OBJECTIVE Dyadic coping theories posit that spousal involvement may benefit illness management through collaborative and supportive (C&S) strategies and shared illness appraisals. Illness appraisals have only been examined as individual differences rather than fluctuating daily as individuals manage the difficult Type 1 diabetes regimen. The study examined how daily illness appraisals of individuals with Type 1 diabetes and their spouses were linked to spouses' daily C&S strategies and whether C&S strategies were most beneficial for daily diabetes outcomes when they occurred in the context of shared illness appraisals. METHOD Couples (N = 199) in which one person had Type 1 diabetes (M age patients = 46.81; 52.3% female; spouses = 46.40, 47.5% female) completed a 14-day diary assessing illness appraisals (ranging from nonshared through shared) and spouses' C&S strategies. Patients reported daily self-regulation failures, self-care behaviors, and perceived coping effectiveness. Daily blood glucose was gathered from glucometers. RESULTS Multilevel models indicated both within-person and between-person effects of patients' and spouses' illness appraisals on C&S strategies with higher shared illness appraisals associated with greater C&S strategies. Greater shared illness appraisals were associated with fewer self-regulation failures and better self-care. C&S strategies were associated with lower self-care and higher blood glucose levels. Appraisal interacted with C&S strategies such that C&S strategies were associated with more self-regulation failures, lower self-care, and lower perceived coping effectiveness when patients reported lower shared appraisals. CONCLUSIONS Results suggest that C&S strategies may be more detrimental for diabetes management when individuals view diabetes as less shared. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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患有1型糖尿病的夫妇的日常疾病评估和协作。

目的二元应对理论认为，配偶参与可以通过协作和支持（C＆S）策略以及共享的疾病评估来有益于疾病管理。疾病评估仅作为个体差异进行检查，而不是因为个体管理困难的1型糖尿病方案而每天波动。这项研究检查了1型糖尿病患者及其配偶的日常疾病评估如何与配偶的日常C＆S策略相关联，以及当C＆S策略在共享疾病评估的背景下发生时，它们是否对日常糖尿病结局最有利。方法夫妻（N = 199），其中一个人患有1型糖尿病（M年龄患者= 46.81；女性52.3％；配偶= 46.40，47）。5％的女性）完成了为期14天的日记，以评估疾病评估（从非共享到共享）和配偶的C＆S策略。患者报告了每日自我调节失败，自我护理行为和感知的应对效果。每天从血糖仪收集血糖。结果多层模型表明，患者和配偶的疾病评估对C＆S策略的人际和人际影响，与较高的C＆S策略相关的较高的共享疾病评估。更好的共享疾病评估与更少的自我调节失败和更好的自我护理相关。C＆S策略与较低的自我护理和较高的血糖水平相关。评估与C＆S策略互动，例如C＆当患者报告的共享评价较低时，S策略与更多的自我调节失败，较低的自我护理和较低的应付应对效果有关。结论结果表明，当个人认为糖尿病的共享性较低时，C＆S策略可能对糖尿病管理更有害。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。