Social constraints and fear of recurrence in couples coping with early stage breast cancer.
Social constraints and fear of recurrence in couples coping with early stage breast cancer.
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DOI：
10.1037/hea0000649
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Laurenceau JP
中科院分区：
文献类型：
--
作者：
Soriano EC;Pasipanodya EC;LoSavio ST;Otto AK;Perndorfer C;Siegel SD;Laurenceau JP
对癌症复发的恐惧（FCR）是乳腺癌（BC）幸存者及其配偶最关心的问题。FCR往往发生在人际关系的背景下，但很少有研究的关系过程，可能会影响FCR的患者和配偶。据推测，由于感知到伴侣不感兴趣或回避（称为社会约束）而抑制癌症相关担忧，想法和感受的披露将预测BC患者及其配偶在全球范围内和日常生活中的FCR更大。两项研究，一个横截面（N = 46对夫妇）和一个每日日记（21天; N = 72对夫妇），进行了检查社会约束和FCR在早期BC患者和他们的配偶之间的人与人之间的关联。在BC手术后约六个月进行评估。在横截面水平上，控制焦虑症状、关系质量、患者年龄、身体损伤和BC分期，全球社会约束预测患者和配偶的全球FCR更大。在人的水平，结果表明，在更多的社会约束的日子里，双方合作伙伴更有可能报告更大的FCR，控制瞬间的负面影响和关系质量。本研究是第一个研究社会约束和FCR之间的人内关联。这些研究结果表明，关系的过程，特别是抑制披露，可以独特地影响BC患者和他们的配偶的FCR的经验，指出未来的研究和可能的干预发展的一个重要考虑因素。
Fear of cancer recurrence (FCR) is a top concern of breast cancer (BC) survivors and their spouses. FCR often occurs within an interpersonal context, yet there has been little research on relationship processes that may influence FCR in patients and spouses. It was hypothesized that the inhibition of disclosure of cancer-related concerns, thoughts, and feelings because of perceived partner disinterest or avoidance (termed social constraints) would predict greater FCR in BC patients and their spouses both globally and in the context of everyday life. Two studies, one cross-sectional (N = 46 couples) and one daily diary (21 days; N = 72 couples), were conducted to examine the between-person and within-person associations between social constraints and FCR in early-stage BC patients and their spouses. Assessments were conducted about six months after BC surgery. Global social constraints predicted greater global FCR in patients and spouses at the cross-sectional level, controlling for anxiety symptoms, relationship quality, and patient age, physical impairment, and BC stage. At the within-person level, results indicated that on days when more social constraints were reported, both partners were more likely to report greater FCR, controlling for momentary negative affect and relationship quality. This study is the first to examine the within-person association between social constraints and FCR. These findings suggest relationship processes, particularly inhibition of disclosure, can uniquely influence the experience of FCR for both BC patients and their spouses, pointing to an important consideration for future research and possible intervention development.
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DOI：
10.2307/351302
发表时间：
1983-01-01
期刊：
JOURNAL OF MARRIAGE AND THE FAMILY
影响因子：
--
作者：
NORTON, R
通讯作者：
NORTON, R
影响因子：
3.4
作者：
Atkins, David C.;Baldwin, Scott A.;Neighbors, Clayton
通讯作者：
Neighbors, Clayton
影响因子：
4.2
作者：
McGinty, Heather L.;Small, Brent J.;Jacobsen, Paul B.
通讯作者：
Jacobsen, Paul B.
影响因子：
3.6
作者：
Cohee AA;Adams RN;Johns SA;Von Ah D;Zoppi K;Fife B;Monahan PO;Stump T;Cella D;Champion VL
通讯作者：
Champion VL
DOI：
10.1037/fam0000042
发表时间：
2015-02
期刊：
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)
影响因子：
--
作者：
Otto AK;Laurenceau JP;Siegel SD;Belcher AJ
通讯作者：
Belcher AJ