The effects of dyadic strength and coping styles on psychological distress in couples faced with prostate cancer
The effects of dyadic strength and coping styles on psychological distress in couples faced with prostate cancer
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DOI：
10.1023/a:1021743005541
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发表时间：
2003-02-01
影响因子：
3.1
通讯作者：
Greenbergs, HL
中科院分区：
文献类型：
--
作者：
Banthia, R;Malcarne, VL;Greenbergs, HL
研究表明，二元调整和应对方式可以预测癌症诊断后的心理困扰水平。本研究探讨了夫妻面对前列腺癌的应对和痛苦之间的关系，考虑二元功能作为第三个变量，可能缓和或介导的关系。为了探讨其对患者和配偶的应对努力的成功的影响，温和和中介模型进行了测试，使用夫妇的复合二元调整分数。只有调节模型支持的病人：二元强度调节的回避应对和侵入性思维的情绪障碍的影响。尽管适应不良的应对，患者的成员更强大的二分体报告较少的痛苦比那些更不正常的关系。研究结果表明，应对和痛苦之间的关系取决于质量的二元功能。作为一个强大的二元体的一部分，可能会作为一个缓冲因素，这意味着需要心理社会干预的夫妇在不适应的关系。
Dyadic adjustment and coping styles have been shown to predict levels of psychological distress following cancer diagnoses. This study examined the relationship between coping and distress in couples faced with prostate cancer, considering dyadic functioning as a third variable that potentially moderated or mediated the relationship. To investigate its influence on the success of patients' and spouses' coping efforts, both moderational and mediational models were tested using couples' composite dyadic adjustment scores. Only the moderational model was supported for patients: dyadic strength moderated the effects of avoidant coping and intrusive thinking on mood disturbance. Despite maladaptive coping, patients that were members of stronger dyads reported less distress than those in more dysfunctional relationships. Findings suggest that the relationship between coping and distress depends on the quality of dyadic functioning. Being part of a strong dyad may serve as a buffering factor, implying the need for psychosocial intervention for couples in maladjusted relationships.