Construct Validity of the Brazilian Version of the Dyadic Adjustment Scale / Validação de Construto da Versão Brasileira da Dyadic Adjustment Scale

Abstract This study sought evidence of construct validity for the Brazilian versions of the Dyadic Adjustment Scale and Revised Dyadic Adjustment Scale. A total of 448 individuals participated in the research, 253 women and 195 men from several regions of Brazil who had been cohabiting with their marital partners for an average of 14.7 years. Several proposed models for the measure were tested in Structural Equation Modeling. In the Confirmatory Factor Analysis, the four-factor and hierarchical models of the Revised Dyadic Adjustment Scale showed good overall adjustments. Evidence of factor, convergent, and discriminant validity were also found. Composite reliability revealed adequate levels of internal consistency. The Multigroup Confirmatory Factor Analysis demonstrated a strong measurement invariance model for men and women.

Resumo Este estudo verificou evidências de validade de construto para as versões brasileiras da Dyadic Adjustment Scale e da Revised Dyadic Adjustment Scale. Participaram da pesquisa 448 indivíduos, 253 mulheres e 195 homens de diversas regiões nacionais que coabitavam com seus parceiros conjugais há 14,7 anos, em média. Na Análise Fatorial Confirmatória, foram testados seis modelos anteriormente propostos para a medida. Entre eles, quatro fatores correlacionados e hierárquico multidimensional da Revised Dyadic Adjustment Scale apresentaram os melhores ajustes gerais. Foram encontradas evidências de validades fatorial, convergente e discriminante e níveis adequados de consistência interna por meio da confiabilidade composta. Também foi demonstrada a invariância de medida forte do modelo da RDAS entre homens e mulheres.

A qualitative research on dyadic experience of disease management in patients with decompensated cirrhosis and their spouses returning to the family / 中国实用护理杂志

Objective:To explore the real experience of decompensated cirrhosis patients and their spouses returning to family dual disease management and to provide a reference for the targeted intervention strategies.Methods:Totally 13 decompensated cirrhosis patients and their spouses admitted in Infectious Disease Department, the First Affiliated Hospital of Zhengzhou University from February 2022 to April 2022 were recruited for semi-structured interviews. Colaizzi 7-step analysis was used to summarize and extract the themes.Results:The final analysis yielded a total of 8 generic categories belonging to 3 categories based on the dyadic illness management theory. These were negative disease perception including disease cognitive bias, lack of complication awareness, negative family management including low self-worth, conflict management, poor management compliance, economic pressure, passive attitude, dyadic health needs to be improved including negative emotional dominance, self-perceived discrimination, communication disorders, intimacy decrease.Conclusions:Decompensated cirrhosis patients and their spouses have negative and resistant psychology in disease perception, management compliance, management attitude, behavior, and so on, clinical medical staff should be aimed at decompensated cirrhosis patients and their spouses on the health education to strengthen disease, guiding role transformation, gives targeted positive psychological intervention, to provide multi-dimensional social support, to improve the negative mood, reduce stigma and improve binary health.

The status and influencing factors of the dyadic coping in spouses of young and middle-age cervical cancer patients undergoing synchronous radiotherapy and chemotherapy / 中国实用护理杂志

Objective:To analyze the status of the dyadic coping in spouses of young and middle-age cervical cancer patients undergoing synchronous radiotherapy and chemotherapy, and to explore the influencing factors in bi-directional of patients and their spouses.Methods:With the convenience sampling method, a total of 150 cervical cancer patients undergoing synchronous radiotherapy and chemotherapy who were hospitalized in the Radiotherapy Department of Tianjin Medical University Cancer Institute and Hospital from March 2021 to February 2022 and their spouses were selected. A cross-sectional study was conducted by the Dyadic Coping Inventory, the Lock-Wallace Marital Adjustment Test, the General Self-Efficacy Scale, the Hospital Anxiety and Depression Scale, etc. Besides, multiple linear regression was used to identify predictors of the dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy.Results:The total score of dyadic coping, marital quality, general self-efficacy, anxiety and depression in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were (121.69 ± 19.67), (97.23 ± 25.05), (25.13 ± 5.19), (9.98 ± 3.46), (8.19 ± 4.06) points. The scores of anxiety and depression of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were (10.57 ± 3.60), (9.10 ± 4.12) points. Multiple linear regression analysis showed that factors of the patients′ anxiety and depression, spouse′s perception of marital quality, spouse′s general self-efficacy, changes in family relationship, family income, and period of radiotherapy were the main influencing factors ( P<0.01), which accounted for 55.7% of total variation. Conclusions:The level of dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy was medium, the marriage quality remains to be further improved,and its influence factors involved in the bi-directional of patient and spouse, including patients′ anxiety and depression, the changes of the family relationship, period of radiotherapy, spouses perception of marital quality and self-efficacy and family income. Clinical medical staff can improve the level of dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy by improving their cognition of disease, reducing the incongruence of dyadic illness appraisals, and taking multiple measures to reduce the economic burden felt of the spouses.

