配偶协作在患有和未患有多种慢性病的老年夫妇中对日常应激源疼痛反应的差异作用。

The differential role of spousal collaboration on pain reactivity to daily stressors in older couples with and without multiple chronic conditions.

作者信息

Pan Zequan, Nie Junyu, Zhou Xinyi, Wang Shuai, Chen Hongzhou, Zhang Mi, Liu Huiying

机构信息

Department of Sociology, Central South University, Changsha, Hunan Province, 410000, China.

Department of Physical Education, Central South University, Changsha, Hunan Province, 410000, China.

出版信息

Ann Behav Med. 2025 Jan 4;59(1). doi: 10.1093/abm/kaaf045.

DOI:10.1093/abm/kaaf045

PMID:40553092

Abstract

BACKGROUND

Spousal collaboration has been considered as important coping resource to deal with aging-related health problems, but little is known about the role of spousal collaboration on the everyday stress-reactivity process in couples facing multiple chronic conditions (MCCs).

PURPOSE

We examined the within-person association of daily stressors and pain, and whether spousal collaboration played a differential role in moderating this association in older couples living with and without MCCs.

METHODS

Data were drawn from an ecological momentary assessment (EMA) research, wherein two sub-samples of older married couples (including 52 dyads facing couple-level MCCs and 55 dyads without couple-level MCCs) reported 7671 (89.61%) valid EMA surveys across 20 consecutive days. A multilevel model was used to examine the effect of spousal collaboration on momentary pain reactivity to daily stressors.

RESULTS

Exposure to daily stressors was associated with an increased level of momentary pain, and such pain reactivity was more prominent in couples facing both spouses' MCCs than in those not facing such couple-level MCCs. Spousal collaboration played a differential role in momentary pain reactivity to daily stressors in two sub-samples. In couples facing both spouses' MCCs, spousal collaboration buffered momentary pain reactivity to health-related stressors and home-related stressors. Similar buffering effect was not found in the couples not facing both spouses' MCCs.

CONCLUSIONS

These findings highlighted the importance of dyadic coping resources for managing aging-related health problems and pain experiences, offering insights to inform the development of couple-based health interventions by incorporating the enhancement of spousal collaboration as a key element.

摘要

背景

配偶协作被视为应对与衰老相关健康问题的重要应对资源，但对于配偶协作在面临多种慢性病（MCCs）的夫妻日常应激反应过程中的作用知之甚少。

目的

我们研究了日常应激源与疼痛的个体内关联，以及配偶协作在有或没有MCCs的老年夫妻中调节这种关联时是否发挥了不同作用。

方法

数据来自一项生态瞬时评估（EMA）研究，其中两个老年已婚夫妻子样本（包括52对面临夫妻层面MCCs的夫妻和55对没有夫妻层面MCCs的夫妻）连续20天报告了7671份（89.61%）有效的EMA调查。采用多层次模型来研究配偶协作对日常应激源瞬时疼痛反应的影响。

结果

暴露于日常应激源与瞬时疼痛水平升高相关，并且这种疼痛反应在夫妻双方都患有MCCs的夫妻中比在未面临此类夫妻层面MCCs的夫妻中更为突出。配偶协作在两个子样本中对日常应激源的瞬时疼痛反应发挥了不同作用。在夫妻双方都患有MCCs的夫妻中，配偶协作缓冲了对健康相关应激源和家庭相关应激源的瞬时疼痛反应。在未面临夫妻双方都患有MCCs的夫妻中未发现类似的缓冲效应。