The Effects of Coping Strategies on State of Psychological Stress in Spouse with Cancer Patient

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  • がん患者の配偶者の用いる対処方略がストレス状態に及ぼす影響
  • ガン カンジャ ノ ハイグウシャ ノ モチイル タイショ ホウリャク ガ ストレス ジョウタイ ニ オヨボス エイキョウ

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Abstract

The purpose of this study was to investigate the effects of adopted coping strategies on relationship between dispositions of spouse and state of psychological stress in spouse with cancer patient. The dispositions of spouse were evaluated using three variables, which were age of spouse, cancer stage of the patient, and the years after surgical operation of the patient. State of psychological stress was evaluated usingindices for mental health and subjective burden. Subjects were 57 female spouses (age 64.8±6.0) of gastric cancer patients who were operated after having informed cancer (year after surgical operation : 1.9±1.1). In this study, Tn-axial Coping Scale (TAC-24), Subjective Burden Scale (SBS), General Health Question-naire (GHQ) and Face sheet were used. The answers for questionnaires were obtained through a mail survey. Result of structural equation modeling analysis, this model revealed best fitting (Chi^2=5.60,p=0.69 ; GFI=0.97 ; CFI=1.00). According to this model, it was revealed that the longer time passed after surgical operation, the more families of patients adopted coping strategies of problem-avoidance. As a result, state of psychological stress was evaluated to be getting worse. Furthermore, the older they grew, the more they adopted coping strategies of emotional control. In conclusion, it is very important to support the spouse who has taken care of cancer patient after surgical operation for a long time. Furthermore, these results suggested that the effective support for spouse of cancer patient could be achieved if one could find a way to prevent the tendency of the spouse to use coping strategies of problem-avoidance. Results of this study were discussed from the viewpoint of support system for spouse with cancer patient.

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