Christina Sauer, Cathrin Ullerich, Elisabeth Livingstone, Sefik Tagay, Till J Bugaj, Eva-Maria Skoda, Martin Teufel, Dirk Schadendorf, Hans-Christoph Friederich
{"title":"面对非黑色素瘤皮肤癌和恶性黑色素瘤的夫妇的社会心理困扰和社会心理资源。","authors":"Christina Sauer, Cathrin Ullerich, Elisabeth Livingstone, Sefik Tagay, Till J Bugaj, Eva-Maria Skoda, Martin Teufel, Dirk Schadendorf, Hans-Christoph Friederich","doi":"10.1080/07347332.2024.2371344","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Skin cancer is the most common cancer worldwide and comprises various non-melanoma skin cancer (NMCS) diagnoses and malignant melanoma (MM). It places a psychological burden on patients and their spouses. The present study aims to investigate psychological distress, temporal changes of psychosocial resources (PR), as well as dyadic dynamics of psychological distress and PR in patients with NMSC or MM and their spouses.</p><p><strong>Methods: </strong>Fifty-four heterosexual couples with different skin cancers, diagnosed within the previous 12 months, participated in this quantitative cross-sectional study. Patients and spouses provided information about depression and anxiety (<i>Hospital Anxiety and Depression Scale</i>), PR within the last four weeks and last three years (<i>Essen Resource Inventory</i>), and partnership quality (<i>Partnership Questionnaire, short version)</i>. Dyadic dynamics were analyzed with multiple regression analyses.</p><p><strong>Results: </strong>We found similar distress levels in patients and spouses, as well as in patients with different skin cancers. Spouses from patients with MM reported significant higher distress levels than spouses from patient with NMSC. Patients' depression predicted spouses' depression, and spouses' anxiety predicted patients' anxiety. In patients, we found associations between personal resources (within the last four weeks and three years) and depression, and an association between patients' social resources (within the last three years) and spouses' depression.</p><p><strong>Conclusions: </strong>The psychological interdependencies between patients' and spouses' depression and anxiety highlight the importance of considering psychological distress in patients with different skin cancers from a dyadic perspective in clinical contexts. Further, personal resources were indicated as a \"distress buffer\" for patients' mental health. Our results underline the importance of couple interventions that activate PR in patients with cancer and their spouses.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-16"},"PeriodicalIF":1.5000,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Psychosocial distress and psychosocial resources in couples facing non-melanoma skin cancers and malignant melanoma.\",\"authors\":\"Christina Sauer, Cathrin Ullerich, Elisabeth Livingstone, Sefik Tagay, Till J Bugaj, Eva-Maria Skoda, Martin Teufel, Dirk Schadendorf, Hans-Christoph Friederich\",\"doi\":\"10.1080/07347332.2024.2371344\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Skin cancer is the most common cancer worldwide and comprises various non-melanoma skin cancer (NMCS) diagnoses and malignant melanoma (MM). It places a psychological burden on patients and their spouses. The present study aims to investigate psychological distress, temporal changes of psychosocial resources (PR), as well as dyadic dynamics of psychological distress and PR in patients with NMSC or MM and their spouses.</p><p><strong>Methods: </strong>Fifty-four heterosexual couples with different skin cancers, diagnosed within the previous 12 months, participated in this quantitative cross-sectional study. Patients and spouses provided information about depression and anxiety (<i>Hospital Anxiety and Depression Scale</i>), PR within the last four weeks and last three years (<i>Essen Resource Inventory</i>), and partnership quality (<i>Partnership Questionnaire, short version)</i>. Dyadic dynamics were analyzed with multiple regression analyses.