Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, Seattle, Washington, USA.
Public Health Sciences and Clinical Sciences Divisions, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
J Psychosoc Oncol. 2024;42(5):604-621. doi: 10.1080/07347332.2024.2303523. Epub 2024 Jan 19.
Couples' joint coping is important in managing the impact of breast cancer. However, measures assessing couples' communication as a way of coping are insufficient. This study aimed to generate a self-report valid and reliable measure of couples' coping with a particular focus on communication.
We used baseline data of 343 couple dyads who participated in a randomized clinical trial targeting marital communication. Women were diagnosed with early-stage breast cancer in the past eight months; couples were married or in an intimate relationship for at least six months, could read and write English, and lived within 100 miles of the study center. An expert panel selected items with conceptual fit from the Mutuality and Interpersonal Sensitivity Scale (MIS) that was originally designed to evaluate marital communication about breast cancer.
Exploratory and confirmatory factor analyses supported a 12-item measurement model with four factors: (4 items), (2 items), (3 items), and (3 items). Reliability ranged from 0.76 to 0.87 for women and 0.70 to 0.83 for spouses.
This new measure has potential application in clinical practice and future research to assess couple's joint coping efforts especially through communication.
夫妻共同应对对于缓解乳腺癌的影响至关重要。然而，目前评估夫妻沟通作为应对方式的措施还不够充分。本研究旨在生成一种针对夫妻沟通的自我报告式、有效且可靠的应对方式评估工具。
我们使用了一项针对婚姻沟通的随机临床试验的 343 对夫妻基线数据。女性在过去八个月内被诊断为早期乳腺癌；夫妻双方已结婚或处于亲密关系至少六个月，能够读写英语，且居住在距离研究中心 100 英里以内。一个专家小组从最初设计用于评估关于乳腺癌的婚姻沟通的相互性和人际敏感性量表（MIS）中选择了具有概念契合度的项目。
探索性和验证性因素分析支持了一个包含四个维度的 12 项测量模型：（4 项）、（2 项）、（3 项）和（3 项）。女性的可靠性范围为 0.76 至 0.87，配偶的可靠性范围为 0.70 至 0.83。
这种新的测量工具具有在临床实践和未来研究中评估夫妻共同应对方式（特别是通过沟通）的潜在应用价值。
