Abstract

Several theoretical models have described the ways that patients and partners respond to a health problem. Most of these models are faced with limitations regarding the role of cognitive/emotional appraisals and coping behaviors, and the potential interactions between individual and dyadic variables. Therefore, new theoretical approaches are needed to capture the multiple processes that take place within dyadic adaptation to illness. Here, the major aspects of the dyadic adaptation/dyadic coping models are reviewed and their limitations are outlined. Moreover, a new theoretical approach to the dyadic-regulation processes that are important for adaptation to illness is proposed. The Dyadic-Regulation Connectivity Model emphasizes the concept of system connectivity and the role of central network hubs in dyadic regulation. Network hubs represent the common ‘space’ between intra- and inter-personal processes, and are closely connected to each other. The model posits that dyadic regulation processes evolve over time, all network hubs are fully responsive to changes in any part of the mechanism, while the entire mechanism is nested within the self- and the dyadic-system, the illness, and the broader socio-cultural contexts. The theoretical and research implications of the proposed model are also discussed.

摘要

几种理论模型已经描述了患者和伴侣对健康问题的反应方式。这些模型中的大多数在认知/情感评估和应对行为的作用以及个体变量和二元变量之间的潜在相互作用方面都面临局限性。因此，需要新的理论方法来捕捉对疾病的二元适应中发生的多个过程。在此，对二元适应/二元应对模型的主要方面进行了回顾，并概述了它们的局限性。此外，提出了一种对二元调节过程的新理论方法，这对适应疾病很重要。双向调节连通性模型强调系统连通性的概念以及中央网络集线器在双向调节中的作用。网络集线器代表了人与人之间流程之间的共同“空间”，并且彼此紧密相连。该模型假设二元调节过程会随着时间的推移而发展，所有网络集线器都对机制中任何部分的变化都完全响应，而整个机制则嵌套在自我和二元系统，疾病以及更广泛的社会网络中。文化背景。还讨论了该模型的理论和研究意义。以及更广泛的社会文化背景。还讨论了该模型的理论和研究意义。以及更广泛的社会文化背景。还讨论了该模型的理论和研究意义。