Parenting and Family Concerns of Couples Navigating Advanced Breast Cancer: Exploring Discussions Around Parenting Challenges and Targets for Intervention.

IF 3.3 2区 医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2025-01-01 DOI:10.1002/pon.70069
Juliet L Kroll, Morgan Jones, Sujin Ann-Yi, Mariana Chavez-MacGregor, Eduardo Bruera, Kathrin Milbury
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Abstract

Background: Parents with advanced cancer and their partners are more likely to experience psychological distress than their counterparts without minor children. Greater relationship functioning may support parents in distress.

Aims: The current study seeks to explore couples' cancer-related parenting communication behaviors, perception and their associations with psychological and relational wellbeing.

Methods: Women diagnosed with an advanced breast cancer (Stage III-IV) and their partners (n = 46 dyads) parenting a minor child reported psychological symptoms (CES-D, GAD-7), relational wellbeing (DAS-7) and cancer-related parenting concerns (PCQ, patient only). As part of an observational task, couples completed a Family Concern Inventory (FCI) to identify cancer-related family concerns. Then, each member selected one concern to discuss. Immediately after the discussion, participants rated their perception of the discussion and their state positive and negative affect.

Results: Parents (mean age = 43.4 years, 56% non-Hispanic White, two female couples) endorsed high psychological distress, with patients reporting greater family concerns than partners (t = 3.80, p < 0.001). Both members of the couple indicated high levels of self-disclosure and felt validated and accepted by their partners during the discussion. Yet, patients rated the discussion as more helpful than partners (t = 2.3, p = 0.03). There was a small reduction in positive affect following discussion for partners only. However, the more partners disclosed their emotions, the greater their post-discussion positive affect (r = 0.50, p < 0.001).

Conclusions: Couples' ability to openly communicate around cancer-related parenting concerns is associated with aspects of psychological adjustment. Findings identify targets and underscore importance of flexibility for future interventions.

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晚期乳腺癌夫妇的养育和家庭关注:围绕养育挑战和干预目标的探讨。
背景:与没有未成年子女的父母相比,晚期癌症的父母及其伴侣更容易经历心理困扰。更大的关系功能可以支持处于困境中的父母。目的:本研究旨在探讨夫妻癌症相关的育儿沟通行为、认知及其与心理和关系健康的关系。方法:诊断为晚期乳腺癌(III-IV期)的妇女及其育有未成年子女的伴侣(n = 46对)报告了心理症状(CES-D, GAD-7)、关系健康(DAS-7)和癌症相关的养育问题(PCQ,仅限患者)。作为观察任务的一部分,夫妇们完成了一份家庭担忧清单(FCI),以确定与癌症相关的家庭担忧。然后,每个成员选择一个关注点进行讨论。讨论结束后,参与者立即评估他们对讨论的看法以及他们的积极和消极影响状态。结果:父母(平均年龄= 43.4岁,56%非西班牙裔白人,两对女性夫妇)承认心理困扰程度高,患者报告的家庭担忧大于伴侣(t = 3.80, p)结论:夫妻就癌症相关的养育问题公开沟通的能力与心理调整的各个方面有关。研究结果确定了目标,并强调了未来干预措施灵活性的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psycho‐Oncology
Psycho‐Oncology 医学-心理学
CiteScore
6.30
自引率
8.30%
发文量
220
审稿时长
3-8 weeks
期刊介绍: Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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