Effectiveness of dyadic intervention on discharge readiness of elderly stroke patients and family caregivers / 中国实用护理杂志

Objective:To explore the application effect of dyadic intervention scheme based on dyadic disease management theory and Information, Knowledge, Attitude, and Practice model in the discharge preparation of elderly stroke patients and family caregivers.Methods:The 92 pairs of elderly stroke patients and their caregivers hospitalized in the Department of Neurology in People′s Hospital of Zhengzhou University were conveniently selected. The non synchronous control method quasi experimental research was adopted. Totally 46 pairs of subjects who met the criteria for admission and discharge from May to July 2022 were set as the control group, and routine nursing was carried out; from August to October 2022, 46 pairs of subjects who met the criteria for admission and emission were set as the observation group to implement the dyadic intervention program. The scores of discharge readiness, self-efficacy and unplanned readmission rate of patients between the two groups were compared, and the scores of caregiver readiness, self-efficacy and caregiver stress between the two groups were compared.Results:Finally, 85 pairs of subjects completed the study, with 42 pairs in the control group and 43 pairs in the observation group. On discharge day, the total scores of discharge readiness and caregiver readiness in the observation group were (95.19 ± 4.47), (23.02 ± 2.20) points, respectively, which were higher than those in the control group (85.71 ± 5.31), (19.57 ± 1.65) points, with statistically significant differences ( t=8.91,8.16, both P<0.01); the self-efficacy levels of patients in the observation group at discharge and one month after discharge, as well as those of caregivers at discharge and one month after discharge were (73.86 ± 4.87), (75.91 ± 4.51), (75.67 ± 4.99), (79.21 ± 4.90) points, respectively, higher than those in the control group (71.62 ± 5.19), (73.33 ± 4.91), (73.48 ± 4.24), (75.48 ± 4.24) points, with statistically significant differences ( t values were from 2.05 to 3.75, all P<0.05); the pressure levels of caregivers in the observation group at discharge and one month after discharge were (7.51 ± 2.48), (6.28 ± 1.99) points, respectively, lower than those in the control group (8.76 ± 2.55), (7.45 ± 2.36) points, with statistically significant differences ( t=-2.29, -2.48, both P<0.05); the unplanned readmission rate of patients in the observation group one month after discharge was 7.0% (3/43), lower than the control group′s 23.8% (10/42), with statistically significant difference ( χ2=4.65, P<0.05). Conclusions:The implementation of dyadic intervention on elderly stroke patients and caregivers can make their discharge preparation process more adequate, thus reducing the caregiver′s care pressure, reducing the unplanned readmission rate of patients, and improving their health outcomes.

The intermediary effect of dyadic coping style in the relationship between psychological distress and intimate relationship in stroke patients / 中国实用护理杂志

Objective:To explore the relationship between psychological distress and intimacy in stroke patients and the mediating effect of different dyadic coping style, to provide theoretical guidance for improving the intimate relationship of stroke patients.Methods:A convenient sampling method was used to select 203 patients with stroke who visited the General Hospital of Ningxia Medical University, the People's Hospital of Ningxia Hui Autonomous Region and the Department of Neurology of Yinchuan First People's Hospital from December 2020 to July 2021 as the survey objects. The general information questionnaire, Kessler Psychological Distress Scale, Quality of Relationship Index and Dyadic Coping Inventory were used to investigate patients.Results:The scores of psychological distress, intimate relationship, positive dyadic coping and negative dyadic coping were 19.33 ± 7.46, 32.75 ± 6.79, 86.25 ± 13.22, and 16.46 ± 4.08, respectively. Correlation analysis showed that psychological distress was negatively correlated with intimate relationship and positive dyadic coping ( r=-0.195, -0.204, both P<0.01), psychological distress was positively correlated with negative dyadic coping ( r=0.229, P<0.01). The mediating effect of positive dyadic coping and negative dyadic coping on psychological distress and intimate relationship was 35.87% and 53.26%, respectively. Conclusions:The psychological distress indirectly affects the intimate relationship of stroke patients through positive dyadic coping and negative dyadic coping. Health care workers can guide patients to actively cope with the disease and encourage couples to strengthen communication, so as to enhance the intimacy of couples and promote their physical and mental health development.

