An Electronic Diary Study of the Effects of Patient Avoidance and Partner Social Constraints on Patient Momentary Affect in Metastatic Breast Cancer
An Electronic Diary Study of the Effects of Patient Avoidance and Partner Social Constraints on Patient Momentary Affect in Metastatic Breast Cancer
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DOI：
10.1007/s12160-012-9436-8
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发表时间：
2013-03-01
影响因子：
3.8
通讯作者：
Laurenceau, Jean-Philippe
中科院分区：
文献类型：
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作者：
Badr, Hoda;Pasipanodya, Elizabeth C.;Laurenceau, Jean-Philippe
转移性乳腺癌患者经历了巨大的痛苦。尽管与亲近的人谈论与癌症相关的担忧可能有助于缓解痛苦，但患者通常会避免这样的讨论，他们的伴侣可能会参与可能限制后续患者披露并加剧痛苦的社交约束。我们研究了伴侣约束是如何展开的，它们如何影响患者，以及它们是否加剧了患者对癌症相关披露的回避。54名患者及其48名伴侣完成了14天的电子日记评估。伴侣的社交约束从一天延续到第二天，但患者避免讨论与癌症相关的担忧的情况并非如此。当伴侣某一天参与更多的社交约束时，患者第二天报告的负面影响更大(p<；0.05)。研究结果表明，伴侣约束和患者的瞬时情感之间存在时间联系。帮助伴侣意识到他们的约束性行为，并教他们克服这一点的技能，可能有助于患者适应转移性乳腺癌。
Metastatic breast cancer patients experience significance distress. Although talking with close others about cancer-related concerns may help to alleviate distress, patients often avoid such discussions, and their partners can engage in social constraints that may limit subsequent patient disclosures and exacerbate distress.We examined how partner constraints unfold, how they influence patient affect, and whether they exacerbate patient avoidance of cancer-related disclosures.Fifty-four patients and 48 of their partners completed electronic diary assessments for 14 days.Partners' social constraints carried over from one day to the next, but patients' avoidance of discussing cancer-related concerns did not. When partners engaged in more social constraints one day, patients reported greater negative affect the following day (p < 0.05).Findings suggest a temporal link between partner constraints and patient momentary affect. Helping partners to become aware of their constraining behaviors and teaching them skills to overcome this may facilitate patient adjustment to metastatic breast cancer.