La Trobe University/Austin Health Clinical School of Nursing, Heidelberg, Victoria, Australia.
Eur J Cancer Care (Engl). 2010 Mar;19(2):234-42. doi: 10.1111/j.1365-2354.2008.01012.x. Epub 2009 Jul 20.
The objective was to explore the psychosocial adaptation of female partners living with men with a diagnosis of either localized or metastatic prostate cancer. Semi-structured qualitative interviews were conducted with 50 women at two time points (baseline and 6 months later). The interviews examined emotions, experiences, attitudes to sexual and continence issues and treatment decision making. As part of a larger prospective observational study, demographic data and scores for depression and anxiety were collected. Initial analysis demonstrated that the group of 11 women assessed as distressed on the anxiety and depression measures described reduced coping skills and poorer adaptation after 6 months. In contrast, the 39 women in the non-distressed group reported emotional adaptation that fitted the Lazarus and Folkman pattern of coping through appraisal of the impact of the diagnosis on their partner and themselves, appraisal of coping strategies and reappraisal of the situation. A surprise finding was the high level of resilience displayed by majority of these women. Results suggest that a psychosocial intervention could strengthen healthy adaptation and provide better coping skills for distressed couples.
目的在于探索与局部或转移性前列腺癌男性患者共同生活的女性伴侣的心理社会适应情况。通过半结构化定性访谈，在两个时间点（基线和 6 个月后）对 50 名女性进行了访谈。访谈内容涉及情绪、经历、对性和控尿问题的态度以及治疗决策。作为一项更大的前瞻性观察性研究的一部分，收集了人口统计学数据和抑郁和焦虑评分。初步分析表明，在焦虑和抑郁测量中被评估为焦虑的 11 名女性在 6 个月后表现出减少的应对技能和较差的适应能力。相比之下，39 名非焦虑组的女性报告说，她们的情绪适应符合拉扎勒斯和福克曼的应对模式，即通过评估诊断对伴侣和自己的影响、评估应对策略以及重新评估情况。一个令人惊讶的发现是，大多数女性都表现出很高的适应能力。结果表明，心理社会干预可以加强健康的适应，并为焦虑的夫妇提供更好的应对技能。
