Relationship communication and the course of psychological outcomes among couples coping with localised prostate cancer.
Relationship communication and the course of psychological outcomes among couples coping with localised prostate cancer.
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DOI：
10.1111/ecc.13401
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发表时间：
2021-07
影响因子：
2.1
通讯作者：
Lee, David
中科院分区：
文献类型：
--
作者：
Manne, Sharon L.;Kashy, Deborah;Myers-Virtue, Shannon;Zaider, Talia;Kissane, David W.;Heckman, Carolyn J.;Kim, Isaac;Penedo, Frank;Lee, David
夫妻如何沟通癌症是诊断为局限性前列腺癌的男性及其配偶心理结果的重要预测因素。我们研究了披露，反应，相互回避和抑制抑郁症状的预测作用，心理调整，癌症特有的痛苦，和癌症的关注。81名前列腺癌患者及其配偶在基线时完成了沟通测量，并在基线、基线后5周、12周和26周完成了四项心理结局测量。二元增长模型测试了随着时间的推移，时间和角色对每个结果的影响。更高的披露和反应预测更好的心理结果。较少的相互回避和退缩预测较差的心理结果。在沟通变量中，沟通较差的人最初的心理结果较差，随着时间的推移而改善，而沟通较好的人最初保持了更积极的地位，没有变化或朝着积极的方向变化。对于所有结果，那些沟通更好的人在六个月时仍然有更好的心理结果。夫妻的癌症特定关系沟通预测他们的心理结果。需要更多的研究来确定有效的干预措施，包括更长的治疗课程，个人沟通培训，或更多地关注解决共享和响应的障碍。
How couples communicate about cancer is an important predictor of psychological outcomes for men diagnosed with localised prostate cancer and their spouses. We examined the predictive role of disclosure, responsiveness, mutual avoidance, and holding back on depressive symptoms, psychological adjustment, cancer-specific distress, and cancer concerns. Eighty-one prostate cancer patients and their spouses completed measures of communication at baseline and measures of four psychological outcomes at baseline, five, 12, and 26 weeks after baseline. Dyadic growth models tested the effects of time and role on each outcome over time. Higher disclosure and responsiveness predicted better psychological outcomes. Less mutual avoidance and holding back predicted poorer psychological outcomes. Across communication variables, individuals who engaged in poorer communication initially had poorer psychological outcomes that improved over time, whereas individuals who engaged in better communication initially maintained their more positive standing without change or changed in the positive direction. For all outcomes, those with better communication still had better psychological outcomes at six months. Couples’ cancer-specific relationship communication predicts their psychological outcomes. More research is needed to identify effective interventions, including a longer therapy course, individual communication training, or greater focus on addressing barriers to sharing and responsiveness.
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