Adult Attachment, Social Support, Anxiety and Quality of Life of Spouses of Women with Breast Cancer
|Keywords:||乳癌病患;配偶;依附;社會支持;焦慮;生活品質;Breast Cancer Patient;Spouse;Attachment;Social Support;Anxiety;Quality of Life||Issue Date:||2011||Abstract:||女性乳房惡性腫瘤為國人癌症發生率的第一名，且發生率及死亡率逐年攀升；配偶面對病患罹患威脅生命的疾病時，常是最主要的照顧者，假若配偶本身適應狀況不佳，會影響配偶在病患罹病過程中提供各項支持的能力；甚至配偶也會陷入心理社會失調的情形，對家庭造成雙重衝擊。
根據Bowlby (1969, 1973, 1982) 提出的依附理論，壓力情境會激發配偶的依附系統，而不同依附狀況的個體對於壓力事件以及社會支持的感受會有所不同。社會支持是個體適應的重要因素，感受到較多社會支持的人對於壓力事件的因應也比較正向。乳癌對配偶與病患的依附關係產生重大的衝擊，影響配偶的心理適應狀況；而配偶需要提供病患多方面的支持，因此其適應狀況極需關注。
Cancer accounts for the highest mortality in Taiwan, and female breast cancer occurs the most among all kinds of cancer. Suffering from the life-threatening disease, spouses are main caregivers most of the time. If the spouses are maladaptive, they could not provide high quality of support to the patient. Even spouses may also become maladjusted; both of the situations impact the family. According to Bowlby’s attachment theory (1969/1982, 1973), such pressure situation will arouse attachment system of individuals, and the evaluations of pressure and perceptions of social support are affected by different attachment conditions. While social support is a key attribution for adaptation, people who perceive more social support maintain better adjustment when it comes to pressure events. Breast cancer impacts the intimate relationship between the spouses and the patients. The situation will arouse spouses’ attachment system and affect their perceived social support, which could influence their adaptation. Since spouses play important roles in disease trajectory, and they suffer from breast cancer as patients do; consequently, the present study did survey at a ward of a teaching hospital in Taipei city with self-report questionnaires. These inventories were filled twice at an interval of one to three months. The inventories applied in the present study were reliable and verified. The level of education, family income, religion and level of pressure have different relationships with anxiety and quality of life at different time. Social support is a moderator between perceive pressure and anxiety, and it is a mediator between avoidant attachment and quality of life. Based on the result, the researcher discussed the limitations of the present study, suggestions for clinical practice and for future research. Professionals could identify the spouses at higher risk of psychological disorders in early stage, and provide tailored interventions to facilitate the well-beings of the spouses, patients and families, reducing the impact of breast cancer on the family.
|Appears in Collections:||社會工作學系|
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