Review and meta-analysis of couple-oriented interventions for chronic illness.
Review and meta-analysis of couple-oriented interventions for chronic illness.
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DOI：
10.1007/s12160-010-9216-2
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发表时间：
2010-12
影响因子：
3.8
通讯作者：
Saghafi, Ester M.
中科院分区：
文献类型：
--
作者：
Martire, Lynn M.;Schulz, Richard;Helgeson, Vicki S.;Small, Brent J.;Saghafi, Ester M.
越来越多的证据表明婚姻关系对健康的影响以及疾病对伴侣的负面影响。针对患者和伴侣可以提高慢性病的心理或行为干预的疗效。本报告的目的是提出一个跨疾病的特点和研究结果的审查评估夫妇为导向的慢性身体疾病的干预措施。我们对33项研究进行了定性回顾，并对25项研究进行了荟萃分析。确定的研究集中在癌症，关节炎，心血管疾病，慢性疼痛，艾滋病毒和2型糖尿病。夫妻干预对患者抑郁症状（d=0.18，p<0.01，k=20）、婚姻功能（d=0.17，p<0.01，k=18）和疼痛（d=0.19，p<0.01，k=14）有显著影响，比患者心理社会干预或常规护理更有效。以夫妇为导向的干预措施效果很小，可以通过针对伴侣对患者健康行为的影响，并关注与疾病相关的冲突高，伴侣支持低或整体婚姻质量低的夫妇来加强。未来研究的方向包括评估患者和伴侣的结局，将夫妇干预措施与循证患者干预措施进行比较，以及评估变化机制。
Evidence continues to build for the impact of the marital relationship on health as well as the negative impact of illness on the partner. Targeting both patient and partner may enhance the efficacy of psychosocial or behavioral interventions for chronic illness. The purpose of this report is to present a cross-disease review of the characteristics and findings of studies evaluating couple-oriented interventions for chronic physical illness. We conducted a qualitative review of 33 studies and meta-analyses for a subset of 25 studies. Identified studies focused on cancer, arthritis, cardiovascular disease, chronic pain, HIV, and Type 2 diabetes. Couple interventions had significant effects on patient depressive symptoms (d=0.18, p<0.01, k=20), marital functioning (d=0.17, p<0.01, k=18), and pain (d=0.19, p<0.01, k=14) and were more efficacious than either patient psychosocial intervention or usual care. Couple-oriented interventions have small effects that may be strengthened by targeting partners’ influence on patient health behaviors and focusing on couples with high illness-related conflict, low partner support, or low overall marital quality. Directions for future research include assessment of outcomes for both patient and partner, comparison of couple interventions to evidence-based patient interventions, and evaluation of mechanisms of change.
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影响因子：
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作者：
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通讯作者：
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