Relationship of common dyadic coping to marital satisfaction and quality of life for patients with brain injury and their spouses in a rehabilitation facility: using common fate model / 中国康复理论与实践

ObjectiveTo investigate common dyadic coping (CDC) in linking with marital satisfaction and quality of life (QOL) in patients with brain injury and their spouses in a rehabilitation facility by using common fate model (CFM). MethodsFrom October, 2022 to June, 2023, 101 brain injury inpatients and their spouses in Beijing Bo'ai Hospital completed the questionnaire of Dyadic Coping Inventory, Kansas Marital Satisfaction Scale and World Health Organization Quality of Life. ResultsThe level of CDC between patients and their spouses significantly positively correlated with their marital satisfaction for both partners (β = 0.814, P < 0.001), as well as correlated with their quality of life (β = 0.271, P = 0.038; β = 0.481, P < 0.001). For the dimensions of QOL, the physical, psychological, social relationship and environmental dimensions significantly positive correlated with the CDC for the spouses, and only psychological and social relationship dimensions for the patients. ConclusionFacing the stress of brain injury, the level of CDC within couples can positively predict their marital satisfaction and QOL, and effect seems stronger for the spouses. It is advisable to consider both brain injured patients and their spouses as a whole to promote psychological adaptation and improve rehabilitation outcomes.

Propiedades psicométricas de la Escala de Confianza Diádica en personas gays y lesbianas en pareja / Psychometric Properties of the Dyadic Trust Scale in Gay and Lesbian People with a Partner

Resumen El presente estudio tuvo como objetivo evaluar las propiedades psicométricas de la Escala de Confianza Diádica (ECD, Larzelere & Huston, 1980) en personas gays y lesbianas de Chile. Para ello, se evaluó una muestra de 360 personas chilenas gay o lesbianas involucradas en una relación de pareja. Los datos obtenidos proporcionan evidencia de que el instrumento se ajusta de manera aceptable a una estructura unidimensional y que es invariante entre personas gay y lesbianas. Adicionalmente, se identificó que posee una consistencia interna adecuada, así como una asociación inversa entre los niveles de confianza diádica y la ansiedad y evitación del apego. En conclusión, la ECD posee propiedades psicométricas adecuadas para la evaluación de la confianza diádica en personas gays y lesbianas en el contexto chileno.

Abstract The present study aimed to evaluate the psychometric properties of the Chilean version of the Dyadic Trust Scale (DTS, Larzelere & Huston, 1980). For this purpose, a sample of 360 Chilean gay or lesbian people involved in a couple relationship was evaluated. The data obtained provide evidence that the instrument conforms acceptably to a unidimensional structure and scores are invariant between gay and lesbian persons. Additionally, it has adequate internal consistency, as well as an inverse association between levels of dyadic trust and attachment anxiety and avoidance. In conclusion, the ECD has adequate psychometric properties for the assessment of dyadic trust in gay and lesbian persons in the Chilean context.

Construction and preliminary validation of discharge preparation service for elderly lung neoplasms patientsand caregivers based on dualistic coping theory / 中国实用护理杂志

Objective:To construct a discharge preparation service program for elderly lung cancer patients and their caregivers based on binary coping theory, evaluate its clinical feasibility.Methods:To develop discharge preparation service for elderly lung cancer patients and their caregivers by literature retrieval, expert correspondence consultation and theoretical research. The program included three themes: binary evaluation, binary management behaviorand binary health, and six intervention strategies: evaluation of symptoms, care goals and intentions, decision making, emotional communication support, management of physical function changes and general health behavior. From July to September 2021, 30 pairs of elderly lung cancer patients and their caregivers were recruited and assigned into the control group and the experimental group with 15 pairs in each group according to random numbers generated by computer. The feasibility and clinical effect of the program were evaluated by feasibility evaluation index, discharge readiness, dual coping and comprehensive needs scale of caregivers.Results:In this study, the recruitment rate was 76%(32/42), the retention rate was 94%(30/32), and the acceptance rate of the intervention plan in the experimental group was 100%. After intervention, the total scores of discharge readiness was (83.00 ± 2.59), the patient dyadic coping was (136.80 ± 4.54), caregiver dyadic coping was (136.33 ± 3.56) and caregiver comprehensive needs was (124.37 ± 11.69) in the experimental group, which were better than those of in the control group, (74.40 ± 4.17), (129.07 ± 4.83), (120.33 ± 9.17) and (206.57 ± 9.14), the differences were statistically significant ( t values were -6.78- 5.54, all P< 0.05). Conclusion:The discharge preparation service plan for elderly lung cancer patients and caregivers based on dyadic coping theory is scientific and feasible, but the plan still needs further optimization, improvement and large sample randomized controlled trial to verify.

Research progress on dyadic coping of pregnant women and their spouses / 中国实用护理杂志

This article reviewed the concept and theoretical models of dyadic coping, as well as the related factors of dyadic coping of pregnant women and their spouses, and introduced the application status of dyadic coping in pregnant women and their spouses. To provide a reference for constructing a dyadic coping intervention plan between pregnant women and their spouses based on the cultural background of China.

