I am a rock; I am an island: Implications of avoidant attachment for communal coping in adults with type 2 diabetes.

I am a rock; I am an island: Implications of avoidant attachment for communal coping in adults with type 2 diabetes.
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DOI:
10.1177/0265407519832671
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发表时间:
2019-11-01
影响因子:
2.8
通讯作者:
Helgeson VS
Helgeson VS
中科院分区:
心理学3区
文献类型:
--
作者:
Van Vleet M;Helgeson VS

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越来越多的证据表明,共同应对对慢性病患者是有益的。目前的调查考察了依恋在2型糖尿病患者样本中作为社区应对效果的调节因素的作用。我们假设,对于低回避性依恋的患者,患者的共同应对将与更高的关系质量、更低的痛苦和更好的糖尿病结局相关,但对于高回避性依恋的患者来说,这并不是有益的。患者的共同应对是通过录像互动进行编码的,在视频互动中,86对异性夫妇讨论了管理糖尿病的困难。结果表明,当回避性依恋较低时,患者的共性应对是有益的。当回避者依恋较高时,患者的共同应对与较低的关系质量和较高的苦恼有关,与糖尿病结局无关。这项工作揭示了社区应对利益的潜在边界条件,这将是未来社区应对干预中重要的考虑因素。
Accumulating evidence indicates that communal coping is beneficial for individuals with chronic illness. The current investigation examined attachment as a moderator of the effects of communal coping in a sample of persons with type 2 diabetes. We hypothesized that patient communal coping would be associated with higher relationship quality, lower distress, and better diabetes outcomes for patients low in avoidant attachment, but it would not be beneficial for patients high in avoidant attachment. Patient communal coping was coded from videotaped interactions in which 86 heterosexual couples discussed difficulties managing diabetes. The results indicated that patient communal coping was beneficial when avoidant attachment was low. When avoidant attachment was high, patient communal coping was related to lower relationship quality and higher distress and was unrelated to diabetes outcomes. This work sheds light on potential boundary conditions of communal coping’s benefits, which will be important to consider in future communal coping interventions.
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