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乳腺癌幸存者感知到的伴侣社会支持和需求满足对抑郁症状的影响:一项纵向分析。

The influence of breast cancer survivors' perceived partner social support and need satisfaction on depressive symptoms: a longitudinal analysis.

机构信息

Department of Psychological Sciences, University of Missouri, Columbia, SC, USA.

出版信息

Psychol Health. 2010 Apr;25(4):433-49. doi: 10.1080/08870440802582682.

Abstract

The present study examines the ways in which breast cancer survivors' perceptions of emotional and instrumental social support from an intimate partner and need satisfaction in their partner role influence depression during and after breast cancer treatment. Our sample was comprised of 163 women who were an average of 57 years old, mostly White/Caucasian, and diagnosed primarily with early-stage breast cancer. Longitudinal data were analysed using both multilevel and structural equation modelling. Results reveal that (a) greater perceived partner emotional support is associated with lowered levels of depression at each wave, (b) partner-role need satisfaction mediates the relationship between perceived partner emotional support and depression at each wave, (c) perceived partner emotional support predicts subsequent changes in depression by way of need satisfaction and (d) depression prospectively predicts lowered perceptions of partner emotional and instrumental support. The findings confirm that basic need satisfaction, within intimate relationships, is an important predictor of lowered depression among breast cancer survivors.

摘要

本研究考察了乳腺癌幸存者对亲密伴侣情感和工具性社会支持的感知以及他们在伴侣角色中的需求满足如何影响乳腺癌治疗期间和之后的抑郁。我们的样本由 163 名平均年龄为 57 岁的女性组成,大多数为白种人/高加索人,主要被诊断为早期乳腺癌。使用多层次和结构方程模型对纵向数据进行了分析。结果表明:(a)感知到的伴侣情感支持越多,每个时间点的抑郁水平越低;(b)伴侣角色需求满足在每个时间点都在感知到的伴侣情感支持和抑郁之间起中介作用;(c)感知到的伴侣情感支持通过需求满足来预测抑郁的后续变化;(d)抑郁前瞻性地预测对伴侣情感和工具性支持的感知降低。研究结果证实,亲密关系中的基本需求满足是降低乳腺癌幸存者抑郁的一个重要预测因素。

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