Older spouses' perceptions of partners' chronic arthritis pain: Implications for spousal responses, support provision, and caregiving experiences
Older spouses' perceptions of partners' chronic arthritis pain: Implications for spousal responses, support provision, and caregiving experiences
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DOI：
10.1037/0882-7974.21.2.222
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发表时间：
2006-06-01
影响因子：
3.7
通讯作者：
Starz, Terence W.
中科院分区：
文献类型：
--
作者：
Martire, Lynn M.;Keefe, Francis J.;Starz, Terence W.
这项针对老年骨关节炎患者及其配偶的研究检查了患者和配偶对患者疼痛严重程度的报告之间的一致性，以及一致性与支持和护理结果的关系。患者和配偶独立观看了患者执行模拟家务的录像带，并提供了对患者痛苦的评级。配偶对患者疼痛的高估是最常见的不一致类型。在搬运原木的任务中，配偶对配偶疼痛程度的感知准确，他们的反应不那么消极，并提供更令患者满意的情感支持。此外，在搬运原木的过程中，配偶对伴侣的痛苦有准确的感知，他们报告说，提供支持和帮助的压力较小。未来使用这种观察方法的研究可能对了解慢性病对老年夫妇的影响非常有用。
This study of older patients with osteoarthritis and their spouses examined concordance between patients' and spouses' reports of patients' pain severity and the association of concordance with support and caregiving outcomes. Patients and spouses independently viewed videotapes of the patient performing simulated household tasks and provided ratings of patients' pain. Spousal overestimation of patients' pain was the most common type of nonconcordance. Spouses who were accurate in their perceptions of their partner's level of pain during a log-carrying task responded less negatively and provided emotional support that was more satisfying to patients. In addition, spouses who were accurate in their perceptions of their partner's pain during the log-carrying task reported less stress from providing support and assistance. Future research that uses such observational methods may be highly useful for understanding the effects of chronic illness on older couples.