Intimacy processes and psychological distress among couples coping with head and neck or lung cancers.
Intimacy processes and psychological distress among couples coping with head and neck or lung cancers.
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DOI：
10.1002/pon.1645
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发表时间：
2010-09
期刊：
影响因子：
3.6
通讯作者：
Badr, Hoda
中科院分区：
文献类型：
--
作者：
Manne, Sharon;Badr, Hoda
鉴于患者的预后不良以及激进的、有时甚至毁容的治疗，应对头颈癌和肺癌的夫妇面临心理和人际关系困扰的风险增加。夫妻心理社会适应的关系亲密模型提出，关系亲密介导夫妻癌症相关支持沟通和心理困扰之间的关联。由于该模型的组成部分尚未在同一项研究中进行评估，因此我们研究了头颈癌或肺癌患者及其伴侣中三种类型的癌症相关支持沟通（自我表露、感知伴侣表露和保护性缓冲）、亲密关系（整体和癌症特异性）和整体痛苦之间的关联。 109 名接受积极治疗的患者及其自诊断以来平均时间为 15 个月的伴侣完成了横断面调查。对于患者及其伴侣，使用演员-伴侣相互依赖模型的多层次分析表明，整体和癌症特定的亲密关系完全介导了自我和感知到的伴侣披露与痛苦之间的关联；整体亲密感部分调节了保护性缓冲和痛苦之间的关联。发现了有调节的调解的证据；具体来说，据报道，整体和癌症特定亲密关系导致的痛苦程度较低，但这些关联对于伴侣来说比对于患者来说更强。通过披露与癌症相关的问题来增强关系亲密程度可能有助于双方适应这些疾病。
Couples coping with head and neck and lung cancers are at increased risk for psychological and relationship distress given patients’ poor prognosis and aggressive and sometimes disfiguring treatments. The relationship intimacy model of couples’ psychosocial adaptation proposes that relationship intimacy mediates associations between couples’ cancer-related support communication and psychological distress. Because the components of this model have not yet been evaluated in the same study, we examined associations between three types of cancer-related support communication (self-disclosure, perceived partner disclosure, and protective buffering), intimacy (global and cancer-specific), and global distress among patients coping with either head and neck or lung cancer and their partners. One hundred and nine patients undergoing active treatment and their partners whose average time since diagnosis was 15 months completed cross-sectional surveys. For both patients and their partners, multilevel analyses using the Actor-Partner Interdependence Model showed that global and cancer-specific intimacy fully mediated associations between self- and perceived partner disclosure and distress; global intimacy partially mediated the association between protective buffering and distress. Evidence for moderated mediation was found; specifically, lower levels of distress were reported as a function of global and cancer-specific intimacy, but these associations were stronger for partners than for patients. Enhancing relationship intimacy by disclosing cancer-related concerns may facilitate both partners’ adjustment to these illnesses.
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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
DOI：
10.1046/j.1523-5394.1999.76006.x
发表时间：
1999-11-01
期刊：
CANCER PRACTICE
影响因子：
--
作者：
Dropkin, MJ
通讯作者：
Dropkin, MJ
影响因子：
2.2
作者：
Callahan, C
通讯作者：
Callahan, C
影响因子：
3.6
作者：
Drabe, Natalie;Zwahlen, Diana;Jenewein, Josef
通讯作者：
Jenewein, Josef
影响因子：
105.7
作者：
Chapple, A;Ziebland, S;McPherson, A
通讯作者：
McPherson, A