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Zhang N, Tian Z, Liu X, Yu X, Wang L. Burden, coping and resilience among caregivers for patients with chronic obstructive pulmonary disease: An integrative review. J Clin Nurs 2024; 33:1346-1361. [PMID: 38071504 DOI: 10.1111/jocn.16954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 10/29/2023] [Accepted: 11/17/2023] [Indexed: 03/08/2024]
Abstract
AIM This study aims to synthesise quantitative and qualitative evidence to comprehensively examine the burden of family caregivers of chronic obstructive pulmonary disease patients and to understand their coping strategies and related resilience factors. BACKGROUND Long-term chronic obstructive pulmonary disease care causes heavy psychological and physical burden to caregivers, which is related to the coping strategies used. Resilience is a protective factor originating within the individual and has become a concept related to illness, health and care. DESIGN An integrative review. METHODS Relevant literature was comprehensively searched from China Biology Medicine, China National Knowledge Infrastructure, Wan Fang, PubMed, Embase, Web of Science and Ovid databases from the establishment of the database till January 2023, and the quality of the selected articles was evaluated. Reporting was done according to a PRISMA checklist. FINDINGS The burden of family caregivers with chronic obstructive pulmonary disease includes poor health, worry and fear, anticipatory loss and uncertainty, relationship tensions and disagreements, loss of identity and social isolation, lack of supportive knowledge and financial burden. Family caregivers used problem-centred coping, emotion-centred coping, avoidance coping, social support and dyadic coping with their patients to manage their burdens. The factors chronic obstructive pulmonary disease associated with a caregiver's resilience included a higher level of knowledge, social and familial support, a close relationship with patients, a caregiver's sense of responsibility, the patient's high self-efficacy, etc. CONCLUSIONS: The findings show that caregivers of chronic obstructive pulmonary disease patients face multiple burdens, adapt through different coping styles and have different psychological consequences, while coping style and mental health status also affect the magnitude of burden. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE The findings informed health professionals about personalised chronic obstructive pulmonary disease home care interventions to reduce caregiver burden, effectively manage illness and maintain family intimacy. NO PATIENT OR PUBLIC CONTRIBUTION No patients, families, service providers or members of the public were involved in this study.
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Affiliation(s)
- Nan Zhang
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Zheng Tian
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Xinyi Liu
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Xi Yu
- Department of Respiratory, Tianjin First Central Hospital, Tianjin, China
| | - Lan Wang
- School of Nursing, Tianjin Medical University, Tianjin, China
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2
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Lippold MA, Jensen M, Chase GE, Wyman K, Jenkins MR, Mohanty S, Bodenmann G. Parent strategies to help emerging adults manage stress are associated with their mental health: A dyadic coping perspective. FAMILY PROCESS 2024. [PMID: 38528831 DOI: 10.1111/famp.12991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 01/12/2024] [Accepted: 02/15/2024] [Indexed: 03/27/2024]
Abstract
Emerging adults (EAs) are at high risk for mental health challenges and frequently reach out to their parents for support. Yet little is known about how parents help emerging adults manage and cope with daily stressors and which strategies help and which hinder EA mental health. In this cross-sectional pilot study of students at a 2- and 4-year college (ages 18-25, N = 680, mean age = 19.0), we extend models of dyadic coping from intimate relationships to the parent-emerging adult relationship and test whether six specific parent strategies to help emerging adults manage stress are associated with EA mental health. Emerging adults with parents who provided problem and emotion-focused supportive dyadic coping, delegated dyadic coping, and common/joint dyadic coping reported fewer symptoms of anxiety and depression, as well as higher levels of psychological well-being. In contrast, college-attending emerging adults who reported higher levels of parent-provided negative dyadic coping reported higher levels of depressive and anxiety symptoms and lower psychological well-being. Parent-emerging adult dyadic coping is a fruitful area for future research and intervention development.
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Affiliation(s)
- Melissa A Lippold
- UNC School of Social Work, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Michaeline Jensen
- UNC-G Psychology Department, The University of North Carolina at Greensboro, Greensboro, North Carolina, USA
| | - Gregory E Chase
- UNC-G Psychology Department, The University of North Carolina at Greensboro, Greensboro, North Carolina, USA
| | - Kacey Wyman
- UNC School of Social Work, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Melissa R Jenkins
- Waisman Center, The University of Wisconsin at Madison, Madison, Wisconsin, USA
| | - Somya Mohanty
- UNC-G Computer Science Department, The University of North Carolina at Greensboro, Greensboro, North Carolina, USA
| | - Guy Bodenmann
- Department of Psychology, The University of Zurich, Zurich, Switzerland
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3
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Mathews AM. The Functional and Psychosocial Consequences of COPD. Respir Care 2023; 68:914-926. [PMID: 37353332 PMCID: PMC10289619 DOI: 10.4187/respcare.10542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/25/2023]
Abstract
COPD is a chronic respiratory disease that commonly coexists with other chronic conditions. These comorbidities have been shown to influence overall disease burden and mortality in COPD, and these comorbidities have an important impact on functional status and other psychosocial factors. Mental health disorders, especially anxiety and depression are common comorbidities in COPD. However, the mechanisms and interactions of anxiety and depression in COPD are poorly understood and these conditions are often underdiagnosed. The interplay between anxiety and depression and COPD is likely multifactorial and complex. An obvious mechanism is the expected psychological consequences of having a chronic illness. However, there is increasing interest in other potential biological processes, such as systemic inflammation, smoking, hypoxia, and oxidative stress. Recognition and diagnosis of comorbid anxiety and depression in patients with COPD is often challenging because there is no consensus on the appropriate screening tools or rating scales to use in this patient population. Despite the challenges in accurate assessment of anxiety and depression, there is growing evidence to support that these comorbid mental health conditions in COPD result in worse outcomes, including poor health-related quality of life, increased exacerbations with associated health-care utilization and cost, increased functional disability, and increased mortality. There are limited data of variable quality on effective treatment and management strategies, both pharmacologic and non-pharmacologic, for anxiety and depression in COPD. However, cumulative evidence demonstrates that complex psychological and lifestyle interventions, which include a pulmonary rehabilitation component, may offer the greatest benefit. The high prevalence and negative impact of depression and anxiety highlights the need for comprehensive, innovative, and standardized chronic disease management programs for individuals with COPD.
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Affiliation(s)
- Anne M Mathews
- Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
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4
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Donato S, Brugnera A, Adorni R, Molgora S, Reverberi E, Manzi C, Angeli M, Bagirova A, Benet-Martinez V, Camilleri L, Camilleri-Cassar F, Kazasi EH, Meil G, Symeonaki M, Aksu A, Batthyany K, Brazienė R, Genta N, Masselot A, Morrissey S. Workers' individual and dyadic coping with the COVID-19 health emergency: A cross cultural study. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2023; 40:551-575. [PMID: 38603320 PMCID: PMC9482883 DOI: 10.1177/02654075221119066] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Abstract
The aim of this study was to examine workers' psychological distress during the COVID-19 pandemic as a function of their individual coping, dyadic coping, and work-family conflict. We also tested the moderating role of gender and culture in these associations. To achieve this aim, we run HLM analyses on data from 1521 workers cohabiting with a partner, coming from six countries (Italy, Spain, Malta, Cyprus, Greece, and Russia) characterized by various degrees of country-level individualism/collectivism. Across all six countries, findings highlighted that work-family conflict as well as the individual coping strategy social support seeking were associated with higher psychological distress for workers, while the individual coping strategy positive attitude and common dyadic coping were found to be protective against workers' psychological distress. This latter association, moreover, was stronger in more individualistic countries.
