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題名：「親密關係團體諮商」對促進乳癌患者及配偶之夫妻親密關係成效研究
書刊名：教育心理學報
作者：李玉嬋 引用關係／王雪蓮／梁惠君／李佩怡 引用關係
作者(外文)：Li, Yu-chan／Wang, Shueh-lien／Liang, Hui-chun／Li, Pei-yi
出版日期：2013
卷期：44:專刊
頁次：頁537-559
主題關鍵詞：成效研究；乳癌；團體諮商；親密關係；Breast cancer；Effect research；Group counseling；Intimacy relationship
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:22
  • 點閱點閱:73
本研究目的在探討「親密關係團體諮商」對乳癌患者及配偶親密關係促進的成效，並分析不同親密程度、性別的成員在親密關係成效的差異情形，作為檢視團體諮商方案的適切性。研究方法採用解釋式混合研究法之追蹤的解釋模式，以質性資料解釋與擴展量性結果。量化研究採用單組前後測準實驗設計，針對11對完成團體諮商的乳癌患者及配偶，以「婚姻親密量表」作為成效評估工具，所得資料以無母數魏克遜符號等級檢定法進行考驗。質性研究採分析歸納法，分析11對夫妻團體後訪談內容。研究結果：一、本團體諮商內容有助於提昇乳癌患者及配偶整體親密關係，尤其顯著在「精神的親密」、「身體的親密」與「情感的親密」的成效。二、若將團體成員作不同背景變項區分，發現本團體諮商對「低婚姻親密度」、「配偶」、「男性」在親密關係促進上具有顯著成效。三、本團體諮商顯著提昇「低婚姻親密度」成員之「性親密」，顯示性議題在團體諮商仍有其必要性。四、不同性別的成員在親密關係改變成效上有差異，表示乳癌夫妻在親密關係的需求不同。本研究結論為本團體諮商方案確實能提昇乳癌患者及配偶的親密關係，可供實務工作推廣續用，因而提出使用之建議以供參考。
The purpose of the study was to evaluate the effects of ”Intimacy group counseling” on enhancing the couples' intimacy relationship of breast cancer patients and their partners. This study used mixed methods in data collection and analysis. Follow-up explanations model was adopted to explain quantitative data gathered through one group pretest-posttest quasi-experimental design. Participants were 11 couples each consisted of patient, with breast cancer and their partners Marital Intimacy Inventory (MII) was used to evaluate the effect of group therapy. All data were analyzed by nonparametric test, including Wilcoxon Signed Ranks test. Qualitative data were gathered from interviewing 11 couples after they finished the intimacy group counseling. Inductive analysis of data was conducted. The following findings were obtaineds: (1) Posttest scores on intimacy were significantly higher than the pretest scores, which indicated that the content of ”Intimacy group counseling” was highly effective in enhancing the levels of intimacy for the breast cancer patients and partners, especially in ”spiritual intimacy”, ”physical intimacy”, and ”emotion intimacy”. (2) Group counseling significantly enhanced intimacy of ”low marital intimacy”, ”partner”, and ”male” groups. (3) Group counseling enhanced sexual intimacy on breast cancer patients and partners in ”low marital intimacy” group, indicating the topic of ”sexual intimacy” is still necessary in group counseling. (4) Group counseling improved intimate efficacy in different ways between male and female, which showed the breast cancer couples had different intimacy needs. Overall, results indicated that ”Intimacy group counseling” effectively enhanced intimate relationship between breast cancer patients and partners. Limitations of the study and implications for practice and future research are discussed.
