Psychological distress among male patients and male spouses: what do oncologists need to know?
Psychological distress among male patients and male spouses: what do oncologists need to know?
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DOI：
10.1093/annonc/mdp398
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发表时间：
2010-04-01
影响因子：
50.5
通讯作者：
Baider, L.
中科院分区：
文献类型：
--
作者：
Goldzweig, G.;Andritsch, E.;Baider, L.
背景资料：本研究的目的是加强知识的肿瘤学家关于已婚和未婚男性癌症患者和健康的男性配偶的女性cancerpatients.Patients和方法的心理困扰和社会支持：三组男性被招募从三个主要的癌症中心在以色列：185例已婚结肠癌和直肠癌患者，54例单身（未婚）结肠癌和直肠癌患者，153例女性癌症患者的男性配偶。参与者进行了评估，四个标准化的工具测量心理困扰，应对和社会supports.Results：约42.6%的参与者报告的临床水平的心理困扰，最高的比率（61.1%）之间的单身（未婚）患者。在所有研究组中，苦恼与Karnofsky评分和应对变量呈负相关。配偶和已婚患者的苦恼与社会支持变量呈显著负相关，而单身患者组的苦恼与社会支持变量无显著相关。结论：男性癌症患者从朋友和家人获得的社会支持可能通过配偶支持来介导。因此，单身男性患者心理困扰的风险更高。男性配偶也被发现有很高的痛苦率。这两个群体需要肿瘤学家的特别关注。
Background: The aim of the current study was to strengthen the knowledge of oncologists concerning psychological distress and social support among married and unmarried male cancer patients and healthy male spouses of female cancer patients.Patients and methods: Three groups of men were recruited from three major cancer centers in Israel: 185 married colon and rectal cancer patients, 54 single (unmarried) colon and rectal cancer patients, and 153 male spouses of female cancer patients. Participants were evaluated on four standardized instruments measuring psychological distress, coping, and social support.Results: About 42.6% of the participants reported on a clinical level of psychological distress, with the highest rates (61.1%) among the single (unmarried) patients. Distress was negatively correlated to Karnofsky score and coping variables among all study groups. Distress was significantly and negatively correlated to social support variables among the spouses and married patients but not among the single patient groups.Conclusions: Social support received by male cancer patients from friends and family may be mediated by spouse support. As a result, single male patients are at higher risk for psychological distress. Male spouses were also found to have high rates of distress. These two groups need special attention by oncologists.