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Affiliation(s)
- Silvia Donato
- Family Studies and Research University Centre, Università Cattolica del Sacro Cuore, Milan, Italy
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Agostino Brugnera
- Department of Human and Social Sciences, Università degli Studi di Bergamo, Bergamo, Italy
| | - Roberta Adorni
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Sara Molgora
- Family Studies and Research University Centre, Università Cattolica del Sacro Cuore, Milan, Italy
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Eleonora Reverberi
- Family Studies and Research University Centre, Università Cattolica del Sacro Cuore, Milan, Italy
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Claudia Manzi
- Family Studies and Research University Centre, Università Cattolica del Sacro Cuore, Milan, Italy
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Maria Angeli
- Mediterranean Institute of Gender Studies, University of Nicosia, Cyprus
| | - Anna Bagirova
- Department of Sociology and Public Administration Technologies, Ural Federal University, Ekaterinburg, Russian Federation
| | - Veronica Benet-Martinez
- Department of Political and Social Sciences, ICREA & Universidad Pompeu-Fabra, Barcelona, Spain
| | - Liberato Camilleri
- Department of Statistics and Operations Research, University of Malta, Msida, Malta
| | | | - Evi Hatzivarnava Kazasi
- Center for Gender Studies, Panteion University of Social and Political Sciences, Athens, Greece
| | - Gerardo Meil
- Department of Sociology, Universidad Autónoma de Madrid, Madrid, Spain
| | - Maria Symeonaki
- Department of Social Policy, Panteion University of Social and Political Sciences, Athens, Greece
| | - Ayça Aksu
- Department of Psychology, MEF University, Istanbul, Turkey
| | - Karina Batthyany
- Department of Sociology, Universidad de la República, Montevideo, Uruguay
| | - Ruta Brazienė
- Department of Social Policy, Vilnius University, Vilnius, Lithuania
| | - Natalia Genta
- Department of Sociology, Universidad de la República, Montevideo, Uruguay
| | - Annick Masselot
- Faculty of Law, University of Canterbury, Christchurch, New Zealand
| | - Suzy Morrissey
- Public Policy Institute, University of Auckland, Auckland, New Zealand
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Mitra R, Pujam SNK, Jayachandra A, Sharma P. Dyadic congruence, dyadic coping, and psychopathology: Implications in dyads for patients with acute coronary syndrome. JOURNAL OF MARINE MEDICAL SOCIETY 2023. [DOI: 10.4103/jmms.jmms_124_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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6
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Valente M, Chirico I, Girotti C, Ottoboni G, Chattat R. The Role of the Quality of Relationship in Couples Facing Treatment for Breast Cancer: A Qualitative Italian Study. Am J Clin Oncol 2023; 46:36-42. [PMID: 36562693 DOI: 10.1097/coc.0000000000000962] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Breast cancer is the leading cause of cancer death in women worldwide. Recently, the focus of research has shifted from psychiatric, psychological, and social consequences on the woman who gets sick from breast cancer to the impact on the couple. Indeed, the psychosocial perspective has developed the construct of the Quality of Relationship (QoR) that affects the quality of life of both members of the dyad. OBJECTIVE The aim of this study was to extend knowledge in this field by identifying and analyzing what dimensions of QoR may impact couples' psychosocial adjustment to breast cancer and related treatments. PATIENTS AND METHODS Semistructured interviews explored couples' experiences of breast cancer diagnosis and treatment. Transcripts were analyzed using inductive thematic analysis. RESULTS Twelve couples were interviewed. Results showed how the dimensions of psychosocial support, dyadic coping, communication, and intimacy are associated and define the construct of QoR, thus affecting the couples' adjustment to breast cancer diagnosis and to the disease pathway. CONCLUSION Assessment procedures of couple functioning since and after diagnosis could increase the appropriateness and benefits of integrating existing clinical practice in oncological settings.
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Affiliation(s)
- Marco Valente
- Department of Psychology, Alma Mater Studiorum-University of Bologna, Bologna, Italy
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Carleton-Eagleton K, Walker I, Gibson D, Freene N, Semple S. Testing the validation and reliability of the Caregiver-Patient Activation Measure (CG-PAM). PEC INNOVATION 2022; 1:100098. [PMID: 37213753 PMCID: PMC10194270 DOI: 10.1016/j.pecinn.2022.100098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 10/06/2022] [Accepted: 11/07/2022] [Indexed: 05/23/2023]
Abstract
Objective The objective of this study was to test the reliability and validity of the Caregiver-Patient Activation Measure (CG-PAM). Methods Based on the psychometric testing of the original Patient Activation Measure (PAM), three assessments of reliability and validity were completed on the CG-PAM. Test-retest reliability was assessed across two weeks (n = 23). Criterion validity was assessed by interviewing participants from the test-retest cohort (n = 10), with transcripts assessed by subject matter experts (n = 3) to classify activation levels of the interviewee. Construct validity was assessed through a survey (n = 179) consisting of demographic questions, the CG-PAM and concepts hypothesised to be related to caregiver activation. Results There was strong test-retest reliability (r = 0.893), but poor criterion validity. Assessment o;f construct validity demonstrated significant relationships found between caregiver activation and weekly hours of care provided (p < 0.001), relationship satisfaction (p < 0.001), and dyad typology (p < 0.001), but not with perceived levels of stress or social support. Conclusion The CG-PAM was found to have strong reliability, but there were inconsistent results across the validation tests conducted. Innovation Future research must consider the dynamic nature of caring and the importance of the relationship between the caregiver/recipient when defining activation levels within the CG-PAM.
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Affiliation(s)
- Katherine Carleton-Eagleton
- Faculty of Health, University of Canberra, 11 Kirinari Street, Bruce, ACT 2617, Australia
- Corresponding author at: Faculty of Health, 11 Kirinari Street, Bruce, ACT 2617, Australia
| | - Iain Walker
- School of Psychological Sciences, University of Melbourne, Level 7, Redmond Barry Building, The University of Melbourne, Victoria, 3010, Australia
| | - Diane Gibson
- Health Research Institute, Faculty of Health, University of Canberra, 11 Kirinari Street, Bruce, ACT 2617, Australia
| | - Nicole Freene
- Health Research Institute, Faculty of Health, University of Canberra, 11 Kirinari Street, Bruce, ACT 2617, Australia
| | - Stuart Semple
- Health Research Institute and Research Institute for Sport & Exercise, Faculty of Health, University of Canberra, 11 Kirinari Street, Bruce, ACT 2617, Australia
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Bai J, Zheng J, Dong Y, Wang K, Cheng C, Jiang H. Psychological Distress, Dyadic Coping, and Quality of Life in Infertile Clients Undergoing Assisted Reproductive Technology in China: A Single-Center, Cross-Sectional Study. J Multidiscip Healthc 2022; 15:2715-2723. [DOI: 10.2147/jmdh.s393438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 11/22/2022] [Indexed: 11/30/2022] Open
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9
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Xiang E, Zhang X, Raza SA, Oluyomi A, Amos CI, Badr H. Risk and resilience in couple's adjustment to the COVID-19 pandemic. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2022; 39:3252-3274. [PMID: 38603302 PMCID: PMC9047666 DOI: 10.1177/02654075221094556] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Abstract
The COVID-19 pandemic's global scope and resulting social distancing measures have caused unprecedented economic, lifestyle, and social impacts to personal and relationship well-being. While lockdowns have prompted individuals to increase reliance on intimate partners for support, stressful external contexts can also interfere with partners' capacity to request and provide support, resulting in relationship dissatisfaction and even dissolution. Guided by a risk and resilience framework, this study examined the impact of perceived stress, social contextual factors, and dyadic coping on self-reported relationship satisfaction changes during the initial United States COVID-19 lockdown period. Participants were adults in romantic relationships who completed an online survey between April 13 and June 8, 2020. Overall, survey respondents (N = 1106) reported higher perceived stress levels than established population norms, and small but significant decrements in relationship satisfaction. Multivariable models revealed that higher perceived stress levels were associated with lower relationship satisfaction levels. Additionally, dyadic coping was found to moderate the impact of perceived stress on relationship satisfaction (B = .05, 95% CI = .02- .07), suggesting that engaging in dyadic coping buffered individuals from adverse effects of perceived stress on their relationships. Findings emphasize heightened stress experienced by individuals during the pandemic, potential detrimental effects of stress on couple relationships, and suggest dyadic coping may help buffer couples from adverse effects of the pandemic on their relationships. As such, dyadic coping may be an important target for future interventions designed to assist couples during the ongoing pandemic and future pandemics/natural disasters.
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Affiliation(s)
- Ellen Xiang
- Baylor College of
Medicine, Houston, TX, USA
| | | | | | | | | | - Hoda Badr
- Baylor College of
Medicine, Houston, TX, USA
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10
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Supportive, Delegated, and Common Dyadic Coping Mediates the Association between Adult Attachment Representation and Relationship Satisfaction: A Dyadic Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19138026. [PMID: 35805682 PMCID: PMC9266237 DOI: 10.3390/ijerph19138026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/22/2022] [Accepted: 06/28/2022] [Indexed: 02/01/2023]
Abstract
The aim of this study was to examine intrapersonal (actor) and interpersonal (partner) associations between attachment, assessed by the Adult Attachment Interview, and satisfaction with the relationship, as well as to establish the possibility of the mediatory effect of supportive, delegated, and common dyadic coping on the aforementioned associations. A dyadic approach has been introduced, using the actor–partner interdependence mediation model and data from 114 heterosexual couples, aged 26 to 60. It has been shown that one’s own secure attachment can be perceived as the predictor of one’s own relationship satisfaction in women and men and the predictor of a partner’s relationship satisfaction in men. The findings support the partially mediating role of dyadic coping in the association between attachment and relationship satisfaction and are a significant contribution to the issue of dyadic coping in general. Adults’ secure representations of their childhood experiences may be effective in using their partners as a secure base and also in serving as a secure base themselves, but it is not the sole influence on the quality of the couple’s experience together. The we-ness phenomenon and resulting clinical implications were discussed.
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11
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Tang N, Jia Y, Zhao Q, Liu H, Li J, Zhang H, Han L, Huangfu C. Influencing Factors of Dyadic Coping Among Infertile Women: A Path Analysis. Front Psychiatry 2022; 13:830039. [PMID: 35418892 PMCID: PMC8995970 DOI: 10.3389/fpsyt.2022.830039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 02/28/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The infertility prevalence of married couples in China is increasing gradually. The dyadic coping level and its influencing factors of infertile women in China are poorly reported. The relationship between dyadic coping and the family cohesion and adaptability in infertile women was investigated. METHODS A total of 482 infertile women in the reproductive clinics of three affiliated hospitals of the Lanzhou University were selected by the convenience sampling method. The self-made general information questionnaire, family adaptability and cohesion evaluation scale, and dyadic coping questionnaire were used in this study. RESULTS The average age of infertile women was 31.73 ± 4.57 years, the duration of infertility was 28.66 ± 27.99 months, the total score of dyadic coping was 132.66 ± 25.49, the total score of family cohesion and adaptability was 101.48 ± 20.96. A significant positive correlation between dyadic coping and family cohesion and adaptability was observed (r = 0.74, p < 0.01). The multiple linear regression analysis showed that religious belief, number of miscarriages, relationship between family members, family intimacy, and adaptability were the influencing factors of dyadic coping level in the family of infertile women (R 2 = 0.566, p < 0.01). CONCLUSIONS The dyadic coping level of infertile women is in the medium level, which is significantly positively correlated with family intimacy and adaptability. In clinical nursing, nurses try to improve the family relationship of patients to increase the level of dyadic coping of infertile women.
