期刊
PSYCHO-ONCOLOGY
卷 17, 期 11, 页码 1152-1156出版社
WILEY
DOI: 10.1002/pon.1319
关键词
metastatic cancer; advanced cancer; marital distress; end of life; psychosocial distress; couples intervention
资金
- Palliative and Supportive Care Research Group
- Department of Statistics, University of Toronto
- University Health Network (UHN) Allied Health
- UHN Allied Health
Objective: The primary objective of this study was to evaluate the effectiveness of a couples intervention in improving marital functioning in advanced cancer patients and their spouse caregivers. A secondary objective was to determine its impact on other symptoms of psychosocial distress and its feasibility and acceptability as a clinical intervention. Methods: Using a one-arm pre- and post-intervention prospective design, 16 couples were provided 8 weekly sessions of Emotionally Focused Couple Therapy, modified and manualized for the cancer population. Subjects' marital functioning (Revised Dyadic Adjustment Scale [RDAS]), symptoms of depression (Beck Depression Inventory-II [BDI-II]), and hopelessness (Beck Hopelessness Scale) were assessed through self-report at T0 (baseline), T1 (after four sessions), T2 (after eight sessions), and T3 (3 months post-intervention follow-up). Results: RDAS scores improved from T0 to T2, with 87.5% of the couples showing some improvement (0.5-5 points) or significant improvement (>5 points) in marital functioning and 68.8% scoring in the non-distressed range (>= 48 RDAS). At T3, 60% of the couples (n = 15) continued to score in the non-distressed range on the RDAS. BDI-II scores were significantly higher for patients than for caregivers. There was a significant reduction in the mean BDI-II score from T0 to T3 in all subjects (n = 30). This reduction was more significant for the patients (n = 15). Conclusions: Providing support to couples at this challenging time may result in improved marital functioning and an opportunity for relational growth during end-stage cancer. This study serves as the first step in the development of an empirically validated intervention for couples. Copyright (C) 2008 John Wiley & Sons, Ltd.
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