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已发表论文
阻塞性睡眠呼吸暂停患者及其同住者疾病不确定性、社会支持与应对方式的二元关系：基于行动者—伴侣相互依赖中介模型的分析
Authors Niu Y , Shao Y, Chen L, Zhang X
Received 6 August 2025
Accepted for publication 20 September 2025
Published 8 October 2025 Volume 2025:17 Pages 2501—2516
DOI https://doi.org/10.2147/NSS.S558190
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 4
Editor who approved publication: Prof. Dr. Ahmed BaHammam
Yuqi Niu, Yefan Shao, Linlin Chen, Xiaochun Zhang
Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of China Medical University, Shenyang City, Liaoning Province, People’s Republic of China
Correspondence: Xiaochun Zhang, The First Affiliated Hospital of China Medical University, 155 North Nanjing Street, Heping District, Shenyang City, Liaoning Province, People’s Republic of China, Email xczhang73@cmu.edu.cn
Background: Obstructive Sleep Apnea (OSA) patients experience significant illness uncertainty, impacting coping. Social support mitigates uncertainty, while coping styles influence management. Research predominantly examines individual patients, neglecting dyadic interactions between patients and co-residents.
Objective: To examine the dyadic interrelationships of illness uncertainty, social support, and coping styles in OSA patient–co-resident pairs using the Actor–Partner Interdependence Model (APIM).
Methods: A cross sectional study of 242 patient–co resident dyads from a tertiary hospital examined self reported illness uncertainty, social support, and coping styles. APIM analyzed actor and partner effects.
Results: Patients reported higher illness uncertainty (P< 0.001), whereas co residents reported greater social support (P< 0.001). Social support was positively associated with active coping and negatively associated with passive coping within dyads. Actor effects indicated that illness uncertainty in both patients and co-residents was associated with lower levels of their own social support, which in turn correlated with decreased active coping and increased passive coping (β=0.203 and 0.038, P< 0.05). Partner effects analyses indicated that one member’s uncertainty or social support was associated with the other member’s coping via specific indirect paths.
Conclusion: The findings reveal bidirectional, dyadic interdependence among illness uncertainty, social support, and coping styles in OSA patient–co-resident pairs, with social support appearing as a prominent within individual associative pathway. These results support considering family oriented strategies that aim to strengthen mutual social support to be explored further as a means to promote adaptive coping in this population.
Keywords: obstructive sleep apnea, illness uncertainty, social support, coping styles, actor-partner interdependence model
Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of China Medical University, Shenyang City, Liaoning Province, People’s Republic of China
Correspondence: Xiaochun Zhang, The First Affiliated Hospital of China Medical University, 155 North Nanjing Street, Heping District, Shenyang City, Liaoning Province, People’s Republic of China, Email xczhang73@cmu.edu.cn
Background: Obstructive Sleep Apnea (OSA) patients experience significant illness uncertainty, impacting coping. Social support mitigates uncertainty, while coping styles influence management. Research predominantly examines individual patients, neglecting dyadic interactions between patients and co-residents.
Objective: To examine the dyadic interrelationships of illness uncertainty, social support, and coping styles in OSA patient–co-resident pairs using the Actor–Partner Interdependence Model (APIM).
Methods: A cross sectional study of 242 patient–co resident dyads from a tertiary hospital examined self reported illness uncertainty, social support, and coping styles. APIM analyzed actor and partner effects.
Results: Patients reported higher illness uncertainty (P< 0.001), whereas co residents reported greater social support (P< 0.001). Social support was positively associated with active coping and negatively associated with passive coping within dyads. Actor effects indicated that illness uncertainty in both patients and co-residents was associated with lower levels of their own social support, which in turn correlated with decreased active coping and increased passive coping (β=0.203 and 0.038, P< 0.05). Partner effects analyses indicated that one member’s uncertainty or social support was associated with the other member’s coping via specific indirect paths.
Conclusion: The findings reveal bidirectional, dyadic interdependence among illness uncertainty, social support, and coping styles in OSA patient–co-resident pairs, with social support appearing as a prominent within individual associative pathway. These results support considering family oriented strategies that aim to strengthen mutual social support to be explored further as a means to promote adaptive coping in this population.
Keywords: obstructive sleep apnea, illness uncertainty, social support, coping styles, actor-partner interdependence model