Disclosure and holding back: Communication, psychological adjustment, and marital satisfaction among couples coping with osteoarthritis.
Disclosure and holding back: Communication, psychological adjustment, and marital satisfaction among couples coping with osteoarthritis.
复制标题
披露与隐瞒：应对骨关节炎的夫妻之间的沟通、心理调整和婚姻满意度。
DOI：
10.1037/fam0000390
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Stanford,AshleyM
中科院分区：
文献类型：
--
作者：
Zhaoyang,Ruixue;Martire,LynnM;Stanford,AshleyM
本研究考察了膝骨性关节炎患者及其配偶的两种疾病相关沟通方式(表露和隐瞒)及其与心理调适和婚姻满意度的关系。142对夫妇在一年中的两个时间点报告了与OA相关的担忧、婚姻满意度和抑郁症状的披露和隐瞒情况。二元分析的结果表明，克制与一个人对患者和配偶的婚姻满意度下降和一个人自己的抑郁症状在一年后增加有关。此外，随着时间的推移，披露的增加与患者和配偶的婚姻满意度增加有关。隐瞒和披露对伴侣的心理适应或婚姻满意度没有显著的人际影响。这些结果支持了假想的个人内部效应，即公开和隐瞒婚姻满意度和随着时间的推移对婚姻满意度和心理调整的影响，并强调了开放沟通对患有慢性病的夫妇进行两难应对的重要性。
This study examined two types of illness-related communication (disclosure and holding back) and their associations with psychological adjustment and marital satisfaction in patients with knee osteoarthritis (OA) and their spouses. A sample of 142 couples reported on disclosure and holding back of OA-related concerns, marital satisfaction, and depressive symptoms at two time points across 1 year. Results from dyadic analyses indicated that holding back was associated with decreases in one’s own marital satisfaction for patients and spouses and increases in one’s own depressive symptoms for spouses over 1 year. In addition, increases in disclosure were associated with increases in marital satisfaction for patients and spouses over time. Holding back and disclosure did not have significant interpersonal effects on the partner’s psychological adjustment or marital satisfaction. These results provide support for the hypothesized intrapersonal effects of disclosure and holding back on marital satisfaction and psychological adjustment over time for both OA patients and their spouses, and highlight the importance of open communication for dyadic coping among couples dealing with chronic illness.