Partner-assisted emotional disclosure for patients with gastrointestinal cancer: results from a randomized controlled trial.
Partner-assisted emotional disclosure for patients with gastrointestinal cancer: results from a randomized controlled trial.
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DOI：
10.1002/cncr.24578
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发表时间：
2009-09-15
期刊：
影响因子：
6.2
通讯作者：
Kim, Hong Jin
中科院分区：
文献类型：
--
作者：
Porter, Laura S.;Keefe, Francis J.;Baucom, Donald H.;Hurwitz, Herbert;Moser, Barry;Patterson, Emily;Kim, Hong Jin
对于已婚或有亲密关系的癌症患者来说，他们与伴侣的关系在他们适应疾病方面起着关键作用。然而，癌症患者和他们的伴侣往往很难相互谈论他们与癌症有关的担忧。沟通上的困难可能最终会损害病人与伴侣的关系和病人的心理适应。本研究测试了一种新型的伴侣辅助情绪披露干预在胃肠道（GI）癌症患者样本中的疗效。130名GI癌症患者及其伴侣被随机分配接受四次伴侣协助的情感披露或夫妇癌症教育/支持干预。患者和伴侣在随机分组前和干预结束时完成了关系质量、与伴侣的亲密度和心理困扰的测量。采用多水平模型对数据进行分析。与教育/支持条件相比，合作伙伴辅助的情感披露条件导致夫妻关系质量和亲密度的改善，其中患者最初报告了更高水平的讨论癌症相关问题。伴侣协助的情绪表露是一种新颖的干预措施，它建立在私人情绪表露和认知行为婚姻文献的基础上。这项研究的结果表明，这种干预可能是有益的夫妇中的病人往往从讨论的问题。未来的研究方法，以提高合作伙伴的辅助情绪披露的影响是必要的。
For patients with cancer who are married or in an intimate relationship, their relationships with their partners play a critical role in their adaptation to their illness. However, cancer patients and their partners often have difficulty in talking with each other about their cancer-related concerns. Difficulties in communication may ultimately compromise both the patient-partner relationship and the patient's psychological adjustment. The present study tested the efficacy of a novel partner-assisted emotional disclosure intervention in a sample of patients with gastrointestinal (GI) cancer. 130 patients with GI cancer and their partners were randomly assigned to receive four sessions of either partner-assisted emotional disclosure or a couples cancer education/support intervention. Patients and partners completed measures of relationship quality, intimacy with their partner, and psychological distress before randomization and at the end of the intervention sessions. Data were analyzed using multilevel modeling. Compared to an education/support condition, the partner-assisted emotional disclosure condition led to improvements in relationship quality and intimacy for couples in which the patient initially reported higher levels of holding back from discussing cancer-related concerns. Partner-assisted emotional disclosure is a novel intervention that builds on both the private emotional disclosure and the cognitive-behavioral marital literature. The results of this study suggest that this intervention may be beneficial for couples in which the patient tends to hold back from discussing concerns. Future research on methods of enhancing the effects of partner-assisted emotional disclosure is warranted.
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