Frederike Svensson, Sarah Zwick, Cornelia Exner, Bettina K Doering
{"title":"中风后的双向应对与疾病适应：一项纵向前瞻性研究。","authors":"Frederike Svensson, Sarah Zwick, Cornelia Exner, Bettina K Doering","doi":"10.1037/rep0000548","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose/objective: </strong>To investigate associations between illness appraisals, dyadic coping, and illness adjustment in individuals with stroke and their healthy partners.</p><p><strong>Method/design: </strong>This longitudinal observational study examined dyadic data in 17 couples (patient and partner) after stroke. Patients and partners completed self-report measures on event centrality of the stroke (appraisal) at 2 months (<i>t</i>₁), common dyadic coping (CDC) at 5 months (<i>t</i>₂), and quality of life (adjustment) at 8 months (<i>t</i>₃) after the stroke. Dyadic data were analyzed using actor-partner interdependence models.</p><p><strong>Results: </strong>Higher event centrality at <i>t</i>₁ predicted more CDC at <i>t</i>₂ in patients (<i>b</i> = 0.38, <i>p</i> < .05). For partners, the effect of event centrality on dyadic coping differed significantly from the patients' effect but was not significant itself (<i>b</i> = -0.17, <i>p</i> = .601). More CDC at t2 predicted higher physical (<i>b</i> = 3.21<i>, p</i> < .05) and psychological quality of life at <i>t</i>₃ (<i>b</i> = 3.66, <i>p</i> < .05) for partners but not for patients.</p><p><strong>Conclusions/implications: </strong>Preliminary evidence suggests that patients and their healthy partners may endorse event centrality of the stroke differentially. Perceiving dyadic coping processes seems to be especially important to the healthy partners' illness adjustment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"384-394"},"PeriodicalIF":1.9000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Dyadic coping and illness adjustment after stroke: A longitudinal prospective study.\",\"authors\":\"Frederike Svensson, Sarah Zwick, Cornelia Exner, Bettina K Doering\",\"doi\":\"10.1037/rep0000548\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose/objective: </strong>To investigate associations between illness appraisals, dyadic coping, and illness adjustment in individuals with stroke and their healthy partners.</p><p><strong>Method/design: </strong>This longitudinal observational study examined dyadic data in 17 couples (patient and partner) after stroke. Patients and partners completed self-report measures on event centrality of the stroke (appraisal) at 2 months (<i>t</i>₁), common dyadic coping (CDC) at 5 months (<i>t</i>₂), and quality of life (adjustment) at 8 months (<i>t</i>₃) after the stroke. Dyadic data were analyzed using actor-partner interdependence models.</p><p><strong>Results: </strong>Higher event centrality at <i>t</i>₁ predicted more CDC at <i>t</i>₂ in patients (<i>b</i> = 0.38, <i>p</i> < .05). For partners, the effect of event centrality on dyadic coping differed significantly from the patients' effect but was not significant itself (<i>b</i> = -0.17, <i>p</i> = .601). More CDC at t2 predicted higher physical (<i>b</i> = 3.21<i>, p</i> < .05) and psychological quality of life at <i>t</i>₃ (<i>b</i> = 3.66, <i>p</i> < .05) for partners but not for patients.</p><p><strong>Conclusions/implications: </strong>Preliminary evidence suggests that patients and their healthy partners may endorse event centrality of the stroke differentially. Perceiving dyadic coping processes seems to be especially important to the healthy partners' illness adjustment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>\",\"PeriodicalId\":47974,\"journal\":{\"name\":\"Rehabilitation Psychology\",\"volume\":\" \",\"pages\":\"384-394\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Rehabilitation Psychology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1037/rep0000548\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/2/15 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rehabilitation Psychology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/rep0000548","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/15 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Dyadic coping and illness adjustment after stroke: A longitudinal prospective study.
Purpose/objective: To investigate associations between illness appraisals, dyadic coping, and illness adjustment in individuals with stroke and their healthy partners.
Method/design: This longitudinal observational study examined dyadic data in 17 couples (patient and partner) after stroke. Patients and partners completed self-report measures on event centrality of the stroke (appraisal) at 2 months (t₁), common dyadic coping (CDC) at 5 months (t₂), and quality of life (adjustment) at 8 months (t₃) after the stroke. Dyadic data were analyzed using actor-partner interdependence models.
Results: Higher event centrality at t₁ predicted more CDC at t₂ in patients (b = 0.38, p < .05). For partners, the effect of event centrality on dyadic coping differed significantly from the patients' effect but was not significant itself (b = -0.17, p = .601). More CDC at t2 predicted higher physical (b = 3.21, p < .05) and psychological quality of life at t₃ (b = 3.66, p < .05) for partners but not for patients.
Conclusions/implications: Preliminary evidence suggests that patients and their healthy partners may endorse event centrality of the stroke differentially. Perceiving dyadic coping processes seems to be especially important to the healthy partners' illness adjustment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍：
Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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