Relationship satisfaction, communication self-efficacy, and chronic fatigue syndrome-related fatigue.
Relationship satisfaction, communication self-efficacy, and chronic fatigue syndrome-related fatigue.
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DOI：
10.1016/j.socscimed.2019.112392
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发表时间：
2019-09
期刊：
影响因子：
--
通讯作者：
Antoni MH
中科院分区：
文献类型：
--
作者：
Milrad SF;Hall DL;Jutagir DR;Lattie EG;Czaja SJ;Perdomo DM;Ironson G;Doss BD;Mendez A;Fletcher MA;Klimas N;Antoni MH
在许多患者人群中，婚姻关系的不满与更差的健康结果有关，尽管这种影响的机制尚不清楚。在慢性疲劳综合征（CFS）患者及其伴侣中，有证据表明，较差的关系满意度与CFS相关疲劳的严重程度之间存在双向关联。我们假设关系不满意通过更大的抑郁和更少的患者对与伴侣交流症状的满意度对疲劳严重程度产生负面影响。150）参加一项测试压力管理干预效果的试验。来自疲劳严重程度（疲劳症状指数，FSI），抑郁症（流行病学调查中心抑郁症，CES-D），关系质量（二元调整量表，DAS）和沟通满意度（患者症状披露满意度，PSDS）问卷的数据用于自助间接效应分析，使用Mplus（v8）中的平行中介结构方程模型。年龄和BMI作为协变量进入。ResultsGreater relationship satisfaction predicted greater communication satisfaction（p <0. 01）and lower CES-D scores（p <0. 01），which turn around each significant related to greater fatigue severity（p <0. 05）.间接路径的测试表明，关系满意度通过两个结构对疲劳严重程度有显着影响，但主要是通过抑郁症。中间变量（抑郁症，沟通满意度）后，关系满意度和疲劳的严重程度之间没有直接的关联被包括在model.ConclusionResults突出的重要性，考虑抑郁症和沟通相关因素时，检查CFS症状，如疲劳的关系满意度的影响。进一步的基于机制的纵向研究可能会确定可以作为治疗目标的与关系相关的中介变量。
RationaleRelationship dissatisfaction has been linked with worse health outcomes in many patient populations, though the mechanism(s) underlying this effect are unclear. Among patients with chronic fatigue syndrome (CFS) and their partners, there is evidence for a bi-directional association between poorer relationship satisfaction and the severity of CFS-related fatigue.ObjectiveHere, we hypothesized that relationship dissatisfaction negatively impacts fatigue severity through greater depression and less patient satisfaction about communication about symptoms to partners.MethodBaseline data were drawn from diagnosed CFS patients (N = 150) participating in a trial testing the efficacy of a stress management intervention. Data derived from fatigue severity (Fatigue Symptom Index, FSI), depression (Center for Epidemiologic Survey-Depression, CES-D), relationship quality (Dyadic Adjustment Scale, DAS) and communication satisfaction (Patient Symptom Disclosure Satisfaction, PSDS) questionnaires were used for bootstrapped indirect effect analyses using parallel mediation structural equation modeling in Mplus (v8). Age and BMI were entered as covariates.ResultsGreater relationship satisfaction predicted greater communication satisfaction (p < 0.01) and lower CES-D scores (p < 0.01), which in turn were each significantly related to greater fatigue severity (p < 0.05). Tests of the indirect paths indicated that relationship satisfaction had a significant effect on fatigue severity through both constructs, but primarily via depression. There was no direct association between relationship satisfaction and fatigue severity after the intermediate variables (depression, communication satisfaction) were included in the model.ConclusionResults highlight the importance of considering depression and communication-related factors when examining the effects of relationship satisfaction on CFS symptoms such as fatigue. Further mechanism-based, longitudinal research might identify relationship-related mediating variables that can be targeted therapeutically.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
2.8
作者：
BEACH, SRH;OLEARY, KD
通讯作者：
OLEARY, KD
炎症：抑郁症迷在高温下火焰和盛宴。
DOI：
10.1176/appi.ajp.2015.15020152
发表时间：
2015-11-01
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Kiecolt-Glaser JK;Derry HM;Fagundes CP
通讯作者：
Fagundes CP
影响因子：
3.9
作者：
Hollist, Cody S.;Miller, Richard B.;Fernandes, Carmen Luiza C.
通讯作者：
Fernandes, Carmen Luiza C.