West China School of Nursing/West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Eur J Oncol Nurs. 2021 Oct;54:102039. doi: 10.1016/j.ejon.2021.102039. Epub 2021 Sep 14.
Despite increasing research on posttraumatic growth (PTG) of spouses of cancer patients, and the positive effects of spouses' PTG on both spouses and patients, there is little information on PTG and its correlates among husbands of gynecological cancer survivors, especially those of newly diagnosed survivors. We aimed to assess PTG among spouses of newly diagnosed gynecological cancer survivors and to examine its correlates.
In a cross-sectional study, a total of 400 spouses of newly diagnosed gynecological cancer survivors were recruited and completed questionnaires with information on general characteristics, rumination, self-disclosure, locus of control, and PTG. Univariate analysis and multiple linear regression analysis were performed.
The mean score of PTG among the spouses was 57.77 (SD = 12.03). There were significant differences in PTG among spouses with different education levels, marriage duration, number of children, per capita monthly income, other traumatic events within 6 months, and time since diagnosis groups. Pearson's correlation analysis revealed that deliberate rumination, self-disclosure, and locus of control were significantly associated with PTG. The multiple regression model revealed that 53.6% of the variance in PTG was explained by marriage duration, time since diagnosis, self-disclosure, deliberate rumination, and internality locus of control.
This study was one of the early attempts in evaluating PTG among spouses of newly diagnosed gynecological cancer survivors and identified several significant, potentially modifiable factors (self-disclosure, deliberate rumination, and internality locus of control) associated with PTG, providing an important guide for the development of effective psychosocial interventions for this population.
尽管越来越多的研究关注癌症患者配偶的创伤后成长（PTG），以及配偶的 PTG 对配偶和患者双方的积极影响，但关于妇科癌症幸存者配偶的 PTG 及其相关性的信息很少，尤其是那些新诊断的幸存者的配偶。我们旨在评估新诊断妇科癌症幸存者配偶的 PTG，并探讨其相关性。
在一项横断面研究中，共招募了 400 名新诊断为妇科癌症幸存者的配偶，并完成了一般特征、沉思、自我表露、控制源和 PTG 的问卷。进行了单因素分析和多元线性回归分析。
配偶的 PTG 平均得分为 57.77（SD=12.03）。不同教育程度、婚姻持续时间、子女数量、人均月收入、6 个月内其他创伤事件以及诊断后时间的配偶，PTG 存在显著差异。Pearson 相关分析显示，深思熟虑的沉思、自我表露和控制源与 PTG 显著相关。多元回归模型显示，PTG 的 53.6%的方差由婚姻持续时间、诊断后时间、自我表露、深思熟虑的沉思和内在控制源解释。
这项研究是评估新诊断妇科癌症幸存者配偶 PTG 的早期尝试之一，确定了几个与 PTG 相关的显著的、潜在可改变的因素（自我表露、深思熟虑的沉思和内在控制源），为针对该人群开展有效的心理社会干预提供了重要指导。
