Depression in husbands of breast cancer patients: relationships to coping and social support
Depression in husbands of breast cancer patients: relationships to coping and social support
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DOI：
10.1007/s00520-010-0835-8
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发表时间：
2011-04-01
影响因子：
3.1
通讯作者：
Miller, Kathy D.
中科院分区：
文献类型：
--
作者：
Bigatti, Silvia M.;Wagner, Christina D.;Miller, Kathy D.
本研究的目的是检查患有乳腺癌的妇女的丈夫的抑郁症，因为抑郁症通常在丈夫和患者中一样高，并且影响两者的功能。我们用流行病学研究中心抑郁量表比较了患者的丈夫和没有慢性疾病的妇女的丈夫的抑郁症状，用人际支持评估列表比较了社会支持，和应对方式问卷。使用压力和应对模式，我们研究了是否应对介导的社会支持和抑郁症不同的组，已经发现在literature.Husbands患者报告较高的分数抑郁症的措施和较低的使用问题为中心的应对，而组报告相等的社会支持。逃避-回避应对在患者丈夫的社会支持与抑郁之间起完全中介作用，而在对照组丈夫中仅起部分中介作用。在两组中，接受责任应对部分介导了社会支持和抑郁。低社会支持对患者的丈夫尤其有害，因为它与无效应对和抑郁有关。研究结果表明，在患者的丈夫中，社会支持仅通过其与应对的关系与抑郁相关，这表明医疗保健提供者应直接关注和干预低社会支持的丈夫所采用的应对策略。
The purpose of the present study was to examine depression in husbands of women with breast cancer, as depression is typically as high in husbands as in patients, and impacts functioning in both.We compared husbands of patients to husbands of women without chronic illness on depressive symptoms with the Center for Epidemiological Studies Depression Scale, social support with the Interpersonal Support Evaluation List, and coping with the Ways of Coping Questionnaire. Using the stress and coping model, we examined whether coping mediated social support and depression differently by group, as has been found in the literature.Husbands of patients reported higher scores on the measure of depression and lower use of problem-focused coping, while groups reported equivalent social support. Escape-avoidance coping emerged as a full mediator between social support and depression in husbands of patients, but only a partial mediator in comparison husbands. Accepting responsibility coping partially mediated social support and depression in both groups. Low social support appears particularly detrimental in husbands of patients as it is associated with ineffective coping and depression.Findings suggest that among husbands of patients, social support relates to depression only through its relationship with coping, indicating healthcare providers should direct attention and intervention to the coping strategies employed by husbands with low social support.