Banthia Rajni, Malcarne Vanessa L, Varni James W, Ko Celine M, Sadler Georgia Robins, Greenbergs Helen L
SDSU/UCSD Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Ct #103, San Diego, California 92120, USA.
J Behav Med. 2003 Feb;26(1):31-52. doi: 10.1023/a:1021743005541.
Dyadic adjustment and coping styles have been shown to predict levels of psychological distress following cancer diagnoses. This study examined the relationship between coping and distress in couples faced with prostate cancer, considering dyadic functioning as a third variable that potentially moderated or mediated the relationship. To investigate its influence on the success of patients' and spouses' coping efforts, both moderational and mediational models were tested using couples' composite dyadic adjustment scores. Only the moderational model was supported for patients: dyadic strength moderated the effects of avoidant coping and intrusive thinking on mood disturbance. Despite maladaptive coping, patients that were members of stronger dyads reported less distress than those in more dysfunctional relationships. Findings suggest that the relationship between coping and distress depends on the quality of dyadic functioning. Being part of a strong dyad may serve as a buffering factor, implying the need for psychosocial intervention for couples in maladjusted relationships.
二元调适和应对方式已被证明可预测癌症诊断后的心理困扰水平。本研究考察了面对前列腺癌的夫妻中应对方式与困扰之间的关系，将二元功能视为一个可能调节或介导该关系的第三变量。为了探究其对患者及其配偶应对努力成功与否的影响，使用夫妻的二元调适综合得分对调节模型和中介模型进行了检验。仅患者的调节模型得到了支持：二元强度调节了回避应对和侵入性思维对情绪困扰的影响。尽管应对方式存在适应不良，但处于紧密二元关系中的患者比处于功能失调关系中的患者报告的困扰更少。研究结果表明，应对与困扰之间的关系取决于二元功能的质量。处于紧密二元关系中可能起到缓冲作用，这意味着需要对关系调适不良的夫妻进行心理社会干预。
