Common dyadic coping and its congruence in couples facing breast cancer: The impact on couples' psychological distress.
Common dyadic coping and its congruence in couples facing breast cancer: The impact on couples' psychological distress.
复制标题
面临乳腺癌的夫妇的常见二元应对及其一致性：对夫妇心理困扰的影响。
DOI：
10.1002/pon.6314
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发表时间：
2024
期刊：
影响因子：
3.6
通讯作者：
Kantrowitz-Gordon,Ira
中科院分区：
文献类型：
--
作者：
Liu,Wenjia;Lewis,FrancesMarcus;Oxford,Monica;Kantrowitz-Gordon,Ira
心理困扰在面临乳腺癌的夫妇中很普遍。夫妻通常作为一个单位而不是作为个人来处理乳腺癌。夫妻的二元应对方式对他们适应乳腺癌是很重要的，然而，很少有人知道夫妻的应对一致性如何影响他们的痛苦。本研究探讨如何常见的二元应对（CDC）和应对一致性的影响心理困扰的夫妇面临breast cancer.MethodsBaseline数据进行了分析，从343名妇女最近诊断为早期乳腺癌和他们的合作伙伴谁参加了随机临床试验。心理困扰表现为抑郁情绪和状态焦虑。采用自我报告量表测量常见的二元应对方式。应对一致性评估的绝对差异之间的一个女人和她的合作伙伴的CDC scores.ResultsHigher CDC分数与较低的心理困扰的妇女和合作伙伴。在CDC分量表中，遭受较少的女性在开放沟通，分享积极的前景方面得分较高，而在回避应对方面得分较低。遭受较少痛苦的伴侣在开放式沟通、分享积极的前景、花时间交谈方面得分较高，在回避应对方面得分较低。在CDC的更大的一致性与较低的心理困扰的妇女及其合作伙伴。在共享一个积极的前景一致受益的二人组的成员;一致的避免应对显着受益的患者;一致的开放式沟通显着受益partners.ConclusionsCDC及其一致性在特定领域有潜在的好处，夫妇的心理困扰时，面对乳腺癌。卫生保健提供者可以考虑提高夫妇的CDC和应对一致性，以改善他们的适应。
ObjectivePsychological distress is prevalent in couples facing breast cancer. Couples often deal with breast cancer as a unit instead of as individuals. Couple's dyadic coping is important for their adjustment to breast cancer; however, little is known about how couple's coping congruence influences their distress. This study examined how common dyadic coping (CDC) and coping congruence impact psychological distress in couples facing breast cancer.MethodsBaseline data were analyzed from 343 women with recently diagnosed early‐stage breast cancer and their partners who participated in a randomized clinical trial. Psychological distress was indicated by depressed mood and state anxiety. Common dyadic coping was measured by a self‐report scale. Coping congruence was assessed by the absolute difference between a woman's and her partner's CDC scores.ResultsHigher CDC scores were associated with lower psychological distress in both women and partners. In the CDC subscales, women who suffered less scored higher on open communication, sharing a positive outlook, and lower on avoidance coping. Partners who suffered less scored higher on open communication, sharing a positive outlook, spending time talking, and lower on avoidance coping. Greater congruence in CDC was associated with lower psychological distress in women and their partners. Congruence in sharing a positive outlook benefited both members of the dyad; congruence in avoidance coping significantly benefited patients; congruence in open communication significantly benefited partners.ConclusionsCDC and its congruence in specific areas have potential benefit to couple's psychological distress when facing breast cancer. Health care providers could consider enhancing couple's CDC and coping congruence to improve their adjustment.