Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, Seattle, Washington, USA.
Affiliate, Public Health Sciences & Member, Clinical Sciences Divisions, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
Psychooncology. 2024 Mar;33(3):e6314. doi: 10.1002/pon.6314.
Psychological distress is prevalent in couples facing breast cancer. Couples often deal with breast cancer as a unit instead of as individuals. Couple's dyadic coping is important for their adjustment to breast cancer; however, little is known about how couple's coping congruence influences their distress. This study examined how common dyadic coping (CDC) and coping congruence impact psychological distress in couples facing breast cancer.
Baseline data were analyzed from 343 women with recently diagnosed early-stage breast cancer and their partners who participated in a randomized clinical trial. Psychological distress was indicated by depressed mood and state anxiety. Common dyadic coping was measured by a self-report scale. Coping congruence was assessed by the absolute difference between a woman's and her partner's CDC scores.
Higher CDC scores were associated with lower psychological distress in both women and partners. In the CDC subscales, women who suffered less scored higher on open communication, sharing a positive outlook, and lower on avoidance coping. Partners who suffered less scored higher on open communication, sharing a positive outlook, spending time talking, and lower on avoidance coping. Greater congruence in CDC was associated with lower psychological distress in women and their partners. Congruence in sharing a positive outlook benefited both members of the dyad; congruence in avoidance coping significantly benefited patients; congruence in open communication significantly benefited partners.
CDC and its congruence in specific areas have potential benefit to couple's psychological distress when facing breast cancer. Health care providers could consider enhancing couple's CDC and coping congruence to improve their adjustment.
面临乳腺癌的夫妇中普遍存在心理困扰。夫妇通常作为一个整体而不是个体来应对乳腺癌。夫妻的应对方式对他们适应乳腺癌很重要；然而，夫妻应对方式的一致性如何影响他们的困扰知之甚少。本研究探讨了常见的夫妻应对方式（CDC）和应对方式的一致性如何影响面临乳腺癌的夫妇的心理困扰。
对 343 名近期被诊断为早期乳腺癌的女性及其伴侣进行了一项随机临床试验的基线数据分析。心理困扰由抑郁情绪和状态焦虑来表示。常见的夫妻应对方式通过自我报告量表来衡量。应对方式的一致性通过女性和其伴侣的 CDC 得分之间的绝对差值来评估。
CDC 得分越高，女性和伴侣的心理困扰越低。在 CDC 子量表中，女性承受的痛苦越小，在开放沟通、分享积极的前景和回避应对方面的得分越高。伴侣承受的痛苦越小，在开放沟通、分享积极的前景、花时间交谈和回避应对方面的得分越高。CDC 的一致性越高，女性和其伴侣的心理困扰越低。在分享积极的前景方面的一致性对夫妻双方都有好处；在回避应对方面的一致性对患者有显著好处；在开放沟通方面的一致性对伴侣有显著好处。
当面临乳腺癌时，CDC 及其在特定领域的一致性对夫妻的心理困扰有潜在的益处。医疗保健提供者可以考虑增强夫妻的 CDC 和应对方式的一致性，以改善他们的适应能力。
