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Original Research

Conflict Resolution Styles, Marital Intimacy and Family Functions of Breast Cancer Patients and Their Spouses

Korean Journal of Adult Nursing 2013;25(1):33-40.
Published online: February 18, 2013

1College of Nursing, The Catholic University of Korea, Seoul

2Department of Nursing, Suwon Science College, Suwon

3College of Nursing, Jeju National University, Jeju, Korea

Corresponding author: Cho, Ok-Hee College of Nursing, Jeju National University, 102 Jejudaehak-ro, Jeju 690-756, Korea Tel: +82-64-754-3887, Fax: +82-64-702-2686, E-mail: ohcho@jejunu.ac.kr
• Received: October 29, 2012   • Accepted: February 17, 2013

© 2013 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to explore conflict resolution styles, marital intimacy and family functions among breast cancer patients and their spouses.
  • Methods
    The subjects were total 126 participants. Breast cancer patients who completed chemotherapy and or radiation along with their spouses. Data were collected using questionnaires with questions about conflict resolution styles, marital intimacy and family functions.
  • Results
    There were no differences between breast cancer patients and their spouses in verbal aggression, avoidance of conflict resolution styles and family functions. As patients reported using positive conflict resolution styles the spouse-perceived marital intimacy and family functions were higher. Those patients who perceived marital intimacy as lower they also reported more verbal aggression and avoidance. As breast cancer patients perceived family functions increasing, their spouses perception of both intimacy and family function increased.
  • Conclusion
    As these results, it should be considered as basic data to develop family intervention programs such as positive communication and effective stress management and improving of conflict resolution, intimacy and family functions among breast cancer patients and their spouses.
Table 1.
General Characteristics of Subjects (N=126)
Characteristics Categories Patients (n=63) Spouses (n=63)
n (%) or M±SD n (%) or M±SD
Age (year)   53.7±6.9 (Range: 41~68) 57.6±7.0 (Range: 45~72)
Religion Yes 56 (88.9) 36 (57.1)
No 7 (11.1) 27 (42.9)
Education High school 30 (47.6) 25 (39.7)
≥College 33 (52.4) 38 (60.3)
Occupation Yes 18 (28.6) 48 (76.2)
No 45 (71.4) 15 (23.8)
Family monthly income (10,000 won) <200 24 (38.1)  
≥200 39 (61.9)
Duration of marriages (year)   27.4±10.1 (Range: 1~45)
Type of marriage Love marriage 22 (34.9)
Match marriage 17 (27.0)
Mixed marriage 24 (38.1)
Number of children 1 11 (17.5)
≥2 52 (82.5)
Cancer Stage I 23 (36.5)
II 29 (46.0)
III 11 (17.5)
Post-operation period (year)   5.0±3.4 (Range: 1~13)
Menopause Yes 52 (82.5)
No 11 (17.5)
Adjuvant chemotherapy   49 (77.8)
Radiation therapy   22 (34.9)
Hormone therapy   33 (52.4)
Subjective health status (0~10)     5.71±1.82 (Range: 2~10)
Table 2.
Differences of Variables between Breast Cancer Patients and Their Spouses (N=126)
Variables Possible range Patients (n=63) Spouses (n=63) Paired t-test p
n (%) or M±SD n (%) or M±SD
Conflict resolution style
  Verbal aggression 1~5 1.90±0.86 1.81±0.62 0.68 .498
  Positive problem solving g 1~5 2.92±0.82 3.19±0.75 -2.19 .032
  Withdrawal 1~5 2.06±0.86 1.90±0.68 1.35 .183
Marital intimacy 1~4 3.11±0.51 3.13±0.46 -0.36 .717
Family function 0~10 6.5±2.2 6.5±2.1 0.18 .857
  Low grade 0~3 4 (6.4) 5 (7.9)
  Moderate grade 4~6 28 (44.4) 27 (42.9)
  High grade 7~10 31 (49.2) 31 (49.2)
Table 3.
Correlation among Variables in Breast Cancer Patients and Their Spouses (N=126)
Variables Patients Spouses
1 2 3 4 5 1 2 3 4 5
Patients 1                    
2 -.25                  
(.049)                  
3 3 -.36                
(<.001) (.004)                
4 -.39 .29 -.43              
(.002) (.020) (<.001)              
5 5 -.19 .14 -.31 .46            
(.144) (.272) (.013) (<.001)            
Spouses 1 .07 -.15 .15 -.29 -.06          
(.591) (.256) (.230) (.020) (.631)          
2 -.28 .24 -.19 .13 .06 -.22        
(.024) (.057) (.136) (.296) (.626) (.086)        
3 .10 -.18 .30 -.34 -.19 .61 -.33      
(.438) (.164) (.019) (.006) (.133) (<.001) (.009)      
4 -.28 .25 -.23 .53 .37 -.27 .27 -.34    
(.026) (.046) (.072) (<.001) (.003) (.035) (.030) (.006)    
5 -.13 .36 -.24 .44 .34 -.33 .30 -.29 .62  
(.294) (.004) (.058) (<.001) (.006) (.009) (.016) (.023) (<.001)  

Values are r (p); correlations for patients are on the lower diagonal, correlations for partners are on the upper diagonal, and partial correlations (between patients and spouses) are on the diagonal.

