Omne-Pontén M, Holmberg L, Bergström R, Sjödén P O, Burns T
Falun College for the Health Professions, Sweden.
Eur J Cancer. 1993;29A(10):1393-7. doi: 10.1016/0959-8049(93)90009-5.
Psychosocial adjustment was measured among 56 spouses of women operated for breast cancer. Of 69 eligible husbands, 56 participated. Twenty women underwent breast-conserving surgery (BCT) and 36 had a mastectomy (MT). An interview was conducted with each woman and her husband separately, 4 and 13 months after surgery. Two instruments were used; SBAS (Social Behaviour Assessment Schedule) and a scale (TB) constructed specifically for the study. The husbands of the women in the MT group were significantly more depressed after 4 months and reported complaints related to their wive's disease more often than did those in the BCT group. After 4 months, the marital relation was assessed as more positive in the MT group. A total of 48% of the husbands in the sample expressed some emotional distress during the investigation period, which is similar to levels seen among breast cancer-operated women themselves. Overall, only marginally better scores were seen for husbands married to women who had undergone breast-conserving surgery. Few researchers have studied psychosocial reactions in the breast cancer patient's family. Since patterns of social support empirically influence the rehabilitation of the cancer patient, this field of investigation is important.
对56名接受乳腺癌手术的女性的配偶进行了心理社会调适评估。在69名符合条件的丈夫中，56人参与了研究。20名女性接受了保乳手术（BCT），36名进行了乳房切除术（MT）。分别在术后4个月和13个月对每位女性及其丈夫进行了访谈。使用了两种工具：社会行为评估量表（SBAS）和专门为该研究构建的量表（TB）。MT组女性的丈夫在术后4个月时抑郁程度明显更高，且比BCT组的丈夫更频繁地报告与妻子疾病相关的问题。4个月后，MT组的婚姻关系被评估为更积极。样本中共有48%的丈夫在调查期间表现出某种情绪困扰，这与接受乳腺癌手术的女性自身的情绪困扰水平相似。总体而言，与接受保乳手术的女性结婚的丈夫，其得分仅略高一些。很少有研究人员对乳腺癌患者家庭中的心理社会反应进行研究。由于社会支持模式实际上会影响癌症患者的康复，因此这一研究领域很重要。
