Dyadic coping within couples dealing with breast cancer: A longitudinal, population-based study.

Rottmann, Nina; Hansen, Dorte Gilså; Larsen, Pia Veldt; Nicolaisen, Anne; Flyger, Henrik; Johansen, Christoffer; Hagedoorn, Mariët

doi:10.1037/hea0000218

Cited by 172 publications

(207 citation statements)

References 42 publications

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“…Research indicates that couples experiencing marital distress also have gender disparities in depressed mood transmission (38), suggesting that gender differences in a cancer-but not the cancer-free samples may be driven by marital or relationship quality or family functioning. Further, dyadic coping may relate to depression in cancer survivors and their spouses (54). As these variables could not be evaluated in this study because they were not collected in the MEPS, future research will be needed to assess whether family factors may mediate or moderate these pathways.…”

Section: Discussionmentioning

confidence: 99%

How Are Spousal Depressed Mood, Distress, and Quality of Life Associated with Risk of Depressed Mood in Cancer Survivors? Longitudinal Findings from a National Sample

Litzelman

Yabroff

2015

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background Spouses of cancer survivors experience both positive and negative effects from caregiving. However, it is less clear what role spousal well-being may have on cancer survivors. This study aimed to determine the impact of spousal psychosocial factors on survivor depressed mood and whether this association differed by gender. Methods We examined longitudinal data on cancer survivors and their spouses (n=910 dyads) from the 2004-2012 Medical Expenditures Panel Survey and a matched sample of cancer-free dyads. Subjects reported depressed mood, psychological distress, and mental and physical health-related quality of life (HRQoL) at two time points (T1/T2). Dyadic multilevel models evaluated the impact of psychosocial factors at T1 on depressed mood at T2, controlling for sociodemographics, cancer type, survivor treatment status, and depressed mood at T1. Results Cancer survivors whose spouses reported depressed mood at T1 were 4.27 times more likely to report depressed mood at T2 (95% CI=2.01-9.07); this was stronger for female survivors (OR=9.49; 95% CI=2.42-37.20). Better spousal mental and physical HRQoL at T1 were associated with a 30% decrease in survivor depressed mood risk at T2. Most spillover effects were not observed in comparison dyads. Conclusion Depressed mood and poor HRQoL in spouses may increase the risk of depressed mood in cancer survivors. The risk may be especially strong for female survivors. Impact Identifying and improving spousal mental health and HRQoL problems may reduce the risk of depressed mood in cancer survivors. Future research should examine whether incorporating spousal care into psycho-oncology and survivorship programs improves survivor outcomes.

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Section: Discussionmentioning

confidence: 99%

How Are Spousal Depressed Mood, Distress, and Quality of Life Associated with Risk of Depressed Mood in Cancer Survivors? Longitudinal Findings from a National Sample

Litzelman

Yabroff

2015

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…In particular, the results obtained in this research show that anxiety negatively influences the quality of the marital relationship more than depression [25] . Scientific studies [27,28] suggest that the highest levels of anxiety are associated with lower marital quality, higher caregiver strain, and lower life satisfaction. In these cases, the couple may be triggered to develop maladaptive behavioral strategies, characterized by feelings of helplessness and hopelessness, which do not facilitate adaptation to the oncological disease and greater compliance to treatment [21] .…”

Section: Discussionmentioning

confidence: 99%

The Role of Couples' Attachment Styles in Patients' Adjustment to Cancer

Luca

Dorangricchia²,

Salerno

et al. 2017

Oncology

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Objective: This study aimed to understand how psychological variables and attachment styles can contribute to improve effective and functional adjustment to the disease and promote better psychological well-being. Methods: A total of 176 participants (88 couples) took part in this research. One member of each couple attended surgery centers at the Oncology Department of the University Hospital of Palermo. Each participant had filled in 5 questionnaires assessing the variables couple relationships, quality of life, anxiety, depression, and psychosocial adjustment to illness. Results: Significant correlations were found among the observed variables. Levels of anxiety and the attachment styles of couples influence adjustment to tumor disease and negatively affect the quality of conjugal relationships. Moreover, the results highlighted the correlation between levels of anxiety and depression in patients and in their respective partners. Finally, we found a correlation between the level of psychological distress of the patient and the level of marital satisfaction perceived by the partner: the latter is lower in couples where the oncological patient has high levels of distress. Conclusions: The results suggest that psychological variables and attachment styles of cancer patients and their partners may be important factors affecting adjustment in multiple domains.

