Perceived control, coping efficacy, and avoidance coping as mediators between spouses' unsupportive behaviors and cancer patients' psychological distress
Perceived control, coping efficacy, and avoidance coping as mediators between spouses' unsupportive behaviors and cancer patients' psychological distress
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DOI：
10.1037//0278-6133.19.2.155
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发表时间：
2000-03-01
影响因子：
4.2
通讯作者：
Glassman, M
中科院分区：
文献类型：
--
作者：
Manne, S;Glassman, M
本研究以191名接受癌症治疗的已婚患者为研究对象，考察了回避、应对效能和控制感是否在配偶不支持行为对患者心理困扰的影响中起中介作用。结构方程分析结果表明，回避和应对效能在配偶不支持行为与患者心理困扰之间起中介作用。对疾病情绪方面的感知控制，包括情绪反应和与家人和朋友的关系，以及对癌症病程的感知控制，并没有调节配偶的不支持行为与患者心理痛苦之间的关系。这些发现提出了两种机制来解释为什么来自配偶的不支持反应可能与癌症患者的心理痛苦有关。
This study examined whether avoidance, coping efficacy, and perceived control mediate the effects of spouses' unsupportive behaviors on patient psychological distress among 191 married individuals enrolled in cancer treatment. Results of the structural equation analyses suggested that avoidance and coping efficacy mediated the relationship between spouses' unsupportive behaviors and patient psychological distress. Perceived control of emotional aspects of the illness, including emotional responses and relationships with family and friends, and perceived control of the medical course of the cancer did not mediate the relationship between spouses' unsupportive behaviors and patient psychological distress. These findings suggest 2 mechanisms to explain why unsupportive responses from spouses may be associated with psychological distress among cancer patients.