Boeding Sara E, Pukay-Martin Nicole D, Baucom Donald H, Porter Laura S, Kirby Jennifer S, Gremore Tina M, Keefe Francis J
Department of Psychology, University of North Carolina.
Department of Psychiatry, Duke University Medical Center.
J Fam Psychol. 2014 Oct;28(5):675-83. doi: 10.1037/fam0000019. Epub 2014 Aug 18.
Women who are diagnosed with breast cancer can experience an array of psychosocial difficulties; however, social support, particularly from a spouse, has been shown to have a protective function during this time. This study examined the ways in which a woman's daily mood, pain, and fatigue, and her spouse's marital satisfaction predict the woman's report of partner support in the context of breast cancer. Pretest data from a larger intervention study and multilevel modeling were used to examine the effects of women's daily mood, pain, and fatigue and average levels of mood, pain, and fatigue on women's report of social support received from her partner, as well as how the effects of mood interacted with partners' marital satisfaction. Results show that on days in which women reported higher levels of negative or positive mood, as well as on days they reported more pain and fatigue, they reported receiving more support. Women who, on average, reported higher levels of positive mood tended to report receiving more support than those who, on average, reported lower positive mood. However, average levels of negative mood were not associated with support. Higher average levels of fatigue but not pain were associated with higher support. Finally, women whose husbands reported higher levels of marital satisfaction reported receiving more partner support, but husbands' marital satisfaction did not moderate the effect of women's mood on support. Implications of these findings are discussed relative to assisting couples during this difficult time in their lives.
被诊断患有乳腺癌的女性可能会经历一系列心理社会方面的困难；然而，社会支持，尤其是来自配偶的支持，已被证明在此期间具有保护作用。本研究考察了在乳腺癌背景下，女性的日常情绪、疼痛和疲劳，以及其配偶的婚姻满意度对女性报告的伴侣支持的预测方式。来自一项更大规模干预研究的预测试数据和多水平模型被用于检验女性的日常情绪、疼痛和疲劳以及情绪、疼痛和疲劳的平均水平对女性报告从伴侣那里获得的社会支持的影响，以及情绪的影响如何与伴侣的婚姻满意度相互作用。结果表明，在女性报告负面或正面情绪水平较高的日子里，以及在她们报告疼痛和疲劳较多的日子里，她们报告得到了更多支持。平均而言，报告正面情绪水平较高的女性往往比那些平均报告正面情绪水平较低的女性报告得到更多支持。然而，负面情绪的平均水平与支持无关。疲劳的平均水平较高而非疼痛与更多支持相关。最后，丈夫报告婚姻满意度较高的女性报告得到了更多伴侣支持，但丈夫的婚姻满意度并未调节女性情绪对支持的影响。相对于在夫妻生活中的这段困难时期帮助他们，讨论了这些发现的意义。
