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The effects of relationship-focused ...

Rosenstrauch, Pearl.

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The effects of relationship-focused coping on inflammatory bowel disease.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The effects of relationship-focused coping on inflammatory bowel disease./
作者:	Rosenstrauch, Pearl.
面頁冊數:	223 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1777.
Contained By:	Dissertation Abstracts International66-03B.
標題:	Psychology, Physiological. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3167140
ISBN:	0542027240

The effects of relationship-focused coping on inflammatory bowel disease.
Rosenstrauch, Pearl.

The effects of relationship-focused coping on inflammatory bowel disease. - 223 p.

Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1777.

Thesis (Ph.D.)--Alliant International University, San Diego, 2005.

Little is known about couple-based coping strategies and their effect on quality of life (QOL) in chronic illness. Relationship-focused coping developed by Coyne and Smith (1991) can be separated into active engagement (AE), a strategy of constructive problem solving that involves the partner in coping efforts, and protective buffering (PB), a strategy of disengagement designed to exclude the partner from worries and concerns in order to protect the partner. The present study hypothesized that couples employing protective buffering would have lower marital satisfaction, greater anxiety and depression and lower IBD-related QOL than couples employing active engagement.

ISBN: 0542027240Subjects--Topical Terms:

1017869
Psychology, Physiological.

The effects of relationship-focused coping on inflammatory bowel disease.
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100 1 $a Rosenstrauch, Pearl. $3 1902305
245 1 4 $a The effects of relationship-focused coping on inflammatory bowel disease.
300 $a 223 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-03, Section: B, page: 1777.
500 $a Adviser: Irwin Rosenfarb.
502 $a Thesis (Ph.D.)--Alliant International University, San Diego, 2005.
520 $a Little is known about couple-based coping strategies and their effect on quality of life (QOL) in chronic illness. Relationship-focused coping developed by Coyne and Smith (1991) can be separated into active engagement (AE), a strategy of constructive problem solving that involves the partner in coping efforts, and protective buffering (PB), a strategy of disengagement designed to exclude the partner from worries and concerns in order to protect the partner. The present study hypothesized that couples employing protective buffering would have lower marital satisfaction, greater anxiety and depression and lower IBD-related QOL than couples employing active engagement.
520 $a This study was a cross-sectional, correlational study.{09}Inclusion criteria for participants were as follows: each member of the dyad agreed to participate; at least one member of the dyad had a diagnosis of Crohn's disease (CD) or ulcerative colitis (UC) for at least 1 year prior to study; the couple had been married or cohabitating for at least a year. 97 couples participated in this study. Validated instruments were used to assess couple coping strategies (RFCS), depression (CES-D), anxiety (HAD) and marital satisfaction (DAS). Disease activity was assessed by Harvey-Bradshaw Index (CD) and Truelove-Witts score (UC). Disease-specific QOL was assessed with the Inflammatory Bowel Disease Quality of Life questionnaire (IBDQ).
520 $a Pearson product moment correlations (r) and hierarchical multiple regressions were used for the primary analyses. The majority of the couples were married, and the majority of the patients had CD. Using disease activity as the independent variable, higher disease activity was associated with lower IBDQ, greater depression and anxiety. Using coping style as the independent variable, PB by patients and spouses was associated with reduced QOL in the patients, increased depression and anxiety, and reduced marital satisfaction in both members of the dyad. Spousal AE coping was associated with increased marital satisfaction in both members of the dyad.
520 $a Relationship-focused coping plays an important role in the degree of psychological distress and marital satisfaction in couples affected by IBD. PB characterized by denial of the problem bodes poorly for marital satisfaction, depression and anxiety in both patients and spouses, and QOL in patients with IBD.
590 $a School code: 1389.
650 4 $a Psychology, Physiological. $3 1017869
650 4 $a Education, Health. $3 1017668
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690 $a 0680
710 2 0 $a Alliant International University, San Diego. $3 1022526
773 0 $t Dissertation Abstracts International $g 66-03B.
790 1 0 $a Rosenfarb, Irwin, $e advisor
790 $a 1389
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3167140