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“…The other member of the couple receives and interprets the signs of stress and responds with some type of dyadic coping (Hansen et al, 2015). Bodenmann proposes three types of dyadic coping: supportive dyadic coping, which is related to the stress response behaviors of one partner toward the other, such as assistance, encouragement and emotional support; delegated dyadic coping in which one partner is primarily affected by the stressful event and asks the other to take over several tasks to reduce his or her levels of stress; and common dyadic coping, which is defined as couple implemented behaviors to actively collaborate in problem solving, joint decision making and seeking ways of reducing the stress together (e.g., Costa-Ramalho et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Predictive Value of Dyadic Coping in the Explanation of PTSD Symptoms and Subjective Well-Being of Work Accident Victims

et al. 2018

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Objective: Work accidents may be considered dyadic stressors in so far as they not only affect the worker, but also the couple’s relationship. Dyadic coping, as the process by which couples manage the stress experienced by each partner, can strengthen individual health and well-being as well as couple relationship functioning. Accidents at work have progressively been studied from a perspective that focuses on their negative effects on PTSS, anxiety, and depression. However, to a large extent, the dyadic coping processes and results following a work accident are still to be identified and clarified. In this study, we examined the predictive value of dyadic coping in the explanation of PTSS and subjective well-being of work accident victims.Method: This study comprised a sample of 62 individuals involved in work accidents within the last 24 months (61.3% males) and their partners (N = 124; M = 46.25 years, SD = 11.18). All participants responded to the Dyadic Coping Inventory and the work accident victims also answered the PTSD Checklist – Civilian (PCL-C) and the Mental Health Continuum – Short Form (MHC-SF). Two hierarchical multiple regression analyses were performed using two different variable set models: Model 1 comprised the control variables gender and age, and Model 2 included the workers’ and the partners’ dyadic coping variables.Results: Results showed that dyadic coping reported by both workers and their respective partners (Model 2) was a significant predictor of workers’ PTSS (p < 0.01) and subjective well-being (p < 0.001), explaining 31.2% of the variance in PCL-C and 68.7% in MHC-SF results. More specifically, the partners’ supportive dyadic coping (by the self) and delegated dyadic coping (by the partner) were significant predictors of the workers’ lower PTSS and virtually all the dyadic copying strategies of both the workers’ and their partners’ were significant predictors of the workers’ higher subjective well-being.Conclusion: Dyadic coping of both the workers and their partners predicts the workers’ PTSS and subjective well-being. These findings point to the need to work with couples who have experienced a work accident, with a view to improving the workers’ mental health outcomes.

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Dyadic coping within couples dealing with breast cancer: A longitudinal, population-based study.

Abstract: This study has contributed to disentangling how dyadic coping behaviors influence couples' adjustment. Interventions may focus on reducing negative dyadic coping and strengthening common dyadic coping, and be attentive to the different effects of dyadic coping on patients and partners.

Cited by 172 publications

References 42 publications

How Are Spousal Depressed Mood, Distress, and Quality of Life Associated with Risk of Depressed Mood in Cancer Survivors? Longitudinal Findings from a National Sample

How Are Spousal Depressed Mood, Distress, and Quality of Life Associated with Risk of Depressed Mood in Cancer Survivors? Longitudinal Findings from a National Sample

The Role of Couples' Attachment Styles in Patients' Adjustment to Cancer

The Predictive Value of Dyadic Coping in the Explanation of PTSD Symptoms and Subjective Well-Being of Work Accident Victims

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