POST-MASTECTOMY COUPLE COUNSELING - AN OUTCOME STUDY OF A STRUCTURED TREATMENT PROTOCOL
POST-MASTECTOMY COUPLE COUNSELING - AN OUTCOME STUDY OF A STRUCTURED TREATMENT PROTOCOL
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DOI：
10.1080/00926238308410913
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发表时间：
1983-01-01
影响因子：
2.5
通讯作者：
CHRISTENSEN, DN
中科院分区：
文献类型：
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作者：
CHRISTENSEN, DN
有证据表明，由于乳房切除和（或）身体毁容，对乳腺癌的医疗会给患者及其丈夫造成心理创伤。本研究评估了结构化夫妻治疗方案对乳房切除术后心理社会不适的影响。20对夫妇被随机分配到实验组和对照组，并在治疗前后接受了一系列评估，测量了婚姻幸福、性满意度、抑郁、自尊、无助、焦虑、疏离感和情绪不适的变化。方差分析显示，在任何因变量上，实验条件和控制条件之间没有显著差异。使用预试作为协变量的协方差补充分析发现，治疗减少了双方的情绪不适，减少了患者的抑郁，并增加了夫妻双方的性满意度。建议进一步研究治疗，控制受试者在治疗前的痛苦水平。
The evidence suggests that medical treatment of breast cancer produces psychosocial trauma in both the patient and her husband due to the loss of the breast and/or physical disfigurement. This study evaluated the effects of a structured couples treatment program on the psychosocial discomfort following a mastectomy. Twenty couples were randomly assigned to experimental and control conditions and were administered an assessment battery before and after treatment that measured change in marital happiness, sexual satisfaction, depression, self-esteem, helplessness, anxiety, alienation, and emotional discomfort. An analysis of variance yielded no significant difference between experimental and control conditions on any of the dependent variables. A supplemental analysis of covariance using the pretest as a covariate found that the treatment reduced emotional discomfort in both partners, reduced depression in the patient, and increased sexual satisfaction for both spouses. Recommendations were made for further study of the treatment, controlling for the subject's level of distress prior to treatment.