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Affiliation(s)
- Nan Tang
- Center for Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, China
| | - Yingying Jia
- Center for Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, China
| | - Qing Zhao
- Center for Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, China
| | - Huihui Liu
- Center for Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, China
| | - Junzheng Li
- Center for Disease Control and Prevention, Western Theater Command, Lanzhou, China
| | - Hongchen Zhang
- Center for Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, China
| | - Lin Han
- Center for Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, China
| | - Chaoji Huangfu
- Center for Disease Control and Prevention, Western Theater Command, Lanzhou, China
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Weitkamp K, Feger F, Landolt SA, Roth M, Bodenmann G. Dyadic Coping in Couples Facing Chronic Physical Illness: A Systematic Review. Front Psychol 2021; 12:722740. [PMID: 34759866 PMCID: PMC8573212 DOI: 10.3389/fpsyg.2021.722740] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 09/27/2021] [Indexed: 01/09/2023] Open
Abstract
Objective: Chronic physical illness affects not only patients but also their partners. Dyadic coping (DC)-the ways couples cope in dealing with a stressor such as chronic illness-has received increased attention over the last three decades. The aim of the current study was to summarize the state of research on DC in couples with chronic physical illnesses. Methods: We conducted a systematic review of qualitative, quantitative, and mixed-methods studies published between 1990 and 2020, assessing DC in couples affected by severe physical illnesses. We used DC and related search terms for the literature search in Psycinfo, Psyndex, and Medline. Five thousand three hundred thirty studies were identified in three electronic databases and 49 of these were included in the review (5,440 individuals reported on 2,820 dyads). We excluded studies on cancer, cardiovascular disease, and multiple sclerosis because of existing reviews in the respective fields. Half of the studies included were on diabetes. Other studies were on arthritis, chronic obstructive pulmonary disease (COPD), cystic fibrosis, human immunodeficiency virus (HIV), Huntington's disease, lupus erythematosus, Parkinson's disease, renal diseases, stroke, and endometriosis. Two raters extracted data using a predefined protocol, including study quality. Results were collated in a narrative synthesis organized by illness and DC operationalization. Results: Overall, DC was associated with beneficial outcomes in physical health, well-being, and relationship satisfaction. Differential effects became apparent for certain chronic conditions potentially depending on certain disease characteristics, such as early-onset, sudden-onset, or life-threatening conditions. Conclusion: Facing challenges together as a couple seemed indispensable for adapting to a diverse range of demands related to chronic illnesses with some specific demands of particular chronic diseases. There is a need for the development of truly dyadic interventions with an eye on the specific challenges of the various chronic conditions.
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Affiliation(s)
- Katharina Weitkamp
- Clinical Psychology Children/Adolescents and Couples/Families, University of Zurich, Zurich, Switzerland
| | - Fabienne Feger
- ZHAW Zurich University of Applied Science, Zurich, Switzerland
| | - Selina A Landolt
- Clinical Psychology Children/Adolescents and Couples/Families, University of Zurich, Zurich, Switzerland
| | - Michelle Roth
- Clinical Psychology Children/Adolescents and Couples/Families, University of Zurich, Zurich, Switzerland
| | - Guy Bodenmann
- Clinical Psychology Children/Adolescents and Couples/Families, University of Zurich, Zurich, Switzerland
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Facchin F, Buggio L, Vercellini P, Frassineti A, Beltrami S, Saita E. Quality of intimate relationships, dyadic coping, and psychological health in women with endometriosis: Results from an online survey. J Psychosom Res 2021; 146:110502. [PMID: 33932718 DOI: 10.1016/j.jpsychores.2021.110502] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 04/23/2021] [Accepted: 04/23/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To explore the associations between intimate relationships, psychological health, and endometriosis-related variables such as pelvic pain and infertility. METHODS In this cross-sectional study, data were collected with an online survey delivered through Qualtrics and posted on the Facebook page and website of a patient association (Associazione Progetto Endometriosi-APE) in August 2020. The survey was composed of a researcher-made questionnaire and four validated questionnaires assessing relational satisfaction (adapted Quality of Marriage Index), dyadic coping (Dyadic Coping Questionnaire), and psychological health (Hospital Anxiety and Depression Scale and Rosenberg Self-Esteem Scale). RESULTS Participants were 316 women (age: 35.9 ± 6.7) with endometriosis, who reported being in an intimate relationship from at least one year. A greater perceived negative impact of the disease on past and current intimate relationships was associated with poorer psychological health, lower relational satisfaction and worse dyadic coping. Women who perceived their partner as more informed about endometriosis, more informed about and interested in their health conditions, and more likely to accompany them to the medical appointments, showed greater relational satisfaction and dyadic coping. Relational satisfaction and dyadic coping were associated with psychological health. A greater perceived negative impact of endometriosis on intimate relationships was associated with more severe pelvic pain (especially dyspareunia). CONCLUSION Endometriosis has a negative impact on intimate relationships, which is associated with poorer psychological health. For the women with the disease, partner's support is important, and our findings suggest that effort should be made to involve both members of the couple in multidisciplinary treatment.
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Affiliation(s)
- Federica Facchin
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy.
| | - Laura Buggio
- Gynecology Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
| | - Paolo Vercellini
- Gynecology Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
| | - Annalisa Frassineti
- Associazione Progetto Endometriosi - Organizzazione di Volontariato (Endometriosis Project Association - Volunteer Organization), Reggio Emilia, Italy.
| | - Sara Beltrami
- Associazione Progetto Endometriosi - Organizzazione di Volontariato (Endometriosis Project Association - Volunteer Organization), Reggio Emilia, Italy.
| | - Emanuela Saita
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy.
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Bannon SM, Grunberg VA, Reichman M, Popok PJ, Traeger L, Dickerson BC, Vranceanu AM. Thematic Analysis of Dyadic Coping in Couples With Young-Onset Dementia. JAMA Netw Open 2021; 4:e216111. [PMID: 33856476 PMCID: PMC8050740 DOI: 10.1001/jamanetworkopen.2021.6111] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 02/25/2021] [Indexed: 12/17/2022] Open
Abstract
Importance A diagnosis of young-onset dementia (YOD) is a life-altering event for both persons with dementia and their spousal caregivers. Dyadic coping (DC) theoretical models acknowledge that dyads cope with stressors as a unit, but these models have yet to be used in YOD. Objective To explore the lived experiences of couples managing YOD using an integrated DC model. Design, Setting, and Participants This qualitative study recruited couples from a single major medical setting and through social media. Eligibility criteria included cohabitation, 1 partner diagnosed with YOD and able to participate, and both partners willing to participate. Live online video interviews were conducted from March to June 2020. Exposures One semistructured interview, which was recorded and subsequently transcribed. Recruitment was stopped once thematic saturation was reached. Main Outcomes and Measures Five themes were deductively derived based on the integrated DC framework, including stress communication, positive individual DC, positive conjoint DC, negative individual DC, and negative conjoint DC. Within each theme, subthemes were inductively identified to further characterize couples' dyadic coping experiences with YOD. Results A total of 23 couples were interviewed, comprising persons with dementia (11 women [48%]; mean [SD] age, 61.3 [4.65] years; mean [SD] time from diagnosis, 3.11 [3.85]) years; and spousal caregivers (13 women [57%]; mean [SD] age, 60.5 [5.40] years). Data supported the 5 a priori DC themes and novel subthemes describing couples' experiences with YOD. Specifically, couples enacted positive conjoint DC by approaching challenges using a teamwork approach to problem solving and relying on collaborative communication. In contrast, couples engaged in negative conjoint DC through mutual avoidance, leading to increased negative communication and conflict. Couples described initially engaging in avoidance and withdrawal to navigate YOD-related stressors. While these strategies provided short-term relief from challenging emotions, they prevented engagement in adaptive coping (eg, acceptance and collaborative problem-solving) to promote long-term adjustment. Conclusions and Relevance This study used an evidence-based integrated DC approach to identify the positive and negative coping behaviors of couples managing YOD. To our knowledge, this is the first study to use a DC framework to guide qualitative analysis, and it provides valuable insights into DC strategies used by couples navigating YOD-related stressors. Findings can inform the development of dyadic psychosocial services for couples managing YOD and have implications for other progressive illnesses.
