中青年淋巴瘤患者及配偶负性情绪和婚姻质量与支持性二元应对的关系  

Relationship among negative emotions,marital quality,and supportive duality coping in young and middle-aged patients with lymphoma and their spouses

作　　者：安慧颖 雷雷[1] 崔盼盼 AN Huiying;LEI Lei;CUI Panpan(Henan Provincial People′s Hospital,Zhengzhou 463599,China)

机构地区：[1]河南省人民医院,郑州463599

出　　处：《中国心理卫生杂志》2023年第12期1059-1064,共6页Chinese Mental Health Journal

摘　　要：目的:探讨中青年淋巴瘤患者及配偶的负性情绪、婚姻质量与支持性二元应对的关系。方法:选取中青年淋巴瘤患者及配偶243对,采用恐惧疾病进展简化量表(FoP-Q-SF)和医院焦虑抑郁量表(HADS)的焦虑分量表分别评估患者、配偶的负性情绪,采用二元应对量表的支持性二元应对(SDC)维度、婚姻调适量表(MAT)评估支持性二元应对和婚姻质量,通过主客体互依中介模型(APIMeM)分析三者的关系。结果:APIMeM结果显示,患者FoP-Q-SF得分及配偶焦虑得分均对自身SDC得分存在主体效应(β=-0.17、-0.29),配偶焦虑得分对患者SDC得分存在客体效应(β=-0.18),患者及配偶SDC得分均对自身及配偶MAT得分存在主客体效应(β=1.71、1.18、1.17、1.92)。患者和配偶SDC得分在患者FoP-Q-SF得分与MAT得分间的中介效应为46%和13%;在配偶焦虑得分与MAT得分间的中介效应为34%和27%;在患者FoP-Q-SF得分与配偶MAT得分间的中介效应为57%和14%。结论:患者及配偶支持性二元应对在负性情绪与婚姻质量关系中存在中介效应。Objective:To explore the relationship among supportive dyadic coping,negative emotions and ma-rital quality in middle-aged and young patients with lymphoma and their spouses.Methods:A total of 243 middle-aged and young patients with lymphoma and their spouses were selected.The Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and Hospital Anxiety and Depression Scale(HADS)anxiety subscale were used to assess the negative emotions of patients and spouses,and the Dyadic Coping Inventory(DCI)and Short Marital Adjust-ment and Prediction Test(MAT)were used to evaluate supportive dyadic coping(SDC)and marital quality.Actor-partner interdependence mediation model was used to analyze the relationship among dyadic coping,negative emo-tions and marital quality.Results:The APIMeM model showed that both the FoP-Q-SF scores in patients and the anxiety scores in spouses had significant actor effects on their own supportive dyadic coping(β=-0.17,-0.29).The anxiety scores in spouses had a significant partner effect on SDC scoresin patients(β=-0.18).Both the SDC scores in patients and spouses had significant actor and partner effects on their own and their partner′s MAT scores(β=1.71,1.18,1.17,1.92).The SDC scores in patients and spouses significantly mediated the relationship be-tween FoP-Q-SF scores and MAT scores in patients,with effect sizes of 46%and 13%,respectively.The SDC-scores in patients and spouses also significantly mediated the relationship between anxiety scores and MAT scoresin spouses,with effect sizes of 34%and 27%,respectively.Furthermore,the SDC scores in patients and spouses sig-nificantly mediated the relationship between FoP-Q-SF scores in patients and MAT scores in spouses,with effect si-zes of 57%and 14%,respectively.Conclusion:It suggests that supportive dyadic copingbetween spouses plays a mediating role in the relationship between negative emotions and marital quality.

关 键 词：淋巴瘤 支持性二元应对 婚姻调试 主客体互依中介模型 

分 类 号：R733[医药卫生—肿瘤] C913.13[医药卫生—临床医学]