Emotional disclosure and cognitive processing in couples coping with head and neck cancer.
Emotional disclosure and cognitive processing in couples coping with head and neck cancer.
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应对头颈癌的夫妇的情绪表露和认知处理。
DOI：
10.1007/s10865-019-00094-5
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发表时间：
2020-06
影响因子：
3.1
通讯作者：
Badr, Hoda
中科院分区：
文献类型：
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作者：
Bakhshaie, Jafar;Bonnen, Mark;Asper, Joshua;Sandulache, Vlad;Badr, Hoda
头颈癌（HNC）患者和他们的配偶经历沟通问题和高比率的情绪困扰。鼓励情绪表露的基于夫妇的干预措施有望改善这一人群的认知处理和痛苦，但需要更多的研究来研究何时以及对谁来说情绪表露是一种有效的应对策略。在这项观察性研究中，125名HNC患者（83%为男性）及其配偶在实验室中讨论癌症相关问题时被录像。讨论采用特定情感编码系统进行编码。演员-搭档相互依赖模型显示，患者表达负面情绪（即，蔑视，争吵，痛苦）与他/她自己或配偶的认知处理无关（在讨论后立即进行的计算机认知任务中评估癌症和非癌症单词的反应时间）。当配偶表示支持时（例如，兴趣，验证），他们有更好的癌症（效应量r=-0.21）和非癌症相关的认知处理（r=-0.17），但患者没有。然而，当配偶表示蔑视时（例如，蔑视）和争论（例如，批评，盛气凌人），患者有较差的癌症（r= 0.20至0.22）和非癌症相关的认知处理（r= 0.19至0.26）。研究结果表明，情感表达的效价和合作伙伴披露/听单方面鼓励HNC夫妇公开表达情绪作为缓解痛苦的一种手段之前，考虑。
Head and neck cancer (HNC) patients and their spouses experience communication problems and high rates of emotional distress. Couple-based interventions that encourage emotional disclosure hold promise for improving cognitive processing and distress in this population, but more research needs to examine when and for whom emotional disclosure is an effective coping strategy. In this observational study, 125 HNC patients (83% male) and their spouses were videotaped discussing a cancer-related concern in the laboratory. Discussions were coded with the Specific Affect coding system. Actor-Partner Interdependence Models showed that patient expression of negative emotions (i.e., disdain, contentiousness, distress) was not related to his/her own or the spouse’s cognitive processing (assessed as reaction times to cancer and noncancer words on a computerized cognitive task administered immediately following the discussion). When spouses expressed support (e.g., interest, validation), they had better cancer- (effect size r=−.21) and noncancer-related cognitive processing (r= −.17), but patients did not. However, when spouses expressed disdain (e.g., contempt) and contentiousness (e.g., criticism, domineering), patients had poorer cancer- (r=.20 to .22) and noncancer-related cognitive processing (r=.19 to .26). Findings suggest consideration of the valence of affective expression and which partner is disclosing/listening before unilaterally encouraging HNC couples to openly express emotions as a means of alleviating distress.