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Affiliation(s)
- Sarah M. Bannon
- Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Victoria A. Grunberg
- Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Mira Reichman
- Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Paula J. Popok
- Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Lara Traeger
- Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Bradford C. Dickerson
- Frontotemporal Disorders Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Ana-Maria Vranceanu
- Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston
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Ştefǎnuţ AM, Vintilǎ M, Tudorel OI. The Relationship of Dyadic Coping With Emotional Functioning and Quality of the Relationship in Couples Facing Cancer-A Meta-Analysis. Front Psychol 2021; 11:594015. [PMID: 33488460 PMCID: PMC7819877 DOI: 10.3389/fpsyg.2020.594015] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 12/08/2020] [Indexed: 01/06/2023] Open
Abstract
Objective: This study is a meta-analysis that considers the association between dyadic coping and emotional functioning, and between dyadic coping and the quality of the relationship as perceived by cancer patients and their life partners. Methods: A systematic search was conducted in the electronic databases PsycINFO, PubMed, ScienceDirect and those peer-reviewed cross-sectional and longitudinal studies published up until April 2020 that investigated these relationships were selected. Results: A total of 1,168 studies were identified, of which 10 met the inclusion criteria (N = 1,727 couples). These evidenced statistically significant positive relationships between common dyadic coping and emotional functioning and between common dyadic coping and the quality of the relationship as perceived by patients and their partners. There was also a statistically significant positive association between stress communication (by oneself), supportive dyadic coping (by oneself and by partner), and the quality of the relationship. In addition, a statistically significant negative association was found between negative dyadic coping (by oneself and by partner) and the quality of the relationship as perceived by patients' partners and also between negative dyadic coping (by oneself) and the quality of the relationship as perceived by patients. Conclusions: The results suggest the existence of a significant association between dyadic coping and emotional functioning and between dyadic coping and the quality of the relationship as perceived by members of couples facing cancer. However, these results must be interpreted with caution due to the small number of studies included in the analysis. Clinically, an understanding of the existence of such relationships is helpful for the implementation, and study of the effectiveness of, interventions aimed at improving dyadic coping in order to improve both quality of life and quality of relationship in couples where there is an oncological diagnosis.
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Affiliation(s)
| | - Mona Vintilǎ
- Department of Psychology, West University of Timişoara, Timişoara, Romania
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16
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Donato S, Parise M, Pagani AF, Lanz M, Regalia C, Rosnati R, Iafrate R. Together Against COVID-19 Concerns: The Role of the Dyadic Coping Process for Partners' Psychological Well-Being During the Pandemic. Front Psychol 2021; 11:578395. [PMID: 33488449 PMCID: PMC7817770 DOI: 10.3389/fpsyg.2020.578395] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 11/30/2020] [Indexed: 01/07/2023] Open
Abstract
The situation caused by the 2019 coronavirus disease (COVID-19) has been representing a great source of concern and a challenge to the psychological well-being of many individuals around the world. For couples in particular, this extraordinary rise in concern, combined with the stress posed by the virus containment measures, such as prolonged cohabitation and lack of support networks, may have increased the likelihood of couple problems. At the same time, however, COVID-19 concerns may have been a stimulus to activate couples’ stress management processes. A couple’s resource, which may have an important role in dealing with COVID-19 concerns and stress, is dyadic coping, i.e., the process through which partners face stress together. Drawing on a sample of 1,823 Italian individuals involved in a couple relationship, the current study tested a serial mediation model in which concerns about COVID-19 predicted psychological well-being, through both explicit stress communication and perceived partner dyadic coping responses. In addition, the study explored whether this dyadic coping process functioned the same way in satisfied and dissatisfied couples. Results showed that concerns about the situation related to COVID-19 significantly threatened individuals’ psychological well-being. However, these concerns positively predicted explicit stress communication, which in turn positively predicted perceived partner’s dyadic coping responses, which finally positively predicted psychological well-being. In addition, in the group of dissatisfied individuals, the association between explicit stress communication and perceived partners’ dyadic coping responses was not significant. The present study adds to the research on couples’ coping by testing for the first time the whole theoretical model of dyadic coping and does so during a global emergency situation. The study also suggests key components of preventive interventions for individuals in couples.
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Affiliation(s)
- Silvia Donato
- Department of Psychology, Family Studies and Research University Centre, Universitá Cattolica del Sacro Cuore, Milan, Italy
| | - Miriam Parise
- Department of Psychology, Family Studies and Research University Centre, Universitá Cattolica del Sacro Cuore, Milan, Italy
| | - Ariela Francesca Pagani
- Department of Psychology, Family Studies and Research University Centre, Universitá Cattolica del Sacro Cuore, Milan, Italy
| | - Margherita Lanz
- Department of Psychology, Family Studies and Research University Centre, Universitá Cattolica del Sacro Cuore, Milan, Italy
| | - Camillo Regalia
- Department of Psychology, Family Studies and Research University Centre, Universitá Cattolica del Sacro Cuore, Milan, Italy
| | - Rosa Rosnati
- Department of Psychology, Family Studies and Research University Centre, Universitá Cattolica del Sacro Cuore, Milan, Italy
| | - Raffaella Iafrate
- Department of Psychology, Family Studies and Research University Centre, Universitá Cattolica del Sacro Cuore, Milan, Italy
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17
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Alves S, Fonseca A, Canavarro MC, Pereira M. Does Dyadic Coping Predict Couples' Postpartum Psychosocial Adjustment? A Dyadic Longitudinal Study. Front Psychol 2020; 11:561091. [PMID: 33101131 PMCID: PMC7545233 DOI: 10.3389/fpsyg.2020.561091] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 08/24/2020] [Indexed: 11/16/2022] Open
Abstract
The way couples jointly manage pregnancy-related demands may prevent both members from experiencing psychosocial maladjustment after childbirth. This study examined (a) changes in dyadic coping (DC) and indicators of psychosocial adjustment [depressive and anxiety symptoms and quality of life (QoL)] from the second trimester of pregnancy (T1) to 6 weeks postpartum (T2), (b) the actor and partner effects of DC at T1 on couples' adjustment at T2, and (c) whether changes in DC over time would be associated with changes in the adjustment of both women and their partners. This study adopted a prospective quantitative dyadic longitudinal design. A total of 303 couples from Portugal answered self-report questionnaires assessing DC, depressive and anxiety symptoms, and QoL at T1, of which 290 were contacted at T2 to complete the same measures (n = 138 couples returned the questionnaires). Results showed that first-time fathers' QoL and both first and experienced fathers' stress communication decreased over time, as did common DC (i.e., the way couples cope together with stress) perceived by both partners. First-time mothers reported higher increases in negative DC. The more positive DC the women provided to men at T1, the higher the internalizing symptoms of women at T2; the more the women communicated stress at T1, the higher the internalizing symptoms of men at T2. Both partners' common DC at T1 positively predicted their QoL at T2. The larger the decrease in common DC over time, the greater the increase in internalizing symptoms of couples and the greater the decrease in their QoL. These findings suggest that DC strategies should be considered into the psychosocial care of couples becoming parents, as a relevant coping resource that partners could use to help each other in situations of stress. More than (exclusively) encouraging the men's role as support providers, couples should be encouraged to reserve time for one another, to discuss each other's concerns, and to seek for solutions as a team. These strategies should be promoted before, and fostered after, childbirth. Likewise, clinicians should be aware that partners might not feel equally comfortable with specific DC strategies and then should be carefully addressed among couples.
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Affiliation(s)
- Stephanie Alves
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | | | | | - Marco Pereira
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
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18
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Tay DL, Ellington L, Towsley GL, Supiano K, Berg CA. Evaluation of a Collaborative Advance Care Planning Intervention among Older Adult Home Health Patients and Their Caregivers. J Palliat Med 2020; 23:1214-1222. [PMID: 32216645 PMCID: PMC10623462 DOI: 10.1089/jpm.2019.0521] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/11/2020] [Indexed: 11/12/2022] Open
Abstract
Background: Caregivers are decision stakeholders; yet, few interventions have been developed to help patients and caregivers collaborate on advance care planning (ACP). Objective: To evaluate a theory-based ACP pilot intervention, Deciding Together, to improve decisional quality, readiness, collaboration, and concordance in ACP decisions for older adult home health (HH) patients and caregivers. Design: A one-group, pre- and posttest study using matched questionnaires was conducted. The intervention consisted of a clinical vignette, theoretically guided conversation prompts, and a shared decision-making activity. Setting/Subjects:N = 36 participants (n = 18 HH patients; n = 18 family and nonfamily caregivers) were purposively recruited from a HH agency to participate in the intervention at patients' homes. Measurements: Demographic and baseline measures were collected for relationship quality, health status, and previous ACP engagement. Outcome measures included perceptions of collaboration, readiness for ACP, concordance in life-sustaining treatment preferences (cardiopulmonary resuscitation, antibiotics, artificial nutrition and hydration, and mechanical ventilation), and decisional conflict. Descriptive statistics, Cohen's κ coefficients, paired t tests, McNemar's tests, and Wilcoxon signed-rank tests (and effect size estimates, r = z/√N) were calculated using R-3.5.1 (p < 0.05). Single value imputation was used for missing values. Results: While no significant differences were found for perceptions of collaboration, and readiness for ACP, patients (r = 0.38, p = 0.02) and caregivers (r = 0.38, p = 0.02) had reduced decisional conflict at posttest. Patients' and caregivers' agreement increased by 27.7% for an item assessing patients' preference for artificial nutrition and hydration (p = 0.03). Conclusions: This study suggests that collaborative ACP decision making may improve decisional conflict for older adult HH patients and their caregivers.
