Ben-Zur H, Gilbar O, Lev S
School of Social Work, University of Haifa, Israel.
Psychosom Med. 2001 Jan-Feb;63(1):32-9. doi: 10.1097/00006842-200101000-00004.
The objectives of this study were 1) to assess similarities and differences between patients with breast cancer and their spouses in terms of coping strategies and adjustment (psychosocial and psychological) to cancer and 2) to investigate the pattern of relationships between the patients' and spouses' coping strategies and between each of these strategies and the patient's adjustment to the illness using three types of models: patient, spousal, and dyadic coping.
Seventy-three patients with breast cancer and their spouses completed questionnaires that measured distress (Brief Symptom Inventory), psychosocial adjustment, and coping strategies.
The patients' distress was greater than their spouses', but a similar level of psychosocial adjustment was reported. The patients used more strategies involving problem-focused coping than their spouses. The use of emotion-focused coping, which included ventilation and avoidance strategies, was highly related to distress and poor adjustment on the part of the patient. The spouses' emotion-focused coping and distress were related to that of the patients. Dyad emotion-focused coping measures were highly associated with the patients' distress and adjustment.
Spousal and dyad coping are important factors in a patient's adjustment to breast cancer.
本研究的目的是：1）评估乳腺癌患者及其配偶在应对策略以及对癌症的适应（心理社会和心理方面）上的异同；2）使用三种模型（患者、配偶和二元应对模型）来研究患者与配偶的应对策略之间以及这些策略中的每一种与患者对疾病的适应之间的关系模式。
73名乳腺癌患者及其配偶完成了测量痛苦程度（简明症状量表）、心理社会适应和应对策略的问卷。
患者的痛苦程度高于其配偶，但报告的心理社会适应水平相似。患者比其配偶更多地使用涉及问题聚焦应对的策略。使用包括宣泄和回避策略在内的情绪聚焦应对与患者的痛苦和不良适应高度相关。配偶的情绪聚焦应对和痛苦与患者的相关。二元情绪聚焦应对措施与患者的痛苦和适应高度相关。
配偶应对和二元应对是患者适应乳腺癌的重要因素。
