Manne Sharon L, Coups Elliot J, Kashy Deborah A
Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.
Michigan State University, East Lansing, Michigan, USA.
Br J Health Psychol. 2016 Sep;21(3):631-47. doi: 10.1111/bjhp.12190. Epub 2016 Mar 24.
Individuals may be more motivated to adopt health-promoting practices if they consider the benefits of these behaviours for their close relationships. The goal of this study was to use the interdependence theory to evaluate the role of relationship factors in skin self-examination (SSE).
The study adopted a cross-sectional survey design.
One hundred and eighty-four married couples aged 50 years and older completed measures of skin cancer worry, SSE benefits, SSE barriers, relationship-centred motivations for SSE, discussions about SSE, and SSE practices in the past year.
Couples who discussed SSE with one another were more likely to engage in it. Couples who adopted a relationship-centred motivation for SSE were more likely to discuss SSE, and, ultimately, engage in SSE. One partner's beliefs were associated with the other partner's SSE. Women who adopted a relationship-centred motivation for SSE had husbands who discussed SSE more and also had husbands who were more likely to conduct SSE. Men who adopted a relationship-centred motivation for SSE did not have wives who reported that they discussed SSE more with their husbands and/or wives who were more likely to conduct SSE. These findings suggest that wives' relationship beliefs and discussions with their husbands may have a stronger association with their husbands' SSE practices than the associations between husbands' relationship beliefs and discussions with their wives' SSE practices.
Behavioural interventions may benefit from encouraging couples to discuss SSE and consider the benefits of SSE for their relationship and for their spouse's health. Statement of contribution What is already known on this subject? Previous studies have shown that people are more motivated to adopt health-promoting behaviours if they consider the benefits of such behaviours for their close relationships. However, little is known about the role of the marital relationship in the engagement in skin self-examination (SSE) practices. What does this study add? This study builds on prior research evaluating the role of relationship factors in cancer screening and surveillance practices. Couples who discuss SSE with one another are more likely to engage in it. Couples who consider the benefits of engaging in SSE for their relationship are more likely to discuss skin examinations and engage in them.
如果个体考虑到健康促进行为对其亲密关系的益处，他们可能会更有动力去采取这些行为。本研究的目的是运用相互依存理论来评估关系因素在皮肤自我检查（SSE）中的作用。
本研究采用横断面调查设计。
184对年龄在50岁及以上的已婚夫妇完成了关于皮肤癌担忧、SSE益处、SSE障碍、以关系为中心的SSE动机、关于SSE的讨论以及过去一年中SSE行为的测量。
相互讨论SSE的夫妇更有可能进行SSE。以关系为中心产生SSE动机的夫妇更有可能讨论SSE，最终也更有可能进行SSE。一方的信念与另一方的SSE相关。以关系为中心产生SSE动机的女性，其丈夫更常讨论SSE，也更有可能进行SSE。以关系为中心产生SSE动机的男性，其妻子并没有报告说她们与丈夫更多地讨论SSE，和/或她们自己更有可能进行SSE。这些发现表明，与丈夫的关系信念及讨论相比，妻子的关系信念及与丈夫的讨论可能与丈夫的SSE行为有更强的关联。
行为干预可能会受益于鼓励夫妇讨论SSE，并考虑SSE对他们关系及配偶健康的益处。贡献声明关于该主题已知的内容有哪些？先前的研究表明，如果人们考虑到健康促进行为对其亲密关系的益处，他们会更有动力去采取这些行为。然而，关于婚姻关系在皮肤自我检查（SSE）行为中的作用知之甚少。本研究增加了什么？本研究基于先前评估关系因素在癌症筛查和监测行为中作用的研究。相互讨论SSE的夫妇更有可能进行SSE。考虑到参与SSE对他们关系有益的夫妇更有可能讨论并进行皮肤检查。