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Affiliation(s)
- Djin L. Tay
- College of Nursing, University of Utah, Salt Lake City, Utah, USA
| | - Lee Ellington
- College of Nursing, University of Utah, Salt Lake City, Utah, USA
| | - Gail L. Towsley
- College of Nursing, University of Utah, Salt Lake City, Utah, USA
| | | | - Cynthia A. Berg
- Department of Psychology, University of Utah, Salt Lake City, Utah, USA
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19
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Van Schoors M, De Paepe AL, Lemiere J, Morez A, Norga K, Lambrecht K, Goubert L, Verhofstadt LL. Family Adjustment When Facing Pediatric Cancer: The Role of Parental Psychological Flexibility, Dyadic Coping, and Network Support. Front Psychol 2019; 10:2740. [PMID: 31920799 PMCID: PMC6914864 DOI: 10.3389/fpsyg.2019.02740] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 11/20/2019] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Pediatric cancer is a life-threatening disease that poses significant challenges to the life of all family members (diagnosed child, parents, and siblings) and the family as a whole. To date, limited research has investigated family adjustment when facing pediatric cancer. The aim of the current study was to explore the role of protective factors at the individual (parental psychological flexibility), intrafamilial (dyadic coping) and contextual level (network support) in explaining family adjustment as perceived by parents of children with leukemia or non-Hodgkin lymphoma. In addition, we were interested to see whether these protective factors could be predictive for family adjustment at a later time point. METHOD Participants were 70 mothers and 53 fathers (80 families) of children with leukemia or non-Hodgkin lymphoma. Mean time since diagnosis was 5.26 (T1) and 18.86 (T2) months post-diagnosis. Parents completed the Acceptance and Action Questionnaire II (to assess psychological flexibility), Dyadic Coping Inventory, a network support questionnaire, Impact on Family Scale and the Family Adjustment Scale. Both concurrent and prospective association models were tested. RESULTS Psychological flexibility, dyadic coping and network support proved to be cross-sectionally and positively related to parents' perception of family adjustment post-diagnosis; psychological flexibility and dyadic coping proved to predict better family adjustment over time. CONCLUSION Our findings led to the conclusion that protective factors at all three levels (individual, intrafamilial and contextual) are important for explaining family adjustment as perceived by parents facing a diagnosis of cancer in their child. Interventions targeting the individual, couple, as well as family level are warranted to enhance family adjustment.
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Affiliation(s)
- Marieke Van Schoors
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Annick Lena De Paepe
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Jurgen Lemiere
- Department of Pediatric Hemato-Oncology, University Hospitals Leuven, Leuven, Belgium
- KU Leuven, Leuven, Belgium
| | - Ann Morez
- Department of Pediatric Hemato-Oncology and Stem Cell Transplantation, Ghent University Hospital, Ghent, Belgium
| | - Koenraad Norga
- Department of Pediatric Oncology, Antwerp University Hospital, Antwerp, Belgium
- University of Antwerp, Antwerp, Belgium
| | - Karolien Lambrecht
- Department of Pediatric Hemato-Oncology and Immunology, University Hospital Brussels, Brussels, Belgium
| | - Liesbet Goubert
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Lesley L. Verhofstadt
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
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20
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Iyer AS, Dionne-Odom JN, Ford SM, Crump Tims SL, Sockwell ED, Ivankova NV, Brown CJ, Tucker RO, Dransfield MT, Bakitas MA. A Formative Evaluation of Patient and Family Caregiver Perspectives on Early Palliative Care in Chronic Obstructive Pulmonary Disease across Disease Severity. Ann Am Thorac Soc 2019; 16:1024-1033. [PMID: 31039003 PMCID: PMC6774751 DOI: 10.1513/annalsats.201902-112oc] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Accepted: 04/29/2019] [Indexed: 12/20/2022] Open
Abstract
Rationale: Little direction exists on how to integrate early palliative care in chronic obstructive pulmonary disease (COPD).Objectives: We sought to identify patient and family caregiver early palliative care needs across stages of COPD severity.Methods: As part of the Medical Research Council Framework developmental phase for intervention development, we conducted a formative evaluation of patients with moderate to very severe COPD (forced expiratory volume in 1 s [FEV1]/FVC < 70% and FEV1 < 80%-predicted) and their family caregivers. Validated surveys on quality of life, anxiety and depressive symptoms, and social isolation quantified symptom severity. Semi-structured interviews were analyzed for major themes on early palliative care and needs in patients and family caregivers and across COPD severity stages.Results: Patients (n = 10) were a mean (±SD) age of 60.4 (±7.5) years, 50% African American, and 70% male, with 30% having moderate COPD, 30% severe COPD, and 40% very severe COPD. Family caregivers (n = 10) were a mean age of 58.3 (±8.7) years, 40% African American, and 10% male. Overall, 30% (n = 6) of participants had poor quality of life, 45% (n = 9) had moderate-severe anxiety symptoms, 25% (n = 5) had moderate-severe depressive symptoms, and 40% (n = 8) reported social isolation. Only 30% had heard of palliative care, and most participants had misconceptions that palliative care was end-of-life care. All participants responded positively to a standardized description of early palliative care and were receptive to its integration as early as moderate stage. Five broad themes of early palliative care needs emerged: 1) coping with COPD; 2) emotional symptoms; 3) respiratory symptoms; 4) illness understanding; and 5) prognostic awareness. Coping with COPD and emotional symptoms were commonly shared early palliative care needs. Patients with very severe COPD and their family caregivers prioritized illness understanding and prognostic awareness compared with those with moderate-severe COPD.Conclusions: Patients with moderate to very severe COPD and their family caregivers found early palliative care acceptable and felt it should be integrated before end-stage. Of the five broad themes of early palliative care needs, coping with COPD and emotional symptoms were the highest priority, followed by respiratory symptoms, illness understanding, and prognostic awareness.
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Affiliation(s)
- Anand S. Iyer
- Division of Pulmonary, Allergy, and Critical Care Medicine
- Health Services, Outcomes, and Effectiveness Research Training Program
- Lung Health Center
| | - J. Nicholas Dionne-Odom
- Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine
- School of Nursing, and
| | - Stephanie M. Ford
- Lung Health Center
- Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine
| | - Sheri L. Crump Tims
- Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine
- School of Nursing, and
| | - Elizabeth D. Sockwell
- Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine
- School of Nursing, and
| | - Nataliya V. Ivankova
- School of Nursing, and
- School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama; and
| | - Cynthia J. Brown
- Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine
- Birmingham Veterans Affairs Medical Center, Birmingham, Alabama
| | - Rodney O. Tucker
- Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine
| | - Mark T. Dransfield
- Division of Pulmonary, Allergy, and Critical Care Medicine
- Lung Health Center
- Birmingham Veterans Affairs Medical Center, Birmingham, Alabama
| | - Marie A. Bakitas
- Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine
- School of Nursing, and
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21
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Garcia MV, Luckett T, Johnson M, Hutchinson A, Lal S, Phillips JL. The roles of dispositional coping style and social support in helping people with respiratory disease cope with a breathlessness crisis. J Adv Nurs 2019; 75:1953-1965. [PMID: 31012133 DOI: 10.1111/jan.14039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 02/12/2019] [Accepted: 03/28/2019] [Indexed: 12/01/2022]
Abstract
AIM To explore the role of coping moderators in self-management of breathlessness crises by people with advanced respiratory disease. DESIGN A secondary analysis of semi-structured interview data. METHODS Interviews with patients who had advanced respiratory disease, chronic breathlessness and at least one experience where they considered presenting to Emergency but self-managed instead (a "near miss"). Participants were recruited from New South Wales, Queensland, Victoria, South Australia or Tasmania. Eligible caregivers were those who contributed to Emergency-related decision-making. Interviews were coded inductively and then deductively against the coping moderators social support and dispositional coping style, defined by the Transactional Model of Stress and Coping. RESULTS Interviews were conducted between October 2015 - April 2016 with 20 patients and three caregivers. Social networks offered emotional and practical support but also had potential for conflict with patients' 'hardy' coping style. Patient hardiness (characterized by a sense of 'commitment' and 'challenge') promoted a proactive approach to self-management but made some patients less willing to accept support. Information-seeking tendencies varied between patients and were sometimes shared with caregivers. An optimistic coping style appeared to be less equivocally beneficial. CONCLUSION This study shows that social support and coping style may influence how people self-manage through their breathlessness crises and identified ways coping moderators can facilitate or hinder effective self-management. IMPACT This study confers insights into how social-support and coping style can be supported and optimized to facilitate breathlessness self-management. Acknowledging coping moderator interactions is beneficial for developing resources and strategies that recognise patient mastery.
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Affiliation(s)
- Maja Villanueva Garcia
- IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Tim Luckett
- IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Miriam Johnson
- Wolfson Palliative Care Research Centre, University of Hull, Hull, UK
| | - Ann Hutchinson
- Wolfson Palliative Care Research Centre, University of Hull, Hull, UK
| | - Sara Lal
- School of Life Sciences, University of Technology, Sydney, New South Wales, Australia
| | - Jane L Phillips
- IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
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22
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Shrout MR, Weigel DJ. A two-wave study on the health and relationship consequences of experienced stigma among individuals with concealable chronic health conditions. J Health Psychol 2019; 26:860-869. [PMID: 31106588 DOI: 10.1177/1359105319849637] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Applying and extending the concealable stigmatized identity outcomes model, this two-wave study examined the psychological, behavioral, physical, and relational health consequences of experienced stigma among a sample of 124 individuals with concealable chronic health conditions. Path analyses revealed that chronic health condition-related experienced stigma was associated with greater chronic health condition-related stress, which in turn was linked to more physical health problems and, ultimately, poorer relational health 4 months later. These findings demonstrate that chronic health condition-related experienced stigma not only creates psychological, behavioral, and physical health consequences but also contributes to poor relational health over time among individuals with chronic health conditions.
