Helping others helps oneself: response shift effects in peer support
Helping others helps oneself: response shift effects in peer support
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DOI：
10.1016/s0277-9536(99)00049-0
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发表时间：
1999-06-01
影响因子：
5.4
通讯作者：
Sendor, RM
中科院分区：
文献类型：
--
作者：
Schwartz, CE;Sendor, RM
目前的工作探讨了帮助他人对提供者的身心健康的影响。外行人员接受了积极倾听的培训，并对患有相同慢性疾病的其他人提供富有同情心、无条件的积极关注。同伴支持干预的接受者是社会心理随机试验的参与者，而同伴支持者是研究人员，因此不是随机的。我们描述了一项随机试验的二次分析，以探讨成为同伴支持者对这些外行人的影响。受试者为 132 名多发性硬化症患者，所有人在 2 年内完成了 3 次生活质量调查问卷。随机试验完成三年后，还与同行电话支持者建立了焦点小组。计算每个生活质量结果的效应大小，并对焦点小组讨论进行内容分析。我们发现，与受支持的患者相比，同伴电话支持者：（1）与受支持的患者相比，在积极和消极结果方面报告了更多变化，并且这些变化的影响大小往往更大（chi（2）= 9.6，df = 4，p < 0.05）和（2）在信心、自我意识、自尊、抑郁和角色功能方面表现出显着改善。内容分析显示，参与者在如何看待自己以及如何与他人相处方面表达了他们生活中的巨大变化。我们最后讨论了反应转变，这是适应疾病的中介因素，涉及健康和福祉的内部标准、价值观和概念定义的转变。我们认为，治疗策略可能会引起反应转变，该治疗策略涉及身体疾病患者所关心的外化和再内化。 (C) 1999 Elsevier Science Ltd. 保留所有权利。
The present work explores the impact of helping others on the physical and psychosocial well-being of the provider. Lay people were trained to listen actively and to provide compassionate, unconditional positive regard to others with the same chronic disease. The recipients of the peer support intervention were participants of a psychosocial randomized trial, whereas the peer supporters were study personnel and were therefore not randomized. We describe a secondary analysis of a randomized trial to explore the impact of being a peer supporter on these lay people. Subjects were 132 people with multiple sclerosis, all of whom completed quality-of-life questionnaires 3 times over 2 years. A focus group was also implemented with the peer telephone supporters 3 years after completion of the randomized trial. Effect size was computed for each quality-of-life outcome, and the focus group discussion was content analyzed. We found that compared to supported patients, the peer telephone supporters: (1) reported more change in both positive and negative outcomes as compared to the supported patients and that the effect size of these changes tended to be larger (chi(2) = 9.6, df = 4, p < 0.05) and (2) showed pronounced improvement on confidence, self-awareness, self-esteem, depression and role functioning. Content analysis revealed that the participants articulated a sense of dramatic change in their lives in terms of how they thought of themselves and in how they related to others. We conclude with a discussion of response shift, a mediator of adaptation to illness which involves shifting internal standards, values, and concept definitions of health and well-being. We suggest that a response shift may be induced by a therapeutic strategy involving the externalization and reinternalization of concern among physically ill patients. (C) 1999 Elsevier Science Ltd. All rights reserved.