Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Faculty of Psychology, Beijing Normal University, Beijing, China.
School of Psychology, Nanjing Normal University, Nanjing, China.
Psychooncology. 2019 Jun;28(6):1301-1307. doi: 10.1002/pon.5082. Epub 2019 May 9.
Previous studies have shown the significance of illness representation in maintaining of fear of cancer recurrence (FCR). The current study explored the association of illness representation and fear of cancer recurrence in daily life among breast cancer survivors and their spouses, considering the role of daily couple communication.
A total of 54 couples in which the wives were breast cancer survivors were recruited to complete Brief Illness Perception Questionnaire and to report their communication information and fear of cancer recurrence in daily life.
At the between-person level, individuals with severer illness representation were likely to express more negative and less positive information in daily life, irrespective of whether they were patients or spouses. At the within-person level, perceptions of positive information acted as a mediator between disclosures of positive/negative information and changes in FCR.
There were interactions of the relationship of illness representation to FCR between breast cancer survivors and their spouses. Daily couple communication played critical roles in the association between illness representation and FCR.
既往研究表明，疾病观念在维持癌症恐惧复发（FCR）中具有重要意义。本研究探讨了乳腺癌幸存者及其配偶在日常生活中疾病观念与 FCR 之间的关系，同时考虑了日常夫妻沟通的作用。
共招募了 54 对夫妇，其中妻子为乳腺癌幸存者，他们完成了简要疾病观念问卷，并报告了日常生活中的沟通信息和对癌症复发的恐惧。
在个体间水平上，无论患者还是配偶，疾病观念越严重的个体更有可能在日常生活中表达更多的负面信息和更少的正面信息。在个体内水平上，对正面信息的感知在正面/负面信息的表达与 FCR 的变化之间起到了中介作用。
乳腺癌幸存者及其配偶的疾病观念与 FCR 之间的关系存在相互作用。日常夫妻沟通在疾病观念与 FCR 之间的关系中起着关键作用。
