Dyadic coping in metastatic breast cancer.
Dyadic coping in metastatic breast cancer.
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DOI：
10.1037/a0018165
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发表时间：
2010-03
影响因子：
4.2
通讯作者：
Revenson, Tracey A.
中科院分区：
文献类型：
--
作者：
Badr, Hoda;Carmack, Cindy L.;Kashy, Deborah A.;Cristofanilli, Massimo;Revenson, Tracey A.
面临转移性乳腺癌（MBC）的夫妇必须学会应对可能影响双方生活质量和关系质量的压力源。常见的二元应对包括采取“我们”的方式，即伴侣在共同管理共同压力的同时共同努力维持他们的关系。本研究前瞻性地评估了女性MBC患者及其男性伴侣共同的二元应对是否与减少癌症相关的痛苦和更大的二元适应有关。191对夫妇（N = 191）在治疗开始时（基线）、3个月和6个月后完成调查。用事件影响量表（Impact of Events Scale）评估癌症相关焦虑；并进调整采用简式并进调整量表进行评估。以夫妻为分析单位的多层次模型显示，共同积极的二元应对对癌症相关痛苦的影响在患者和他们的伴侣之间存在显著差异。伴侣的痛苦程度略低，而患者的痛苦程度略高。尽管使用更常见的消极二元应对的患者和伴侣在任何时候都经历了更大的痛苦，但这种关联对患者来说更强。最后，在更大的二元调整方面，使用更常见的积极二元应对和更少的消极二元应对对患者和伴侣都是有益的。我们的研究结果强调了夫妻共同努力管理与MBC相关的压力的重要性。未来的研究可能会受益于更多地关注患者和他们的伴侣之间的互动，以解决夫妻可以一起适应应对的方法。
Couples facing metastatic breast cancer (MBC) must learn to cope with stressors that can affect both partners' quality of life as well as the quality of their relationship. Common dyadic coping involves taking a “we” approach, whereby partners work together to maintain their relationship while jointly managing their shared stress. This study prospectively evaluated whether common dyadic coping was associated with less cancer-related distress and greater dyadic adjustment for female MBC patients and their male partners. Couples (N = 191) completed surveys at the start of treatment for MBC (baseline), and 3 and 6 months later. Cancer-related distress was assessed with the Impact of Events Scale; dyadic adjustment was assessed using the short-form of the Dyadic Adjustment Scale. Multilevel models using the couple as the unit of analysis showed that the effects of common positive dyadic coping on cancer-related distress significantly differed for patients and their partners. Whereas partners experienced slightly lower levels of distress, patients experienced slightly higher levels of distress. Although patients and partners who used more common negative dyadic coping experienced significantly greater distress at all times, the association was stronger for patients. Finally, using more common positive dyadic coping and less common negative dyadic coping was mutually beneficial for patients and partners in terms of greater dyadic adjustment. Our findings underscore the importance of couples working together to manage the stress associated with MBC. Future research may benefit from greater focus on the interactions between patients and their partners to address ways that couples can adaptively cope together.
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影响因子：
3.3
作者：
Badr, Hoda;Acitelli, Linda K.;Taylor, Cindy L. Carmack
通讯作者：
Taylor, Cindy L. Carmack
关系维持对应对肺癌的夫妇的心理困扰和二元调整的影响。
影响因子：
4.2
作者：
Badr, Hoda;Taylor, Cindy L. Carmack
通讯作者：
Taylor, Cindy L. Carmack
影响因子：
1.6
作者：
Campbell, L;Kashy, DA
通讯作者：
Kashy, DA
影响因子：
2.1
作者：
Carter, Charlene A.;Carter, Ross E.
通讯作者：
Carter, Ross E.
影响因子：
5.9
作者：
CORDOVA, MJ;ANDRYKOWSKI, MA;REDD, WH
通讯作者：
REDD, WH