Correlates between sexual desire and disposition to sexual fantasies with inhibitory control and cognitive planning in young Colombians / Correlación del deseo sexual y disposición a fantasías sexuales con control inhibitorio y planificación cognitiva en jóvenes colombianos

Abstract Objective: the research was oriented to investigate the correlation between some executive functions (inhibitory control, risk-benefit calculation, cognitive flexibility, the planning ability, and decision making) and the general, dyadic and solitary sexual desire, sexual desire inhibition and disposition to sexual fantasies in a 17-to-30-year-old people sample. Method: An observational cross-sectional study in a purposive sample of 64 young college students, aged between17 and -30, who were in a couple relationship at the time of the study and gave their consent for their participation in the research. The participants completed the Neuropsychological Battery of Executive Functions and Frontal Lobes tasks (BANFE for its abbreviation in Spanish): Stroop, card games, card classification and Hanoi Tower, and it was administered the Inhibited Sexual Desire Test, the Sexual Desire Inventory (SDI-2) and the Scale of Attitude Towards Sexual Fantasies. Results: The results indicate a correlation between the executive functions and sexual desire; it was found a correlation between total and dyadic sexual desire and disposition towards sexual fantasies with inhibitory control; and the inhibited sexual desire was correlated to planning ability and inhibitory control. Discussion: Although the study presents some methodological limitations (size of the sample and need of a more rigorous validation of instruments in the Colombian population), the results confirm previous research findings, allowing to formulate new hypotheses in the field of sexuality and neurosciences. The study findings draw attention to the educational implications aimed to develop the executive functions in adolescents and young people to prevent risky sexual behavior.

Resumen Objetivo: El estudio se orientó a indagar la relación entre algunas funciones ejecutivas (FE) (control inhibitorio, cálculo de riesgo-beneficio, flexibilidad cognitiva, habilidad de planeación y toma de decisiones) con el deseo sexual general, diádico y solitario, inhibición del deseo sexual y disposición hacia las fantasías sexuales en una muestra de jóvenes entre 17 y 30 años. Método: Estudio de enfoque cuantitativo de corte transversal. Mediante un muestreo intencional por conveniencia se seleccionaron 64 jóvenes entre 17 y 30 años, estudiantes universitarios que se encontraban en una relación de pareja. Para evaluar las variables de las FE se utilizaron tareas de la Batería Neuropsicológica de Funciones Ejecutivas y Lóbulos Frontales (BANFE): Stroop, juego de cartas, clasificación de cartas y Torre de Hanoi, y las variables relacionadas con el deseo sexual fueron valoradas mediante el Test del Deseo Sexual Inhibido, el Inventario del Deseo Sexual (SDI-2, sigla de Sexual Desire Inventory) y la Escala de la Actitud hacia las Fantasías Sexuales. Resultados: Se encontraron correlaciones entre las variables del deseo sexual, disposición hacia las fantasías sexuales y el deseo sexual inhibido; deseo sexual total y diádico y disposición hacia las fantasías sexuales correlacionó con el control inhibitorio; y el deseo sexual inhibido correlacionó con la planificación y el control de impulsos. Discusión: Los hallazgos del estudio llaman la atención sobre las implicaciones educativas encaminadas a desarrollar las funciones ejecutivas en adolescentes y jóvenes con el fin prevenir conductas sexuales de riesgo.

Evidências de validade do Questionário de Empatia Conjugal / Evidence of validity for the Conjugal Empathy Questionnaire / Evidencias de validez del Cuestionario de Empatía en Relaciones de Pareja

Estudos abordando a empatia indicaram que as suas facetas cognitivas e emocionais podem ser benéficas aos relacionamentos conjugais mantendo e aumentando a satisfação dos cônjuges. Contribuindo com essa linha de pesquisa, o atual estudo verificou as propriedades psicométricas do Questionário de Empatia Conjugal. Participaram 412 indivíduos adultos, homens e mulheres, membros de 206 díades que estavam em relação conjugal no Rio de Janeiro/Brasil. Os dados submetidos à análise fatorial confirmatória apresentaram um bom ajuste geral ao modelo modificado e invariância de medida entre homens e mulheres e entre os níveis de escolaridade dos participantes. O instrumento apresentou adequada correlação com o Interpersonal Reactivity Index for Couples, evidenciando validade convergente. O instrumento modificado revelou aceitáveis condições psicométricas que estimulam a continuidade das pesquisas com ele. (AU)

Studies addressing general empathy have indicated that its cognitive and emotional facets can be beneficial to marital relationships by maintaining and increasing marital satisfaction. Contributing to this line of research, this study verified the psychometric properties of the Conjugal Empathy Questionnaire. Participants were 412 adult men and women, members of 206 dyads that were in marital relationships in Rio de Janeiro/Brazil. The data submitted to Confirmatory Factor Analysis presented a good general fit to the modified model, as well as invariance between men and women and between the educational levels of the participants. The instrument presented an adequate correlation with the Interpersonal Reactivity Index for Couples, demonstrating convergent validity. The modified measure presented acceptable psychometric properties, which should stimulate the continuity of studies with this instrument. (AU)

