Couples Who Get Closer After Breast Cancer: Frequency and Predictors in a Prospective Investigation
Référence bibliographique 
Dorval, Michel, Guay, Stéphane, Mondor, Myrto, Mâsse, Benoît, Falardeau, Maurice, Robidoux, André, Deschenes, Luc et Maunsell, Elizabeth. 2005. «Couples Who Get Closer After Breast Cancer: Frequency and Predictors in a Prospective Investigation ». Journal of Clinical Oncology, vol. 23, no 15, p. 3588-3596.
Intentions : «In this article, we present information on the extent to which both couple members report that breast cancer brought them closer and on characteristics related to couple interactions after diagnosis that are associated with both partners’ reporting a closer marital relationship 1 year after diagnosis.» (p. 3589)
Échantillon/Matériau : «Consecutive series of newly diagnosed patients with breast cancer with histologically confirmed, localized, or regional-stage disease who were first treated in one of four hospitals in Québec (Hôpital du Saint-Sacrement, Hôtel-Dieu de Lévis, Centre Hospitalier de l’Université de Montréal campus Notre-Dame, and campus Hôtel-Dieu) between January 1996 and May 1997 and who met study eligibility criteria were invited to participate in a study of quality of life among couples facing breast cancer. […] Thus overall, 92% (282 of 308) of initial spouse participants completed all study interviews. Therefore, data from 282 couples were available for analyses.» (p. 3589-3590)
Instruments : Questionnaires
Type de traitement des données : Analyse statistique
«Using a clear and simple question, we found a considerable proportion of couples (42%) facing nonmetastatic breast cancer reporting that the experience of the illness and its treatments had brought them closer 1 year after diagnosis. In addition, we have identified four characteristics, all related to short-term interactions connected with breast cancer, that are associated with an increased sense of marital closeness in both partners. Two weeks after diagnosis, the patient’s giving advice to the spouse about coping with breast cancer, the spouse’s accompanying the patient to surgery, and the spouse reporting the patient as a confidant were all independently associated with a greater likelihood of getting closer. At 3 months, the patient’s reporting more demonstrations of tenderness and affection from her spouse since diagnosis also emerged as a characteristic that predicted getting closer. Of the 28 characteristics related to patients’ and spouses’ postdiagnosis experiences that we considered, these are the only four that emerged as significant predictors. Characteristics not associated included several related to partners’ reports of psychological and physical effects of the disease and communication with the physician.» (p. 3592)