期刊論文
1.李玉嬋(20071000)。醫學問題下家族治療型態的醫療諮商工作。諮商與輔導，262，44-51。  延伸查詢new window
2.蔡麗琴、簡上淇、阮芳賦、謝秀芳(200903)。伴侶的身體接觸對慢性病人效用之研究。護理暨健康照護研究，5(1)，42-50。new window  延伸查詢new window
3.Baik, O. M.、Adams, K. B.(2010)。Improving the well-being of couples facing cancer: A review of couples-based psychosocial interventions。Journal of Marital and Family Therapy，37(2)，250-266。  new window
4.Dorval, M.、Guay, S.、Mondor, M.、Mâsse, B.、Falardeau, M.、Robidoux, A.、Maunsell, E.(2005)。Couples who get closer after breast cancer: Frequency and predictors in a prospective investigation。Journal of Clinical Oncology，23(15)，3588-3596。  new window
5.Hagedoorn, M.、Sanderman, R.、Coyne, J. C.、Bolks, H. N.、Tuinstra, J.(2008)。Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects。Psychological Bulletin，134(1)，1-30。  new window
6.Hodgson, J. H.、Shields, C. S.、Rousseau, S. L.(2003)。Disengaging communication in later-life couples coping with breast cancer。Family, Systems and Health，21(2)，145-163。  new window
7.Henson, H. K.(2002)。Breast cancer and sexuality。Sexuality and Disability，20(4)，261-275。  new window
8.Jun, E. Y.、Kim, S.、Chang, S. B.、Oh, K.、Kang, H. S.、Kang, S. S.(2011)。The effect of a sexual life reframing program on marital intimacy, body image, and sexual function among breast cancer survivors。Cancer Nursing，34(2)，142-149。  new window
9.Kalaitzi, C.、Papadopoulos, V. P.、Michas, K.、Vlasis, K.、Skandalakis, P.、Filippou, D.(2007)。Combined brief psychosexual intervention after mastectomy: Effects on sexuality, body image, and psychological well-being。Journal of Surgical Oncology，96(3)，235-240。  new window
10.Kissane, D. W.、Bloch, S.、Smith, G.C.、Miach, P.、Clarke, D. M.、Ikin, J.、Love, A.、Ranieri, N.、Mckenzie, D.(2003)。Cognitive-existential group psychotherapy for women with primary breast cancer: A randomised controlled trial。Psychooncology，12(6)，532-546。  new window
11.Liu, C. J.、Hsiung, P. C.、Chang, K. J.、Liu, Y. F.、Wang, K. C.、Hsiao, F. H.、Ng, S. M.、Chan, C. L. W.(2008)。A study on the efficacy of body-mind-spirit group therapy for patients with breast cancer。Journal of Clinical Nursing，17(19)，2539-2549。  new window
12.Manne, S.、Ostroff, J.、Rini, C.、Fox, K.、Goldstein, L.、Grana, G.(2004)。The interpersonal process model of intimacy: The role of self-disclosure, partner disclosure, and partner responsiveness in interactions between breast cancer patients and their partners。Journal of Family Psychology，18(4)，589-599。  new window
13.Manne, S.、Badr, H.(2008)。Intimacy and relationship processes in couples' psychosocial adaptation to cancer。Cancer，112(11 Suppl.)，2541-2555。  new window
14.Manne, S.、Badr, H.(2010)。Intimacy processes and psychological distress among couples coping with head and neck or lung cancers。Psycho-Oncology，19，941-954。  new window
15.Manne, S.、Badr, H.、Zaider, T.、Nelson, C.、Kissane, D.(2010)。Cancer-related communication, relationship intimacy, and psychological distress among couples coping with localized prostate cancer。Journal of Cancer Survivorship，4(1)，74-85。  new window
16.Moreira, H.、Crespo, C.、Pereira, M.、Canavarro, M. C.(2010)。Marital quality among women with breast cancer: The role of marital intimacy and quality of life。Psicooncología，7(1)，61-80。  new window
17.Sheppard, L. A.、Ely, S.(2008)。Breast cancer and sexuality。The Breast Journal，14(2)，176-181。  new window
