Buffering effects of family and friend support on associations between partner unsupportive behaviors and coping among women with breast cancer
Buffering effects of family and friend support on associations between partner unsupportive behaviors and coping among women with breast cancer
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DOI：
10.1177/0265407503206004
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发表时间：
2003-12-01
影响因子：
2.8
通讯作者：
Fox, K
中科院分区：
文献类型：
--
作者：
Manne, S;Ostroff, J;Fox, K
这项研究考察了家庭和朋友支持在调节女性乳腺癌患者的伴侣不支持行为与回避、应对和应对效能之间的关系中所起的作用。本研究还评估了伴侣不支持行为是否通过患者回避应对和应对效能对患者痛苦产生间接影响。140名最近被诊断患有乳腺癌的已婚或同居女性参与了研究。结构方程分析结果支持家庭和朋友支持在伴侣不支持行为与应对效能之间的关系中起到调节作用。在家人和朋友高度支持的女性中，伴侣不支持行为与患者回避和应对效能评估没有显著关联。在家人和朋友的支持程度较低的女性中，伴侣不支持的行为与更多的回避和更差的应对效率评估密切相关。然而，关于伴侣不支持行为通过回避和应对效能对患者痛苦的间接影响的研究结果并不一致。这些发现强调了测试缓和的社会支持模式的重要性。
This study examined the role of family and friend support in moderating the association between partner unsupportive behaviors and avoidance coping and coping efficacy experienced by women with breast cancer. This study also evaluated whether partner unsupportive behaviors had an indirect effect on patient distress via patient avoidance coping and coping efficacy. One hundred and forty women with recently diagnosed breast cancer who were either married or in cohabiting relationships participated. Results of structural equation analyses supported a moderational role for family and friend support on the association between partner unsupportive behaviors and coping efficacy. Among women who had high support from family and friends, partner unsupportive behaviors were not significantly associated with patient avoidance and coping efficacy appraisals. Among women who had low support from family and friends, partner unsupportive behaviors were strongly associated with greater avoidance and poorer estimates of coping efficacy. However, findings regarding the indirect effects of partner unsupportive behavior on patient distress via avoidance and coping efficacy were inconsistent. The findings underscore the importance of testing moderated models of social support.