Patient-appraised couple emotion management and disease management among Chinese American patients with type 2 diabetes
Patient-appraised couple emotion management and disease management among Chinese American patients with type 2 diabetes
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DOI：
10.1037/0893-3200.18.2.302
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发表时间：
2004-06-01
影响因子：
2.7
通讯作者：
Gardiner, PS
中科院分区：
文献类型：
--
作者：
Fisher, L;Chesla, CA;Gardiner, PS
家庭背景对慢性病患者的疾病管理有很大影响，但尚不清楚家庭生活的哪些方面影响最大。这项研究考察了患者评价的夫妻情绪管理(冲突解决、表达能力和尊重)和疾病管理(生物、士气/抑郁、生活质量和行为)之间的联系，这一群体是相对研究较少的一组华裔美国2型糖尿病患者。患者评价的夫妻情绪管理，特别是冲突解决，与疾病管理的士气成分之间存在显著的主效应，而不是生物或行为成分；糖尿病患者的特定关系质量和一般关系质量(婚姻满意度)都与疾病管理独立相关。文化适应并不能证明这一发现是正确的。种族之间在家庭和疾病管理关系方面的相似之处可能比不同之处更常见。
Family context exerts a strong influence on disease management among patients with chronic disease, but it is not clear which aspects of family life are most influential. This study examined the linkages between patient-appraised couple emotion management (conflict resolution, expressiveness, and respect) and disease management (biological, morale/ depression, quality of life, and behavioral) among a relatively understudied group, Chinese American patients with type 2 diabetes. Significant main effects were found between patient-appraised couple emotion management, especially conflict resolution, and the morale component of disease management, but not the biological or behavioral components; both diabetes-specific and general relationship qualities (marital satisfaction) were independently linked to disease management. Acculturation did not qualify the findings. Similarities among ethnic groups in family and disease management relationships may be more common than differences.