Cancer Survivorship : Embracing the Future Supplement to Cancer Intimacy and Relationship Processes in Couples ’ Psychosocial Adaptation to Cancer
Cancer Survivorship : Embracing the Future Supplement to Cancer Intimacy and Relationship Processes in Couples ’ Psychosocial Adaptation to Cancer
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发表时间：
2008
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通讯作者：
S. Manne;H. Badr
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作者：
S. Manne;H. Badr
2德克萨斯大学行为科学系M. D.安德森癌症中心，休斯敦，得克萨斯州。作者强调了从关系的角度看待癌症的重要性。这种观点不仅认为婚姻关系是个体伴侣利用的资源，而且还强调了将注意力集中在关系上并参与旨在维持和/或加强关系的沟通行为的重要性。基于现有的概念化，对夫妻和癌症的经验研究，以及作者对文献的看法，他们制定了夫妻对癌症的心理社会适应的关系亲密度模型，作为建立研究人员和临床医生在这一领域工作的框架的第一步。该模型提出，患者和他们的合作伙伴从事的行为，要么促进或破坏他们的关系的亲密程度，婚姻关系的亲密程度是一个重要的决定因素，患者和合作伙伴的心理适应癌症。来自一对夫妇对乳腺癌患者及其伴侣进行亲密增强干预的初步数据支持了这一模型。在同意参与干预并完成干预前调查的25对夫妇中，15对夫妇完成了所有5次会议，12对夫妇完成了随访调查。目前的结果表明，干预改善了患者和伴侣对他们关系亲密程度的看法，并减少了他们的痛苦。作者还讨论了关系亲密度模型的局限性，以及未来关于夫妇对癌症的心理社会适应的经验和临床研究的方向。Cancer 2008; 112（11 suppl）：2541 - 55. 2008美国癌症协会
2 Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas. The authors highlighted the importance of viewing cancer from a relationship perspective. This perspective not only considers the marital relationship as a resource that individual partners draw upon but also highlights the importance of focusing attention onto the relationship and engaging in communication behaviors aimed at sustaining and/or enhancing the relationship during stressful times. On the basis of existing conceptualizations, empiric research on couples and cancer, and the authors’ perspective on the literature, they formulated the relationship intimacy model of couples’ psychosocial adaptation to cancer as a first step toward building a framework for researchers and clinicians to inform their work in this area. The model proposes that patients and their partners engage in behaviors that either promote or undermine the level of closeness in their relationship and that the closeness of the marital relationship is an important determinant of patient and partner psychologic adaptation to cancer. Preliminary data from a couples’ intimacy-enhancing intervention for breast cancer patients and their partners supported the model. Of the 25 couples who consented to participate in the intervention and completed the preintervention surveys, 15 couples completed all 5 sessions, and 12 couples completed the follow-up survey. The current results suggested that the intervention improved patient and partner perceptions of the closeness of their relationship and reduced their distress. The authors also discuss limitations of the relationship intimacy model as well as future directions for empiric and clinical research on couples’ psychosocial adaptation to cancer. Cancer 2008;112(11 suppl):2541–55. 2008 American Cancer Society.