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23
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Grassion L, Le Guillou F, Izadifar A, Piperno D, Raherison-Semjen C. [Factors associated with poor acceptance of illness in patients with COPD]. Rev Mal Respir 2019; 36:461-467. [PMID: 30956003 DOI: 10.1016/j.rmr.2018.11.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Accepted: 11/30/2018] [Indexed: 11/29/2022]
Abstract
INTRODUCTION In patients suffering from chronic obstructive pulmonary disease (COPD), the acceptance of the illness is probably a major factor in the improvement of quality of life. The aim of this study is to identify the criteria associated with a good or bad acceptance of the disease and to identify means of improving it. METHODS We have undertaken a telephone enquiry among patients with COPD with the aid of a standardized questionnaire established by several health experts. RESULTS Of the 1040 patients who have been contacted, 356 (34 %) replied to the questionnaire. Ninety-nine patients reported unacceptance of their disease (28 %). The patients who did not accept their disease were significantly more severe, with more difficulty in performing daily life activities, particularly exercising. These patients had significantly greater difficulty in understanding their disease and also reported more frequently a moralizing attitude among their family. CONCLUSION The greater the handicap of the disease, the greater is the difficulty in accepting the disease by the patient. The doctor could have an impact in improving the therapeutic education and involving the family in the patient's care.
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Affiliation(s)
- L Grassion
- Service des maladies respiratoires, CHU de Haut-Lévêque, avenue de Magellan, 33000 Pessac, France.
| | - F Le Guillou
- Association BPCO, 115, rue Saint Dominique, 75007 Paris, France
| | - A Izadifar
- Association BPCO, 115, rue Saint Dominique, 75007 Paris, France
| | - D Piperno
- Association BPCO, 115, rue Saint Dominique, 75007 Paris, France
| | - C Raherison-Semjen
- Service des maladies respiratoires, CHU de Haut-Lévêque, avenue de Magellan, 33000 Pessac, France; Inserm U1219 Bordeaux Population Health Research Center, Bordeaux University, 33000 Bordeaux, France
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24
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Falconier MK, Kuhn R. Dyadic Coping in Couples: A Conceptual Integration and a Review of the Empirical Literature. Front Psychol 2019; 10:571. [PMID: 30971968 PMCID: PMC6443825 DOI: 10.3389/fpsyg.2019.00571] [Citation(s) in RCA: 106] [Impact Index Per Article: 21.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Accepted: 02/28/2019] [Indexed: 11/16/2022] Open
Abstract
The present review on dyadic coping (DC) aims at providing a critical integration of both the conceptual and empirical DC literature and overcoming the limitations of past reviews by (a) describing, comparing, and integrating all the DC models, (b) presenting and integrating findings from studies based on DC models, and (c) suggesting directions for further research. The DC models identified and compared include: The congruence model (Revenson, 1994), the relationship-focused model (Coyne and Smith, 1991; O'Brien and DeLongis, 1996), the communal coping model (Lyons et al., 1998), the systemic-transactional model (Bodenmann, 1995, 1997), the relational-cultural model (Kayser et al., 2007), and the developmental-contextual coping model (Berg and Upchurch, 2007). After discussing each DC model, we advance a conceptual integration of all models, which serves as the framework to organize the review of the empirical literature. This integration includes the following DC dimensions: (a) Stress Communication, (b) Positive DC by One Partner (supportive DC, empathic responding, delegated DC, active engagement), (c) Positive Conjoint DC (common, collaborative, communal, mutual responsiveness); (d) Negative DC by One Partner (protective buffering, overprotection, and hostility/ambivalence), and (e) Negative Conjoint DC (common negative DC, disengaged avoidance). Developmental, relational, and contextual variables are included as factors shaping DC. To be included in the empirical review, articles had to be published in or a peer-reviewed journal in English and/or German before 2017 and include an original empirical study guided by one of the DC models. The review included 139 studies and, with the exception of the congruence model whose findings were discussed separately, findings were presented for overall DC and each of the dimensions identified in the conceptual integration. Findings were grouped also according to whether the stressor related or not to a medical or mental health condition. Demographic and cultural factors affecting DC were discussed. Overall, the empirical review suggests that in Western couples, positive individual, and conjoint DC forms, taken together or separately, have individual and relational benefits for couples coping with stress in general and/or mental health or medical stressors. Research on DC can be expanded to include other populations and stressors and use improved designs.
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Affiliation(s)
- Mariana Karin Falconier
- Department of Family Science, School of Public Health, University of Maryland, College Park, MD, United States
| | - Rebekka Kuhn
- Department of Psychology, University of Zurich, Zurich, Switzerland
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Dyadic coping in personal projects of romantic partners: assessment and associations with relationship satisfaction. CURRENT PSYCHOLOGY 2019. [DOI: 10.1007/s12144-019-00222-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
AbstractIn the present study we describe a context-sensitive, personal-projects-based approach to dyadic coping with stress which adapted the Dyadic Coping Inventory (DCI) for the assessment of dyadic coping strategies in stressful personal projects. In a cross-sectional study, 149 heterosexual Hungarian couples provided evaluations pertaining to their dyadic coping experiences in a stressful everyday project. Explorative factor analyses of personal project-related DCI items provided theoretically meaningful factor structures and the resulting subscales showed excellent reliability. The subscales’ predictive validity was tested in two dyadic analyses using the Actor-Partner Interdependence Model (APIM) whereby positive and negative dyadic coping experiences served as predictors of satisfaction with the dyadic coping process in particular, and with the relationship in general as outcomes. Our results showed that satisfaction with dyadic coping in personal projects is predicted only by the dyadic coping experiences of the respondents (the actor effect), while actor and partner effects proved to be predictive of relationship satisfaction. Negative partner experiences related to dyadic coping predicted lower relationship satisfaction of the female partner, while for males the positive experiences of the partner were found to be more predictive. These results confirm that the contextualized assessment of dyadic coping experiences in specific stressful personal projects is a reliable and valid method. Further methodological and theoretical conclusions are discussed.
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Rentscher KE. Communal Coping in Couples With Health Problems. Front Psychol 2019; 10:398. [PMID: 30894824 PMCID: PMC6414458 DOI: 10.3389/fpsyg.2019.00398] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 02/11/2019] [Indexed: 01/22/2023] Open
Abstract
Prior to the 1990s, the predominant view of stress and coping defined stress as occurring when an individual perceives a situation as a challenge, threat, or loss and evaluates her capacity to respond based on her available resources. As an expansion of this intrapersonal perspective, the last 20 years have seen the emergence of two prominent interpersonal perspectives on stress and coping that account for the importance of social relationships in the coping process: the Systemic Transactional Model (STM) of dyadic coping and communal coping. In this article, I outline these two perspectives and highlight their points of convergence and divergence. I propose that one difference between the models is that communal coping involves an explicit focus on a communal or shared appraisal process, in which relationship partners view a problem or stressor as “ours” rather than “yours” or “mine.” I review existing methods for assessing communal coping (e.g., self-report, language use, behavioral observation) across laboratory, intervention, and real-world settings and summarize empirical evidence for the prognostic significance of communal coping for relationship and health functioning. I propose the utility of incorporating measurement of shared appraisal into future research on dyadic coping with stress, because of its potential to impact health through its influence on primary and secondary stress appraisal processes and physiological stress response systems. Finally, I outline biological and behavioral pathways through which communal coping may influence health as directions for future research.
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Affiliation(s)
- Kelly E Rentscher
- Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA, United States
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27
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Martos T, Sallay V, Nagy M, Gregus H, Filep O. Stress and Dyadic Coping in Personal Projects of Couples - A Pattern-Oriented Analysis. Front Psychol 2019; 10:400. [PMID: 30873089 PMCID: PMC6403151 DOI: 10.3389/fpsyg.2019.00400] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 02/11/2019] [Indexed: 11/18/2022] Open
Abstract
Relational accounts of goal striving have barely considered dyadic coping as an element of the process, nor has dyadic coping research utilized the unique advantages of the goal construct (e.g., in form of personal project assessment) so far. Therefore, the primary aim of the present study was to explore stress and dyadic coping experiences associated with the personal projects of partners in a close relationship. Moreover, we approached data analysis in a pattern-oriented way, instead of using variable-centered linear models. We used cross-sectional data from 270 married and cohabiting Hungarian heterosexual couples (mean age 40.1 ± 11.2 and 37.8 ± 10.9 years for male and female partners, respectively). Partners individually completed an adapted version of the Personal Project Assessment procedure. First, they named an important but stressful personal project. Respondents appraised their experiences with the chosen personal project along several predefined aspects. These included: (1) stress experiences; (2) dyadic coping, using the adapted Dyadic Coping Inventory; (3) positive emotions; and (4) sense of community. The Relationship Assessment Scale was also assessed. Cluster analysis of both partners' stress experiences, positive and negative dyadic coping strategies in their own personal projects revealed six relationship-level clusters. Cluster solutions represented typical variations of the stress and dyadic coping patterns of the couples, and could be arranged in a three- (lower, medium, and higher stress) by-two (positively vs. negatively balanced dyadic coping pattern) array. Further analyses indicated the general trend that couples with lower (vs. higher) stress together with more positively (vs. negatively) balanced dyadic coping may have experienced better functioning in projects (more positive emotions and higher sense of community) and higher relationship satisfaction. Results confirm that the partners' pursuit of their personal projects is embedded in their relationship, and their functioning in these projects may partly depend on dyadic coping with the stress that arises during the accomplishment of the project. By using a pattern-oriented approach to dyadic data, we were able to distill stress and coping patterns that capture the specific types of couples' relationships and indicate the non-linear and multidimensional nature of stress and dyadic coping processes.
