A longitudinal analysis of intimacy processes and psychological distress among couples coping with head and neck or lung cancers.
A longitudinal analysis of intimacy processes and psychological distress among couples coping with head and neck or lung cancers.
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DOI：
10.1007/s10865-011-9349-1
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发表时间：
2012-06
影响因子：
3.1
通讯作者：
Kashy, Deborah A.
中科院分区：
文献类型：
--
作者：
Manne, Sharon;Badr, Hoda;Kashy, Deborah A.
被诊断患有肺癌和头颈癌（HN）的个人及其配偶患上抑郁症的风险增加。这项研究评估了夫妻之间关于癌症的沟通方式以及他们对关系亲密度的看法是否会影响双方的调整。139名患者及其配偶[为了清楚起见，我们将患者的亲密伴侣称为配偶，而不管实际婚姻状况如何，我们保留伴侣一词来指代夫妇中的另一人（即，患者的伴侣是配偶，配偶的伴侣是患者）]在6个月内的三个时间点完成配偶沟通、亲密和痛苦的测量。使用多层次建模，随着时间的推移演员合作伙伴的相互依存模型，研究是否亲密度介导的协会之间的一个自己的和一个人的合作伙伴的报告，在基线和后来的痛苦。患者和配偶谁报告更大的基线痛苦报告更多的负面基线沟通，以及较低的亲密度和更大的痛苦随着时间的推移。中介分析显示，患者和配偶对积极的配偶沟通的报告与随后的痛苦减少有关，主要是通过他们对亲密关系的影响。与头颈癌或肺癌患者一起工作的临床医生应该评估沟通和亲密度，因为这两者都会影响夫妻的痛苦。
Individuals diagnosed with lung and head and neck (HN) cancers and their spouses are at increased risk for distress. This study assessed whether the way couples communicate about cancer and their perceptions of relationship intimacy influenced both partners' adjustment. One-hundred thirty-nine patients and their spouses [For purposes of clarity, we refer to the patients' intimate partner as the spouse, regardless of actual marital status and we reserve the term partner to refer to the other person in the couple (i.e., the patient's partner is the spouse and the spouse's partner is the patient)] completed measures of spousal communication, intimacy, and distress at three time points over 6 months. Using multilevel modeling, an over-time actor-partner interdependence model was specified that examined whether intimacy mediated associations between one's own and one's partner's reports of communication at baseline and later distress. Patients and spouses who reported greater baseline distress reported more negative baseline communication as well as lower levels of intimacy and greater distress over time. Mediation analyses showed patients' and spouses' reports of positive spousal communication were associated with less subsequent distress largely through their effects on intimacy. Clinicians working with head and neck or lung cancer patients should assess communication and intimacy because both impact couples' distress.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
关系维持对应对肺癌的夫妇的心理困扰和二元调整的影响。
影响因子：
4.2
作者：
Badr, Hoda;Taylor, Cindy L. Carmack
通讯作者：
Taylor, Cindy L. Carmack
影响因子：
3.6
作者：
Kagawa-Singer, M;Wellisch, DK
通讯作者：
Wellisch, DK
影响因子：
3.1
作者：
Banthia, R;Malcarne, VL;Greenbergs, HL
通讯作者：
Greenbergs, HL
DOI：
10.2307/352080
发表时间：
1985-01-01
期刊：
JOURNAL OF MARRIAGE AND THE FAMILY
影响因子：
--
作者：
CLEEK, MG;PEARSON, TA
通讯作者：
PEARSON, TA