Perceived spouse responses to pain: The level of agreement in couple dyads and the role of catastrophizing, marital satisfaction, and depression
Perceived spouse responses to pain: The level of agreement in couple dyads and the role of catastrophizing, marital satisfaction, and depression
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DOI：
10.1007/s10865-006-9073-4
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发表时间：
2006-12-01
影响因子：
3.1
通讯作者：
Ward, L. Charles
中科院分区：
文献类型：
--
作者：
Pence, Laura;Cano, Annmarie;Ward, L. Charles
本研究的主要目的是检验患有慢性疼痛的个体（“参与者”）及其配偶是否对配偶对疼痛的关心、分散注意力和惩罚反应的看法一致。第二个目的是检验参与者灾难化（一种关于痛苦的消极心理）、参与者和配偶的婚姻满意度、参与者和配偶的抑郁在参与者对配偶反应的感知、配偶对他们的反应的感知以及参与者和配偶之间的一致性中的作用。慢性肌肉骨骼疼痛患者及其配偶（N = 108对夫妇）完成问卷调查包。对整个群体平均水平（参与者与配偶）的检查表明，参与者和配偶之间的评分几乎没有差异。对参与者和配偶评分的个人协议的检查表明存在实质性的分歧。提议的调节者预测了参与者和配偶的看法，并共同对两分制协议做出了轻微的贡献。虽然参与者和配偶对配偶反应的看法都不一定是实际行为的反映，但本研究中缺乏一致性表明，在与配偶反应相关的研究中，仅使用患者的看法可能是无效的。
The primary objective of this study was to examine whether individuals with chronic pain ("participants") and their spouses agree on perceptions of solicitous, distracting, and punishing spouse responses to pain. The second aim was to examine the role of participant catastrophizing (a negative mental set about pain), participant and spouse marital satisfaction, and participant and spouse depression in participant perceptions of spouse responses, spouse perceptions of their responses, and agreement between participants and spouses. Individuals with chronic musculoskeletal pain and their spouses (N = 108 couples) completed questionnaire packets. Examination of overall group averages (participants vs. spouses) indicated little or no differences between participant and spouse ratings. Examination of individual agreement in participant and spouse ratings indicated substantial disagreement. The proposed moderators predicted both participant and spouse perceptions and jointly made minor contributions to dyad agreement. Although neither participant nor spouse perceptions of spouse responses are necessarily a reflection of actual behavior, the lack of agreement in this study suggests it may not be valid to use only patient perceptions in research related to spouse responses.