Intrapersonal and interpersonal consequences of protective buffering among cancer patients and caregivers.
Intrapersonal and interpersonal consequences of protective buffering among cancer patients and caregivers.
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DOI：
10.1002/cncr.24586
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发表时间：
2009-09-15
期刊：
影响因子：
6.2
通讯作者：
Syrjala, Karen L.
中科院分区：
文献类型：
--
作者：
Langer, Shelby L.;Brown, Jonathon D.;Syrjala, Karen L.
关键词：
保护性缓冲是指对配偶或伴侣隐藏与癌症有关的想法和担忧。本研究旨在探讨保护性缓冲的内部和人际后果以及这种动机（保护伴侣免受痛苦的愿望，保护自己免受痛苦的愿望）。80名造血干细胞移植患者及其配偶照顾者/伴侣在两个时间点完成了旨在评估保护缓冲和关系满意度的措施：移植前（T1）和移植后50天（T2）。在T2时还评估了整体心理健康状况。有一个二元组成员的报告缓冲他/她的合作伙伴之间的协议，和合作伙伴的感知的程度，她/他觉得缓冲。看护者缓冲患者多于患者缓冲看护者，特别是在T2。参与者在T2时缓冲的伴侣越多，他们感觉缓冲的越多，他们的同时关系满意度就越低，他们的心理健康状况就越差。后一种效应对于缓冲的患者和感觉缓冲的患者尤其如此。在动机方面，患者缓冲主要是为了保护他们的合作伙伴在T1报告的关系满意度随着时间的推移增加，但当他们这样做在T2，他们的照顾者报告的关系满意度同时下降。保护性缓冲是昂贵的，因为那些缓冲和那些感觉缓冲的人报告了不良的心理社会后果。此外，患者出于提供帮助的意图而实施的缓冲可能会适得其反，最终损害这种保护的对象。
Protective buffering refers to hiding cancer-related thoughts and concerns from one’s spouse or partner. This study sought to examine the intra- and inter-personal consequences of protective buffering and motivations for such (desire to shield partner from distress, desire to shield self from distress). Eighty hematopoietic stem cell transplant patients and their spousal caregivers/ partners completed measures designed to assess protective buffering and relationship satisfaction at two time points: prior to the transplant (T1) and 50 days post-transplant (T2). Overall mental health was also assessed at T2. There was moderate agreement between one dyad member’s reported buffering of his/ her partner, and the partner’s perception of the extent to which s/he felt buffered. Caregivers buffered patients more than patients buffered caregivers, especially at T2. The more participants buffered their partners at T2, and the more they felt buffered, the lower their concurrent relationship satisfaction and the poorer their mental health. The latter effect was particularly true for patients who buffered, and patients who felt buffered. With respect to motivations, patients who buffered primarily to protect their partner at T1 reported increases in relationship satisfaction over time, but when they did so at T2, their caregiver reported concurrent decreases in relationship satisfaction. Protective buffering is costly, in that those who buffer and those who feel buffered report adverse psychosocial outcomes. In addition, buffering enacted by patients with an intention to help may prove counterproductive, ultimately hurting the object of such protection.
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影响因子：
4.2
作者：
Langer, Shelby L.;Rudd, Michael E.;Syrjala, Karen L.
通讯作者：
Syrjala, Karen L.
影响因子：
1.7
作者：
Lepore, SJ;Helgeson, VS
通讯作者：
Helgeson, VS
影响因子：
1.7
作者：
Kuijer, RG;Ybema, JF;Sanderman, R
通讯作者：
Sanderman, R
影响因子：
4.2
作者：
Egloff, Boris;Schmukle, Stefan C.;Schwerdtfeger, Andreas
通讯作者：
Schwerdtfeger, Andreas
影响因子：
7.6
作者：
GROSS, JJ;LEVENSON, RW
通讯作者：
LEVENSON, RW