Keller M, Henrich G, Beutel M, Sellschopp A
Institut und Poliklinik für Psychosomatische Medizin, Psychotherapie und Medizinische Psychologie der Technischen Universität München.
Psychother Psychosom Med Psychol. 1998 Sep-Oct;48(9-10):358-68.
Sources of distress and support were assessed in a prospective study covering 149 couples with a cancer patient on outpatient chemotherapy, with an overall equally high impact of disease. Distress levels in spouses were found as high as in patients, showing a moderate relation within couples. From multivariate regression analyses spouses' distress proved predominantly determined by characteristics of illness. When broken down according to gender, factors contributing to couples' distress varied. Couples' distress was found more closely related to each other with female patients, with spouses relying more on their ill wives, compared to couples with male patients. Whereas female patients' distress was determined by the degree of role limitations, male patients appeared more vulnerable to the psychological impact of illness. Though couples' estimated social support from various sources was estimated greatly helpful, no effects were found on patients' and spouses' distress, respectively. Conclusions in respect of family-oriented interventions are discussed.
在一项前瞻性研究中，对149对有癌症患者接受门诊化疗的夫妇进行了痛苦来源和支持情况的评估，疾病对他们的总体影响程度相同。研究发现配偶的痛苦程度与患者一样高，夫妻之间存在中等程度的关联。多变量回归分析表明，配偶的痛苦主要由疾病特征决定。按性别细分后，导致夫妻痛苦的因素各不相同。与有男性患者的夫妻相比，有女性患者的夫妻之间的痛苦关联更为紧密，配偶更依赖生病的妻子。女性患者的痛苦取决于角色限制程度，而男性患者似乎更容易受到疾病心理影响。尽管从各种来源估计的夫妻社会支持被认为非常有帮助，但分别对患者和配偶的痛苦没有产生影响。文中讨论了关于家庭导向干预的结论。
