Brandão Tânia, Pedro Juliana, Nunes Nuno, Martins Mariana V, Costa Maria Emília, Matos Paula Mena
Center for Psychology at University of Porto, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.
Psychooncology. 2017 Dec;26(12):2019-2029. doi: 10.1002/pon.4432. Epub 2017 May 16.
Breast cancer (BC) diagnosis and subsequent treatments present significant challenges and distress for both patients and their partners. This can lead to difficulties in marital relationships and, consequently, decreases in marital adjustment and psychosocial adaptation to BC for both partners. Our objective was to systematically review studies assessing marital adjustment in the context of female BC to understand which factors are associated with marital adjustment in both patients and partners and characterize the measures used to assess marital adjustment within these studies.
This systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. English, peer-reviewed articles exploring factors associated with marital adjustment in the context of female BC were considered for inclusion.
Fourteen studies were included. Results evidenced that psychosocial variables play an important role on marital adjustment. Specifically, open and constructive communication, more social support, and supportive dyadic coping were found to be associated with higher levels of marital adjustment. Other variables such as self-efficacy, sexual functioning, and psychological adjustment were also positively associated with marital adjustment.
Most studies evidenced an association between psychosocial variables and marital adjustment for both women and their partners. Some important dimensions such as communication patterns, coping strategies, and social support dynamics were identified as potential targets for psychological interventions. Some variables, however, were explored only in a few studies, which limit our conclusions. Future studies should explore the role these variables and other relational and emotional variables play in promoting marital adjustment after BC.
乳腺癌（BC）的诊断及后续治疗给患者及其伴侣带来了重大挑战和困扰。这可能导致婚姻关系出现问题，进而使夫妻双方的婚姻调适以及对乳腺癌的心理社会适应能力下降。我们的目的是系统回顾评估女性乳腺癌背景下婚姻调适情况的研究，以了解哪些因素与患者及其伴侣的婚姻调适相关，并描述这些研究中用于评估婚姻调适的方法。
本系统综述按照系统评价与Meta分析的首选报告项目指南进行。纳入探讨女性乳腺癌背景下与婚姻调适相关因素的英文、同行评审文章。
共纳入14项研究。结果表明，心理社会变量在婚姻调适中起着重要作用。具体而言，开放且建设性的沟通、更多的社会支持以及支持性的二元应对方式与更高水平的婚姻调适相关。自我效能感、性功能和心理调适等其他变量也与婚姻调适呈正相关。
大多数研究表明，心理社会变量与女性及其伴侣的婚姻调适之间存在关联。沟通模式、应对策略和社会支持动态等一些重要维度被确定为心理干预的潜在目标。然而，一些变量仅在少数研究中被探讨，这限制了我们得出的结论。未来的研究应探讨这些变量以及其他关系和情感变量在促进乳腺癌后婚姻调适方面所起的作用。
