Henan Provincial People' s Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Department of Quality Control, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Psychooncology. 2021 Sep;30(9):1492-1501. doi: 10.1002/pon.5711. Epub 2021 May 5.
This study explored the mediating role of dyadic coping between self-efficacy, psychological distress and marital quality among young and middle-aged couples facing lymphoma.
A total of 243 couples in which the patients were lymphoma were recruited to complete Dyadic Coping Inventory, Locke-Wallace Marital Adjustment Scale for both. And Strategies Used by People to Promote Health, Fear of Progression Questionnaire-Short Form for patients; General Self-Efficacy Scale and Hospital Anxiety and Depression Scale for spouses. We used the statistical programs SPSS 20.0 and SPSS Amos 20.0 for data analysis.
There were significant correlations between patient-spouse's dyadic coping and marriage quality scores. The patients' dyadic coping scores were significantly associated with their self-efficacy, fear of cancer recurrence scores, marriage quality, their spouse's self-efficacy, and marriage quality. The spouses' dyadic coping scores were significantly associated with their self-efficacy, anxiety, and marriage quality. The actor-partner interdependence mediation model analysis mediator effect of dyadic coping in the relationship between self-efficacy, psychological distress, and marriage quality had a good fit, with χ /df = 17.106, p = 0.194; root mean square error of approximation = 0.036; GFI = 0.992; CN = 243.
For both patient and spouses, dyadic coping mediated impact of self-efficacy on marriage quality of themselves and their spouses, and individuals' dyadic coping mediated impact their psychological distress on marriage quality of themselves and spouses. The study highlighted the need for couple-based interventions and including strategies combined with individual and dyadic therapy for both partners.
本研究探讨了自我效能感、心理困扰和淋巴瘤患者中青年夫妇婚姻质量之间的中介作用。
共招募了 243 对淋巴瘤患者夫妇，要求他们完成配偶间应对策略量表、洛克-华莱士婚姻调整量表、患者健康促进策略量表、恐惧进展问卷-短表、一般自我效能量表和配偶医院焦虑抑郁量表。采用 SPSS 20.0 和 SPSS Amos 20.0 统计程序进行数据分析。
患者-配偶的配偶间应对策略与婚姻质量评分呈显著相关。患者的配偶间应对策略评分与他们的自我效能感、癌症复发恐惧评分、婚姻质量、配偶的自我效能感和婚姻质量显著相关。配偶的配偶间应对策略评分与他们的自我效能感、焦虑和婚姻质量显著相关。配偶间应对在自我效能感、心理困扰和婚姻质量关系中的中介作用的演员-伙伴相互依存中介模型分析具有良好的拟合度，χ /df=17.106，p=0.194；近似均方根误差=0.036；GFI=0.992；CN=243。
对于患者和配偶来说，配偶间应对策略中介了自我效能感对他们自身和配偶婚姻质量的影响，个体的配偶间应对策略中介了他们的心理困扰对他们自身和配偶婚姻质量的影响。研究强调了需要对夫妻进行干预，并包括结合个体和配偶治疗的策略。
