Cancer-related concerns of spouses of women with breast cancer.

Cancer-related concerns of spouses of women with breast cancer.
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DOI:
10.1002/pon.1665
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发表时间:
2010-10
期刊:
影响因子:
3.6
通讯作者:
Haberman, Mel R.
Haberman, Mel R.
中科院分区:
医学2区
文献类型:
--
作者:
Fletcher, Kristin A.;Lewis, Frances Marcus;Haberman, Mel R.

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描述配偶报告的与癌症相关的需求归因于其妻子的乳腺癌,并测试这些需求的简短标准化测量的结构和预测有效性。横断面和纵向数据来自151名新诊断为非转移性乳腺癌的女性配偶。计算描述性统计来描述配偶的主要癌症相关需求,多变量回归分析检验了标准化测量的结构和预测有效性。研究确定了配偶与癌症相关的五类需求,例如:配偶自身功能的担忧;妻子的幸福感和对治疗的反应;夫妻的性活动;家庭和儿童的幸福;以及配偶在支持妻子方面的作用。一个包含33个项目的标准化癌症需求测量的简短版本显示了结构和预测效度,与相同问卷的123个项目的版本相当。当配偶更抑郁,对自己处理癌症影响的能力缺乏信心时,会出现更多的疾病需求(F=18.08 (3,103), p<.001)。预测效度是通过短形式在两个月的间隔内显著预测婚姻沟通质量和配偶自我效能的能力来建立的。癌症相关需求的标准化测量的简短版本显示了未来在临床环境中的应用前景。需要对问卷进行额外的测试。配偶的乳腺癌相关需求值得医疗服务提供者关注。在缺乏帮助的情况下,配偶的疾病压力对婚姻沟通的质量和配偶的自信产生了有害的后果。
To describe spouses' reported cancer-related demands attributed to their wife's breast cancer and to test the construct and predictive validity of a brief standardized measure of these demands. Cross-sectional and longitudinal data were obtained from 151 spouses of women newly diagnosed with non-metastatic breast cancer. Descriptive statistics were computed to describe spouses' dominant cancer-related demands and multivariate regression analyses tested the construct and predictive validity of the standardized measure. Five categories of spouses' cancer-related demands were identified, such as concerns about: spouses' own functioning; wife's well being and response to treatment; couples' sexual activities; the family's and children's well-being; and the spouses' role in supporting their wives. A 33-item short version of the standardized measure of cancer demands demonstrated construct and predictive validity that was comparable to a 123-item version of the same questionnaire. Greater numbers of illness demands occurred when spouses were more depressed and had less confidence in their ability to manage the impact of the cancer (F=18.08 (3, 103), p<.001). Predictive validity was established by the short form's ability to significantly predict the quality of marital communication and spouses' self-efficacy at a two-month interval. The short-version of the standardized measure of cancer-related demands shows promise for future application in clinic settings. Additional testing of the questionnaire is warranted. Spouses' breast cancer-related demands deserve attention by providers. In the absence of assisting them, spouses' illness pressures have deleterious consequences for the quality of marital communication and spouses' self-confidence.
DOI: 10.1016/s0022-3999(03)00502-6
发表时间: 2003-11-01
影响因子: 4.7
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影响因子: --
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影响因子: --
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DOI: 10.1177/1359105302007001658
发表时间: 2002-01-01
影响因子: 3.2
作者:
Conerly, RC;Baker, F;Zabora, J
通讯作者: Zabora, J