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Affiliation(s)
- Tamás Martos
- Institute of Psychology, University of Szeged, Szeged, Hungary
| | - Viola Sallay
- Institute of Psychology, University of Szeged, Szeged, Hungary
| | - Marianna Nagy
- Institute of Psychology, University of Szeged, Szeged, Hungary
| | | | - Orsolya Filep
- Doctoral School, Semmelweis University, Budapest, Hungary
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28
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Sallay V, Martos T, Chatfield SL, Dúll A. Strategies of Dyadic Coping and Self-Regulation in the Family Homes of Chronically Ill Persons: A Qualitative Research Study Using the Emotional Map of the Home Interview Method. Front Psychol 2019; 10:403. [PMID: 30873092 PMCID: PMC6403154 DOI: 10.3389/fpsyg.2019.00403] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 02/11/2019] [Indexed: 01/31/2023] Open
Abstract
Environmental and emotional self-regulation skills play a critical role in promoting well-being of individuals and in encouraging healthy relationships. However, occurrence of chronic illness in one family member complicates routine dyadic coping processes for the couple. Additionally, according to environmental psychologists, self-regulation processes are influenced by individuals' perceptions of their socio-physical environments, and during times of chronic illness, the family home is frequently the primary site of dyadic coping. To date, few researchers have investigated the complex relationship among dyadic coping, the family home, and self-regulation processes in the context of chronic illness. The purpose of this paper is to report the results of qualitative research conducted to explore these relationships by analyzing participants' emotionally significant experiences within the family home. We purposively sampled and conducted in depth semi-structured interviews with 23 adults representing 10 families with one chronically ill adult family member. Representative illnesses included epilepsy (4) and chronic back pain (6). We used the Emotional Map of the Home Interview method (EMHI), an elicitation process in which participants are initially asked to place predefined positive and negative experiences on drawn diagrams of their homes. We analyzed the data through grounded theory coding methods, including open, axial and selective coding. Results of data analysis suggest that the family home operated as a critical socio-physical environment and had a profound impact on environmental and emotional self-regulation as well as on dyadic coping when one partner experienced chronic illness. Key selective codes derived from the data that reflect the variation and nuance within this impact included: "stress communication through the home space," "coping by spatial separation" and "coping by joint striving for at-homeness." These results reveal formerly hidden aspects of dyadic coping with chronic illness: the role of environmental cues, represented by the family home in this study, in perceptions of stress; the coordinated use of spatial-environmental contexts to engage the appropriate self-regulatory strategies for coping with illness-related stress. These findings demonstrate the utility of EMHI as an assessment tool and provide meaningful theoretical and practical information about dyadic coping among couples living with chronic disease.
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Affiliation(s)
- Viola Sallay
- Institute of Psychology, University of Szeged, Szeged, Hungary
| | - Tamás Martos
- Institute of Psychology, University of Szeged, Szeged, Hungary
| | | | - Andrea Dúll
- Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
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29
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Van Schoors M, Loeys T, Goubert L, Berghmans G, Ooms B, Lemiere J, Norga K, Verhofstadt LL. Couples Dealing With Pediatric Blood Cancer: A Study on the Role of Dyadic Coping. Front Psychol 2019; 10:402. [PMID: 30873091 PMCID: PMC6400881 DOI: 10.3389/fpsyg.2019.00402] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 02/11/2019] [Indexed: 11/30/2022] Open
Abstract
Objective: Pediatric cancer is a life-threatening disease that poses significant challenges to the ill child and his/her parents. Among the studies investigating risk and protective factors for the individual and relationship adjustment of parents being confronted with pediatric cancer, couple factors - such as dyadic coping - gained little research attention. Therefore, the aim of the current study was to explore the association between dyadic coping and individual/relationship outcomes of parents in the context of pediatric cancer. Methods: Participants were 59 couples of children diagnosed with leukemia or Non-Hodgkin lymphoma. Time since diagnosis varied from diagnosis to 20 months. Both parents completed the DCI-short, DASS21, PIP, and MMQ. Results: Positive dyadic coping (i.e., supportive and common dyadic coping) and negative dyadic coping proved to be related to individual and relational outcomes of parents facing cancer in their child. In addition, while men and women reported to be equally satisfied with their partner and their sexual relationship, women reported higher levels of individual maladjustment. Conclusion: Our findings led to the conclusion that dyadic coping is important for both individual as well as relationship outcomes of parents when facing a diagnosis of cancer in their child. When meeting with families, both partners should be invited as a unit in order to best capture couple level experiences. Also, clinicians should be sensitive to relational and sexual issues besides individual issues, taking into account evidence-based standards for psychosocial care in pediatric oncology.
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Affiliation(s)
- Marieke Van Schoors
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Tom Loeys
- Department of Data Analysis, Ghent University, Ghent, Belgium
| | - Liesbet Goubert
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Geertrui Berghmans
- Department of Pediatric Hemato-Oncology and Stem Cell Transplantation Ghent, Ghent University Hospital, Ghent, Belgium
| | - Britt Ooms
- Department of Pediatric Hemato-Oncology and Immunology, University Hospital Brussels, Brussels, Belgium
| | - Jurgen Lemiere
- Department of Pediatric Hemato-Oncology, University Hospital Leuven, Leuven, Belgium
- KU Leuven, Leuven, Belgium
| | - Koenraad Norga
- Department of Pediatric Oncology, Antwerp University Hospital, Antwerp, Belgium
- University of Antwerp, Antwerp, Belgium
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30
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Brandão T, Brites R, Hipólito J, Pires M, Nunes O. Dyadic coping, marital adjustment and quality of life in couples during pregnancy: an actor-partner approach. J Reprod Infant Psychol 2019; 38:49-59. [PMID: 30755030 DOI: 10.1080/02646838.2019.1578950] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objective: This study aimed to examine the impact of dyadic coping on the quality of life of couples during pregnancy and to explore the potential mediating role of marital adjustment on this association.Background: According to the systemic transactional model, pregnancy can be characterised as a situation of dyadic stress because it affects both members of the couple. However, the impact of dyadic coping on couples' quality of life during pregnancy is unexplored. Also, the potential mediating role of marital adjustment on this association remains understudied.Methods: Participants were 320 pregnant women and their partners (N = 640) who completed the Dyadic Coping Inventory, the Dyadic Adjustment Scale and the World Health Organisation Quality of Life instrument. Data were analysed using the actor-partner interdependence mediation model.Results: Results showed that there was an intrapersonal indirect effect of dyadic coping on quality of life through marital adjustment. Moreover, an interpersonal indirect effect was found with fathers' dyadic coping being associated with mothers' quality of life through mothers' marital adjustment.Conclusions: These findings highlight the importance of assessing dyadic coping strategies of couples during pregnancy and targeting them in the psychological support offered to couples as a way of improving their marital adjustment, and consequently, their quality of life.
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Affiliation(s)
- Tânia Brandão
- CIP, Departamento de Psicologia, Universidade Autónoma de Lisboa Luís de Camões, Lisboa, Portugal.,Center for Psychology at University of Porto, Porto, Portugal
| | - Rute Brites
- CIP, Departamento de Psicologia, Universidade Autónoma de Lisboa Luís de Camões, Lisboa, Portugal
| | - João Hipólito
- CIP, Departamento de Psicologia, Universidade Autónoma de Lisboa Luís de Camões, Lisboa, Portugal
| | - Mónica Pires
- CIP, Departamento de Psicologia, Universidade Autónoma de Lisboa Luís de Camões, Lisboa, Portugal
| | - Odete Nunes
- CIP, Departamento de Psicologia, Universidade Autónoma de Lisboa Luís de Camões, Lisboa, Portugal
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31
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Switzer A, Caldwell W, da Estrela C, Barker ET, Gouin JP. Dyadic Coping, Respiratory Sinus Arrhythmia, and Depressive Symptoms Among Parents of Preschool Children. Front Psychol 2018; 9:1959. [PMID: 30386280 PMCID: PMC6198049 DOI: 10.3389/fpsyg.2018.01959] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Accepted: 09/24/2018] [Indexed: 12/27/2022] Open
Abstract
Respiratory sinus arrhythmia (RSA) is a biomarker of cardiac vagal tone that has been linked to social functioning. Recent studies suggest that RSA moderates the impact of interpersonal processes on psychosocial adjustment. The goal of this study was to assess whether RSA would moderate the association between dyadic coping (DC) and depressive symptoms. Eighty cohabiting couples raising preschool children completed the Dyadic Coping Inventory, the Center for Epidemiological Study-Depression scale and had their RSA assessed during a laboratory session. Couples completed follow-up assessments of depressive symptoms 6 and 12 months later. Data were analyzed using an Actor-Partner Interdependence Model. Results indicated that RSA moderated the actor effect of negative DC on depression in men, such that men with lower RSA had a stronger association between their own ratings of negative DC within the couple relationship and their own depressive symptoms, compared to their counterparts with higher RSA. RSA also moderated the partner effect of delegated DC on depressive symptoms. Among men with higher RSA, there was a significant negative association between their partner’s ratings of delegated DC within the couple relationship and the men’s depressive symptoms, whereas partner-rated delegated DC was unrelated to depressive symptoms among men with lower RSA. These results suggest that men with higher RSA may possess social skills and abilities that attenuate the association between stressful marital interactions and negative mood.