Los estudios que abordan la empatía indicaron que sus facetas cognoscitivas y emocionales pueden ser beneficiosas para las relaciones de pareja manteniendo y aumentando la satisfacción de los cónyuges. Contribuyendo con esta línea de investigación, este estudio verificó las propiedades psicométricas del Cuestionario de Empatía en Relaciones de Pareja. Participaron 412 individuos adultos, hombres y mujeres, miembros de 206 díadas que estaban en relación conyugal en Río de Janeiro / Brasil. Los datos sometidos al Análisis Factorial Confirmatorio presentaron un buen ajuste general al modelo modificado e invarianza de medida entre hombres y mujeres y entre los niveles de escolaridad de los participantes. El instrumento presentó una adecuada correlación con el Interpersonal Reactivity Index for Couples, evidenciando validez convergente. El instrumento adaptado reveló condiciones psicométricas aceptables que estimulan la continuidad de las investigaciones con la misma. (AU)

Comunicación diádica temprana: microanálisis de ocho casos / Early dyadic communication: microanalysis of eight cases

Resumen La investigación caracteriza estilos de interacción mamá - bebé con el propósito de identificar la construcción del vínculo diádico. Se enfatizan las Formas de Interacción como concepto central para la incorporación del sujeto a la comunicación y luego al lenguaje. Registros de interacciones naturales de ocho díadas a las seis semanas, seis meses y un año de vida infantil, identifican la constitución progresiva del sistema de comunicación diádico.La elucidación de signos corporales y el surgimiento de la regulación emocional a las seis semanas, el juego con escenas sociales a los seis meses y la instauración del campo semántico diádico al año son rasgos destacados que se concatenan entre sí durante el proceso. La triangulación con el entorno social es una constante en la interacción.

Abstract This paper characterizes mother-baby interaction styles for the purpose of identifying dyadic bonding throughout the first year of life. The Forms of Interaction are emphasized as a central concept for the incorporation of the subject into communication and then to language. Records of natural interactions from eight dyads to six weeks, six months and one year of age identify the progressive constitution of the dyadic communication system. The elucidation of body signs and the emergence of emotional regulation at six weeks, the interplay with social scenes at six months, and the establishment of the dyadic semantic field at one year are salient features that intertwine during the process. Triangulation with the social environment is a constant within the interaction.

Estilos de comunicación como predictores del estrés y el afrontamiento diádico en matrimonios puertorriqueños / Communication Styles as Stress Predictors and Dyadic Coping in Puerto Rican Marriages / Estilos de comunicação como preditores do stress e o afrontamento diádico em matrimônios porto-riquenhos

Resumen Objetivo. Evaluar la posible relación de los estilos de comunicación (positivo, negativo y reservado) con el estrés y el afrontamiento diádico en las relaciones de pareja. Método. Se empleó un estudio cuantitativo no experimental en el que participaron 121 personas casadas, seleccionadas por disponibilidad. La mayoría de los participantes estaban en su primer matrimonio, y tenían una edad promedio de 42 años. Aceptaron contestar los siguientes instrumentos: (a) inventario de estilo de comunicación marital (ECOM) y (b) escala de estrés en la relación marital. Resultados. El análisis mediante regresión múltiple evidenció que los estilos de comunicación positivo y reservado son predictores del afrontamiento diádico. Se observó también que el estilo de comunicación negativo es un predictor significativo del estrés en las relaciones de pareja. Conclusión. Se sustenta la importancia de la comunicación en las relaciones de pareja y de desarrollar estilos de comunicación positivos para afrontar las situaciones estresantes.

Abstract Objetive. To evaluate the possible relationship between the communication styles (positive, negative and reserved), stress and dyadic coping. Method. Considering this purpose, a non-experimental quantitative study was proposed in which 121 married people participated based on their availability. Most of the participants were in their first marriage, and averaged 42 years old. The participants agreed to answer the following instruments: (a) Marital Communication Style Inventory and (b) Marital Relationship Stress Scale. Results. Positive and reserved communication styles are predictors of dyadic coping. It was also observed that the negative communication style is a significant predictor of stress in relationships. Conclusion. These results support the relevance of communication in relationships and the importance of developing positive communication styles to cope with stressful situations.

Resumo Escopo. Avaliar a possível relação dos estilos de comunicação (positivo, negativo e reversado) com o stress e o afrontamento diádico nas relações de casal. Metodologia. Foi empregado um estudo quantitativo não experimental no que participaram 121 pessoas casadas, selecionadas por disponibilidade. A maioria dos participantes estavam no seu primeiro matrimonio, e tinham uma idade média de 42 anos. Aceitaram contestar os seguintes instrumentos: (a) inventário de estilo de comunicação marital (ECOM) e (b) escada de stress na relação marital. Resultados. A análise mediante regressão múltipla evidenciou que os estilos de comunicação positivo e reservado são preditores do afrontamento diádico. Foi observado também que o estilo de comunicação negativo é um preditor significativo do stress nas relações de casal. Conclusão. Foi sustentada a importância da comunicação nas relações de casal e de desenvolver estilos de comunicação positivos para afrontar as situações estressantes.

