Observed Couple Interactions Among White and Black Persons With Type 2 Diabetes
Observed Couple Interactions Among White and Black Persons With Type 2 Diabetes
复制标题
DOI：
10.1037/fam0000857
复制
发表时间：
2021-12-01
影响因子：
2.7
通讯作者：
Korytkowski, Mary
中科院分区：
文献类型：
--
作者：
Helgeson, Vicki S.;Naqvi, Jeanean B.;Korytkowski, Mary
大多数观察到的夫妻沟通研究都集中在身体健康的夫妇和那些受过教育、富裕的白人夫妇上。在本研究中，我们观察了 2 型糖尿病患者及其浪漫伴侣讨论如何改善糖尿病管理；之后，我们测量了积极情绪、消极情绪和讨论评估。我们还测量了接下来两周的情绪和自我护理行为。夫妇（n = 207）是从社区招募的，他们的教育程度、收入和种族各不相同。一半患者是白人（53%），一半是黑人（47%）。结果显示，观察到的患者温暖与对讨论的更积极的评价、更多的讨论后积极情绪、更少的讨论后消极情绪以及更好的两周每日快乐情绪有关；观察到的患者消极情绪与讨论后进展较少、对讨论的负面评价较多、讨论后积极情绪较少以及两周饮食依从性较差有关；观察到的患者痛苦与更负面的讨论评估、更多的讨论后负面情绪以及接下来两周的情绪恶化有关。其中两项发现受到种族的影响，黑人患者的联系比白人患者的联系更强。伴侣的热情很少与结果相关，但伴侣的消极性与患者较差的讨论评估、患者在接下来的两周内较低的快乐情绪和较高的愤怒情绪以及患者较差的两周饮食依从性有关。未来对夫妻互动的研究应该关注重要的背景变量，例如种族、民族、收入和社会地位。
The majority of observed couple communication research has focused on physically healthy couples and those who are White, educated, and affluent. In the present study, we observed persons with Type 2 diabetes and their romantic partners discuss how to improve diabetes management; afterward, we measured positive affect, negative affect, and discussion evaluations. We also measured mood and self-care behavior over the next 2 weeks. Couples (n = 207) were recruited from the community and varied in education, income, and race. Half of patients were White (53%), and half were Black (47%). Results showed that observed patient warmth was related to a more positive evaluation of the discussion, more postdiscussion positive affect, less postdiscussion negative affect, and better 2-week daily happy mood; observed patient negativity was related to less postdiscussion progress, a more negative evaluation of the discussion, less postdiscussion positive affect, and poorer 2-week dietary adherence; and observed patient distress was related to a more negative discussion evaluation, more postdiscussion negative affect, and worse mood over the next 2 weeks. Two of the findings were moderated by race, in the direction of links being stronger for Black than White patients. Partner warmth was rarely related to outcomes, but partner negativity was related to patients' poorer discussion evaluation, patient's lower happy mood and higher angry mood over the next 2 weeks, and patient's poorer 2-week dietary adherence. Future research on couple interactions should attend to important contextual variables such as race, ethnicity, income, and social status.