Marital status, marital satisfaction, and support processes among women at high risk for breast cancer
Marital status, marital satisfaction, and support processes among women at high risk for breast cancer
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DOI：
10.1037/0893-3200.13.4.629
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发表时间：
1999-12-01
影响因子：
2.7
通讯作者：
Anderson, KK
中科院分区：
文献类型：
--
作者：
Coyne, JC;Anderson, KK
本研究探讨了预期进行基因检测的乳腺癌和卵巢癌高危女性的婚姻状况、社会支持过程和心理困扰。除了实质性的发现，它提出了一种使用无意义编码的方法（J.Cohen & P.Cohen，1983），将未婚人士纳入回归分析，研究婚姻支持的重要性。这些妇女动员了大量的社会支持。已婚和未婚女性在痛苦方面没有差异，但女性必须拥有比平均水平更令人满意的婚姻才能与未婚女性相当。对于已婚妇女来说，丈夫比女性亲属更参与决策，更有影响力，即使是在痛苦的婚姻中。来自亲密关系，特别是配偶的消极态度，对这些妇女的幸福感的影响比积极参与的影响更大。作者的研究结果表明，咨询和教育计划需要适应丈夫在决定乳腺癌风险基因检测方面的关键作用。
This study explored marital status, social support processes, and psychological distress among women at high risk for breast and ovarian cancer who were anticipating genetic testing. In addition to substantive findings, it presents a means of using nonsense coding (J. Cohen & P. Cohen, 1983) to include unmarried persons in regression analyses examining the importance of marital support. These women had mobilized high levels of social support. Married and unmarried women did not differ in distress, but women had to have more satisfying marriages than average to be equivalent to unmarried women. For the married women, husbands were more involved and more influential in decision making than female relatives, even in distressed marriages. Negativity from close relationships, particularly the spouse, had more influence on these women's well-being than did positive involvement. The authors' findings suggest that counseling and education programs need to accommodate the key role that husbands have in decision making concerning genetic testing for risk of breast cancer.