Accelerating research evidence translation through dyadic engagement: A developing model for evidence-based practice implementation

@#Evidence-based practice (EBP) has been regarded as the gold standard of clinical practice in the health profession. However, even though the importance of EBP is well documented in the nursing literature, in developing countries, its implementation remains a challenge. In addition to individual and organizational barriers to EBP implementation, the existence of the academician-clinician divide is a critical concern. This seeming disconnect has significantly hampered the translation of knowledge into practice. Hence, collaborative dyadic engagements between the academician and clinicians have to be nurtured. The Accelerating Research evidence translation through Dyadic Engagement (ARDE) Model, a pragmatic way of facilitating the enculturation of EBP, is proposed and collaborative efforts in solving clinically relevant nursing issues will pave the way for EBP to become an integral part of clinical practice.

Importancia de la Diferenciación de Sí Mismo y el Ajuste Diádico en la Explicación de la Estabilidad Marital / Importance of the Differentiation of Self and Dyadic Adjustment in the Explanation of Marital Stability / Importância da Diferenciação do Eu e do Ajuste Diádico na Explicação da Estabilidade Conjugal

Resumen El objetivo de esta investigación fue explicar la estabilidad marital a partir de la diferenciación del yo y el ajuste diádico. Se contó con 262 participantes colombianos, hombres y mujeres con matrimonio civil o religioso, a quienes se les informaron las consideraciones éticas del estudio. Se aplicaron los instrumentos de Diferenciación del Sí Mismo, la escala de Ajuste Diádico e Inestabilidad Marital. Se corrieron ANOVAS, análisis de correlación y dos modelos de análisis de regresión lineal múltiple. Los resultados indicaron que los hombres muestran mayor reactividad emocional que las mujeres y que las personas con matrimonio civil se fusionan más y presentan menor nivel de consenso que las de matrimonio religioso. De acuerdo con los resultados de las correlaciones, en cuanto al sexo y tipo de unión, se encontró que a mayor ajuste diádico, mayor estabilidad marital. La cohesión es la dimensión que mejor explica la estabilidad marital, seguida de la satisfacción diádica.

Abstract The objective of this research project was to explain marital stability on the basis of differentiation of self and dyadic adjustment. Participants were 262 Colombian men and women with civil or religious marriage, who were informed of the ethical aspects of the study. Differentiation of Self Inventory and the Dyadic Adjustment and Marital Instability Scale were applied. anova tests were run, as well as correlation analyses and two multiple linear regression models. Results indicated that men show a greater emotional reactivity than women, and that persons who had a civil marriage bonded more and presented a lower level of consensus than those with religious marriages. According to the results regarding correlations related to sex and type of union, a greater dyadic adjustment led to greater marital stability. Cohesion is the dimension that best explains marital stability, followed by dyadic satisfaction.

Resumo O objetivo desta pesquisa foi explicar a estabilidade conjugal a partir da diferenciação do eu e do ajuste diádico. O estudo contou com a participação de 262 colombianos, homens e mulheres, com casamento civil ou religioso, que foram informados das considerações éticas do estudo. Instrumentos de Diferenciação do Eu, a Escala de Ajuste Diádico e a Instabilidade Marital foram aplicados. anovas, análise de correlação e dois modelos de análise de regressão linear múltipla foram executados. Os resultados indicaram que os homens mostram maior reatividade emocional do que as mulheres e que as pessoas com casamento civil estão mais unidas e têm um nível de consenso mais baixo do que as do casamento religioso. De acordo com os resultados das correlações, em termos de sexo e tipo de união, constatou-se que quanto maior o ajuste diádico, maior a estabilidade conjugal. A coesão é a dimensão que melhor explica a estabilidade conjugal, seguida pela satisfação diádica.

It Takes Two to Tango: How Large the Effects of Job Factors on Wife’s Work-Family Conflict?

Introduction: Married couples often do influence each other’s emotions and behaviors. The effect of this interpersonal marriage relationship on job demands and job performance toward work-family conflict (WFC) is still under research. This article aims to determine the effects of married couple’s job factors (emotional job demands and job performance) on wife’s WFC.Method: A total of 120 dyads in private sectors were recruited via private invitations to social gatherings. Packets of self-administered questionnaires were given included emotional domain of Demand-Induced Strain Compensation, Spielberger Trait Anger Scale, work-family conflict and job performance measures. Dyadic analysis using Actor-Partner Interdependence Model was used. Results: The emotional demand of wife significantly contribute higher effect (ES= 0.34 (95%CI: 0.23, 0.45); p<0.001) compared to emotional demand of husband on wife’s WFC (ES= 0.14 (95%CI: 0.03, 0.25); p=0.011). The job performance of wife significantly contribute higher effect (ES= 0.29 (95%CI: 0.17, 0.40); p<0.001) compared to job performance of husband on the wife’s WFC (ES= 0.17 (95%CI: 0.06, 0.29); p=0.003). Both wife and husband influenced each other pertaining to emotional demands (r=0.35, 95%CI: 0.22, 0.48) and job performance (r=0.51, 95%CI: 0.38, 0.64) on the wife’s WFC. Overall, the APIM model explains of 22.9% and 25.1% of the total of non-independence of emotional job demands and job performance toward WFC, respectively. Conclusion: Wife’s WFC was influenced by both herself and her partner’s emotional job demands and performance. All resources should be channeled to working wives to prevent any health and job outcomes resulted from the work-family conflict.

