Everyday protective buffering predicts intimacy and fear of cancer recurrence in couples coping with early-stage breast cancer.
Everyday protective buffering predicts intimacy and fear of cancer recurrence in couples coping with early-stage breast cancer.
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DOI：
10.1002/pon.4942
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发表时间：
2019-03
期刊：
影响因子：
3.6
通讯作者：
Laurenceau JP
中科院分区：
文献类型：
--
作者：
Perndorfer C;Soriano EC;Siegel SD;Laurenceau JP
患者和配偶/伴侣的相互自我披露是癌症后过渡到生活时保持亲密和认知处理的核心。保护性缓冲抑制自我表露，被定义为通过隐藏或否认与癌症有关的担忧来保护伴侣免受不安和负担的努力。亲密和癌症复发的恐惧（FCR）是癌症后个人和夫妇适应的重要决定因素。保护性缓冲和亲密之间的联系尚未在日常生活中进行研究，与FCR的联系也没有研究。我们假设，保护性缓冲与日常的亲密度降低和FCR增加有关。69名早期乳腺癌（BC）幸存者及其配偶在辅助治疗结束时连续21天完成电子日记。患者和配偶报告了每日保护性缓冲、亲密度和FCR。二进多水平路径模型被用来估计人内效应。患者和配偶的保护缓冲自己以及一个人的合作伙伴的同一天的亲密度和FCR进行了检查，控制以前的亲密度和FCR水平。保护性缓冲与当天报告缓冲的个体的亲密度降低和FCR增加相关。患者和配偶的保护性缓冲也与当天她/他的伴侣的亲密度下降有关。此外，患者保护缓冲预测增加配偶FCR的同一天。研究结果支持每天，缓冲，亲密，和FCR之间的联系，表明公开披露癌症相关的问题可能是一个相关的目标，为适应BC的干预措施。
Patient and spouse/partner mutual self-disclosure is central for maintaining intimacy and cognitive processing when transitioning to life after cancer. Protective buffering inhibits self-disclosure and is defined as efforts to protect one’s partner from upset and burden by hiding or denying cancer-related concerns. Intimacy and fear of cancer recurrence (FCR) are important determinants of individual and couple adaptation following cancer. Links between protective buffering and intimacy have not been examined in the context of daily life and links with FCR have not been studied. We hypothesized that protective buffering is associated with decreased intimacy and increased FCR at a daily, within-person level. Sixty-nine early-stage breast cancer (BC) survivors and their spouses completed electronic diaries for 21 consecutive days at the end of adjuvant treatment. Patients and spouses reported on daily protective buffering, intimacy, and FCR. Dyadic multilevel path modeling was used to estimate within-person effects. Patient and spouse protective buffering on one’s own as well as one’s partner’s same-day intimacy and FCR were examined, controlling for previous levels of intimacy and FCR. Protective buffering was associated with decreased intimacy and increased FCR for the individual reporting buffering that same day. Patient and spouse protective buffering was also linked to decreased intimacy for her/his partner that same day. Moreover, patient protective buffering predicted increased spouse FCR that same day. Findings supported a daily, within-person link between buffering, intimacy, and FCR, suggesting open disclosure of cancer-related concerns may be a relevant target for interventions for adaptation to BC.
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3.1
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