Pain Behavior, Spouse Responsiveness, and Marital Satisfaction in Patients with Rheumatoid Arthritis
Pain Behavior, Spouse Responsiveness, and Marital Satisfaction in Patients with Rheumatoid Arthritis
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类风湿关节炎患者的疼痛行为、配偶反应和婚姻满意度
作者：
David Williamson;M. Robinson;B. Melamed
尽管某些诊断群体的疼痛行为已被证明对社会影响有反应，但类风湿性关节炎 (RA) 人群的疼痛行为反应性仍然是一个悬而未决的问题。本文作者结合实验室和自我报告评估技术，研究了 52 名 RA 患者的疼痛报告和行为在多大程度上容易受到婚姻单位内社会因素的影响。作者的研究结果表明，(a) RA 人群对不同类型的配偶反应性（例如关心、惩罚）的看法可能与更一般的慢性疼痛人群不同； (b) 患者对配偶反应性的感知是疼痛行为的重要预测因素，而配偶对这些相同行为的感知则不是； (c) 与仅基于“疾病影响”变量的模型相比，患者对配偶反应行为的感知显着增加了对疼痛行为的预测。
Although the pain behavior of some diagnostic groups has been shown to be reactive to social influences, the reactivity of pain behavior in a rheumatoid artritis (RA) population remains an open question. The authors in this article combined laboratory and self-report assessment techniques to examine the extent to which the pain report and behavior of 52 RA patients was susceptible to influence of social factors within the marital unit. The authors' findings suggest that (a) different types of spouse responsiveness (e.g., solicitous, punishing) may be viewed differently by the RA population than more general chronic pain populations; (b) the patient's perception of spouse responsiveness is a significant predictor of the pain behavior, whereas the spouse's perception of these same behaviors is not; and (c) the patient's perception of the spouse's responsive behavior adds significantly to the prediction of pain behavior over a model based on "disease impact" variables alone.