Dyadic Analysis to Explain Distress in Couples

二元分析解释夫妻的痛苦

• 批准号: 7254729
• 负责人: Silvia M. Bigatti
• 金额: $ 7.23万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-01 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7254729
• 关键词: Adjuvant Chemotherapy; Affect; Area; Behavioral; Clinical; Cognitive; Consult; Couples; Diagnosis; Disease; Distress; Emotions; Environment; Face; Functional disorder; Goals; Grant; Head; Housing; Indiana; Indiana University Cancer Center; Individual; Intervention; Interview; Literature; Longitudinal Studies; Mails; Malignant Neoplasms; Mental Health; Modeling; Modification; Moods; Morbidity - disease rate; Oncologist; Oncology Group; Outcome; Participant; Patients; Personal Satisfaction; Personality; Process; Range; Recovery; Recruitment Activity; Research; Research Personnel; Research Support; Risk; SAS; Spouses; Statistically Significant; Stress; Telephone; Testing; Universities; Victoria Austrailia; Wife; Woman; Work; anticancer research; base; breast cancer diagnosis; cancer care; cancer prevention; coping; depressive symptoms; design; experience; improved; malignant breast neoplasm; member; multilevel analysis; optimism; predictive modeling; programs; psychologic; psychological distress; showing emotion; theories

DESCRIPTION (provided by applicant): Extant literature shows that personality, appraisals and coping comprise a model that explains a significant proportion of the variance in distress in patients with breast cancer and their partners. However, much of the variance remains unexplained. Literature that examines patients and partners together shows that the distress and coping of one influence the distress and coping of the other, although we have yet to understand through which mechanisms. The proposed research is expected to identify variables that affect distress in patients and partners and explain how one spouse impacts the other. In the proposed study, we will determine the extent to which the variables from a cognitive stress model modified to include a dyadic component improve the model's predictive ability over the traditional model that does not include dyadic/spouse variables. We will determine this for both for patients and for their partners in an effort to better understand how a diagnosis of breast cancer leads to potentially long-standing psychological distress in couples. In order to reach these goals, 60 married or partnered women, diagnosed with breast cancer and undergoing adjuvant chemotherapy treatment, and their partners will be recruited. They will be sent an assessment battery through mail. Primary appraisals of the breast cancer, optimism, coping strategies (problem-focused coping, emotion-focused coping, relationship-focused coping, and emotional expression and processing coping) and distress (Profile of Mood States) will be assessed. The Actor Partner Interdependence Model using multilevel modeling with SAS PROC MIXED will be used to determine relationships among groups of variables from the model after controlling for any necessary demographic and disease variables. We expect that including partner variables in our analyses will result in more statistically significant variance predicted in distress than including only the individual's variables. Findings from the proposed study will inform clinical practice and also a larger, longitudinal study to determine variables important for interventions to reduce psychological morbidity for patients and partners throughout the cancer experience.

描述（由申请人提供）：现存的文献表明，人格，评估和应对包括一个模型，该模型解释了乳腺癌患者及其伴侣的遇险差异的很大比例。但是，许多方差仍然无法解释。研究患者和伴侣一起研究的文献表明，尽管我们尚未了解哪种机制，但一个人的困扰和应对会影响另一个人的困扰和应对。拟议的研究预计将确定影响患者和伴侣困扰的变量，并解释一个配偶如何影响另一个。在拟议的研究中，我们将确定从认知应力模型修改以包括二元组分的变量在多大程度上提高了模型的预测能力，而不是不包括二元/配偶变量的传统模型。我们将为患者及其伴侣确定这一点，以更好地了解乳腺癌的诊断如何导致夫妻可能长期存在的心理困扰。为了实现这些目标，有60名已婚或合伙妇女被诊断出患有乳腺癌和接受辅助化疗治疗，其伴侣将被招募。他们将通过邮件发送评估电池。对乳腺癌，乐观，应对策略（以问题为中心的应对，以情绪为中心的应对，以关系为中心的应对以及情绪表达和处理应对）的初级评估将评估和痛苦（情绪状态的特征）。使用SAS PROC混合使用多级建模的Actor合作伙伴相互依存模型将用于确定模型的变量组之间的关系，以控制任何必要的人口统计学和疾病变量。我们预计，在分析中包括合作伙伴变量将导致困扰中预测的统计学意义更大，而不是仅包括个人的变量。拟议研究的发现将为临床实践提供依据，并进行更大的纵向研究，以确定对干预措施重要的变量，以减少整个癌症经验中患者和伴侣的心理发病率。

项目成果

Dyadic influence of hope and optimism on patient marital satisfaction among couples with advanced breast cancer.

• DOI: 10.1007/s00520-014-2209-0
• 发表时间: 2014-09
• 期刊: SUPPORTIVE CARE IN CANCER
• 影响因子: 3.1
• 作者: Rock, Emily E.;Steiner, Jennifer L.;Rand, Kevin L.;Bigatti, Silvia M.
• 通讯作者: Bigatti, Silvia M.

Depressive rumination and cognitive processes associated with depression in breast cancer patients and their spouses.

乳腺癌患者及其配偶与抑郁相关的抑郁沉思和认知过程。

• DOI: 10.1037/fsh0000066
• 发表时间: 2014
• 期刊: Families, systems & health : the journal of collaborative family healthcare
• 作者: Steiner,JenniferL;Wagner,ChristinaD;Bigatti,SilviaM;Storniolo,AnnaMaria
• 通讯作者: Storniolo,AnnaMaria