Marital context and post-infarction quality of life: is it social support or something more?
Marital context and post-infarction quality of life: is it social support or something more?
复制标题
婚姻背景和梗塞后生活质量：是社会支持还是其他因素？
DOI：
10.1016/0277-9536(86)90233-9
复制
发表时间：
1986
影响因子：
5.4
通讯作者：
M. Waltz
中科院分区：
文献类型：
--
作者：
M. Waltz
严重疾病后生活质量理论的发展是目前康复研究的一个重要领域。人际关系的人和自我概念的元素似乎是显着的因素在因果模型的主观幸福感。一个这样的模型被用来解释幸福感的特征水平，并用于首次心肌梗死适应性的纵向研究。从全国男性心脏病患者及其配偶的样本中收集数据，将疾病和婚姻状况作为长期健康或疾病的预测因素。本文将讨论对发病后5年以上的前三波研究数据的分析。婚姻状况，配偶关系的情感质量和长期的婚姻压力源被发现有直接和间接影响的两个维度的Bradburn情感平衡量表。同样的道理也适用于与心脏病发作相关的持续性问题，相对于有效应对疾病后遗症的看法。自尊和个人能力的差异被认为是社会环境和疾病相关影响的中介。幸福的两个因素的概念被认为是一个有用的框架，调查积极和消极方面的心理社会康复。在社会指标研究中，解释快乐和不快乐人群之间差异的因素似乎也是致命疾病后不同适应轨迹的决定因素。以往的研究使用压力研究的理论模型，过分强调心理社会疾病和压力管理，忽视了积极的适应过程。因此，与积极情感状态和生活满意度相关的爱情资源的识别没有得到应有的重视。这是特别的情况下，关于过度强调的概念，社会支持作为一个缓冲压力。研究人员开发了测量婚姻亲密度高低以及长期婚姻角色紧张的工具，这些措施似乎可以解释心脏病适应的不同轨迹。双因素模型似乎是有用的，为未来的工作与慢性疾病的生活质量。研究中确定的四种婚姻康复情况也是如此。
The development of a theory of quality of life following serious illness is currently an important field of endeavour in rehabilitation research. The interpersonal relationships of people and elements of the self-concept appear to be salient factors in causal models of subjective well-being. One such model developed to explaincharacteristic levels of well-beingwas used in a longitudinal study of adaptation to a first myocardial infarction. Data were collected from a national sample of male cardiac patients and their spouses on the illness and marital situation as predictors of long-term well-being or ill-being. Analyses of data from the first three waves of the study, which is to extend over 5 years after the onset of illness, are to be discussed in the paper. Marital status, the emotional quality of the spouse relationship and long-standing marital stressors were found to have direct and indirect effects on the two dimensions of the Bradburn Affect Balance Scale. The same is true of continuing problems associated with the heart attack relative to perceptions of having coped effectively with the after effects of illness. Differences in self-esteem and personal competence were suggested as mediators of socio-environmental and illness-related influences. The two-factor conception of well-being developed was found to be a useful framework for investigating positive and negative aspects of psychosocial rehabilitation. The same factors that explain differences between happy and unhappy people in social indicators research also appeared to be determinants of different trajectories of adaptation in the wake of a life-threatening illness. Previous research using theoretical models from stress research has overemphasized psychosocial morbidity and stress management and neglected positive processes of adaptation. The identification of love resources related to positive feeling states and life satisfaction has, therefore, not received the attention it deserves. This is especially the case regarding an overemphasis of the concept of social support as a buffer of stress. Instruments were developed to measure high and low marital intimacy, as well as chronic marital role strains, and these measures appeared to explain different trajectories of adjustment to cardiac disease. The two-factor model appears to be useful for future work on quality of life with chronic illness. The same is true of four marital contexts of rehabilitation that were identified in the study.
影响因子：
3.3
作者：
COBB, S
通讯作者：
COBB, S