Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer.
Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer.
复制标题
关系维持对应对肺癌的夫妇的心理困扰和二元调整的影响。
DOI：
10.1037/0278-6133.27.5.616
复制
发表时间：
2008-09
影响因子：
4.2
通讯作者：
Taylor, Cindy L. Carmack
中科院分区：
文献类型：
--
作者：
Badr, Hoda;Taylor, Cindy L. Carmack
关系维护策略有助于确保有价值的关系的延续，使它们保持在一定的亲密程度。我们评估了肺癌患者及其配偶维持关系的努力如何随着时间的推移影响他们的心理和婚姻适应。对158名肺癌患者及其配偶在肺癌治疗开始后1个月内（基线）以及3个月和6个月后进行心理社会问卷调查。研究结果为简明症状量表的总体严重程度指数评分和双元适应量表的总分。使用演员-伙伴相互依赖模型进行的多层次建模分析表明，无论性别或社会角色（即，患者或配偶），参与积极性，网络和共享任务的策略的个体在基线时比其他受试者报告更少的痛苦。随着时间的推移，提供更多的保证和经历伴侣对社交网络的依赖增加的影响有所不同：患者的痛苦加剧，配偶的痛苦减轻。夫妻双方从事更频繁的维护行为报告更大的二元调整在基线和随着时间的推移。对于应对肺癌的夫妇来说，最初的治疗期可能是一个重要的时间，为未来的配偶互动定下基调。在这段紧张的时间里保持关系可能有助于塑造更有弹性的关系，并随着疾病的进展而促进调整。
Relationship maintenance strategies help to ensure the continuation of valued relationships by keeping them at a certain level of intimacy. We evaluated how lung cancer patients’ and spouses’ efforts to maintain their relationships affected their psychological and marital adjustment over time. Psychosocial questionnaires were administered within 1 month of lung cancer treatment initiation (baseline) and 3 and 6 months later to 158 lung cancer patients and their spouses. Study outcomes were global severity index scores on the Brief Symptom Inventory, and total scores on the Dyadic Adjustment Scale. Multilevel modeling analyses using the Actor-Partner Intedependence Model showed that, regardless of gender or social role (i.e., patient or spouse), individuals who engaged in the strategies of positivity, networks, and shared tasks reported less distress at baseline than other subjects. Over time, the effects of providing more assurances and experiencing a partner’s increased reliance on social networks differed: patient distress was exacerbated, and spouse distress was alleviated. Couples where both partners engaged in more frequent maintenance behaviors reported greater dyadic adjustment at baseline and over time. For couples coping with lung cancer, the initial treatment period may be an important time that sets the tone for future spousal interactions. Engaging in relationship maintenance during this stressful time may help mold more resilient relationships and facilitate adjustment as the disease progresses.
登录
查看更多内容
影响因子：
8.2
作者：
Brown, SL;Nesse, RM;Smith, DM
通讯作者：
Smith, DM
影响因子：
2.2
作者：
JACOBSON, NS;SCHMALING, KB;HOLTZWORTHMUNROE, A
通讯作者：
HOLTZWORTHMUNROE, A
影响因子：
5.4
作者：
Hodges, LJ;Humphris, GM;Macfarlane, G
通讯作者：
Macfarlane, G
影响因子：
3.1
作者：
Banthia, R;Malcarne, VL;Greenbergs, HL
通讯作者：
Greenbergs, HL
影响因子：
3.6
作者：
Badr, Hoda;Taylor, Cindy L. Carmack
通讯作者：
Taylor, Cindy L. Carmack