A preliminary investigation of affective interaction in chronic pain couples
A preliminary investigation of affective interaction in chronic pain couples
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DOI：
10.1016/j.pain.2007.04.016
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发表时间：
2007-11-01
期刊：
影响因子：
7.4
通讯作者：
Cano, Annmarie
中科院分区：
文献类型：
--
作者：
Johansen, Ayna Beate;Cano, Annmarie
本初步研究的目的是探讨在何种程度上与抑郁症状的人与慢性疼痛和他们的配偶和疼痛的人与疼痛的严重程度的情感婚姻互动。来自社区的夫妇完成了自我报告调查，并参与了一个关于相互分歧的话题的录像谈话，该话题被编码为三种情感类型（即，愤怒/蔑视、悲伤、幽默）。幽默与夫妻双方的婚姻满意度呈正相关。配偶的愤怒/蔑视和悲伤与配偶的抑郁症状呈正相关。夫妇疼痛状态之间的几个显著的相互作用效应（即，无论一方或双方是否报告疼痛）和影响也出现了。具体来说，当只有他或她报告疼痛时，被指定为疼痛患者的参与者的悲伤与更大的抑郁症状和疼痛严重程度相关，而当双方都报告疼痛时，悲伤与更少的抑郁症状和更少的疼痛严重程度相关。配偶的愤怒和配偶的抑郁症状之间的关系，以及配偶的幽默和疼痛的严重程度之间的人与疼痛的夫妇疼痛状态也被缓和。这些探索性的发现可以用情绪调节和疼痛共情理论来解释。例如，没有经历过痛苦的伴侣可能无法同情痛苦的人，从而阻止有效的情绪调节。当配偶双方都报告慢性疼痛时，负面情绪的表达反而可能促进情绪调节，因为这种情绪是与可能更具同情心的配偶一起经历的。(C)2007年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
The objective of this preliminary study was to examine the extent to which affective marital interaction related to depressive symptoms in persons with chronic pain and their spouses and to pain severity in persons with pain. Couples from the community completed self-report surveys and engaged in a videotaped conversation on a topic of mutual disagreement that was coded for three affect types (i.e., anger/contempt, sadness, humor). Humor was positively related to marital satisfaction in both partners. Spouse anger/contempt and sadness were positively related to depressive symptoms in spouses. Several significant interaction effects between couple pain status (i.e., whether one or both partners reported pain) and affect also emerged. Specifically, sadness in the participant designated as the person with pain was associated with greater depressive symptoms and pain severity when only he or she reported pain whereas sadness was related to fewer depressive symptoms and less pain severity when both partners reported pain. The relationships between spouse anger and spouse depressive symptoms and between spouse humor and pain severity in the person with pain were also moderated by couple pain status. These exploratory findings can be interpreted in light of emotion regulation and pain empathy theories. For example, partners who have not experienced pain themselves may fail to empathize with persons in pain, thus preventing effective emotion regulation. When both spouses report chronic pain, expressions of negative affect may instead promote emotion regulation because the affect is experienced with a spouse who may be more empathetic. (C) 2007 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.