Psychology Department, University of California, Riverside, CA, USA.
Internal Medicine, University of Utah, Salt Lake City, UT, USA.
Psychooncology. 2018 Sep;27(9):2206-2213. doi: 10.1002/pon.4797. Epub 2018 Jul 18.
This study revealed the landscape of noncancer conversations, identifying topics and types of everyday conversation, and examined links to psychological adjustment among couples coping with breast cancer.
Fifty-two couples wore the Electronically Activated Recorder (EAR) over 1 weekend and self-reported psychological adjustment while patients were on treatment. The EAR sampled 50 s of ambient sound every 9 minutes to estimate the frequency of noncancer conversation and reveal topics and types of conversation.
Analyses revealed noncancer conversations comprised over 93% of conversations. The most common topic discussed was people. Substantive conversation was associated with better, while emotional disclosure was associated with worse, well-being for patients, but not spouses.
Results revealed that ordinary conversations are frequent among couples who face breast cancer, and they are associated with patients' psychological adjustment, providing a foundation for potential interventions for coping with cancer that do not focus on illness.
本研究揭示了非癌症相关对话的全貌，确定了夫妻双方在共同应对乳腺癌过程中的日常对话主题和类型，并探讨了其与心理适应之间的联系。
52 对夫妻在 1 个周末佩戴电子激活记录器（EAR），并在患者接受治疗期间自我报告心理适应情况。EAR 每隔 9 分钟采集 50 秒的环境声音，以估算非癌症相关对话的频率，并揭示对话的主题和类型。
分析结果显示，非癌症相关对话占比超过 93%。讨论最多的主题是人。实质性对话与患者的健康状况呈正相关，而情绪表达与患者的健康状况呈负相关，但与配偶的健康状况无关。
研究结果表明，在面对乳腺癌的夫妻中，普通对话很常见，且与患者的心理适应相关，为不关注疾病的癌症应对潜在干预措施提供了基础。
