Gilbar Ora, Zusman Alla
School of Social Work, Faculty of Social Welfare and Health Studies, University of Haifa, Haifa, Israel.
Psychooncology. 2007 Nov;16(11):1010-8. doi: 10.1002/pon.1168.
The objectives of the study were (1) to assess similarities and differences between women cancer patients and their spouses in terms of coping strategies, psychological distress and doctor-patient/spouse relationships; and (2) to investigate the impact of formal social support, namely the doctor-patient relationship and coping strategies, on patients' and spouses' psychological distress.
Fifty-seven women with cancer, and their spouses, completed questionnaires that measured distress (BSI), coping strategies (PF, EF) and doctor-patient relationships (Pat, Md).
Patient distress was greater than that of spouses. Patients used more strategies involving problem-focused coping than spouses. A positive relationship was found between patients and spouses in terms of psychological distress, paternalism and emotion-focused strategies. Emotion-focused strategies were found to impact patient psychological distress, as indicated in a hierarchical regression model.
The paternalism relationship model is an important factor in patient psychological distress but not in spousal psychological distress.
本研究的目的是：（1）评估女性癌症患者与其配偶在应对策略、心理困扰以及医患/夫妻关系方面的异同；（2）调查正式社会支持，即医患关系和应对策略，对患者及其配偶心理困扰的影响。
57名患有癌症的女性及其配偶完成了测量困扰（症状自评量表）、应对策略（问题解决、情绪调节）和医患关系（患者、医生）的问卷。
患者的困扰程度高于其配偶。患者比配偶更多地采用聚焦问题的应对策略。在心理困扰、家长作风和聚焦情绪的策略方面，患者与配偶之间存在正相关关系。如分层回归模型所示，聚焦情绪的策略被发现会影响患者的心理困扰。
家长作风关系模式是影响患者心理困扰的一个重要因素，但对配偶的心理困扰没有影响。
