ObjectivePsychological distress is prevalent in couples facing breast cancer. Couples often deal with breast cancer as a unit instead of as individuals. Couple's dyadic coping is important for their adjustment to breast cancer; however, little is known about how couple's coping congruence influences their distress. This study examined how common dyadic coping (CDC) and coping congruence impact psychological distress in couples facing breast cancer.MethodsBaseline data were analyzed from 343 women with recently diagnosed early‐stage breast cancer and their partners who participated in a randomized clinical trial. Psychological distress was indicated by depressed mood and state anxiety. Common dyadic coping was measured by a self‐report scale. Coping congruence was assessed by the absolute difference between a woman's and her partner's CDC scores.ResultsHigher CDC scores were associated with lower psychological distress in both women and partners. In the CDC subscales, women who suffered less scored higher on open communication, sharing a positive outlook, and lower on avoidance coping. Partners who suffered less scored higher on open communication, sharing a positive outlook, spending time talking, and lower on avoidance coping. Greater congruence in CDC was associated with lower psychological distress in women and their partners. Congruence in sharing a positive outlook benefited both members of the dyad; congruence in avoidance coping significantly benefited patients; congruence in open communication significantly benefited partners.ConclusionsCDC and its congruence in specific areas have potential benefit to couple's psychological distress when facing breast cancer. Health care providers could consider enhancing couple's CDC and coping congruence to improve their adjustment.

中文翻译：

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面临乳腺癌的夫妇常见的二元应对及其一致性：对夫妇心理困扰的影响

目的心理困扰在面临乳腺癌的夫妇中普遍存在。夫妻经常将乳腺癌视为一个整体，而不是作为个体。夫妻的二元应对方式对于他们适应乳腺癌很重要；然而，人们对夫妻应对方式的一致性如何影响他们的痛苦知之甚少。本研究探讨了常见二元应对 (CDC) 和应对一致性如何影响面临乳腺癌的夫妇的心理困扰。方法对 343 名最近诊断为早期乳腺癌的女性及其参加随机临床试验的伴侣的基线数据进行了分析。心理困扰表现为情绪低落和状态焦虑。常见的二元应对是通过自我报告量表来衡量的。应对一致性是通过女性和伴侣的 CDC 分数之间的绝对差异来评估的。结果 CDC 分数越高，女性和伴侣的心理困扰越低。在疾病预防控制中心的分量表中，遭受较少痛苦的女性在开放沟通、分享积极的看法方面得分较高，而在回避应对方面得分较低。遭受较少痛苦的伴侣在开放沟通、分享积极的前景、花时间交谈方面得分较高，而在回避应对方面得分较低。CDC 的一致性越高，女性及其伴侣的心理困扰就越少。分享积极的观点的一致性对二人组的双方都有利。回避应对的一致性使患者显着受益；开放式沟通中的一致性使伴侣受益匪浅。结论CDC及其在特定领域的一致性对于夫妻面对乳腺癌时的心理困扰具有潜在的益处。医疗保健提供者可以考虑加强夫妻的疾病预防控制和应对一致性，以改善他们的适应能力。