患有慢性疾病的夫妇之间的双向性应对和关系满意度:一个元分析的行为者-伴侣相互依赖模型
Jianhua Hou1, Mariana Karin Falconier2, Wilson Tam3
1Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China.
Clinical psychology review
|May 7, 2025
概括
在慢性疾病 (CI) 中,伴侣相互支持的双向性应对 (DC) 显著提高了患者及其健康伴侣的关系满意度 (RS). 这种相互依赖的过程对于在疾病挑战中保持关系健康至关重要.
科学领域:
- 心理学 心理学 心理学
- 健康心理学 心理健康心理学
- 关系科学科学 关系科学
背景情况:
- 慢性疾病 (CI) 显著影响个人及其浪漫关系.
- 管理CI越来越被认为是一个双层过程,涉及双方的合作伙伴.
- 双向应对 (DC) 涵盖合作伙伴之间的相互支持和协作压力管理.
研究的目的:
- 在一个伴侣患有慢性疾病 (CI) 的情侣中,以元分析的方式评估二次性应对 (DC) 对关系满意度 (RS) 的行为者和伴侣的影响.
- 评估DC对慢性病伴侣 (CIP) 和健康伴侣 (HP) 的影响.
主要方法:
- 对57份报告中的61个样本进行了元分析.
- 参与者-合作伙伴相互依赖模型被用来分析DC对RS的总体影响.
- 数据包括零次相关性,检查行为体效应 (自我影响) 和伴侣效应 (对方伴侣的影响).
主要成果:
- 在总DC和RS之间发现了显著的正相关性 (r = 0.37).
- DC表现出显著的演员效应,这意味着合作伙伴的应对积极影响了他们自己的RS.
- DC还显示出显著的伴侣效应,其中一个伴侣的应对对另一个伴侣的RS产生了积极的影响,无论健康状况如何.
结论:
- 双重应对是一种至关重要的,相互依赖的过程,它增强了慢性疾病影响的关系中双方的关系满意度.
- 基于夫妇的干预措施应整合DC的心理教育和技能培养,以提高关系质量和满意度.
- 将CI视为"我们疾病"并促进相互支持是成功应对双向性疾病和维持关系的关键组成部分.
相关概念视频
Couples Therapy
20
Couples therapy is a therapeutic approach designed to help individuals in intimate relationships address conflicts, improve communication, and foster healthier dynamics. It is appropriate for couples at various stages, including those who are dating, married, or in long-term partnerships, and aims to support partners in navigating their unique relational challenges.
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
20
Modeling in Therapy
33
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
33
Relationship Formation
39.4K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
39.4K
Personality Disorders: Paranoid and Schizoid
10
Personality disorders represent enduring cognition, affect, and behavior patterns that significantly deviate from societal norms. These maladaptive traits often lead to difficulties in various domains, including interpersonal relationships, occupational settings, and overall psychological well-being. Paranoid personality disorder and schizoid personality disorder are two distinct conditions marked by odd or eccentric behavior.
Paranoid Personality Disorder
Paranoid personality disorder is...
Paranoid Personality Disorder
Paranoid personality disorder is...
10
Models of Health Promotion and Illness Prevention II
1.5K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.5K
Psychological and Sociocultural Causes of Schizophrenia
30
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
30


