Abstract：
:Individuals diagnosed with lung and head and neck (HN) cancers and their spouses are at increased risk for distress. This study assessed whether the way couples communicate about cancer and their perceptions of relationship intimacy influenced both partners' adjustment. One-hundred thirty-nine patients and their spouses [For purposes of clarity, we refer to the patients' intimate partner as the spouse, regardless of actual marital status and we reserve the term partner to refer to the other person in the couple (i.e., the patient's partner is the spouse and the spouse's partner is the patient)] completed measures of spousal communication, intimacy, and distress at three time points over 6 months. Using multilevel modeling, an over-time actor-partner interdependence model was specified that examined whether intimacy mediated associations between one's own and one's partner's reports of communication at baseline and later distress. Patients and spouses who reported greater baseline distress reported more negative baseline communication as well as lower levels of intimacy and greater distress over time. Mediation analyses showed patients' and spouses' reports of positive spousal communication were associated with less subsequent distress largely through their effects on intimacy. Clinicians working with head and neck or lung cancer patients should assess communication and intimacy because both impact couples' distress.
journal_name
J Behav Medjournal_title
Journal of behavioral medicineauthors
Manne S,Badr H,Kashy DAdoi
10.1007/s10865-011-9349-1subject
Has Abstractpub_date
2012-06-01 00:00:00pages
334-46issue
3eissn
0160-7715issn
1573-3521journal_volume
35pub_type
杂志文章abstract：:We proposed a conceptual model based on research supporting the relationship between symptoms of illness and the determinants of hardiness, coping strategies, and perceived stress. In this model, hardiness, avoidance coping, and approach coping have paths to perceived stress, perceived stress has a path to symptoms of...
journal_title：Journal of behavioral medicine
pub_type： 临床试验,杂志文章
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abstract：:Behavioral approaches to the treatment of predormital insomnia have assumed that hyperarousal is the underlying cause; thus presleep tension has been the most common target treated. A second indicator, presleep intrusive cognitions, has only recently been examined as a target for treatment. In the present study, 20 su...
journal_title：Journal of behavioral medicine
pub_type： 临床试验,杂志文章,随机对照试验
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abstract：:To assess whether speech characteristics descriptive of Type A behavior were related to coronary heart disease (CHD) incidence in the Multiple Risk Factor Intervention Trial, we scored voice emphasis, speed of speaking, latency of answering, and answer content from 577 audiotaped structured interviews in a case-contro...
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journal_title：Journal of behavioral medicine
pub_type： 杂志文章
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journal_title：Journal of behavioral medicine
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of behavioral medicine
pub_type： 杂志文章
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journal_title：Journal of behavioral medicine
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of behavioral medicine
pub_type： 杂志文章
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journal_title：Journal of behavioral medicine
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journal_title：Journal of behavioral medicine
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journal_title：Journal of behavioral medicine
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of behavioral medicine
pub_type： 临床试验,杂志文章,随机对照试验
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pub_type： 临床试验,杂志文章
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journal_title：Journal of behavioral medicine
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pub_type： 杂志文章
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journal_title：Journal of behavioral medicine
pub_type： 杂志文章
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