Aspects of couples' romantic relationships are some of the most powerful psychosocial forces shaping mental and physical health, but even high-quality relationships are not universally beneficial for patients. Dyadic health theories have largely focused on chronic illness management that occurs after the couple understands the disease and prognosis, rather than focusing on couples' interdependence in the days and weeks following a sudden and disruptive medical event (e.g., an acute coronary syndrome or a stroke). To address this gap, I propose dyadic disruption theory to guide research on couples' reactions to acute medical events and their consequences for individual and dyadic mental health, physical health, and behavior. I propose that dyadic processes of social support, shared reality, and corumination can precipitate harmful patient and partner dynamics when couples are distressed early post event and offer three propositions that inform testable hypotheses. Finally, I discuss implications for early dyadic intervention and future directions for research.

中文翻译：

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 二元破坏理论


夫妻的浪漫关系是影响身心健康的最强大的社会心理力量之一，但即使是高质量的关系也并非对患者普遍有益。二元健康理论主要关注夫妻了解疾病和预后后发生的慢性疾病管理，而不是关注突然的破坏性医疗事件（例如，急性冠脉综合征或中风）后几天或几周夫妻之间的相互依赖。 ）。为了解决这一差距，我提出二元破坏理论来指导夫妻对急性医疗事件的反应及其对个人和二元心理健康、身体健康和行为的影响的研究。我认为，当夫妻在事件发生后早期感到痛苦时，社会支持、共享现实和交流的二元过程可能会加剧有害的患者和伴侣动态，并提供了三个可检验假设的命题。最后，我讨论了早期二元干预的影响和未来的研究方向。