Social constraints and spousal communication in lung cancer
Social constraints and spousal communication in lung cancer
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DOI：
10.1002/pon.996
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发表时间：
2006-08-01
期刊：
影响因子：
3.6
通讯作者：
Taylor, Cindy L. Carmack
中科院分区：
文献类型：
--
作者：
Badr, Hoda;Taylor, Cindy L. Carmack
社会认知处理模型表明，如果这些讨论发生的社会背景是支持和积极的，与他人交谈有助于对癌症等经历的认知和情感处理。尽管如此，患者和配偶可能会无意中限制对方处理和科普疾病的努力。据我们所知，以前没有研究直接研究肺癌对夫妻关系的影响。我们通过对13名患者和12名配偶的半结构化访谈，确定了应对肺癌的夫妇所经历的社会约束，从而开始研究这种影响。使用扎根理论方法，我们的分析表明，这些夫妇经历了各种各样的社会约束，包括否认，回避和冲突，可能会阻碍开放的配偶沟通。具体来说，患者和配偶报告说，他们在讨论持续吸烟、癌症相关症状、预后以及肺癌对配偶的情绪影响时遇到了麻烦。尽管存在这些限制，但报告与伴侣谈论他们关系的参与者报告了更少的限制和更好的癌症沟通。这些发现强调了关系视角在肺癌研究中的重要性，并提供了有关如何一起谈论配偶关系的信息，使夫妻能够最大限度地减少社会约束，增强对疾病的认知和情感处理。版权所有（c）2005年约翰威利父子有限公司。
The Social Cognitive Processing Model suggests that talking with others facilitates cognitive and emotional processing of experiences such as cancer if the social context in which these discussions take place is supportive and positive. Despite this, patients and spouses may inadvertently constrain each other's attempts to process and cope with the disease. To our knowledge, no previous studies have directly examined the effect of lung cancer on the spousal relationship. We began to examine this effect by identifying the social constraints experienced by couples coping with lung cancer through semi-structured interviews with 13 patients and 12 spouses. Using Grounded Theory methodology, our analyses showed that these couples experienced a wide variety of social constraints, including denial, avoidance, and conflict that can hinder open spousal communication. Specifically, patients and spouses reported trouble discussing continued tobacco use, cancer-related symptoms, prognosis, and the emotional effects of lung cancer on the spouse. Despite these constraints, participants who reported talking with their partners about their relationships reported fewer constraints and better communication about cancer. These findings highlight the importance of a relationship perspective in the study of lung cancer and provide information about how talking together about the spousal relationship may enable couples to minimize social constraints and enhance cognitive and emotional processing of the disease. Copyright (c) 2005 John Wiley & Sons, Ltd.