18.Shields, C. G.、Rousseau, S. J.(2004)。A pilot study of an intervention for breast cancer survivors and their spouses。Family Process，43，95-107。  new window
19.Portel, L. S.、Keefe, F. J.、Hurwitz, H.、Faber M.(2005)。Disclosure between patients with gastrointestinal cancer and their spouses。Psychooncology，14(12)，1030-1042。  new window
20.Hook, M. K.、Gerstein, L. H.、Detterich, L.、Gridley, B.(2003)。How close are we? Measuring intimacy and examining gender difference。Journal of Counseling and Development，81(4)，462-472。  new window
21.Breitbart, W.、Gibson, C.、Poppito, S. R.、Berg, A.(2004)。Psychotherapeutic interventions at the end of life: A focus on meaning and spirituality。Canadian Journal of Psychiatry，49(6)，366-372。  new window
22.蕭英玲、利翠珊(20091200)。夫妻間的恩情與親密：簡效量表的發展。本土心理學研究，32，3-40。new window  延伸查詢new window
23.Manne, S.、Ostroff, J.、Winkel, G.、Goldstein, L.、Fox, K.、Grana, G.(2004)。Posttraumatic growth after breast cancer: Patient, partner, and couple perspectives。Psychosomatic Medicine，66(3)，442-454。  new window
24.Sternberg, Robert J.(1986)。A Triangular Theory of Love。Psychological Review，93(2)，119-135。  new window
25.邱秋員(20040100)。和信治癌中心醫院乳癌病友支持團體的經驗分享。臺灣社會工作學刊，1，181-198。new window  延伸查詢new window
學位論文
1.林怡君(2006)。情侶間親密信任關係之探討(碩士論文)。國立成功大學。  延伸查詢new window
2.孫鳳岑(2006)。乳癌支持團體成員身體心像、自我效能、親密關係探討--以高雄市為例(碩士論文)。樹德科技大學。  延伸查詢new window
3.陳幸琪(2010)。女性乳癌病人的心理復原力經驗(碩士論文)。國立成功大學。  延伸查詢new window
4.蘇美雅(2008)。身心靈賦能暨衛教團體對乳癌患者成效之初探(碩士論文)。臺灣大學。  延伸查詢new window
5.Sterren, P. G. S.、Verheij, M. J.W.(2009)。The importance of sexual self-disclosure and perceived partner responsiveness in sexual intimacy: The proposition of an interpersonal process model(碩士論文)。University of Utrecht。  new window
6.胡至家(2005)。憂鬱傾性、親密關係與乳癌術後婦女身體意象關係之探討(碩士論文)。高雄醫學大學。  延伸查詢new window
7.曾文志(1996)。成年早期婚姻親密量表之編製及影響婚姻親密之因素探討(碩士論文)。國立高雄師範大學。  延伸查詢new window
8.劉純如(2006)。身心靈賦能團體對乳癌成效之探討(碩士論文)。臺灣大學。  延伸查詢new window
9.羅家玲(2008)。乳癌患者成員對團體心理諮商經驗的解釋(博士論文)。國立彰化師範大學。new window  延伸查詢new window
圖書
1.Neimeyer, R. A.(1998)。Lessons of loss: A guide to coping。Memphis, TN：Center for the Study of Loss and Transition。  new window
2.白秀玲、柯淑敏(2006)。兩性關係與性別教育：理論與實務。臺北市：心理出版社。  延伸查詢new window
3.Patton. M. Q.(2001)。Qualitative Research and Evaluation Methods。Thousand Oaks, CA：Sage。  new window
4.Prager, K. J.(1995)。The psychology of intimacy。New York：The Guilford Press。  new window
5.王以仁(2010)。婚姻與家庭--配偶及家人間的溝通和調適。臺北市：心理。  延伸查詢new window
6.鈕文英(2012)。質性研究方法與論文寫作。雙葉書廊。  延伸查詢new window
7.Patton, Michael Quinn、吳芝儀、李奉儒(2008)。質性研究與評鑑。濤石文化事業有限公司。  延伸查詢new window
8.Creswell, John W.、Plano Clark, Vicki L.(2007)。Designing and conducting mixed methods research。Sage Publications。  new window
9.Neimeyer, Robert A.、章薇卿、林綺雲、李玉蟬(2007)。走在失落的幽谷：悲傷因應指引手冊。心理。  延伸查詢new window
10.Clark, V. L. Plano、Creswell, J. W.、謝志偉、王慧玉(2010)。混合方法研究導論。台北：心理出版社。  延伸查詢new window
其他
1.行政院衛生署國民健康局(2010)。寶貝自己～45歲以上的妳，做過了嗎？，http://www.bhp.doh.gov.tw/bhpnet/portal/PressShow.aspx?No=201003050001， 20100306。  延伸查詢new window
2.行政院衛生署國民健康局(2010)。母親節的叮嚀～愛她就陪她去做乳房攝影篩檢記者會，http://www.bhp.doh.gov.tw/bhpnet/portal/PressShow.aspx?No=201005070001， 20100507。  延伸查詢new window
3.行政院衛生署國民健康局(2010)。中華民國96年癌症登記報告，台北縣：行政院衛生署國民健康局。  延伸查詢new window
圖書論文
1.Reis, Harry T.、Shaver, Phillip R.(1988)。Intimacy as an Interpersonal Process。Handbook of Personal Relationships。John Wiley。  new window
 
 
 
 
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