1.Verbal aggression;

2.Positive problem solving;

3.Withdrawal;

4.Marital intimacy;

5.Family function.

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    Citations

    Citations to this article as recorded by  
    • Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: a cross-sectional study
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      Korean Journal of Women Health Nursing.2022; 28(3): 197.     CrossRef
    • Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy
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      Journal of Korean Academy of Nursing.2018; 48(1): 50.     CrossRef

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    Korean J Adult Nurs. 2013;25(1):33-40.   Published online February 28, 2013
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    Conflict Resolution Styles, Marital Intimacy and Family Functions of Breast Cancer Patients and Their Spouses
    Korean J Adult Nurs. 2013;25(1):33-40.   Published online February 28, 2013
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    Conflict Resolution Styles, Marital Intimacy and Family Functions of Breast Cancer Patients and Their Spouses
    Conflict Resolution Styles, Marital Intimacy and Family Functions of Breast Cancer Patients and Their Spouses

    General Characteristics of Subjects (N=126)

    Characteristics Categories Patients (n=63) Spouses (n=63)
    n (%) or M±SD n (%) or M±SD
    Age (year)   53.7±6.9 (Range: 41~68) 57.6±7.0 (Range: 45~72)
    Religion Yes 56 (88.9) 36 (57.1)
    No 7 (11.1) 27 (42.9)
    Education High school 30 (47.6) 25 (39.7)
    ≥College 33 (52.4) 38 (60.3)
    Occupation Yes 18 (28.6) 48 (76.2)
    No 45 (71.4) 15 (23.8)
    Family monthly income (10,000 won) <200 24 (38.1)  
    ≥200 39 (61.9)
    Duration of marriages (year)   27.4±10.1 (Range: 1~45)
    Type of marriage Love marriage 22 (34.9)
    Match marriage 17 (27.0)
    Mixed marriage 24 (38.1)
    Number of children 1 11 (17.5)
    ≥2 52 (82.5)
    Cancer Stage I 23 (36.5)
    II 29 (46.0)
    III 11 (17.5)
    Post-operation period (year)   5.0±3.4 (Range: 1~13)
    Menopause Yes 52 (82.5)
    No 11 (17.5)
    Adjuvant chemotherapy   49 (77.8)
    Radiation therapy   22 (34.9)
    Hormone therapy   33 (52.4)
    Subjective health status (0~10)     5.71±1.82 (Range: 2~10)

    Differences of Variables between Breast Cancer Patients and Their Spouses (N=126)

    Variables Possible range Patients (n=63) Spouses (n=63) Paired t-test p
    n (%) or M±SD n (%) or M±SD
    Conflict resolution style
      Verbal aggression 1~5 1.90±0.86 1.81±0.62 0.68 .498
      Positive problem solving g 1~5 2.92±0.82 3.19±0.75 -2.19 .032
      Withdrawal 1~5 2.06±0.86 1.90±0.68 1.35 .183
    Marital intimacy 1~4 3.11±0.51 3.13±0.46 -0.36 .717
    Family function 0~10 6.5±2.2 6.5±2.1 0.18 .857
      Low grade 0~3 4 (6.4) 5 (7.9)
      Moderate grade 4~6 28 (44.4) 27 (42.9)
      High grade 7~10 31 (49.2) 31 (49.2)

    Correlation among Variables in Breast Cancer Patients and Their Spouses (N=126)

    Variables Patients Spouses
    1 2 3 4 5 1 2 3 4 5
    Patients 1                    
    2 -.25                  
    (.049)                  
    3 3 -.36                
    (<.001) (.004)                
    4 -.39 .29 -.43              
    (.002) (.020) (<.001)              
    5 5 -.19 .14 -.31 .46            
    (.144) (.272) (.013) (<.001)            
    Spouses 1 .07 -.15 .15 -.29 -.06          
    (.591) (.256) (.230) (.020) (.631)          
    2 -.28 .24 -.19 .13 .06 -.22        
    (.024) (.057) (.136) (.296) (.626) (.086)        
    3 .10 -.18 .30 -.34 -.19 .61 -.33      
    (.438) (.164) (.019) (.006) (.133) (<.001) (.009)      
    4 -.28 .25 -.23 .53 .37 -.27 .27 -.34    
    (.026) (.046) (.072) (<.001) (.003) (.035) (.030) (.006)    
    5 -.13 .36 -.24 .44 .34 -.33 .30 -.29 .62  
    (.294) (.004) (.058) (<.001) (.006) (.009) (.016) (.023) (<.001)  

    Values are r (p); correlations for patients are on the lower diagonal, correlations for partners are on the upper diagonal, and partial correlations (between patients and spouses) are on the diagonal.

    1.Verbal aggression;

    2.Positive problem solving;

    3.Withdrawal;

    4.Marital intimacy;

    5.Family function.

    Table 1. General Characteristics of Subjects (N=126)

    Table 2. Differences of Variables between Breast Cancer Patients and Their Spouses (N=126)

    Table 3. Correlation among Variables in Breast Cancer Patients and Their Spouses (N=126)

    Values are r (p); correlations for patients are on the lower diagonal, correlations for partners are on the upper diagonal, and partial correlations (between patients and spouses) are on the diagonal.

    Verbal aggression;

    Positive problem solving;

    Withdrawal;

    Marital intimacy;

    Family function.

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