Psychological distress in spouses of men treated for early-stage prostate carcinoma

Psychological distress in spouses of men treated for early-stage prostate carcinoma
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DOI：
10.1002/cncr.21092
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发表时间：
2005-06-01
期刊：
CANCER
影响因子：
6.2
通讯作者：
Helgeson, VS
Helgeson, VS
中科院分区：
医学1区
文献类型：
--
作者：
Eton, DT;Lepore, SJ;Helgeson, VS

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背景资料。作者调查了接受早期前列腺癌(PCA)治疗的男性妻子的心理痛苦水平和预测因素。方法：对前列腺癌患者(N=165)及其配偶进行访谈，以评估一般痛苦和癌症特有的痛苦。配偶的社会和个人因素以及患者的临床特征和生活质量被评估为配偶痛苦的潜在预测因素。结果：配偶报告的癌症特异性痛苦比患者更多(P&lt；0.001)，但与一般痛苦的患者没有区别。报告配偶的几个因素预测配偶更痛苦，包括较少的教育(P&lt；0.005)，较差的婚姻质量和较少的社会支持(P&lt；0.005)，较多的与患者的负面社交(P&lt；0.001)，较低的自尊(P&lt；0.001)，较不积极的应对(P&lt；0.005)，寻找意义(P&lt；0.001)，找不到意义(P&lt；0.005)，以及更大的疾病不确定性(P&lt；0.001)。患者的肠功能和心理健康状况也预示着更大的配偶痛苦(Ps&lt；0.005)。结论：研究结果表明，早期前列腺癌患者配偶的总体痛苦是适度的，而且更有可能是心理社会因素而不是医学因素预测的。(C)2005年美国癌症协会。
BACKGROUND. The authors examined levels and predictors of psychological distress in the wives of men treated for early-stage prostate carcinoma (PCa).METHODS. Patients with PCa (N = 165) and spouses were interviewed to assess general and cancer-specific distress. Social and intrapersonal factors of spouses as well as clinical characteristics and quality of life of patients were assessed as potential predictors of spouses' distress.RESULTS. Spouses reported more cancer-specific distress than did patients (P < 0.001), but did not differ from patients in general distress. Several spouse-reported factors predicted higher spouses' distress, including less education (P < 0.005), worse marriage quality and less social support (PS < 0.005), more negative social interaction with the patient (Ps < 0.001), lower self-esteem (Ps < 0.001), less positive coping (Ps < 0.005), searching for meaning (P < 0.001), not finding meaning (P < 0.005), and greater illness uncertainty (Ps < 0.001). Patients' bowel function and mental health also predicted greater spouses' distress (Ps < 0.005).CONCLUSIONS. The findings indicated that overall distress in spouses of early-stage patients with PCa was modest, and it was more likely to be predicted by psychosocial than medical factors. (c) 2005 American Cancer Society.