Brosseau Danielle C, Peláez Sandra, Ananng Bethsheba, Körner Annett
Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada.
Department of Psychology, The King's University, Edmonton, AB, Canada.
Front Psychol. 2023 Jun 8;14:949443. doi: 10.3389/fpsyg.2023.949443. eCollection 2023.
Cancer-related dyadic efficacy is an individual's confidence to work together with a partner to conjointly manage the effects of cancer and its treatment. In other health contexts, higher levels of dyadic efficacy have been associated with fewer symptoms of psychological distress and higher ratings of relationship satisfaction. The aim of the current study was to explore patient and partner perspectives on what obstructs and facilitates cancer-related dyadic efficacy.
These aims were accomplished through a secondary analysis of data collected as a part of a collective qualitative case study. Participants ( = 17 participants) were patients undergoing treatment or recently completed treatment (within 6 months) for a non-metastatic cancer and their partners. To enable in-depth discussions among participants, data was collected through five focus groups. Participants described obstacles and facilitators of dyadic efficacy as dimensions of a common influence. Consistent with these descriptions, reflexive thematic analysis was used to identify influences on cancer-related dyadic efficacy and their subsequent obstructive and facilitative dimensions.
Four main categories of influence with the potential to obstruct or facilitate cancer-related dyadic efficacy were identified along with their subthemes: appraisals of the couple relationship (quality and togetherness), communication (pattern and interest in information), coping (strategy and evaluation), and responses to change (in tasks and roles and sex life). Eight obstructive and seven facilitative dimensions of these subthemes were described.Discussion: This first analysis of obstacles and facilitators of couples' cancer-related dyadic efficacy capitalized on the experiential expertise of individuals with cancer and their partners. These thematic results are instructive for the design of dyadic efficacy-enhancing interventions for couples coping with cancer.
癌症相关的二元效能是指个体与伴侣共同应对癌症及其治疗影响的信心。在其他健康情境中，较高水平的二元效能与较少的心理困扰症状以及较高的关系满意度评分相关。本研究的目的是探讨患者及其伴侣对于阻碍和促进癌症相关二元效能因素的看法。
这些目标是通过对作为集体定性案例研究一部分收集的数据进行二次分析来实现的。参与者（共17名）是正在接受非转移性癌症治疗或最近（6个月内）完成治疗的患者及其伴侣。为了使参与者能够进行深入讨论，通过五个焦点小组收集了数据。参与者将二元效能的阻碍因素和促进因素描述为共同影响的维度。与这些描述一致，采用反思性主题分析来确定对癌症相关二元效能的影响及其随后的阻碍和促进维度。
确定了四类可能阻碍或促进癌症相关二元效能的主要影响因素及其子主题：对夫妻关系的评价（质量和亲密程度）、沟通（模式和对信息的兴趣）、应对方式（策略和评估）以及对变化的反应（在任务、角色和性生活方面）。描述了这些子主题的八个阻碍维度和七个促进维度。
这首次对夫妻癌症相关二元效能的阻碍因素和促进因素的分析利用了癌症患者及其伴侣的经验性专业知识。这些主题结果对于为应对癌症的夫妻设计增强二元效能的干预措施具有指导意义。
