Partner support and anxiety in young women with breast cancer
Partner support and anxiety in young women with breast cancer
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DOI：
10.1002/pon.3780
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发表时间：
2015-12-01
期刊：
影响因子：
3.6
通讯作者：
Partridge, Ann H.
中科院分区：
文献类型：
--
作者：
Borstelmann, Nancy A.;Rosenberg, Shoshana M.;Partridge, Ann H.
目的：使用一个大的前瞻性队列的妇女年龄40岁或以下诊断为乳腺癌，我们研究了感知的合作伙伴的支持和anxiety.Methods之间的关系：六百七十五名年轻女性乳腺癌I-III期，中位年龄36岁，完成了自我报告的基线问卷。感知合作伙伴的支持进行了评估，使用项目提取的婚姻分量表的癌症康复评估系统，广义的社会支持进行了评估与医疗成果研究社会支持调查。使用医院焦虑和抑郁量表的焦虑子量表测量焦虑。多变量logistic回归分析评估了合作伙伴的支持，其他社会人口因素，和anxiety.Results之间的关联：平均年龄诊断为35.4岁。14%的女性没有伴侣，而在那些有伴侣或有重要关系的女性中，20%被归类为无伴侣。在调整社会人口因素的单变量和多变量分析中，与有伴侣关系的女性相比，无伴侣关系的女性有更高的焦虑症状几率。年轻的年龄和经济上的不安全感也都独立与anxiety.Conclusions：我们的研究结果表明，合作伙伴的支持可能发挥关键作用，在一个年轻女子的调整严重的压力，如乳腺癌。此外，年龄越小，越容易焦虑，财务状况也是如此。因为支持性的努力的合作伙伴有可能保护免受压力的影响，干预措施，以加强合作伙伴的支持和减少焦虑可能是有益的，以解决所经历的挑战，作为一对夫妇在这种情况下。版权所有（C）2015约翰威利父子有限公司
Objective: Using a large prospective cohort of women age 40 or younger diagnosed with breast cancer, we examined the relationship between perceived partner support and anxiety.Methods: Six hundred seventy-five young women with breast cancer Stages I-III, median age 36, completed a self-report baseline questionnaire. Perceived partner support was assessed using items extracted from the marital subscale of the Cancer Rehabilitation Evaluation System; generalized social support was assessed with the Medical Outcomes Study-Social Support Survey. Anxiety was measured using the anxiety subscale of the Hospital Anxiety and Depression Scale. Multivariable logistic regression analyses evaluated the association between partner support, other sociodemographic factors, and anxiety.Results: Mean age at diagnosis was 35.4 years. Fourteen percent of the women were not partnered, and among those who were partnered or in a significant relationship, 20% were categorized as unsupported. In univariate and multivariable analysis adjusting for sociodemographic factors, women in an unsupported-partnered relationship had higher odds of anxiety symptoms compared with women in a supported-partnered relationship. Young age and being financially insecure were also both independently associated with anxiety.Conclusions: Our findings suggest that partner support may play a key role in a young woman's adjustment to a serious stressor such as breast cancer. In addition, younger age increases vulnerability to anxiety as does struggling with finances. Because supportive efforts of a partner have potential to protect against the impact of stress, interventions to enhance partner support and reduce anxiety might be beneficial to address challenges experienced as a couple in this setting. Copyright (C) 2015 John Wiley & Sons, Ltd.