Bar-Moshe-Lavi Leegal, Hertz-Palmor Nimrod, Sella-Shalom Keren, Braun Michal, Pizem Noam, Shacham-Shmueli Einat, Rafaeli Eshkol, Hasson-Ohayon Ilanit
Department of Psychology, Bar-Ilan University, Ramat Gan 5290002, Israel.
MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge CB2 1TN, UK.
Behav Sci (Basel). 2024 Dec 4;14(12):1161. doi: 10.3390/bs14121161.
In this study, we applied the actor-partner interdependence model (APIM) to explore the associations between personality traits (Big Five) and psychological flexibility, on the one hand, and depression and anxiety, on the other hand, among patients with cancer and their spouses. Method: Forty-six patient-spouse dyads (N = 92) completed the anxiety and depression scales from the Patient-Reported Outcomes Measurement Information System (PROMIS), the ten-item personality inventory (TIPI), and the psychological flexibility scale (AAQ-2). Multilevel APIM models, adjusted for multiple testing, showed that neuroticism and psychological flexibility had actor effects on patients' depression and anxiety. Furthermore, neuroticism had actor effects on spouses' depression and anxiety, and agreeableness had actor effects on spouses' anxiety. In addition, patients' psychological flexibility and neuroticism had partner effects on spouses' depression. Conclusion: Being psychologically flexible but emotionally stable is important for one's own and one's partner's psychological outcomes in the context of dyadic coping with cancer. Implications include informing couples' therapists in the context of psycho-oncology on the importance of considering personality traits and improving psychological flexibility.
在本研究中，我们应用行为者-伙伴相互依赖模型（APIM）来探究癌症患者及其配偶的人格特质（大五人格）与心理灵活性之间的关联，以及与抑郁和焦虑之间的关联。方法：46对患者-配偶二元组（N = 92）完成了患者报告结局测量信息系统（PROMIS）中的焦虑和抑郁量表、十项人格量表（TIPI）以及心理灵活性量表（AAQ-2）。经过多重检验调整的多层次APIM模型显示，神经质和心理灵活性对患者的抑郁和焦虑有行为者效应。此外，神经质对配偶的抑郁和焦虑有行为者效应，宜人性对配偶的焦虑有行为者效应。此外，患者的心理灵活性和神经质对配偶的抑郁有伙伴效应。结论：在二元应对癌症的背景下，保持心理灵活性但情绪稳定对自身及伴侣的心理结果很重要。其意义包括告知心理肿瘤学领域的夫妻治疗师考虑人格特质和提高心理灵活性的重要性。
