Abstract：
BACKGROUND: Positive health behaviors (e.g., exercise, healthy eating habits, good sleep hygiene, treatment adherence) are important in ensuring optimal symptom management and health outcomes among individuals living with Parkinson\'s disease (PD). While multiple factors may influence engagement in health behaviors, little is known about the occurrence of social control, or relationship partners\' attempts to influence and regulate another\'s behavior, and its potential role in the adoption of health behaviors among individuals with PD.
METHODS: To better understand the types of social control attempts employed and begin to explore the association between social control attempts and behavioral responses (e.g., engage in the targeted health behavior, hide the behavior) to those attempts, survey data were drawn from a cross-sectional, pilot study of married/partnered Veterans diagnosed with idiopathic PD (n = 25). Participants completed self-reported measures of sociodemographics, physical and mental well-being, relationship functioning, and both the frequency of and behavioral responses to positive and negative social control attempts.
RESULTS: Although the majority of individuals reported their partners engaged in positive social control attempts, half also reported negative attempts. Bivariate analyses revealed more frequent positive social control attempts from one\'s partner were related to both positive and negative behavioral responses, and negative social control attempts were related to negative behavioral responses. However, when adjusting for covariates, positive social control attempts were related to positive behavioral responses, while negative social exchanges with one\'s partner (e.g., general conflict), rather than exposure to negative social control attempts, were related to negative behavioral responses.
CONCLUSIONS: Findings lend preliminary evidence of the relationship between social control and exchanges and health behavior that may inform future, adequately powered observational and intervention studies that target interpersonal processes and health behaviors among individuals living with PD and their relationship partners.
METHODS: To better understand the types of social control attempts employed and begin to explore the association between social control attempts and behavioral responses (e.g., engage in the targeted health behavior, hide the behavior) to those attempts, survey data were drawn from a cross-sectional, pilot study of married/partnered Veterans diagnosed with idiopathic PD (n = 25). Participants completed self-reported measures of sociodemographics, physical and mental well-being, relationship functioning, and both the frequency of and behavioral responses to positive and negative social control attempts.
RESULTS: Although the majority of individuals reported their partners engaged in positive social control attempts, half also reported negative attempts. Bivariate analyses revealed more frequent positive social control attempts from one\'s partner were related to both positive and negative behavioral responses, and negative social control attempts were related to negative behavioral responses. However, when adjusting for covariates, positive social control attempts were related to positive behavioral responses, while negative social exchanges with one\'s partner (e.g., general conflict), rather than exposure to negative social control attempts, were related to negative behavioral responses.
CONCLUSIONS: Findings lend preliminary evidence of the relationship between social control and exchanges and health behavior that may inform future, adequately powered observational and intervention studies that target interpersonal processes and health behaviors among individuals living with PD and their relationship partners.
摘要：
背景：积极的健康行为(例如，锻炼,健康的饮食习惯,良好的睡眠卫生，治疗依从性）对于确保帕金森病（PD）患者的最佳症状管理和健康结局至关重要。虽然多种因素可能会影响对健康行为的参与，对社会控制的发生知之甚少，或关系伙伴试图影响和规范他人的行为，以及它在PD患者采用健康行为方面的潜在作用。
方法：为了更好地了解所采用的社会控制尝试的类型，并开始探索社会控制尝试与行为反应之间的关联（例如，从事有针对性的健康行为，隐藏行为)对这些尝试，调查数据来自横截面，已婚/伴侣退伍军人诊断为特发性PD的初步研究（n=25）。参与者完成了自我报告的社会人口统计学指标，身心健康，关系运作，以及对积极和消极社会控制尝试的频率和行为反应。
结果：尽管大多数人报告说他们的伴侣参与了积极的社会控制尝试，一半的人也报告了负面的尝试。双变量分析显示，一个人的伴侣更频繁的积极社会控制尝试与积极和消极的行为反应有关。消极的社会控制尝试与消极的行为反应有关。然而,当调整协变量时，积极的社会控制尝试与积极的行为反应有关，而与伴侣的负面社交交流(例如，一般冲突)，而不是暴露于消极的社会控制尝试，与负面行为反应有关。
结论：研究结果为社会控制和交流与健康行为之间的关系提供了初步证据，这可能会影响未来，充分有力的观察和干预研究，针对患有PD的个体及其关系伙伴的人际过程和健康行为。
方法：为了更好地了解所采用的社会控制尝试的类型，并开始探索社会控制尝试与行为反应之间的关联（例如，从事有针对性的健康行为，隐藏行为)对这些尝试，调查数据来自横截面，已婚/伴侣退伍军人诊断为特发性PD的初步研究（n=25）。参与者完成了自我报告的社会人口统计学指标，身心健康，关系运作，以及对积极和消极社会控制尝试的频率和行为反应。
结果：尽管大多数人报告说他们的伴侣参与了积极的社会控制尝试，一半的人也报告了负面的尝试。双变量分析显示，一个人的伴侣更频繁的积极社会控制尝试与积极和消极的行为反应有关。消极的社会控制尝试与消极的行为反应有关。然而,当调整协变量时，积极的社会控制尝试与积极的行为反应有关，而与伴侣的负面社交交流(例如，一般冲突)，而不是暴露于消极的社会控制尝试，与负面行为反应有关。
结论：研究结果为社会控制和交流与健康行为之间的关系提供了初步证据，这可能会影响未来，充分有力的观察和干预研究，针对患有PD的个体及其关系伙伴的人际过程和健康行为。
