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年轻乳腺癌幸存者的伴侣:心理社会问题、应对方式和心理健康的横断面评估。

Partners of young breast cancer survivors: a cross-sectional evaluation of psychosocial concerns, coping, and mental health.

机构信息

Dana-Farber Cancer Institute, Boston, Massachusetts, USA.

Harvard Medical School, Boston, Massachusetts, USA.

出版信息

J Psychosoc Oncol. 2020 Nov-Dec;38(6):670-686. doi: 10.1080/07347332.2020.1823546. Epub 2020 Oct 1.

Abstract

PURPOSE

Evaluation of psychosocial concerns, coping style, and mental health in partners of young (diagnosed at ≤40 years) survivors of early-stage breast cancer (BC).

DESIGN

Cross-sectional; partners participated in a one-time survey.

SAMPLE

289 participants; most were male, white, working full-time, college educated, with median age of 43 years, parenting children <18 years old.

METHODS

Logistic regression was used to explore associations with anxiety and depression (≥8 on Hospital Anxiety and Depression sub-scales).

FINDINGS

Overall, 41% reported symptoms of anxiety, 18% reported symptoms of depression, and 44% identified maladaptive coping. Multivariable regression analyses revealed: lower social support and poorer quality of life significantly associated with depression ( < .05); maladaptive coping, fulltime employment, poorer caregiver QOL, and less education significantly associated with anxiety.

CONCLUSIONS

Partners of young BC survivors who use more maladaptive coping strategies, report less social support, work fulltime, and/or who have lower education levels experience negative mental health outcomes.

IMPLICATIONS FOR PSYCHOSOCIAL ONCOLOGY

Enhancing constructive coping and ensuring all partners have access to supportive resources may improve partners' emotional adjustment.

摘要

目的

评估年轻(≤40 岁确诊)早期乳腺癌幸存者伴侣的心理社会问题、应对方式和心理健康。

设计

横断面研究;伴侣参与一次性调查。

样本

289 名参与者;大多数是男性、白人、全职工作、大学学历,中位年龄为 43 岁,有<18 岁的孩子。

方法

使用逻辑回归分析焦虑和抑郁(医院焦虑和抑郁量表得分≥8)的相关性。

结果

总体而言,41%的人报告有焦虑症状,18%的人报告有抑郁症状,44%的人采用了适应不良的应对方式。多变量回归分析显示:社会支持较低和生活质量较差与抑郁显著相关(<0.05);适应不良的应对方式、全职工作、较差的照顾者生活质量和较低的教育水平与焦虑显著相关。

结论

采用更多适应不良应对策略、报告较少社会支持、全职工作和/或教育程度较低的年轻乳腺癌幸存者的伴侣会出现负面的心理健康结果。

心理肿瘤学意义

增强建设性应对方式,并确保所有伴侣都能获得支持性资源,可能会改善伴侣的情绪调整。

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