Calibrating Independence Goals and Partner Support: Couples Adjust to Functional Limitations after Tumor Surgery.

Calibrating Independence Goals and Partner Support: Couples Adjust to Functional Limitations after Tumor Surgery.
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校准独立目标和伴侣支持:夫妻在肿瘤手术后适应功能限制

DOI:
10.1111/aphw.12043
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发表时间:
2015
期刊:
Applied psychology. Health and well-being
影响因子:
--
通讯作者:
Heckhausen
Heckhausen
中科院分区:
--
文献类型:
--
作者:
Wiedemann;Schrader;Felber;Burkert;Heckhausen

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当患者从疾病相关的功能限制中恢复时,从伴侣那里得到的支持可能并不总是与患者不断变化的独立目标相匹配。防御线(LoD)模型提出了一个独立性目标(LoD)的层次结构,范围从脱离接触(最低LoD)到保护自力更生(最高LoD)。前列腺癌患者的LoD进行了检查,作为主持人的合作伙伴之间的支持和患者和合作伙伴的影响,在患者的术后功能limitations.MethodsData从169对夫妇的恢复进行了评估,在7个月内四次患者的手术。患者报告了术后功能限制(即失禁)、LoD、影响,并接受了伴侣支持。合作伙伴报告的影响和支持提供给patients.ResultsIn患者认可较低的LoD,更多的支持与较少的负面影响。此外,不认可高LoD,同时接受强有力的合作伙伴的支持与患者的消极和积极的影响更低。合作伙伴的支持提供给患者往往与合作伙伴的负面影响增加时,患者赞同较高的LoD和增加的积极影响时,患者赞同较低的LoDs. ConclusionsMatching患者的独立目标或LoD与合作伙伴的支持可能是有益的患者和合作伙伴的影响。
BackgroundWhen patients recover from disease‐related functional limitations, support received from partners may not always match patients' changing independence goals. The lines of defense (LoD) model proposes a hierarchy of independence goals (LoDs), ranging from minimising discomfort by disengagement (lowest LoD) to protection of self‐reliance (highest LoD). Prostate cancer patients' LoDs were examined as moderators of the association between partner support and patients' and partners' affect during patients' recovery from postsurgical functional limitations.MethodsData from 169 couples were assessed four times within 7 months following patients' surgery. Patients reported on post‐surgery functional limitations (i.e. incontinence), LoDs, affect, and received partner support. Partners reported on affect and support provided to patients.ResultsIn patients endorsing lower LoDs, more received support was associated with less negative affect. Also, not endorsing high LoDs while receiving strong partner support was related to patients' lower negative and higher positive affect. Partners' support provision to patients tended to be associated with increases in partners' negative affect when patients had endorsed higher LoDs and with increases in positive affect when patients had endorsed lower LoDs.ConclusionsMatching patients' independence goals or LoDs with partners' support may be beneficial for patients' and partners' affect.
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