Spousal Support, Emotional Disclosure, and Adjustment to Head and Neck Cancer

配偶赡养费、情感表露以及头颈癌的适应

• 批准号: 7918777
• 负责人: Hoda J Badr
• 金额: $ 13.49万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7918777
• 关键词: Address; Affect; Affective; Aftercare; Award; Back; Behavior; Cancer Patient; Caregiver Burden; Code; Cognition; Cognitive; Communication; Couples; Data; Disclosure; Disease; Distress; Eating; Emotional; Emotions; Ensure; Environment; Event; Family; Feeling; Foundations; Future; Goals; Head and Neck Cancer; Humor; Individual; Individual Adjustment; Intervention; Literature; Malignant Neoplasms; Measurement; Measures; Mentors; Methods; Modeling; National Cancer Institute; Nature; Outcome; Outcome Study; Patient Self-Report; Patients; Pattern; Physical Function; Population Intervention; Process; Protocols documentation; Quality of life; Radiation; Reaction Time; Reporting; Research; Research Methodology; Risk; Science; Shapes; Social Environment; Social Functioning; Social support; Speech; Spouse Caregiver; Spouses; Symptoms; Techniques; Testing; Thinking; Training; Validation; Vulnerable Populations; Work; Writing; cancer therapy; clinical practice; communication behavior; coping; design; dyadic interaction; emotional disclosure; experience; head and neck cancer patient; high risk; improved; interest; oncology; post-doctoral training; programs; psychologic; psychological distress; psychosocial; response; satisfaction; social; stressor; symposium

DESCRIPTION (provided by applicant): Dr. Badr's long-term goal is to develop a multi-method research program to study psychological, social, and physical functioning in couples coping with cancer. The K07 award will enable Dr. Badr to take the necessary first steps toward this goal by providing training in the design and implementation of couples' interaction protocols, coding techniques, and the analysis of dyadic data. Specifically, the training plan includes: (1) formal course work; (2) regular mentoring from sponsors and collaborators; (3) participation in seminars and national conferences; (4) tutorials by experts; (5) mentored research; and (6) clinical practice. The combination of Dr. Badr's post-doctoral training, the expertise of her mentoring team, and the research environment of M. D. Anderson will facilitate the successful implementation of the proposed study. This research plan is devoted to the implementation of an independent project that integrates the marital and psycho-oncology literatures to study the effects of spousal communication on cognitive processing, relationship satisfaction, and quality of life (QOL) in patients with head and neck cancer (HNC) and their spouses. Specific aims are to: (1) examine associations between couples' communication styles (e.g., patient and partner disclosure, patient and partner holding back of cancer-related concerns, partner positive and negative affective responses to patient disclosure) and patient and partner cognitive processing, using self report and observational methods; (2) examine associations between couples' communication styles (e.g., patient and partner disclosure, patient and partner holding back of cancer-related concerns, partner positive and negative affective responses to patient disclosure) at the initiation of treatment and patient and spouse psychological functioning (e.g., distress) and general QOL 4 months after treatment, using self-report and observational methods; and, (3) to examine associations between patient symptom distress, patient disclosure, and patient cognitive processing over the course of radiation treatment for HNC. This application addresses the National Cancer Institute's continuing commitment to developing initiatives to understand the impact of cancer on the family, and is unique in its multi-method approach. Collectively, the outcomes of this study will allow us to identify adaptive and maladaptive spousal interaction patterns in HNC, providing potential targets for future psychosocial interventions for patients with HNC and their partners.

描述（由申请人提供）：Badr博士的长期目标是制定一项多方法研究计划，以研究应对癌症的夫妻中的心理，社会和身体机能。 K07奖将使Badr博士能够通过在设计和实施夫妇的交互协议，编码技术和二元数据分析的设计和实施方面迈出必要的第一步。具体而言，培训计划包括：（1）正式课程工作； （2）赞助商和合作者的定期指导； （3）参加研讨会和民族会议； （4）专家的教程； （5）指导研究； （6）临床实践。 Badr博士的博士后培训，她的指导团队的专业知识以及M. D. Anderson的研究环境的结合将有助于成功实施拟议的研究。该研究计划致力于实施一个独立项目，该项目将婚姻和心理肿瘤学文献整合在一起，以研究配偶交流对头颈癌患者（HNC）患者（HNC）及其配偶患者认知处理，关系满意度和生活质量（QOL）的影响。具体目的是：（1）检查夫妻的沟通方式之间的关联（例如，患者和伴侣披露，患者和伴侣忍受与癌症相关的关注，对患者披露的正面和负面情感反应）以及患者和伴侣认知处理，使用自我报告和观察方法； （2）检查夫妻的沟通方式（例如，患者和伴侣披露，患者和伴侣的与癌症相关的问题，伴侣对患者披露的正面和负面情感反应）的相关性，以及患者和配偶的心理功能（例如，遇险）以及使用自我报告和观察性的方法，以及一般的QOL 4个月； （3）在HNC的放射治疗过程中检查患者症状困扰，患者披露和患者认知处理之间的关联。该申请旨在解决国家癌症研究所致力于制定癌症对家庭影响的计划的持续承诺，并且在其多方法方法中是独一无二的。总的来说，这项研究的结果将使我们能够确定HNC中的适应性和适应不良的配偶相互作用模式，从而为HNC及其伴侣患者提供了未来的心理社会干预措施的潜在目标。