Baider L, Koch U, Esacson R, De-Nour A K
Sharett Institute of Oncology, Hadassah University Hospital, Jerusalem, Israel.
Psychooncology. 1998 Jan-Feb;7(1):49-56. doi: 10.1002/(SICI)1099-1611(199801/02)7:1<49::AID-PON312>3.0.CO;2-Z.
In a prospective study, 133 married cancer patients and their spouses were interviewed within a month of diagnosis and administered three self-reports: The Brief Symptom Inventory (BSI) to assess psychological distress, the Impact of Events Scale (IES) to assess coping, and the Family Adaptability and Cohesion Scales (FACES III) to assess family relations. Patients and spouses were moderately distressed. The patient's psychological distress was explained by the level of intrusion, by the spouse's psychological distress and cohesion which had a protective effect (R2.41). The spouse's distress was explained by intrusion, gender and, to some extent, by the patient's distress (R2.41); but cohesion had no influence. Only half of the group (as couples) reached the last follow-up nearly 2 years later. A disassociation seems to have occurred; family relations, as well as partner's distress, did not have an influence on either the patient's or spouse's distress. The information gathered at the beginning of the study explained about 25% of the distress 2 years later of male patients and their wives, and that of female patients but not of their husbands.
在一项前瞻性研究中，133名已婚癌症患者及其配偶在确诊后一个月内接受了访谈，并填写了三份自我报告：用于评估心理困扰的简明症状量表（BSI）、用于评估应对方式的事件影响量表（IES）以及用于评估家庭关系的家庭适应性和凝聚力量表（FACES III）。患者及其配偶均有中度困扰。患者的心理困扰可由侵入程度、配偶的心理困扰以及具有保护作用的凝聚力水平来解释（R2.41）。配偶的困扰可由侵入程度、性别以及在一定程度上由患者的困扰来解释（R2.41）；但凝聚力没有影响。将近两年后，只有一半的研究对象（作为夫妻）完成了最后一次随访。似乎出现了一种脱节现象；家庭关系以及伴侣的困扰对患者或配偶的困扰均无影响。研究开始时收集的信息解释了两年后男性患者及其妻子、女性患者（而非其丈夫）约25%的困扰情况。
