Block A R, Boyer S L
Soc Sci Med. 1984;19(12):1313-7. doi: 10.1016/0277-9536(84)90018-2.
Recent research has demonstrated that the pain behaviors displayed by patients who have chronic pain complaints can be rewarded and maintained by the solicitous and attentive responses of spouses. The present study examines cognitive and emotional factors which may underly such solicitous responding by the spouses. In this study spouses completed a questionnaire (The Spouses' Perception of Disease--SPOD) which was designed to determine their perceptions of the patients' chronic pain syndromes. Additionally spouses completed a measure of emotional and psychological functioning (SCL-90) and a measure of marital satisfaction (Locke-Wallace Scale). The results of this study show that spouse's cognitive interpretation of the patient's chronic pain syndrome is closely associated with the spouse's emotional adjustment and marital satisfaction. Optimism, perception that the patient has a positive attitude along with few psychological problems and the perception that the patient is severely disabled all are associated with more positive emotional status in spouses. The results are discussed in terms of their implications for the rehabilitation of chronic pain patients.
近期研究表明，患有慢性疼痛的患者所表现出的疼痛行为，会因配偶关切和体贴的反应而得到强化并持续存在。本研究考察了可能导致配偶出现这种关切反应的认知和情感因素。在这项研究中，配偶们填写了一份问卷（《配偶对疾病的认知——SPOD》），该问卷旨在确定他们对患者慢性疼痛综合征的认知。此外，配偶们还完成了一项情绪和心理功能测量（SCL - 90）以及一项婚姻满意度测量（洛克 - 华莱士量表）。本研究结果表明，配偶对患者慢性疼痛综合征的认知解读与配偶的情绪调适及婚姻满意度密切相关。乐观态度、认为患者态度积极且心理问题较少以及认为患者严重残疾，这些都与配偶更积极的情绪状态相关。本文将根据这些结果对慢性疼痛患者康复的意义进行讨论。
