Patient and partner illness appraisals and health among adults with type 1 diabetes
Patient and partner illness appraisals and health among adults with type 1 diabetes
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DOI：
10.1007/s10865-018-0001-1
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发表时间：
2019-06-01
影响因子：
3.1
通讯作者：
Litchman, Michelle L.
中科院分区：
文献类型：
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作者：
Helgeson, Vicki S.;Berg, Cynthia A.;Litchman, Michelle L.
在一项对199对夫妇的研究中，其中一人患有1型糖尿病，我们检查了患者对糖尿病共享的评估与合作、支持和不支持行为之间的关系，以及当患者共享疾病评估发生在支持性行为的背景下时，是否对健康最有益。我们评估了1型糖尿病患者及其伴侣的疾病评估，并对患者进行了完整的关系和健康措施。结果显示，伴侣比患者更有可能进行共同的疾病评估。患者的共享评估与更多的协作和工具性支持、更多的情感支持、更少的保护性缓冲和更多的过度保护行为相关。当患者和伴侣在他们共同的评估中保持一致时，支持率最高。回归分析表明，与个人疾病评估相比，当患者分享时，协作和工具性支持以及情感支持与更好的心理和身体健康有关。
In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it occurred in the context of supportive behavior. We assessed illness appraisal among patients with type 1 diabetes and their partners and had patients complete relationship and health measures. Results showed partners were more likely than patients to hold shared illness appraisals. Patients' shared appraisals were associated with more collaborative and instrumental support, more emotional support, less protective buffering, and more overprotective behavior. When patients and partners were consistent in their shared appraisals, support was highest. Regression analysis showed collaborative and instrumental support, as well as emotional support, was related to better psychological and physical health when patients held shared compared to individual illness appraisals.