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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (2): 1-5.doi: 10.16460/j.issn1008-9969.2024.02.001

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Actor-partner effects of subjective well-being and marital adjustment of Crohn's disease patients and Their Spouses

PAN Ting1, CHEN Yan2a, KONG Fang2b, ZHANG Ai-ling1, CHEN Dan-lei1, DING Cheng-liang2b   

  1. 1. School of Nursing, Nanjing University of Chinese Medicine, Nanjing 210023, China;
    2a. Dept. of Nursing Administration; 2b. Digestive Disease Treatment Center, Nanjing Hospital of Nanjing University of Chinese Medicine (Nanjing Second Hospital) ,Nanjing 210003, China
  • Received:2023-09-05 Online:2024-01-25 Published:2024-02-20

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Abstract: Objective To explore the effect of subjective well-being (SWB) on marital adjustment in patients with Crohn's disease and their spouses using the actor-partner interdependence model. Methods A total of 210 pairs of patients and their spouses were recruited using convenient sampling from a tertiary grade-A hospital in Nanjing. They were surveyed using a self-designed general information questionnaire, Subjective Well-being Scale for Chinese Citizens (SWBS-CC20) and Locke-Wollance Marital Adjustment Test (LWMAT). The independent sample t-test or chi-square test was used to compare SWB and marital adjustment differences. The actor-partner interdependence model and Pearson analysis were used to analyze the influence of SWB on marital adjustment. Results The SWB of both patients and their spouses could positively predict their marital adjustment (β=0.67,0.71,P<0.01), indicating obvious actor effect. The SWB of both patients and their spouses could positively predict the marital adjustment of each other (β=0.47、0.46, P<0.01), which showed obvious partner effect. Conclusion The marital adjustment of Crohn's disease patients and their spouses is affected by the interaction of their own and their partner's SWB, and the subject effect and object effect between SWB and marital adjustment are significant. Considering the patients with Crohn's disease and their spouse as a whole, developing a marital adjustment intervention program and focusing on the binary interaction of the couple are important to improve the psychological adjustment of patients with Crohn's disease and their spouses.

Key words: Crohn's disease, spouse, marital adjustment, subjective well-being, actor-partner interdependence model

CLC Number: 

  • R473.57
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