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二元应对方式与癌症患者伴侣情绪功能及关系质量的关系——一项荟萃分析

The Relationship of Dyadic Coping With Emotional Functioning and Quality of the Relationship in Couples Facing Cancer-A Meta-Analysis.

作者信息

Ştefǎnuţ Adelina Mihaela, Vintilǎ Mona, Tudorel Otilia Ioana

机构信息

Department of Psychology, West University of Timişoara, Timişoara, Romania.

出版信息

Front Psychol. 2021 Jan 8;11:594015. doi: 10.3389/fpsyg.2020.594015. eCollection 2020.

Abstract

This study is a meta-analysis that considers the association between dyadic coping and emotional functioning, and between dyadic coping and the quality of the relationship as perceived by cancer patients and their life partners. A systematic search was conducted in the electronic databases PsycINFO, PubMed, ScienceDirect and those peer-reviewed cross-sectional and longitudinal studies published up until April 2020 that investigated these relationships were selected. A total of 1,168 studies were identified, of which 10 met the inclusion criteria ( = 1,727 couples). These evidenced statistically significant positive relationships between common dyadic coping and emotional functioning and between common dyadic coping and the quality of the relationship as perceived by patients and their partners. There was also a statistically significant positive association between stress communication (by oneself), supportive dyadic coping (by oneself and by partner), and the quality of the relationship. In addition, a statistically significant negative association was found between negative dyadic coping (by oneself and by partner) and the quality of the relationship as perceived by patients' partners and also between negative dyadic coping (by oneself) and the quality of the relationship as perceived by patients. The results suggest the existence of a significant association between dyadic coping and emotional functioning and between dyadic coping and the quality of the relationship as perceived by members of couples facing cancer. However, these results must be interpreted with caution due to the small number of studies included in the analysis. Clinically, an understanding of the existence of such relationships is helpful for the implementation, and study of the effectiveness of, interventions aimed at improving dyadic coping in order to improve both quality of life and quality of relationship in couples where there is an oncological diagnosis.

摘要

本研究是一项荟萃分析,探讨了二元应对与情绪功能之间的关联,以及二元应对与癌症患者及其生活伴侣所感知的关系质量之间的关联。我们在电子数据库PsycINFO、PubMed、ScienceDirect中进行了系统检索,并选取了截至2020年4月发表的那些调查这些关系的同行评审横断面和纵向研究。共识别出1168项研究,其中10项符合纳入标准(n = 1727对夫妻)。这些研究证明,共同二元应对与情绪功能之间以及共同二元应对与患者及其伴侣所感知的关系质量之间存在统计学上显著的正相关。压力沟通(自身方面)、支持性二元应对(自身和伴侣方面)与关系质量之间也存在统计学上显著的正相关。此外,还发现消极二元应对(自身和伴侣方面)与患者伴侣所感知的关系质量之间以及消极二元应对(自身方面)与患者所感知的关系质量之间存在统计学上显著的负相关。结果表明,二元应对与情绪功能之间以及二元应对与面临癌症的夫妻双方所感知的关系质量之间存在显著关联。然而,由于分析中纳入的研究数量较少,这些结果必须谨慎解释。在临床上,了解这种关系的存在有助于实施旨在改善二元应对的干预措施,并研究其有效性,以便提高患有肿瘤诊断的夫妻的生活质量和关系质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05ed/7819877/51b1eea879b3/fpsyg-11-594015-g0001.jpg

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