Overcoming Barriers to Physical Activity in People with Osteoarthritis: the Role of Empathic Accuracy in Couples' Planning Discussions.
Overcoming Barriers to Physical Activity in People with Osteoarthritis: the Role of Empathic Accuracy in Couples' Planning Discussions.
复制标题
克服骨关节炎患者身体活动的障碍：共情准确性在夫妻计划讨论中的作用。
DOI：
10.1007/s12529-020-09856-x
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发表时间：
2020
影响因子：
2.7
通讯作者：
Rini,Christine
中科院分区：
文献类型：
--
作者：
Sened,Haran;Bahorski,StephanieG;Callahan,Leigh;Altpeter,Mary;Rini,Christine
骨关节炎（OA）是一种常见的慢性关节疾病，具有显著的个人和公众健康后果。体育活动可以减轻OA症状，但患者通常低于推荐水平。来自亲密伴侣的社会支持可以帮助他们变得更加活跃；然而，有些夫妻比其他人更善于提供有效的支持。我们研究了共情准确性（EA）——理解另一个人的想法和感受的能力——在夫妻确定克服障碍、增加活动的策略方面的作用。我们还研究了EA是否与情感变化、情绪调节和沟通技巧有关。方法42名患有OA的身体活动不足的参与者在与伴侣的录音讨论中确定了变得更活跃的障碍。接下来，两人在讨论过程中对自己和伴侣的想法和感受进行打分。评级员对EA进行编码，并判断讨论是否达成了解决方案。用有效的问卷对情感和技能进行评估。结果行动者-伴侣相互依赖模型发现，在规定时间内达成解决方案的夫妻参与者的EA高于没有达成解决方案的夫妻参与者。夫妻双方的EA都与夫妻中另一方的负面影响减少有关。出乎意料的是，OA患者的EA与他们对伴侣的积极影响降低有关。EA与一项技能呈正相关：情感清晰度。结论：这项早期研究的结果表明，EA可以帮助夫妻共同处理健康相关问题。情绪清晰度作为一种与EA相关的技能出现，为进一步的研究指明了方向。
BackgroundOsteoarthritis (OA) is a common chronic joint disease with significant individual and public health consequences. Physical activity can reduce OA symptoms, but patients often fall below recommended levels. Social support from an intimate partner can help them become more active; however, some couples are better than others at enacting effective support. We examined the role of empathic accuracy (EA)—the ability to understand another person’s thoughts and feelings—in couples’ ability to identify strategies for overcoming barriers to increasing activity. We also examined whether EA was associated with changes in affect and with emotion regulation and communication skills.MethodForty-two insufficiently physically active participants with OA identified a barrier to becoming more active in a recorded discussion with their partner. Next, both rated self and partner thoughts and feelings during the discussion. Raters coded EA and whether discussions reached a solution. Affect and skills were assessed with validated questionnaires.ResultsAn actor-partner interdependence model found higher EA for participants in couples who reached a solution compared to those who did not reach a solution in the allotted time. Both partners’ EA was associated with reduced negative affect in the other member of the couple. Unexpectedly, EA in people with OA was associated with reduced positive affect for their partners. EA was positively associated with one skill: emotional clarity.ConclusionFindings from this early-stage study suggest that EA can help couples manage health-related issues together. Emotional clarity emerged as a skill related to EA, suggesting avenues for additional research.