Wineman N M, O'Brien R A, Nealon N R, Kaskel B
University of Akron, College of Nursing, Ohio 44325-3701.
J Neurosci Nurs. 1993 Dec;25(6):356-61. doi: 10.1097/01376517-199312000-00006.
The purpose of this study was to examine differences in the perception of illness uncertainty between husband and wife and to explore how these differences influence emotional well-being. Mood and family satisfaction were used as indicators of emotional well-being. The sample consisted of sixty-one married couples in which one spouse had multiple sclerosis. Results supported that both individual perceptions of illness uncertainty and congruence in perceived uncertainty between spouses may have negative effects on marital partners. For both spouses, those who reported higher levels of uncertainty were more likely to have lower moods and feel more dissatisfied with family life. However, the most crucial factor in determining family satisfaction for spouses with multiple sclerosis was their own perception of illness uncertainty, while for well spouses, it was the congruence between each partner's perception of the illness uncertainty.
本研究的目的是考察夫妻双方在疾病不确定性认知上的差异，并探讨这些差异如何影响情绪健康。情绪和家庭满意度被用作情绪健康的指标。样本包括61对夫妻，其中一方患有多发性硬化症。结果表明，个体对疾病不确定性的认知以及配偶之间在感知不确定性上的一致性，都可能对婚姻伴侣产生负面影响。对于夫妻双方来说，那些报告不确定性水平较高的人更有可能情绪低落，对家庭生活更不满意。然而，对于患有多发性硬化症的配偶来说，决定家庭满意度的最关键因素是他们自己对疾病不确定性的认知，而对于健康的配偶来说，则是双方对疾病不确定性认知的一致性。
