The Roles of Dyadic Appraisal and Coping in Couples With Lung Cancer.
The Roles of Dyadic Appraisal and Coping in Couples With Lung Cancer.
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DOI：
10.1177/1074840716675976
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发表时间：
2016-11
影响因子：
3.1
通讯作者：
McCarthy MJ
中科院分区：
文献类型：
--
作者：
Lyons KS;Miller LM;McCarthy MJ
鉴于肺癌的高症状负担和低存活率，患者和他们的配偶被发现经历了更糟糕的心理健康。本研究探讨了二元评估和二元应对对78对非小细胞肺癌患者夫妇心理健康的影响。多水平模型显示，平均而言，配偶的心理健康状况比患者差得多。二元性评价和二元性应对在预测心理健康、控制已知的发展和背景变量方面发挥了重要作用。对患者疼痛和疲劳的二元评估与配偶的心理健康显著相关，尽管方向相反。二元应对显著预测患者的心理健康。这项研究强调了将患者和配偶的心理健康例行筛查纳入其中的必要性，并强调了在危及生命的情况下，评估在夫妇内部的复杂作用。
Given the high symptom burden and low survivability of lung cancer, patients and their spouses have been found to experience worse mental health. The current study examined the roles of dyadic appraisal and dyadic coping on the mental health of 78 couples living with non-small cell lung cancer. Multilevel modeling revealed that spouses, on average, reported significantly worse mental health than patients. Dyadic appraisal and dyadic coping played important roles in predicting mental health, controlling for known developmental and contextual covariates. Dyadic appraisal of the patient’s pain and fatigue was significantly associated with spouse mental health, albeit in opposite directions. Dyadic coping significantly predicted patient mental health. The study underlines the need to incorporate routine screening of both patient and spouse mental health and highlights the complex role of appraisal within the couple in a life-threatening context.