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对癌症的一般及特定疾病适应:与婚姻状况及婚姻质量的关系。

General and illness-specific adjustment to cancer: relationship to marital status and marital quality.

作者信息

Rodrigue J R, Park T L

机构信息

Department of Clinical and Health Psychology, University of Florida Sciences Center, Gainesville 32610-0165, USA.

出版信息

J Psychosom Res. 1996 Jan;40(1):29-36. doi: 10.1016/0022-3999(95)00540-4.

DOI:10.1016/0022-3999(95)00540-4
PMID:8730642
Abstract

This study examined the relationship between psychological adjustment of adults with cancer and two marital variables: married versus unmarried and high versus low marital quality. Eighty-six married and 46 unmarried adults with cancer completed general and illness-specific measures of psychological adjustment. In general, men and subjects with low marital quality reported more depression and anxiety, a less positive health care orientation, and more illness-induced family difficulties than did women and subjects with high marital quality; unmarried subjects reported more dysphoric thoughts and feelings related to the their illness than did married subjects; and unmarried men reported more disruption in work activities and extended family relationships than did unmarried females or married subjects. Moreover, a greater percentage of unmarried subjects and subjects with low marital quality reported clinically elevated levels of symptomatology compared to those with high marital quality. The clinical implications of these findings are discussed.

摘要

本研究探讨了成年癌症患者的心理调适与两个婚姻变量之间的关系

已婚与未婚,以及婚姻质量高与低。86名已婚和46名未婚成年癌症患者完成了心理调适的一般测量和疾病特异性测量。总体而言,婚姻质量低的男性和受试者比婚姻质量高的女性和受试者报告了更多的抑郁和焦虑、更消极的医疗保健取向以及更多因疾病引发的家庭困难;未婚受试者比已婚受试者报告了更多与疾病相关的烦躁不安的想法和感受;未婚男性比未婚女性或已婚受试者报告了更多工作活动和大家庭关系的中断。此外,与婚姻质量高的受试者相比,未婚受试者和婚姻质量低的受试者中,报告临床症状水平升高的比例更高。讨论了这些发现的临床意义。

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