Intimacy-enhancing psychological intervention for men diagnosed with prostate cancer and their partners: a pilot study.
Intimacy-enhancing psychological intervention for men diagnosed with prostate cancer and their partners: a pilot study.
复制标题
对被诊断患有前列腺癌及其伴侣的男性增强亲密的心理干预：一项试点研究。
DOI：
10.1111/j.1743-6109.2010.02163.x
复制
发表时间：
2011-04
期刊：
影响因子：
--
通讯作者：
Zaider T
中科院分区：
文献类型：
--
作者：
Manne SL;Kissane DW;Nelson CJ;Mulhall JP;Winkel G;Zaider T
很少有以夫妻为中心的干预措施被开发出来，以改善诊断为局限性前列腺癌的男性及其伴侣的痛苦和关系结果。我们研究了五次亲密增强疗法（IET）与常规护理（UC）对诊断为局限性前列腺癌的男性及其伴侣的心理和关系功能的影响。干预前的心理和关系功能水平被评估为干预效果的调节因子。71名幸存者及其伴侣完成了基线调查，随后被随机分配接受5次IET或常规护理（无治疗）。基线评估八周后，对幸存者及其伴侣进行随访调查。以痛苦、幸福感、关系满意度、关系亲密度和沟通为主要调查结果。IET效应在很大程度上被干预前的社会心理和关系因素所缓和。那些在治疗前对癌症的担忧程度较高的幸存者在接受IET治疗后对癌症的担忧显著降低。在干预前水平，IET对自我表露、感知伴侣表露和感知伴侣反应的影响也有类似的调节作用。在开始干预时患有较高癌症特异性痛苦、较低的婚姻满意度、较低的亲密关系和较差的沟通的伴侣中，IET改善了这些结果。IET对幸存者的幸福感有轻微显著的主要影响，但对个人和关系资源较少的夫妇有效。后续的研究需要在更大的样本和更长时间的随访中重复这些发现。
Few couple-focused interventions have been developed to improve distress and relationship outcomes among men diagnosed with localized prostate cancer and their partners. We examined the effects of a five session Intimacy-Enhancing Therapy (IET) versus Usual Care (UC) on the psychological and relationship functioning of men diagnosed with localized prostate cancer and their partners. Pre-intervention levels of psychological and relationship functioning were evaluated as moderators of intervention effects. Seventy one survivors and their partners completed a baseline survey and were subsequently randomly assigned to receive five sessions of IET or Usual Care (no treatment). Eight weeks after the baseline assessment, a follow-up survey was administered to survivor and partner. Distress, well-being, relationship satisfaction, relationship intimacy, and communication were investigated as the main outcomes.. IET effects were largely moderated by pre-intervention psychosocial and relationship factors. Those survivors who had higher levels of cancer concerns at pre-treatment had significantly reduced concerns following IET. Similar moderating effects for pre-intervention levels were reported for the effects of IET on self-disclosure, perceived partner disclosure, and perceived partner responsiveness. Among partners beginning the intervention with higher cancer-specific distress, lower marital satisfaction, lower intimacy, and poorer communication, IET improved these outcomes. IET had a marginally significant main effect upon survivor well-being but was effective among couples with fewer personal and relationship resources. Subsequent research is needed to replicate these findings with a larger sample and a longer follow-up.
登录
查看更多内容
影响因子：
4.2
作者：
Manne, Sharon;Ostroff, Jamie S.;Winkel, Gary
通讯作者：
Winkel, Gary
影响因子：
5.7
作者：
Bokhour, BG;Clark, JA;Talcott, JA
通讯作者：
Talcott, JA
影响因子：
1.7
作者：
Lepore, SJ;Helgeson, VS
通讯作者：
Helgeson, VS
影响因子：
2.7
作者：
Manne, S;Ostroff, J;Grana, G
通讯作者：
Grana, G
影响因子：
6.2
作者：
Canada, AL;Neese, LE;Schover, LR
通讯作者：
Schover, LR