Couple Communication in Cancer: A Multi-Method Examination

癌症中的夫妻沟通：多方法检查

• 批准号: 9355124
• 负责人: Shelby Langer
• 金额: $ 65.03万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-20 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9355124
• 关键词: Accounting; Address; Affect; Arousal; Back; Behavior; Caregiver Burden; Caring; Cognitive; Colorectal Cancer; Communication; Couples; Development; Disclosure; Distress; Ecological momentary assessment; Emotional; Evaluation; Feeling; Female; Goals; Individual; Intervention; Laboratories; Lead; Link; Malignant Neoplasms; Measurement; Measures; Mediator of activation protein; Methodology; Methods; Modeling; Outcome; Participant; Patient Self-Report; Patients; Perception; Personal Communication; Persons; Play; Privatization; Process; Psychological adjustment; Questionnaires; Recovery; Reporting; Research; Role; Sampling; Science; Social Desirability; Social support; Spouses; Subgroup; Support Groups; Testing; Thinking; Time; Work; base; caregiving; clinical application; cognitive enhancement; communication behavior; design; experience; expressive writing; follow-up; improved; indexing; interest; intimate behavior; male; malignant breast neoplasm; outcome prediction; personalized medicine; psychologic; psychological distress; psychosocial; social; theories

For patients and their intimate partners, cancer poses significant physical and emotional challenges that can negatively impact both individuals and the couple as a whole. Accumulating evidence suggests that couples' ability to communicate effectively, or lack thereof, plays a major role in the psychological adjustment of both individuals and the quality of their relationship. Two key conceptual models have been proposed to account for how communication difficulties lead to poorer outcomes: the social-cognitive processing model and the relationship intimacy model. These models posit different mechanisms and processes affecting outcomes, and thus have substantially different implications for intervention. To date, however, there has been little empirical examination of the mechanisms proposed by each model, limiting advancement of the science as well as the development of theory-based interventions. The purpose of the proposed project is to test and compare the utility of these models using comprehensive and methodologically rigorous methods. The project is guided by a dyadic perspective that includes examination of both patient and partner perceptions and behaviors in communicating their cancer-related concerns and responding to one other. We propose a longitudinal multi- method approach to examining communication processes including: (a) standard self-report questionnaires assessing process and outcome variables collected at multiple time points over the course of one year; (b) ecological momentary assessments (EMA) to sample participant reports in real time; and (c) laboratory-based couple conversations from which we will derive observational measures of communication behavior and vocal indices of emotional arousal. The proposed methodology will address limitations of previous research including cross-sectional designs and a sole reliance on self-report measures. The targeted sample includes a total of 434 patients with advanced breast or colorectal cancer and their partners. The aims of the study are: (1) to examine the overall fit of the social-cognitive processing and relationship intimacy models in explaining patient and partner psychological and relationship adjustment as they occur on a day-to-day basis and over the course of one year; (2) to examine the fit of the models for different subgroups (males versus females, and patients versus partners); and (3) to examine the utility of the various methods of assessing communication (self-report questionnaires versus EMA versus observational measures) by examining the degree to which baseline indices from these different measurement strategies predict adjustment at one-year follow up. Findings from this study have the potential to advance relationship science and our understanding of the processes through which interpersonal communication affects patient and partner adaptation to cancer. Our long-term goal is to use the results to inform theory, measurement, and the design and implementation of efficacious interventions aimed at optimizing both patient and partner well-being.

对于患者及其亲密伴侣，癌症会带来重大的身体和情感挑战 负面影响个人和整个夫妇。积累的证据表明夫妻 有效沟通或缺乏沟通的能力在两者的心理调整中都起着重要作用 个人及其关系的质量。已经提出了两个关键的概念模型来说明 沟通困难如何导致较差的结果：社会认知处理模型和 关系亲密模型。这些模型提出了影响结果的不同机制和过程，以及 因此，对干预具有根本不同的含义。但是，到目前为止，几乎没有经验 检查每个模型提出的机制，限制了科学的进步以及 发展基于理论的干预措施。拟议项目的目的是测试和比较 这些模型使用综合和方法上严格的方法的实用性。该项目由 二元观点包括对患者和伴侣的看法和行为的检查 传达与癌症有关的问题并互相反应。我们提出了一个纵向多 检查沟通过程的方法包括：（a）标准自我报告问卷 评估一年中多个时间点收集的过程和结果变量； （b） 生态瞬时评估（EMA）实时采样参与者报告； （c）基于实验室的 我们将从中得出沟通行为和人声的观察性衡量的对话 情绪唤醒的指标。拟议的方法将解决先前研究的局限性 包括横截面设计和唯一依赖自我报告措施。目标样本包括 共有434例晚期乳腺癌或结肠癌患者及其伴侣。该研究的目的是： （1）检查社会认知处理和关系亲密模型的整体拟合 患者和伴侣的心理和关系调整，每天发生 一年； （2）检查模型对不同亚组的拟合度（男性与女性，以及 患者与伴侣）； （3）检查评估交流的各种方法的实用性 （自我报告问卷与EMA与观察措施）检查 这些不同的测量策略的基线指数可预测一年随访的调整。 这项研究的发现有可能提高关系科学和我们对 人际交往会影响患者并适应癌症的过程。我们的 长期目标是利用结果来告知理论，测量以及设计和实施 有效的干预措施旨在优化患者和伴侣的福祉。