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夫妻双方在持续癌症相关披露中反应认知的作用

The Role of Response Perceptions in Couples' Ongoing Cancer-Related Disclosure.

机构信息

a School of Media and Communication, Department of Communication , Bowling Green State University.

b Brian Lamb School of Communication, Department of Communication , Purdue University.

出版信息

Health Commun. 2019 Aug;34(9):999-1009. doi: 10.1080/10410236.2018.1452091. Epub 2018 Mar 22.

DOI:10.1080/10410236.2018.1452091
PMID:29565693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6249115/
Abstract

In efforts to better understand the intricate nature of response, we tested a four-dimension structure of response patterns (measured as support, reciprocity, emotional reaction, and avoidance) as well as four single dimension models within the context of couples managing cancer. All models incorporate dyadic data, including both patient and partner perceptions that relational quality influences response patterns, and response patterns influence ongoing disclosure (measured as breadth and depth). Participants were 95 dyads in which one partner had been diagnosed with cancer. We conducted multilevel analyses using an actor-partner interdependence model. Results supported the four-dimension model as well as individual dimension models. All response types predict within person disclosure. However, only reciprocity predicts the other person's disclosure, and only patient's reports of partner reciprocity predict partner disclosure.

摘要

为了更好地理解反应的复杂本质,我们在夫妻共同应对癌症的背景下,测试了反应模式的四维度结构(以支持、互惠、情绪反应和回避来衡量),以及四个单一维度模型。所有模型都包含了对偶数据,包括患者和伴侣的感知,即关系质量影响反应模式,而反应模式又影响持续披露(以广度和深度来衡量)。参与者是 95 对伴侣,其中一方被诊断患有癌症。我们使用演员-伙伴相互依存模型进行了多层次分析。结果支持四维度模型以及各个单一维度模型。所有的反应类型都可以预测个体的披露。然而,只有互惠可以预测另一个人的披露,而且只有患者对伴侣互惠的报告可以预测伴侣的披露。

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本文引用的文献

1
"He would never let me just give up": Communicatively Constructing Dyadic Resilience in the Experience of Breast Cancer.“他从不允许我轻易放弃”:在乳腺癌的经历中构建沟通性的二元韧性。
Health Commun. 2018 Dec;33(12):1516-1524. doi: 10.1080/10410236.2017.1372049. Epub 2017 Sep 27.
2
Avoidance of cancer communication, perceived social support, and anxiety and depression among patients with cancer.癌症患者对癌症相关沟通的回避、感知到的社会支持以及焦虑和抑郁
Psychooncology. 2016 Nov;25(11):1301-1307. doi: 10.1002/pon.4060. Epub 2016 Jan 11.
3
Holding back, intimacy, and psychological and relationship outcomes among couples coping with prostate cancer.应对前列腺癌的夫妻之间的克制、亲密关系以及心理和关系结果。
J Fam Psychol. 2015 Oct;29(5):708-19. doi: 10.1037/fam0000096. Epub 2015 Jul 20.
4
Communication Efficacy and Couples' Cancer Management: Applying a Dyadic Appraisal Model.沟通效能与夫妻癌症管理:应用二元评估模型
Commun Monogr. 2015 Jun 1;82(2):179-200. doi: 10.1080/03637751.2014.971415.
5
Dimensions of Anticipated Reaction in Information Management: Anticipating Responses and Outcomes.信息管理中预期反应的维度:预测回应与结果。
Rev Comm. 2014;14(3-4):314-333. doi: 10.1080/15358593.2014.986514.
6
Decision making in cancer-related topic avoidance.癌症相关话题回避中的决策制定。
J Health Commun. 2015;20(3):306-13. doi: 10.1080/10810730.2014.965364. Epub 2015 Jan 13.
7
Elderly patients' heart-related conditions: Disclosing health information differs by target.老年患者的心脏相关病症:健康信息披露因目标而异。
Psychol Health Med. 2015;20(5):594-604. doi: 10.1080/13548506.2014.986141. Epub 2014 Dec 1.
8
The nature of communication work during cancer: advancing the theory of illness trajectories.癌症沟通工作的本质:推进疾病轨迹理论。
Health Commun. 2012;27(7):641-52. doi: 10.1080/10410236.2011.629405. Epub 2011 Dec 14.
9
Assessing health diagnosis disclosure decisions in relationships: testing the disclosure decision-making model.评估关系中的健康诊断披露决策:检验披露决策模型。
Health Commun. 2012;27(4):356-68. doi: 10.1080/10410236.2011.586988. Epub 2011 Oct 12.
10
Beyond initial disclosure: the role of prognosis and symptom uncertainty in patterns of disclosure in relationships.超越初步披露:预后和症状不确定性在关系中披露模式中的作用。
Health Commun. 2012;27(2):145-57. doi: 10.1080/10410236.2011.571755. Epub 2011 Aug 2.