Emotional Arousal Predicts Observed Social Support in German and American Couples Talking About Breast Cancer
Emotional Arousal Predicts Observed Social Support in German and American Couples Talking About Breast Cancer
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DOI：
10.1037/fam0000092
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发表时间：
2015-10-01
影响因子：
2.7
通讯作者：
Zimmermann, Tanja
中科院分区：
文献类型：
--
作者：
Fischer, Melanie S.;Baucom, Donald H.;Zimmermann, Tanja
夫妻之间的社会支持经常发生在谈话中，这是乳腺癌患者积极结果的重要预测因素。尽管谈论癌症可能会令人不安，但口头表达的情绪唤起及其与社会支持的关系尚未得到研究。这项研究的目的是在129对德国和美国夫妇中检查声音编码的情绪唤醒和社会支持行为的作用，并在患有乳腺癌的女性及其男性伴侣的临床试验基线上进行评估。在女性分享癌症相关担忧的视频互动中，基频范围被用来衡量她们表达的情绪唤起。使用社会支持互动编码系统（Bradbury & Pasch, 1994）对社会支持行为进行评估，包括谈话转向层面的特定社会支持行为（积极、中立和消极）和与全球层面的社会支持相关的更广泛的沟通行为（深度和清晰度、关怀、沟通质量）。使用参与者-合作伙伴相互依赖模型分析数据。如果女性自己的情绪觉醒程度较高，她们会表现出更积极的、更少中立的支持接受行为，并表现出更大的深度和清晰度。如果伴侣的情绪唤起程度更高，女性也会表现出更中性的行为，（在趋势水平上）更少积极的支持接受行为。男性的行为与他们自己或女性的情绪唤起无关。结果表明，在与伴侣的社会支持对话中，癌症女性公开体验自己的痛苦可能是适应性的；伴侣的高情绪觉醒可能会干扰这一过程。
Social support in couples often occurs during conversations and is an important predictor of positive outcomes in patients with breast cancer. Even though talking about cancer may be upsetting, vocally expressed emotional arousal and its association with social support have not been examined. The goal of this study was to examine the role of vocally encoded emotional arousal and social support behaviors in 129 German and American couples, assessed at baseline of clinical trials for women with breast cancer and their male partners. Range of fundamental frequency was used as a measure of expressed emotional arousal during videotaped interactions in which the women shared cancer-related concerns. Social support behaviors were assessed as specific social support behaviors at the talk-turn level (positive, neutral, and negative) and broader communication behaviors also relevant to social support at the global level (depth and articulation, caring, quality of communication) using the Social Support Interaction Coding System (Bradbury & Pasch, 1994). Data were analyzed using actor-partner interdependence models. Women displayed more positive, fewer neutral support-receiving behaviors, and greater depth and articulation if their own emotional arousal was higher. Women also displayed more neutral and (at the trend level) fewer positive support-receiving behaviors if their partners' emotional arousal was higher. Men's behaviors were not associated with their own or women's emotional arousal. Results indicate that it may be adaptive for women with cancer to openly experience their distress during social support conversations with their partners; high emotional arousal of the partners may interfere with this process.