Segrin Chris, Badger Terry, Dorros Sybilla M, Meek Paula, Lopez Ana Maria
Department of Communication, University of Arizona, Tucson, AZ 85721, USA.
Psychooncology. 2007 Jul;16(7):634-43. doi: 10.1002/pon.1111.
The purpose of this study was to determine the extent of interdependence on anxiety within dyads where one person was undergoing treatment for breast cancer. Perceptions of relationship quality were expected to mitigate the anxiety experienced by both members of the dyad. 96 dyads participated in a 3-wave longitudinal study that took place over 10 weeks. Dyads were composed of a woman with stage I-III breast cancer who was currently undergoing treatment, and a partner who she nominated to participate in the study along with her. Results indicated that anxiety felt by women with breast cancer was consistently associated with that of her partner. Structural equation analyses suggest that the within-dyad influence runs mostly from partners' anxiety to the anxiety of women with breast cancer. Partners' anxiety was also associated with other indicators of the women's well being including depression, fatigue, and symptom management. Perceptions of relationship quality from women with breast cancer and their partners were negatively associated with partners' anxiety. However, women's anxiety was only correlated with their partners', but not their own, perceptions of relationship quality. These findings underscore the benefit of having partners who are able to cope with or get help for their own personal distress as women cope with the stress of breast cancer and its treatment.
本研究的目的是确定在一方正在接受乳腺癌治疗的二元组中,焦虑相互依存的程度。预计对关系质量的认知能够减轻二元组中双方所经历的焦虑。96个二元组参与了一项为期10周的三波纵向研究。二元组由一名患有I - III期乳腺癌且正在接受治疗的女性,以及她提名与其一同参与研究的伴侣组成。结果表明,患有乳腺癌的女性所感受到的焦虑与她伴侣的焦虑始终相关。结构方程分析表明,二元组内部的影响主要是从伴侣的焦虑传导至患有乳腺癌女性的焦虑。伴侣的焦虑还与女性健康的其他指标相关,包括抑郁、疲劳和症状管理。患有乳腺癌的女性及其伴侣对关系质量的认知与伴侣的焦虑呈负相关。然而,女性的焦虑仅与伴侣对关系质量的认知相关,而与她们自己对关系质量的认知无关。这些发现强调了在女性应对乳腺癌及其治疗压力时,拥有能够应对自身困扰或寻求帮助的伴侣的益处。