</p><p><strong>Results: </strong>We found similar distress levels in patients and spouses, as well as in patients with different skin cancers. Spouses from patients with MM reported significant higher distress levels than spouses from patient with NMSC. Patients' depression predicted spouses' depression, and spouses' anxiety predicted patients' anxiety. In patients, we found associations between personal resources (within the last four weeks and three years) and depression, and an association between patients' social resources (within the last three years) and spouses' depression.</p><p><strong>Conclusions: </strong>The psychological interdependencies between patients' and spouses' depression and anxiety highlight the importance of considering psychological distress in patients with different skin cancers from a dyadic perspective in clinical contexts. Further, personal resources were indicated as a \\\"distress buffer\\\" for patients' mental health. Our results underline the importance of couple interventions that activate PR in patients with cancer and their spouses.</p>\",\"PeriodicalId\":47451,\"journal\":{\"name\":\"Journal of Psychosocial Oncology\",\"volume\":\" \",\"pages\":\"1-16\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Psychosocial Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/07347332.2024.2371344\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHOLOGY, SOCIAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosocial Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07347332.2024.2371344","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}
引用次数: 0
摘要
背景：皮肤癌是全球最常见的癌症，包括各种非黑色素瘤皮肤癌（NMCS）和恶性黑色素瘤（MM）。皮肤癌给患者及其配偶带来心理负担。本研究旨在调查 NMSC 或 MM 患者及其配偶的心理困扰、社会心理资源（PR）的时间变化以及心理困扰和社会心理资源的动态变化：54对在过去12个月内确诊患有不同皮肤癌的异性夫妇参与了这项定量横断面研究。患者和配偶提供了有关抑郁和焦虑（医院焦虑和抑郁量表）、过去四周和过去三年的PR（埃森资源调查表）以及伴侣关系质量（伴侣关系问卷，简版）的信息。我们使用多元回归分析法对二者之间的动态关系进行了分析：我们发现患者和配偶以及不同皮肤癌患者的痛苦程度相似。MM患者的配偶报告的痛苦程度明显高于NMSC患者的配偶。患者的抑郁预示着配偶的抑郁，配偶的焦虑预示着患者的焦虑。在患者中，我们发现个人资源（过去四周内和三年内）与抑郁之间存在关联，患者的社会资源（过去三年内）与配偶的抑郁之间存在关联：患者和配偶的抑郁与焦虑之间的心理相互依存关系凸显了在临床环境中从双亲的角度考虑不同皮肤癌患者的心理困扰的重要性。此外，个人资源被认为是患者心理健康的 "痛苦缓冲器"。我们的研究结果强调了对癌症患者及其配偶进行夫妻干预以激活 "PR "的重要性。
Psychosocial distress and psychosocial resources in couples facing non-melanoma skin cancers and malignant melanoma.
Background: Skin cancer is the most common cancer worldwide and comprises various non-melanoma skin cancer (NMCS) diagnoses and malignant melanoma (MM). It places a psychological burden on patients and their spouses. The present study aims to investigate psychological distress, temporal changes of psychosocial resources (PR), as well as dyadic dynamics of psychological distress and PR in patients with NMSC or MM and their spouses.
Methods: Fifty-four heterosexual couples with different skin cancers, diagnosed within the previous 12 months, participated in this quantitative cross-sectional study. Patients and spouses provided information about depression and anxiety (Hospital Anxiety and Depression Scale), PR within the last four weeks and last three years (Essen Resource Inventory), and partnership quality (Partnership Questionnaire, short version). Dyadic dynamics were analyzed with multiple regression analyses.
Results: We found similar distress levels in patients and spouses, as well as in patients with different skin cancers. Spouses from patients with MM reported significant higher distress levels than spouses from patient with NMSC. Patients' depression predicted spouses' depression, and spouses' anxiety predicted patients' anxiety. In patients, we found associations between personal resources (within the last four weeks and three years) and depression, and an association between patients' social resources (within the last three years) and spouses' depression.
Conclusions: The psychological interdependencies between patients' and spouses' depression and anxiety highlight the importance of considering psychological distress in patients with different skin cancers from a dyadic perspective in clinical contexts. Further, personal resources were indicated as a "distress buffer" for patients' mental health. Our results underline the importance of couple interventions that activate PR in patients with cancer and their spouses.
期刊介绍：
Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
