Cancer Distress Reduction with a Couple-Based Skills Training: A Randomized Controlled Trial
Cancer Distress Reduction with a Couple-Based Skills Training: A Randomized Controlled Trial
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DOI：
10.1007/s12160-011-9314-9
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发表时间：
2012-04-01
影响因子：
3.8
通讯作者：
Baucom, Donald H.
中科院分区：
文献类型：
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作者：
Heinrichs, Nina;Zimmermann, Tanja;Baucom, Donald H.
面对癌症的夫妇很少有干预措施。本研究旨在探讨为这些夫妇提供二元技能的效用。最近被诊断患有乳腺癌或妇科癌症的妇女及其伴侣被随机分配到夫妻技能干预组（肩并肩）或癌症教育组（夫妻控制项目）。在16个月的时间里，对双方进行了四次自我报告评估和行为观察。对72对参与研究的夫妇的数据进行多层次分析表明，接受“肩并肩”治疗的女性对病情恶化的恐惧程度大大降低，与“夫妻控制项目”相比，接受治疗的夫妇在应对癌症时更少回避，创伤后成长更多，关系技巧也更好。所有偏向并排的差异在诊断后16个月消失。在疾病的急性医学治疗期间，通过加强夫妻的二元技能，可以改善功能的短期变化。
There are few interventions for couples facing cancer.This study aims to investigate the utility of providing dyadic skills to these couples.Woman recently diagnosed with breast or gynecological cancer and their partners were randomly assigned to either a couple-skills intervention (Side by Side) or to cancer education (Couples Control Program). Assessments with self-report and behavioral observation of both partners were conducted four times over 16 months.Multilevel analyses of data from 72 participating couples suggest that females receiving Side by Side showed larger reductions in fear of progression, and couples reported less avoidance in dealing with the cancer, more posttraumatic growth, and better relationship skills relative to the Couples Control Program. All differences favoring Side by Side disappeared by 16 months after the diagnosis.Short-term changes in functioning may be improved by enhancing couples' dyadic skills during acute medical treatment of the disease.