Fifth Affiliated Hospital Sun Yat-Sen University, No. 52, Meihua East Road, Xiangzhou District, Zhuhai, Guangdong Province, People's Republic of China.
School of Nursing, Sun Yat-Sen University, No. 74, Zhongshan II Road, Guangzhou, Guangdong Province, People's Republic of China.
Support Care Cancer. 2021 Sep;29(9):5425-5433. doi: 10.1007/s00520-021-06121-z. Epub 2021 Mar 11.
To examine the dyadic relationships of dyadic coping, marital satisfaction, and posttraumatic growth and to confirm the mediating effect of marital satisfaction between dyadic coping and posttraumatic growth among breast cancer patients and their spouses.
A total of 206 pairs of female breast cancer patients and their spouses from one tertiary hospital in Guangzhou, China, from August 2018 to July 2019 were invited to complete the demographics and disease-related information questionnaire, the Posttraumatic Growth Inventory, the Marital Adjustment Scale, and the Dyadic Coping Inventory.
Patients' and spouses' positive/negative dyadic coping exerted actor effects and partner effects on marital satisfaction, while their marital satisfaction and positive dyadic coping only exerted actor effects on posttraumatic growth. In addition, the mediating effects of marital satisfaction on the impact of dyadic coping on posttraumatic growth were confirmed in both patients and spouses.
Our findings provide a new perspective on the relationships between dyadic coping, marital satisfaction, and posttraumatic growth at the individual and dyadic levels. Promoting positive dyadic coping and decreasing negative dyadic coping among breast cancer patients and spouses can improve their marital satisfaction and posttraumatic growth.
探讨配偶间应对方式、婚姻满意度与创伤后成长的关系,并验证婚姻满意度在乳腺癌患者及其配偶配偶间应对与创伤后成长关系中的中介作用。
本研究采用便利抽样法,选取 2018 年 8 月至 2019 年 7 月于广州市某三级甲等医院就诊的 206 对女性乳腺癌患者及其配偶为研究对象,完成一般资料及疾病相关信息问卷、创伤后成长量表、婚姻调适量表和配偶间应对方式问卷。
患者和配偶的积极/消极配偶间应对方式对婚姻满意度具有主效应和配偶间效应,而其婚姻满意度和积极配偶间应对方式仅对创伤后成长具有主效应。此外,在患者和配偶中均验证了婚姻满意度对配偶间应对方式与创伤后成长关系的中介作用。
本研究结果从个体和配偶关系层面为配偶间应对方式、婚姻满意度与创伤后成长之间的关系提供了新视角。促进乳腺癌患者及其配偶的积极配偶间应对方式,减少消极配偶间应对方式,可提高其婚姻满意度和创伤后成长水平。