Features of Illness Versus Features of Romantic Relationships as Predictors of Cognitive and Behavioral Coping Among Individuals with Type 2 Diabetes

Celebrity Identification and Reasoned Action: An Integrative Model of the Relationship Between Media Use and Breast Cancer Screening Intention

This study investigates the relationship between media use and breast cancer screening intentions by integrating the celebrity identification model and the theory of reasoned action. It tests an integrative model with survey data from 315 U.S. adult women. The study found that media use for breast cancer information was positively associated with parasocial interaction (PSI) and identification with celebrities who have or have had breast cancer; PSI was positively associated with attitudes, descriptive and injunctive norms in breast cancer screening, while identification with celebrities was positively associated with descriptive norms; attitudes, injunctive norms and descriptive norms were positively associated with breast cancer screening intentions. The study supports the mediating effect of PSI, identification, attitudes, and descriptive and injunctive norms on the association between media use and breast cancer prevention intentions.

Relationship and sexual satisfaction are associated with better disease self-management in persons with epilepsy

Prior research has demonstrated that PWEs view intimate interpersonal relationships as personally important and as a substantive challenge in their lives. This is significant as high-quality intimate relationships have been linked with greater well-being and better healthcare self-management in other disease contexts. For persons with epilepsy (PWEs), self-management is critical for seizure control, lower mortality, and better quality of life. In the current study, we conducted the first known investigation into the quality of PWEs' intimate relationships and their self-management abilities. In a sample of 88 PWEs, using the Adult Epilepsy Self-Management Instrument, results demonstrate links between greater relationship satisfaction and sexual satisfaction with better self-management on seven of the eleven subscales: health communication, coping skills, social support, seizure tracking, seizure response, stress management, and wellness; satisfaction was unrelated to the treatment, safety, medical adherence, and proactivity subscales. Importantly, these results held while controlling for age, gender, social support, and presence of comorbidities. These findings provide some evidence of the importance of intimate relationships in understanding PWEs' healthcare management abilities. Given that intimate relationship dynamics have been shown to be highly amenable to intervention, this is an area of potential interest for improving self-management in PWEs.

Relational Turbulence and Marital Communication When Children with Autism Start School: A Longitudinal Dyadic Diary Study

Autism spectrum disorder (ASD) is a pervasive and often difficult health condition, the consequences of which ripple through family relationships. This paper engages relational turbulence theory, which addresses communication in romantic relationships, and the experiencing life transitions model, from the field of nursing, to examine how communication between parents affects the marital relationship during a major transition in the life of a child with ASD. Transition processing communication (TPC) includes four forms of communication that can help married partners navigate difficult life events: increasing interaction, promoting connection, promoting feeling situated, and increasing confidence in the relationship. This study examines the effects of partners' TPC on their own and their spouse's experiences of relational uncertainty, changes in interdependence, and relational turbulence. A total of 33 couples and 60 married, female individuals, parents of a child with ASD who was starting school for the first time, completed a pre-test, 14 dairies, and a post-test; diaries were completed every three days over a 42-day period, beginning on the child's first day of school. Findings suggest that partners' engagement in TPC significantly affects some relationship qualities. In addition, an individual's perceptions of his or her spouse's communication were a stronger predictor of relational turbulence than the spouse's self-reported communication. Results point to several implications for understanding the ways in which married partners can protect their marriage in the face of their child's health-related transitions.