Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Sydney, Australia.
School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
J Psychosoc Oncol. 2022;40(4):519-526. doi: 10.1080/07347332.2021.1955317. Epub 2021 Aug 14.
To explore the challenges, unmet needs, and emotional distress of male caregivers of women with breast cancer (BC); and determine how self-efficacy relates to these variables. Adult (≥18 yr) males currently caring for or who had previously cared for a woman with BC completed questionnaires assessing their emotional distress, challenges, unmet needs, and self-efficacy. Bivariate correlations determined the relationships between the variables used in the regression and mediation models. Mediation analysis examined whether cancer-related challenges and unmet needs predict emotional distress and whether self-efficacy mediates the relationships between challenges, unmet needs and distress, while accounting for education, employment, and time from diagnosis. Self-efficacy was significantly negatively related to emotional distress, challenges experienced, and unmet needs. The mediation model accounted for a significant 18% of emotional distress variability. Self-efficacy did not mediate the relationship between challenges and emotional distress or between unmet needs and emotional distress. Male caregivers may benefit from interventions to enhance self-efficacy. Self-efficacy is a modifiable variable, ideally suited for inclusion in supportive interventions.
探讨男性乳腺癌（BC）照顾者的挑战、未满足的需求和情绪困扰；并确定自我效能感与这些变量的关系。 目前正在照顾或曾经照顾过 BC 女性的成年（≥18 岁）男性完成了评估他们情绪困扰、挑战、未满足需求和自我效能感的问卷。 采用双变量相关分析确定回归和中介模型中使用的变量之间的关系。 中介分析检验了癌症相关挑战和未满足的需求是否可以预测情绪困扰，以及自我效能感是否可以在考虑教育、就业和诊断后时间的情况下，调解挑战、未满足的需求和困扰之间的关系。 自我效能感与情绪困扰、经历的挑战和未满足的需求显著负相关。 该中介模型解释了情绪困扰变异性的 18%。 自我效能感不能调解挑战与情绪困扰之间的关系，也不能调解未满足的需求与情绪困扰之间的关系。 男性照顾者可能受益于增强自我效能感的干预措施。 自我效能感是一个可改变的变量，非常适合纳入支持性干预措施中。