Coping e coping diádico: uma análise qualitativa das estratégias de coping de casais / Dyadic coping and coping: a qualitative analysis of coping strategies couples / Diádica coping y coping: un análisis cualitativo de coping parejas estrategias

O objetivo deste artigo é analisar os conceitos de coping e coping diádico, trazendo trechos de entrevistas de uma pesquisa qualitativa com casais heterossexuais de famílias intactas da classe média do Rio de Janeiro e de Curitiba. Para tanto, foram realizadas entrevistas semiestruturadas com perguntas norteadoras, seguindo um roteiro e sendo gravadas em áudio, com o intuito de analisar o coping nesses casais. O coping é um processo complexo, que demonstra a forma como o indivíduo lida com o estresse, vivencia os problemas e utiliza recursos diante das dificuldades. Dessa forma, a eficácia das estratégias de coping depende dos recursos que o indivíduo possui e de sua avaliação cognitiva. Foi observado que os cônjuges estabelecem diadicamente diferentes formas de coping e quando o estresse é compartilhado seus efeitos podem ser amenizados pela parceria e presença do cônjuge. Concluiu-se que os casais elegem determinados padrões de coping e os utilizam conjuntamente, o que aponta para a importância de se analisar a forma como os cônjuges estabelecem as estratégias de coping diádico, pois estas são o fundamento da dinâmica do casal para o enfrentamento dos estresses e dos conflitos cotidianos.

Coping is a complex process that shows the way an individual deal with stress and conflict. The efficacy of coping strategies depends on the individual's resources and his/ her cognitive evaluation, but it also depends on the interpersonal relationship, such as in a couple relationship. The aim of this study is to analyze the concept of coping and dyadic coping, based on excerpts of interviews of a qualitative research with heterosexual intact families of middle class in Rio de Janeiro and Curitiba. Semi-structured interviews were conducted with pre-determined questions, following a guide. All the interviews were recorded. Content Analysis was used with the aim of understanding the coping in these couples. It was observed that couples dyadically establish different ways of coping and that stress, when shared, has its effects reduced by partnership and the presence of the spouse. It was concluded that couples choose certain patterns of coping and use them together, which points out to the need of analyzing the way how couples establish dyadic coping strategies, as these strategies are the couple's dynamic foundation for facing stress and daily conflicts.

El coping es un proceso complejo, que demuestra la forma como el individuo se enfrenta con el estrés y el conflicto. La eficacia de las estrategias de coping depende de los medios que el individuo tiene y de sus evaluaciones cognitiva, pero depende igualmente de las relaciones interpersonales, como la de una pareja. El objetivo de este artículo es el de analizar los conceptos de coping y coping diádico, trayendo fragmentos de entrevistas de una encuesta cualitativa con parejas heterosexuales de familias intactas de la clase media de Rio de Janeiro y de Curitiba. Fueron realizadas entrevistas semiestructuradas con preguntas dirigidas, siguiendo un guión y siendo gravadas en audio, con la intención de comprender el coping de estas parejas, utilizando el Análisis de Contenido. Fue observado que los cónyuges establecen diádicamente diferentes formas de coping y que el estrés cuando compartido, tiene sus efectos amenizados por la alianza y presencia de los cónyuges. Fue concluido que las parejas eligen determinados patrones de coping y los utilizan en conjunto, lo que apunta para la importancia de analizar la forma como los cónyuges establecen las estrategias de coping diádico, pues estos son los fundamentos de la dinámica de la pareja para el afrontamiento del estrés y de los conflictos cotidianos.

Análises de Dados Diádicos: Um Exemplo a partir da Pesquisa com Casais / Dyadic Data Analysis: An Example from Couples Research / Análisis Datos Diádicos: Un Ejemplo desde la Investigación con Parejas

Resumo A pesquisa no campo dos fenômenos sociais e psicológicos possui aspectos que são caracterizados pela interdependência de diferentes atores, como o caso das relações de casais. Desta forma, o presente artigo visa apresentar o modelo de análise de dados diádicos a partir de um estudo em contexto de relações amorosas à comunidade científica brasileira. Para tal, um estudo empírico com foco na interação entre aspectos de paixão obsessiva e dimensões de qualidade no relacionamento foi conduzido com 212 casais brasileiros. É dada uma especial ênfase na montagem do banco de dados, que pode ter a estrutura individual, a estrutura diádica ou ainda a estrutura pairwise. Os resultados apresentam um roteiro de orientação dos principais passos da análise diádica, envolvendo também considerações sobre como configurações de paixão e qualidade se relacionam entre parceiros envolvidos em relações amorosas. Embora não se limitando a esta temática, o modelo de análise diádicas é uma importante ferramenta para o estudo dos relacionamentos românticos.

