What's love got to do with it? Relationship quality appraisals and quality of life in couples facing cardiovascular disease.

IF 2.4 Q2 PSYCHOLOGY, CLINICAL

Health Psychology and Behavioral Medicine Pub Date : 2023-01-01 DOI:10.1080/21642850.2023.2237564

Karen Bouchard, Alexandre Gareau, Paul S Greenman, Kathleen Lalande, Karolina Sztajerowska, Heather Tulloch

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Abstract

Objective: Changes in couples' relationship quality are common post-cardiac event but it is unclear how relationship quality is linked to patients' and spouses' quality of life (QoL). The purpose of the present study was to examine the association between relationship quality on QoL in patient-spouse dyads within six months of a cardiac event.

Methods: Participants (N = 181 dyads; 25.9% female patients), recruited from a large cardiac hospital, completed validated questionnaires measuring demographic, relationship (Dyadic Adjustment Scale; DAS) and QoL variables (Heart-QoL & Quality of life of Cardiac Spouses Questionnaire). An Actor-Partner Interdependence Model was used to investigate actor (i.e. responses influencing their own outcome) and partner effects (responses influencing their partner's outcome) of relationship quality and QoL.

Results: Patients' and spouses' perceptions of relationship quality were in the satisfied range (DAS > 108; 65% of sample) and, as expected, patients reported lower general physical QoL than did their spouse (t₍₁₈₀₎ = -10.635, p < .001). Patient and spouse relationship quality appraisals were positively associated with their own physical (patient β = .25; spouse β = .05) and emotional/social (patient β = .21; spouse β = .04) QoL. No partner effects were identified.

Conclusion: High quality relationship appraisals appear to matter for patients' and spouses' QoL after the onset of CVD.

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这跟爱有什么关系?面对心血管疾病的夫妻关系质量评价和生活质量。

目的:夫妻关系质量的变化是常见的心脏后事件，但目前尚不清楚关系质量如何与患者和配偶的生活质量(QoL)联系起来。本研究的目的是探讨在心脏事件发生后六个月内，夫妻关系质量对夫妻生活质量的影响。方法:参与者(N = 181对;25.9%女性患者)，从一家大型心脏医院招募，完成了有效的人口统计、关系调查问卷(二元调整量表;DAS)和QoL变量(心脏-QoL &心脏配偶生活质量问卷)。运用行动者-伴侣相互依赖模型研究了行动者(即影响其自身结果的反应)和伴侣效应(影响其伴侣结果的反应)对关系质量和生活质量的影响。结果:患者和配偶对关系质量的感知均在满意范围内(DAS > 108;65%的样本)，正如预期的那样，患者报告的总体身体生活质量低于其配偶(t(180) = -10.635, p β = 0.25;配偶β = 0.05)和情感/社会(患者β = 0.21;配偶β = .04)生活质量。没有发现伴侣效应。结论:高质量的关系评价对心血管疾病发病后患者和配偶的生活质量有重要影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology and Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

3.70%

发文量

审稿时长

24 weeks

期刊介绍： Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.