Dyadic coping and illness adjustment after stroke: A longitudinal prospective study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2024-11-01 Epub Date: 2024-02-15 DOI:10.1037/rep0000548

Frederike Svensson, Sarah Zwick, Cornelia Exner, Bettina K Doering

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Abstract

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).

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中风后的双向应对与疾病适应：一项纵向前瞻性研究。

目的/目标：研究中风患者及其健康伴侣的疾病评价、夫妻应对和疾病适应之间的关系：这项纵向观察性研究调查了 17 对中风后夫妇（患者和伴侣）的伴侣数据。患者和伴侣分别在中风后 2 个月（t₁）、5 个月（t₂）和 8 个月（t₃）完成了关于中风事件中心性（评估）、共同的双向应对（CDC）和生活质量（适应）的自我报告测量。采用行为者-伙伴相互依存模型对二元数据进行了分析：结果：t₁时事件中心性越高，预示患者在 t₂ 时的 CDC 越多（b = 0.38，p < .05）。对于伴侣而言，事件中心性对伴侣应对的影响与患者的影响有显著差异，但本身并不显著（b = -0.17，p = .601）。在 t2 阶段，更多的 CDC 预测了伴侣更高的身体素质（b = 3.21，p < .05）和 t₃ 阶段的心理生活质量（b = 3.66，p < .05），但对患者却没有影响：初步证据表明，患者及其健康伴侣对中风事件中心性的认可可能有所不同。对于健康伴侣的疾病适应而言，感知伴侣的应对过程似乎尤为重要。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

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

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

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.