Abstract: Objective To investigate the psychological distress ， self-disclosure and intimacy among spouses of gynecological cancer patients ， and to explore the path relationship among three aspects. Methods A total of 191 spouses of gynecological cancer patients from 8 tertiary hospitals were investigated with Distress Disclosure Index ， Distress Thermometer and Short Marital Adjustment and Prediction Test from September 2014 to March 2015. Results The
prevalence of psychological distress among spouses of gynecological cancer patients was 64.4%. There was a significant difference in DT score among the spouses of patients with different education level （ P<0.05 ） . The scores of Distress Disclosure Index ， Distress Thermometer and Short Marital Adjustment and Prediction Test were negatively correlated. Furthermore ， intimacy took partial effects as a mediator in self-disclosure as to affect psychological distress.
Conclusion The prevalence rate of psychological distress among spouses of gynecological cancer patients is high.Low level of self-disclosure and low degree of intimacy with their wives may be the related factors of psychological distress of spouses.

Key words: Genital Neoplasms , Female ； Psychological Distress ； Self-Disclosure ； Intimacy Relationship

摘要：

目的 评估妇科癌症患者配偶心理困扰、自我表露与亲密关系的现状，分析三者的路径关系。 方法 采用心理困扰温度计、痛苦表露指数量表和婚姻调适量表，于 2014 年 9 月至 2015 年 3 月，对 8 所三级甲等医院的 191 例妇科癌症患者配偶进行调查。 结果 有 64.4% 的妇科癌症患者配偶心理困扰得分达到有临床意义的界定水平，且不同教育程度的配偶心理困扰得分差异有统计学意义（ P<0.05 ）。 自我表露、亲密关系与心理困扰呈负相关，且亲密关系在自我表露对心理困扰的影响中起部分中介作用。 结论 妇科癌症患者配偶的心理困扰检出率较高，配偶自我表露低、与妻子的亲密程度低是影响其心理困扰的因素。

关键词: 生殖器肿瘤, 女（雌）性； 心理困扰； 自我表露； 亲密关系