Partner social constraints and early-stage breast cancer: Longitudinal associations with psychosexual adjustment.
Partner social constraints and early-stage breast cancer: Longitudinal associations with psychosexual adjustment.
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DOI：
10.1037/fam0000302
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发表时间：
2017-08
期刊：
影响因子：
--
通讯作者：
Laurenceau JP
中科院分区：
文献类型：
--
作者：
Soriano EC;Otto AK;Siegel SD;Laurenceau JP
患有乳腺癌 (BC) 的女性如果认为社会限制她们披露与癌症相关的问题，则更有可能感到痛苦，并且在诊断后难以调整。现有的许多关于社会心理调整的研究本质上都是跨部门的，而很少受到关注的一个重要领域是癌症手术和治疗的性心理调整。这项研究调查了 108 名 BC 幸存者随着时间的推移，感知到的伴侣社会限制是否与性心理调整相关。早期 BC 患者在初次手术后大约一个月、八个月和四年完成了伴侣社会约束、性心理调整和关系不满意的测量。潜在增长曲线模型显示，在控制关系不满之后，伴侣的社会约束是每个时间点性心理调整的一个重要的随时间变化的、人体内的预测因素。 BC 手术类型、重建手术、癌症分期、化疗或抗激素辅助治疗不会减轻这种影响。研究结果表明，BC 患者的社会限制和性心理结果之间存在长期联系，并且对应对 BC 的女性具有临床意义。
Women with breast cancer (BC) who perceive social constraints on their disclosure of cancer-related concerns are more likely to experience distress and have difficulty adjusting after diagnosis. Much of the existing research on psychosocial adjustment is cross-sectional in nature and an important area of concern that has received little attention is psychosexual adjustment to cancer surgery and treatment. This study examined whether perceived partner social constraints were associated with psychosexual adjustment over time in 108 BC survivors. Early-stage BC patients completed measures of partner social constraints, psychosexual adjustment, and relationship dissatisfaction approximately one month, eight months, and four years after initial surgery. Latent growth curve modeling revealed partner social constraints to be a significant time-varying, within-person predictor of psychosexual adjustment at each time point after controlling for relationship dissatisfaction. BC surgery type, reconstructive surgery, cancer stage, chemotherapy, or anti-hormonal adjuvant treatment did not moderate this effect. Findings point to a long-term link between social constraints and psychosexual outcomes in BC patients and clinical implications for women coping with BC.
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