University of Ottawa, ON, K1H 8M5, Canada.
Psychiatry. 2009 Winter;72(4):321-45. doi: 10.1521/psyc.2009.72.4.321.
Early breast cancer affects one in every nine women along with their families. Advances in screening and biomedical interventions have changed the face of breast cancer from a terminal condition to a chronic disease with biopsychosocial features. The present review surveyed the nature and extent of psychological morbidity experienced by the breast cancer survivor and her spouse during the post-treatment phase, with particular focus on the impact of disease on the marital relationship. Interpersonal processes shown to unfold in couples facing breast cancer, as well as risk factors associated with greater psychological morbidity, were reviewed. Moreover, interpersonal processes central to coping with chronic illness and adjustment were reconceptualized from the point of view of attachment theory. Attachment theory was also used as the grounding framework for an empirically supported couples-based intervention, Emotionally Focused Therapy, which is advanced as a potentially useful treatment option for couples experiencing unremitting psychological and relational distress following diagnosis and treatment for breast cancer.
早期乳腺癌影响每九个女性及其家庭中的一个。筛查和生物医学干预的进步已经改变了乳腺癌的面貌，从一种终末期疾病转变为具有生物心理社会特征的慢性疾病。本综述调查了乳腺癌幸存者及其配偶在治疗后阶段所经历的心理困扰的性质和程度，特别关注疾病对婚姻关系的影响。本文回顾了在面临乳腺癌的夫妇中展开的人际过程，以及与更大的心理困扰相关的风险因素。此外，从依恋理论的角度重新概念化了与应对慢性疾病和调整相关的人际过程。依恋理论也被用作一种实证支持的夫妻为基础的干预措施——情感焦点治疗的基础框架，该理论被认为是一种潜在有用的治疗选择，可用于诊断和治疗乳腺癌后经历持续心理和关系困扰的夫妇。
