皮肤癌是全世界最常见的癌症，包括各种非黑色素瘤皮肤癌 (NMCS) 诊断和恶性黑色素瘤 (MM)。给患者及其配偶带来心理负担。本研究旨在调查 NMSC 或 MM 患者及其配偶的心理困扰、心理社会资源 (PR) 的时间变化以及心理困扰和 PR 的二元动态。 54 名患有不同皮肤癌的异性夫妇，在在过去的 12 个月内，参与了这项定量横断面研究。患者和配偶提供了有关抑郁和焦虑的信息（医院焦虑和抑郁量表）、过去四个星期和过去三年内的 PR（埃森资源清单）以及合作关系质量（合作关系问卷，简短版）。通过多元回归分析对二元动态进行了分析。我们发现患者和配偶以及患有不同皮肤癌的患者具有相似的痛苦水平。 MM 患者的配偶报告的痛苦水平显着高于 NMSC 患者的配偶。患者的抑郁预示着配偶的抑郁，配偶的焦虑预示着患者的焦虑。在患者中，我们发现个人资源（过去四个星期和三年内）与抑郁症之间存在关联，以及患者的社会资源（过去三年内）与配偶抑郁症之间存在关联。患者和配偶之间的心理相互依赖抑郁和焦虑凸显了在临床背景下从二元角度考虑不同皮肤癌患者心理困扰的重要性。此外，个人资源被认为是患者心理健康的“痛苦缓冲”。我们的结果强调了夫妻干预对于癌症患者及其配偶激活 PR 的重要性。

Skin cancer is the most common cancer worldwide and comprises various non-melanoma skin cancer (NMCS) diagnoses and malignant melanoma (MM). It places a psychological burden on patients and their spouses. The present study aims to investigate psychological distress, temporal changes of psychosocial resources (PR), as well as dyadic dynamics of psychological distress and PR in patients with NMSC or MM and their spouses.Fifty-four heterosexual couples with different skin cancers, diagnosed within the previous 12 months, participated in this quantitative cross-sectional study. Patients and spouses provided information about depression and anxiety (Hospital Anxiety and Depression Scale), PR within the last four weeks and last three years (Essen Resource Inventory), and partnership quality (Partnership Questionnaire, short version). Dyadic dynamics were analyzed with multiple regression analyses.We found similar distress levels in patients and spouses, as well as in patients with different skin cancers. Spouses from patients with MM reported significant higher distress levels than spouses from patient with NMSC. Patients' depression predicted spouses' depression, and spouses' anxiety predicted patients' anxiety. In patients, we found associations between personal resources (within the last four weeks and three years) and depression, and an association between patients' social resources (within the last three years) and spouses' depression.The psychological interdependencies between patients' and spouses' depression and anxiety highlight the importance of considering psychological distress in patients with different skin cancers from a dyadic perspective in clinical contexts. Further, personal resources were indicated as a "distress buffer" for patients' mental health. Our results underline the importance of couple interventions that activate PR in patients with cancer and their spouses.