夫妻交流与癌症:与亲密关系相关的行为情感过程的顺序和轨迹。

IF 2.3 2区 心理学 Q2 FAMILY STUDIES
Journal of Family Psychology Pub Date : 2024-03-01 Epub Date: 2023-12-21 DOI:10.1037/fam0001178
Karena Leo, Shelby L Langer, Laura S Porter, Katherine Ramos, Joan M Romano, Donald H Baucom, Brian R W Baucom
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引用次数: 0

摘要

癌症给患者、配偶以及他们之间的关系带来了一系列生理和情感上的挑战。夫妻双方面临的一个挑战是如何以促进亲密关系的方式讨论与癌症相关的问题。目前以夫妻为基础的干预措施的效果参差不齐,人们对这些措施如何改善夫妻关系知之甚少。本研究旨在扩大我们对夫妻沟通和亲密关系的了解,从而调整和/或开发更有效的干预措施,帮助夫妻应对癌症。为了实现这一目标,本研究采用价值-情感-联系(VAC)框架和观察编码方法研究了与亲密关系相关的情感和行为过程。参与研究的 134 对夫妇中,有一对患者被诊断出患有乳腺癌、结肠直肠癌或肺癌。夫妻双方完成了一系列问卷调查,包括亲密关系的自我报告测量。夫妻双方还完成了15分钟的互动录像,内容为他们选择的癌症话题,并对交流行为和情感表达进行了观察编码。报告亲密程度较高和较低的夫妇在应对癌症时,其沟通行为和情感表达的水平、类型和模式都存在质的差异。具体来说,关系亲密程度较低的夫妇更频繁、更长时间地使用消极接近行为和强烈的消极情绪,并且更有可能使用回避型沟通。而亲密程度较高的夫妇则不太可能持续使用消极的行为和情感,并表现出更多积极的互惠性。这项研究强调了以夫妻为基础的癌症干预和研究的重要注意事项。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Couples communication and cancer: Sequences and trajectories of behavioral affective processes in relation to intimacy.

Cancer poses a set of physical and emotional challenges to the patient, spouse, and their relationship. One challenge for couples is discussing cancer-related concerns in a manner that facilitates intimacy. Current couple-based interventions have been shown to have mixed efficacy, and little is known about how they bring about improvements. This study aims to expand our understanding of dyadic communication and intimacy to adapt and/or develop more effective interventions for couples coping with cancer. To accomplish this goal, the present study examined affective and behavioral processes associated with intimacy using the valence-affective-connection (VAC) framework and observational coding methods. Participants were 134 couples in which a patient was diagnosed with breast, colorectal, or lung cancer. Couples completed a battery of questionnaires, including a self-report measure of intimacy. Couples also completed a 15-min videotaped interaction about a cancer topic of their choosing, which was observationally coded for communication behavior and affective expression. Couples coping with cancer who reported higher versus lower intimacy engaged in qualitatively different levels, types, and patterns of communication behavior and affective expression. Specifically, couples who reported lower relationship intimacy used negative approach behavior and hard negative affect more frequently and for longer periods of time and were more likely to use avoidance-based communication. Higher intimacy couples were less likely to sustain the use of negative behavior and affect and displayed more reciprocity of positive joining affect. The study highlights important considerations for couple-based interventions and research in the context of cancer. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
3.40
自引率
3.70%
发文量
200
期刊介绍: Journal of Family Psychology offers cutting-edge, groundbreaking, state-of-the-art, and innovative empirical research with real-world applicability in the field of family psychology. This premiere family research journal is devoted to the study of the family system, broadly defined, from multiple perspectives and to the application of psychological methods to advance knowledge related to family research, patterns and processes, and assessment and intervention, as well as to policies relevant to advancing the quality of life for families.
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