Abstract Research in the field of social and psychological phenomena has aspects that are characterized by interdependence of different actors, such as the case of the relationships of couples. The aim of this article is to present the dyadic data analysis model from a study in the context of loving relationships to Brazilian scientific community. An empirical study, focusing on the interaction between aspects of obsessive passion and quality dimensions in the relationship, was performed with 212 Brazilian couples. A particular emphasis is given to the assembly of the database, which may have the individual structure, the dyadic structure or even the pairwise structure. The results show a step by step guidance of the main stages of dyadic analysis. In additional, we presented considerations about passion and qualityfor both members of relationship. Although not limited to this theme, the dyadic analysis model is an important tool for the study of romantic relationships.

Resumen La investigación en el campo de los fenómenos sociales y psicológicos tiene aspectos que se caracterizan por la interdependencia de los diferentes actores, como el caso de las relaciones de pareja. Por lo tanto, este artículo presenta el modelo de análisis de datos diádicos de un estudio en el contexto de las relaciones amorosas a la comunidad científica brasileña. Para eso, un estudio empírico centrado en la interacción entre los aspectos de la pasión y de calidad en la relación se llevó a cabo con 212 parejas brasileñas. Se da un especial énfasis en el montaje de la base de datos, que puede tener la estructura individual, la estructura diádica o la estructura pairwise. Los resultados presentan un plan de trabajo con los pasos principales de análisis diádico, que implica consideraciones sobre la configuración de la pasión y la calidad se refieren a los individuos involucrados en las relaciones amorosas. Aunque no se limite a esta temática, el modelo de análisis diádico es una importante herramienta para el estudio de las relaciones románticas.

Wavelet multiresolution analysis and dyadic scalogram for detection of epileptiform paroxysms in electroencephalographic signals

Abstract Introduction Early detection of epilepsy by the review of large electroencephalographic (EEG) recordings is very stressful, time-consuming, and subjective for neurologists. Several automatic seizure detection systems have been proposed in the literature to solve this problem. Methods This study proposes two complementary wavelet-based approaches for detecting epileptiform paroxysms in EEG signals. First methodology applied the wavelet multiresolution analysis (MRA) to filter non-epileptiform activity in long-term EEG. Second methodology used the wavelet dyadic scalogram to analyze which scales were related to the epileptiform paroxysms. For tests, 65 wavelet functions were selected between daubechies, biorthogonal, symlets, reverse biorthogonal and coiflet wavelet families in order to evaluate their performance. Results For MRA, it was noted a better performance by using the db4 function, by reaching 48.30% of energy with 8 wavelet coefficients, 0.717658 of correlation and 36.799 of root mean square error (RMSE). For wavelet dyadic scalograms, were chosen bior3.9 and rbio1.5 functions, by reaching 77.98% of sensitivity, 94.08% of specificity, 87.87% of efficiency and 0.9613 of area under the curve (AUC value) by using bior3.9. Conclusion The presented approaches are highly complementary for a whole automatic seizure detection system by using the MRA as pre-processing stage to filter non-epileptiform activity, and wavelet dyadic scalogram for extracting desired features from filtered EEG signals.

Relationship between dyadic coping and intimacy in gynecological cancer patients and partners / 中国心理卫生杂志

Objective:To investigate the dyadic coping and intimacy in gynecological cancer patients and their partners,and to explore the association between the two aspects.Methods:A total of 180 postoperative couples with gynecological cancer from 4 tertiary hospitals were investigated with Dyadic Coping Inventory (DCI) and Short Marital Adjustment (MAT).The relationship between couples,dyadic coping and intimacy were analyzed with the Actor-Partner Interdependence Model (APIM).Results:APIM result showed that in the actor effect patients' and spouses'supportive dyadic coping,delegated dyadic coping and common dyadic coping were positive associated with their own intimacy (B =1.77-4.41),patients'and spouses'negative dyadic coping were both adversely associated with their own intimacy (B =-2.81,-2.66).The partner effect showed that patients' supportive dyadic coping and delegated dyadic coping were both positive associated with spouses'intimacy (B =1.00,4.07),spouses'delegated dyadic coping and common dyadic coping were both positive associated with patients' intimacy (B =2.67,2.60),patients' and spouses'negative dyadic coping were negatively associated with partner'intimacy (B =-1.67,-1.40).Conclusion:It suggests that the dyadic coping may be associated with both patients'and partners' intimacy.