Wagner Christina D, Bigatti Silvia M, Storniolo Anna Maria
Indiana University Purdue University Indianapolis, IN, USA.
Psychooncology. 2006 Feb;15(2):109-20. doi: 10.1002/pon.928.
The life-threatening nature of breast cancer, along with the side effects of treatment, place great strain on patients and their families. Husbands may be especially vulnerable as the main source of support to patients. The present study compared the quality of life (QOL) of husbands of patients with breast cancer (HBC; n=79) to spouses of healthy wives (n=79). Additionally, associations between QOL and caregiver burden, social support, and coping were examined. HBC scored lower on general health, vitality, role-emotional, and mental health subscales of the Medical Outcomes Study (MOS) SF-36 than comparison group participants. No differences were found between groups on the physical functioning, role-physical, bodily pain, or social functioning subscales. Higher QOL in HBC was associated with less caregiver burden as evidenced by lower burden on the Illness Impact Form, lower use of emotion-focused coping on the Ways of Coping Questionnaire, and higher social support on the Interpersonal Support Evaluation List. Wife illness characteristics such as stage of disease and time since diagnosis were not related to QOL in husbands. These findings illuminate the need to support HBC, whose QOL suffers during the breast cancer experience.
乳腺癌危及生命的特性,再加上治疗的副作用,给患者及其家人带来了巨大压力。丈夫作为患者的主要支持来源,可能特别容易受到影响。本研究将乳腺癌患者的丈夫(HBC;n = 79)与健康妻子的配偶(n = 79)的生活质量(QOL)进行了比较。此外,还研究了生活质量与照顾者负担、社会支持和应对方式之间的关联。与对照组参与者相比,HBC在医学结局研究(MOS)SF - 36的总体健康、活力、角色 - 情感和心理健康子量表上得分较低。在身体功能、角色 - 身体、身体疼痛或社会功能子量表上,两组之间未发现差异。HBC较高的生活质量与较低的照顾者负担相关,这体现在疾病影响量表上的负担较轻、应对方式问卷中较少使用以情绪为中心的应对方式以及人际关系支持评估清单上较高的社会支持。妻子的疾病特征,如疾病阶段和确诊后的时间,与丈夫的生活质量无关。这些发现表明需要对HBC提供支持,他们的生活质量在乳腺癌患病期间会受到影响。