Manne S L, Taylor K L, Dougherty J, Kemeny N
Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
J Behav Med. 1997 Apr;20(2):101-25. doi: 10.1023/a:1025574626454.
This study examined the association between positive and negative aspects of spouse responses and psychological adjustment among 158 individuals with cancer. Two contextual variables, gender and disease-related functional impairment, were taken into account when examining the association between spouse responses and patient psychological distress and well-being. Results indicated that negative aspects of close relationships played a comparatively stronger role than positive aspects in their associations with both psychological distress and well-being. For negative spouse responses, patient gender did not moderate the effects of these responses upon psychological outcomes. For positive aspects of spouse support, both gender and functional disability moderated the association between spouse support and psychological outcomes. These findings are integrated with the general literature on positive and negative aspects of close relationships. Implications for clinical interventions are also discussed.
本研究调查了158名癌症患者配偶反应的积极和消极方面与心理调适之间的关联。在研究配偶反应与患者心理痛苦及幸福感之间的关联时，考虑了两个背景变量，即性别和疾病相关功能损害。结果表明，亲密关系的消极方面在与心理痛苦和幸福感的关联中，比积极方面发挥的作用相对更强。对于配偶的消极反应，患者性别并未调节这些反应对心理结果的影响。对于配偶支持的积极方面，性别和功能残疾均调节了配偶支持与心理结果之间的关联。这些发现与关于亲密关系积极和消极方面的一般文献相结合。还讨论了对临床干预的启示。
