Coping, Social Support, and Adaptation to Chronic Illness

White, Nancy; Richter, Jürgen; Fry, Carol

doi:10.1177/019394599201400208

Cited by 122 publications

(68 citation statements)

References 35 publications

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“…The measure has internal consistency reliabilities ranging from = .61 to = .79. Construct validity has been supported by consistency with theoretical predictions [30]. Reliability was estimated for the present study, internal consistency of these two subscales were = .81 for emotionfocused coping and = .85 for problem-focused coping.…”

Section: Social Support -Interpersonal Support Evaluation Listsupporting

confidence: 77%

Role Strains and Mood in Husbands of Women with Fibromyalgia Syndrome: A Test of the Stress Process Model

Bigatti¹,

Lydon²,

Brothers³

2008

TOFAMSJ

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Spouses of patients experience role strains as a result of informal caregiving, which has been associated with mood in numerous research studies. However, most research is on female caregivers, and little is known about the experience of male spouses, or of the caregiving provided to fibromyalgia patients. The Stress Process Model was used to examine mediators and moderators of the relation between role strain and mood among 135 husbands of women with fibromyalgia. Results indicated that the more activities of daily living and instrumental activities of daily living performed by the husband, the greater the role strain. Role strain was associated with worse mood. A test of the Stress Process Model supported a partial mediation model, where social support and emotion-focused coping partially mediated the relation between role strain and mood. No evidence was found for a moderation model or for problem-focused coping as a mediator. Our research suggests significant impairment and caregiving needs among this patient population, which in turn relates to the mood of the husband who is also an informal caregiver. Our findings also support the Stress Process Model in explaining the complexity of caregiving effects. The results of the study suggest avenues for intervention for individuals strained by their partners' illness.Spouses of chronically ill individuals have poorer mental health than comparison groups and the general population [1,2]. Spouses may be affected because the illness may require informal caregiving, including assistance with activities of daily living (ADLs; such as toileting, dressing), instrumental activities of daily living (IADLs; such as shopping), and taking over responsibilities that the patient can no longer perform (such as cleaning, cooking). These caregiving responsibilities may interfere with spouses' abilities to perform other roles, resulting in role strains.Role strains, experienced daily by most individuals, are defined as the difficulties felt by individuals who have multiple roles with accompanying obligations [3]. For caregivers, the additional responsibility of helping a patient with a health condition may divert much needed resources from the other roles currently fulfilled by the individual, causing role strain. Roles typically examined for strain include work, domestic environment, sexual relations, family relations, and social relations. Of the employed caregiving husbands in a national study of frail elderly, 32% reported working fewer hours, 28% indicated they rearranged their schedule, and 24% took time off without pay because of their wives' illness [4]. In the domestic environment, husbands report an increase in the amount of time spent on household chores as a direct result of their wives' illness or disability [5]. A chronic illness may affect the couple's sexual relations as well. For example, patients with a rheumatic disease listed pain or weakness, fatigue, and lack of interest as the top *Address correspondence to this author at the IUPUI, Department of P...

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Section: Social Support -Interpersonal Support Evaluation Listsupporting

confidence: 77%

Role Strains and Mood in Husbands of Women with Fibromyalgia Syndrome: A Test of the Stress Process Model

Bigatti¹,

Lydon²,

Brothers³

2008

TOFAMSJ

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“…The literature suggests that in chronic diseases such as diabetes, the resultant disruption in health is a continual source of stress, which, in addition to everyday stressors, must be managed if people with diabetes are to be positively adjusted to the disease (White et al, 1992). Although many people with diabetes seem to succeed in integrating the demands of the disease into their daily lives, diabetes may involve a lot of stress for the individual.…”

Section: Introductionmentioning

confidence: 99%

Coping styles among adults with Type 1 and Type 2 diabetes

Karlsen¹,

Bru²

2002

Psychology, Health & Medicine

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“…Patients who experience changes to their physical appearance as a result of facial palsy may struggle with issues around self image and confidence. This can lead to increased anxiety, social withdrawal and in some cases low mood, which in turn affect family relationships and ability to access support [33][34][35] Adjustment of the wider family system can also be a cause for concern [36], which may lead to a reduction in perceived social support for the patient and thus reduced psychosocial adjustment [37].…”

Section: Psychologymentioning

confidence: 99%

Current Concepts in Management of Vestibular Schwannomas in Neurofibromatosis Type 2

Tysome

Axon

Donnelly

et al. 2014

Curr Otorhinolaryngol Rep

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Neurofibromatosis type 2 (NF2) is an autosomal dominant condition resulting in multiple benign intracranial and spinal tumours including bilateral vestibular schwannomas. The management of vestibular schwannomas in NF2 is particularly challenging, given the young presentation of many patients, the natural history of the disease that often leads to complete loss of hearing in both ears and the burden of other tumours. Specialists from multidisciplinary NF2 teams describe current concepts in the management of vestibular schwannomas in NF2.

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Coping, Social Support, and Adaptation to Chronic Illness

Cited by 122 publications

References 35 publications

Role Strains and Mood in Husbands of Women with Fibromyalgia Syndrome: A Test of the Stress Process Model

Role Strains and Mood in Husbands of Women with Fibromyalgia Syndrome: A Test of the Stress Process Model

Coping styles among adults with Type 1 and Type 2 diabetes

Current Concepts in Management of Vestibular Schwannomas in Neurofibromatosis Type 2

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