Knoll Nina, Wiedemann Amelie U, Schrader Mark, Felber Juliane, Burkert Silke, Daig Isolde, Heckhausen Jutta
Freie Universität Berlin, Germany.
Universitätsklinikum Ulm, Germany.
Appl Psychol Health Well Being. 2015 Jul;7(2):167-87. doi: 10.1111/aphw.12043. Epub 2015 Mar 27.
When patients recover from disease-related functional limitations, support received from partners may not always match patients' changing independence goals. The lines of defense (LoD) model proposes a hierarchy of independence goals (LoDs), ranging from minimising discomfort by disengagement (lowest LoD) to protection of self-reliance (highest LoD). Prostate cancer patients' LoDs were examined as moderators of the association between partner support and patients' and partners' affect during patients' recovery from postsurgical functional limitations.
Data from 169 couples were assessed four times within 7 months following patients' surgery. Patients reported on post-surgery functional limitations (i.e. incontinence), LoDs, affect, and received partner support. Partners reported on affect and support provided to patients.
In patients endorsing lower LoDs, more received support was associated with less negative affect. Also, not endorsing high LoDs while receiving strong partner support was related to patients' lower negative and higher positive affect. Partners' support provision to patients tended to be associated with increases in partners' negative affect when patients had endorsed higher LoDs and with increases in positive affect when patients had endorsed lower LoDs.
Matching patients' independence goals or LoDs with partners' support may be beneficial for patients' and partners' affect.
当患者从与疾病相关的功能限制中恢复时，伴侣给予的支持可能并不总是与患者不断变化的独立目标相匹配。防线（LoD）模型提出了一个独立目标层次结构（防线），范围从通过脱离接触最小化不适（最低防线）到保护自力更生（最高防线）。在前列腺癌患者从术后功能限制中恢复期间，研究了他们的防线作为伴侣支持与患者及伴侣情感之间关联的调节因素。
对169对夫妇的数据在患者手术后7个月内进行了4次评估。患者报告术后功能限制（即尿失禁）、防线、情感，并报告接受的伴侣支持。伴侣报告对患者的情感和提供的支持。
在支持较低防线的患者中，获得更多支持与较少的负面影响相关。此外，在获得伴侣强烈支持的同时不支持高防线与患者较低的负面影响和较高的正面影响相关。当患者支持较高防线时，伴侣对患者的支持提供往往与伴侣负面影响的增加相关，而当患者支持较低防线时，则与正面影响的增加相关。
使患者的独立目标或防线与伴侣的支持相匹配可能对患者和伴侣的情感有益。
