich, Zurich, Switzerland.
Soc Sci Med. 2024 Sep;357:117171. doi: 10.1016/j.socscimed.2024.117171. Epub 2024 Aug 3.
Vision impairment is considered one of the most common disability worldwide, can induce considerable stress for both patients and their spouses and may subsequently affect couples' psychological functioning. This study examined whether dyadic coping (DC) mediated the association between stress communication (SC) and depressive symptoms among couples coping with one partner's vision impairment. A total of 99 Swiss couples completed questionnaires assessing SC, various types of DC, and depressive symptoms. An Actor-Partner Interdependence Mediation Model was performed. Results showed that (1) the more one partner communicated stress, the less the other partner perceived negative DC and, consequently, the less the partner perceiving negative DC reported depressive symptoms; (2) the more partners communicated stress, the more they and their partners engaged in common DC and, consequently, the less the partner engaging in common DC reported depressive symptoms; (3) the more partners communicated stress, the less they and their partners engaged in protective buffering and, consequently, the less the partner engaging in protective buffering reported depressive symptoms. This pattern of associations occurred similarly for patients and their spouses. Our findings underline the interpersonal experience of vision impairment within couples and the importance of fostering explicit SC and common DC in psychosocial rehabilitation interventions directed at couples facing one partner's vision impairment.
视力障碍被认为是全球最常见的残疾之一，会给患者及其配偶带来相当大的压力，进而影响夫妻的心理功能。本研究旨在探讨夫妻应对一方视力障碍的过程中，双重应对（DC）是否在压力沟通（SC）和抑郁症状之间起中介作用。共有 99 对瑞士夫妇完成了评估 SC、各种类型的 DC 和抑郁症状的问卷。采用了 Actor-Partner Interdependence Mediation Model（互倚 Actor-partner 中介模型）进行分析。结果表明：（1）一方沟通的压力越大，另一方感知到的消极 DC 就越少，因此感知到的消极 DC 越少的配偶报告的抑郁症状也越少；（2）伴侣之间沟通的压力越大，他们共同参与的 DC 就越多，因此共同参与 DC 越多的配偶报告的抑郁症状就越少；（3）伴侣之间沟通的压力越大，他们和配偶之间进行保护性缓冲的就越少，因此进行保护性缓冲越少的配偶报告的抑郁症状也越少。这种关联模式对患者及其配偶都适用。我们的研究结果强调了夫妻之间视力障碍的人际体验，以及在针对面临一方视力障碍的夫妻的心理社会康复干预中促进明确的 SC 和共同 DC 的重要性。
