Protective buffering and emotional desynchrony among spousal caregivers of cancer patients
Protective buffering and emotional desynchrony among spousal caregivers of cancer patients
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DOI：
10.1037/0278-6133.26.5.635
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发表时间：
2007-09-01
影响因子：
4.2
通讯作者：
Syrjala, Karen L.
中科院分区：
文献类型：
--
作者：
Langer, Shelby L.;Rudd, Michael E.;Syrjala, Karen L.
目的：探讨癌症幸存者配偶照顾者的保护性缓冲和情绪失同步。设计：重复测量；42名护理人员参与了2个录像的口头情感表达练习：我在病人在场时，我在病人不在时。主要结果测量：感觉情绪（自我报告）和表达情绪（词汇表达或说出的话和编码衍生的面部表情）。其他措施评估了精神和身体健康、二元满意度和性情性情绪抑制。结果：保护性缓冲在不同的交际渠道（词汇和面部）中存在差异。当病人在场时，看护者的面部表情比不在场时更积极。相比之下，护理人员的话的效价并没有因病人在场而有所不同。面部保护缓冲与健康和双重结果无关。词汇保护缓冲与照顾者和患者的婚姻满意度呈负相关。性情性情绪抑制与照顾者心理健康和婚姻满意度呈负相关。非同步发生在患者在场但与预测相反的情况下；感觉情绪比表达情绪更积极。结论：研究结果为面部保护缓冲提供了行为学依据。就词汇缓冲发生的程度而言，它会带来双重风险，而慢性抑制则会带来心理和双重风险。未来的研究需要完善非同步的操作定义，并检查缓冲的生物心理社会后遗症。
Objective: To examine protective buffering and emotional desynchrony among spousal caregivers of cancer survivors. Design: Repeated measures; 42 caregivers engaged in 2 videotaped, oral emotional expression exercises: I in the presence of their patient and I in the absence of their patient. Main Outcome Measures: Felt emotion (self-report) and expressed emotion (lexical expression or words uttered and coder-derived facial expression). Other measures assessed mental and physical health, dyadic satisfaction, and dispositional emotional inhibition. Results: Protective buffering differed by communicative channel (lexical vs. facial). Caregivers' facial expressions were more positive when the patient was present versus absent. In contrast, the valence of caregivers' words did not differ per patient presence. Facial protective buffering was unrelated to health and dyadic outcomes. Lexical protective buffering was inversely related to both caregiver and patient marital satisfaction. Dispositional emotional inhibition was inversely related to caregiver mental health and marital satisfaction. Desynchrony occurred when the patient was present but was counter to prediction; felt emotion was more positive than expressed emotion. Conclusion: Results provide behavioral evidence of facial protective buffering. To the extent that lexical buffering occurs, it poses a dyadic risk, and chronic inhibition poses both psychological and dyadic risks. Future research is needed to refine the operational definition of desynchrony and to examine the biopsychosocial sequelae of buffering.