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Affiliation(s)
- Andrew Switzer
- Department of Psychology, Concordia University, Montreal, QC, Canada
| | - Warren Caldwell
- Department of Psychology, Concordia University, Montreal, QC, Canada
| | | | - Erin T Barker
- Department of Psychology, Concordia University, Montreal, QC, Canada
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Badr H, Herbert K, Bonnen MD, Asper JA, Wagner T. Dyadic Coping in Patients Undergoing Radiotherapy for Head and Neck Cancer and Their Spouses. Front Psychol 2018; 9:1780. [PMID: 30374316 PMCID: PMC6196240 DOI: 10.3389/fpsyg.2018.01780] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 09/03/2018] [Indexed: 11/17/2022] Open
Abstract
Background: Head and neck cancer (HNC) adversely affects the psychological (i.e., depression, anxiety) and marital adjustment of patients and their spouses. Dyadic coping refers to how couples cope with stress. It includes positive actions like sharing practical or emotional concerns (i.e., problem- and emotion-focused stress communication; PFSC, EFSC), and engaging in problem- or emotion-focused actions to support each other (problem- and emotion-focused dyadic coping; PFDC, EFDC). It also includes negative actions like avoidance (negative dyadic coping; NEGDC). In this secondary analysis of a randomized pilot trial of a couple-based intervention called SHARE (Spouses coping with the Head And neck Radiation Experience), we first examined associations between patients' and spouses' dyadic coping (and satisfaction with dyadic coping; SATDC) and their own/each other's psychological and marital adjustment. Next, we examined the effects of SHARE relative to usual medical care (UMC) on patients' and spouses' dyadic coping. Finally, we examined whether changes in dyadic coping were associated with changes in patients' and spouses' psychological and marital adjustment. Methods and Measures: Thirty HNC patients (80% men) and their spouses (N = 60) completed baseline surveys prior to initiating radiotherapy (RT) and were randomized to SHARE or UMC. One month after RT, they completed follow-up surveys. Results: Baseline multilevel Actor-Partner Interdependence Models revealed significant actor effects of PFSC (effect size r = -0.32) and PFDC (r = -0.29) on depression. For marital adjustment, significant actor effects were found for PFSC, PFDC, EFDC, and SATDC (p < 0.05, r = 0.23 to 0.38). Actor (r = -0.35) and partner effects (r = -0.27) for NEGDC were also significant. Moderate to large effect sizes were found in favor of SHARE on PFSC (Cohen's d = 1.14), PFDC (d = 0.64), NEGDC (d = -0.68), and SATDC (d = 1.03). Improvements in PFDC were associated with reductions in depression and anxiety (p < 0.05); and, improvements in SATDC were associated with improvements in anxiety and marital adjustment (p < 0.05). Conclusion: The SHARE intervention improved positive and decreased negative dyadic coping for patients and spouses. Increases in positive dyadic coping were also associated with improvements in psychological and marital adjustment. Although findings are preliminary, more research on ways to integrate dyadic coping into oncology supportive care interventions appears warranted.
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Affiliation(s)
- Hoda Badr
- Department of Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Krista Herbert
- Department of Psychology, Rowan University, Glassboro, NJ, United States
| | - Mark D. Bonnen
- Department of Radiation Oncology, Baylor College of Medicine, Houston, TX, United States
| | - Joshua A. Asper
- Department of Radiation Oncology, Baylor College of Medicine, Houston, TX, United States
| | - Timothy Wagner
- Department of Radiation Oncology, Baylor College of Medicine, Houston, TX, United States
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Lameiras S, Marques-Pinto A, Francisco R, Costa-Ramalho S, Ribeiro MT. The Predictive Value of Dyadic Coping in the Explanation of PTSD Symptoms and Subjective Well-Being of Work Accident Victims. Front Psychol 2018; 9:1664. [PMID: 30245658 PMCID: PMC6137954 DOI: 10.3389/fpsyg.2018.01664] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 08/20/2018] [Indexed: 11/18/2022] Open
Abstract
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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Affiliation(s)
- Susana Lameiras
- Faculdade de Psicologia, Centro de Investigação em Ciências Psicológicas, Universidade de Lisboa, Lisbon, Portugal.,Faculdade de Psicologia e de Ciências da Educação, Universidade de Coimbra, Coimbra, Portugal
| | - Alexandra Marques-Pinto
- Faculdade de Psicologia, Centro de Investigação em Ciências Psicológicas, Universidade de Lisboa, Lisbon, Portugal
| | - Rita Francisco
- Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Lisbon, Portugal.,Católica Research Centre for Psychological, Family and Social Wellbeing (CRC-W), Universidade Católica Portuguesa, Lisbon, Portugal
| | - Susana Costa-Ramalho
- Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Lisbon, Portugal.,Católica Research Centre for Psychological, Family and Social Wellbeing (CRC-W), Universidade Católica Portuguesa, Lisbon, Portugal
| | - Maria Teresa Ribeiro
- Faculdade de Psicologia, Centro de Investigação em Ciências Psicológicas, Universidade de Lisboa, Lisbon, Portugal
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Gellert P, Häusler A, Gholami M, Rapp M, Kuhlmey A, Nordheim J. Own and partners' dyadic coping and depressive symptoms in individuals with early-stage dementia and their caregiving partners. Aging Ment Health 2018; 22:1008-1016. [PMID: 28594233 DOI: 10.1080/13607863.2017.1334759] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
OBJECTIVES In patients with early-stage dementia and their caregiving partners, reciprocal dyadic coping (DC) is crucial for preventing or reducing depressive symptoms in both partners. This study examines the relationships between 'own DC' and 'perceived partner DC' with depressive symptoms in couples coping with dementia on individual (actor effects) and cross-person (partner effects) levels. METHOD 164 individuals (82 patients with early-stage dementia and their 82 caregiving partners; ND = 82 dyads) participated in this prospective study with measures (DC, depressive symptoms, and dementia severity) taken at baseline and at six months. Each partner evaluated their own and the perceived partner DC. Actor-partner interdependence models were applied to the resulting four independent evaluations. RESULTS Results differed substantially between patients and caregivers. DC was significantly related to patients' but not to caregivers' depressive symptoms, when adjustments were made for individual coping. Perceived partner DC showed a negative association with depressive symptoms in patients, whereas own DC was adversely related for actor as well as for partner effects across individuals. CONCLUSION The adverse association between the own DC of the caregiver and the patient on depressive symptoms of the patient might be due to inappropriate efforts or to the loss of autonomy as a care-receiver. DC is important in both patients and caregivers, as shown by the negative association between perceived partner DC and depressive symptoms in the patients, which might inform interventions that target the couple as a whole.
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Affiliation(s)
- Paul Gellert
- a Institute of Medical Sociology , Charité - Universitätsmedizin Berlin , Germany
| | - Andreas Häusler
- b Social and Preventive Medicine , University of Potsdam , Germany
| | - Maryam Gholami
- c Department of Family Medicine and Public Health , University of California San Diego , La Jolla , CA , USA
| | - Michael Rapp
- b Social and Preventive Medicine , University of Potsdam , Germany
| | - Adelheid Kuhlmey
- a Institute of Medical Sociology , Charité - Universitätsmedizin Berlin , Germany
| | - Johanna Nordheim
- a Institute of Medical Sociology , Charité - Universitätsmedizin Berlin , Germany
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35
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Fakolade A, Latimer-Cheung A, Parsons T, Finlayson M. A concerns report survey of physical activity support needs of people with moderate-to-severe MS disability and family caregivers. Disabil Rehabil 2018; 41:2888-2899. [PMID: 29958014 DOI: 10.1080/09638288.2018.1479781] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Purpose: To identify the most pressing needs for community resources to support physical activity participation, determinants of perceived need, and barriers to co-participation in physical activity among people with multiple sclerosis (MS) who have moderate-to-severe disability and the family caregivers providing assistance to such individuals.Methods: Seventy-eight people with MS and 46 family caregivers participated in this cross-sectional survey study, guided by the Concerns Report Methodology.Results: The results show differences between groups in rankings for some need items. However, three need items were prioritized by both people with MS and the family caregivers: (1) information about available resources to support physical activity participation, with Need Indexes of 76.6% and 52.3%, respectively; (2) programs that support joint participation of people with MS together with their caregivers in physical activity, with Need Indexes of 62.0% and 68.9%, respectively; and (3) programs that have affordable total cost of participation, with Need Indexes of 50.7% and 52.3%, respectively. A broad range of factors (i.e., education, living situation, type of community, marital status, employment, and income, as well as comorbidity status) was significantly associated with one or more of these need items. Several modifiable impairment-related, personal and logistical factors were identified by both groups as barriers to co-participation in physical activity.Conclusions: The findings highlight the complexity of developing community resources that target physical activity promotion in MS dyads. Importantly, our findings suggest that resources designed to influence dyadic physical activity participation need to include content that are responsive and tailored to both the needs of the person with MS and the unique needs of the family caregiver. The results also underscore the importance of reinforcing physical activity as a shared behavior and providing information about affordable options for exercising together to the benefit of each individual and the dyad (i.e., partnership). Overall, our findings provide a possible starting point to guide the identification of potential participants that might benefit the most from future intervention development work.Implications for rehabilitationMS has life-altering consequences for people with the disease and the family caregivers who support such individuals.Rehabilitation professionals need to reinforce physical activity as a shared behavior and provide information about affordable options for exercising together to the benefit of each individual and the dyad.A "one-size-fits-all" approach is not appropriate, therefore, clinicians need to identify flexible and pragmatic strategies to increase dyadic participation in the presence of unique caregiver and care-recipients barriers that might impede such an increase.
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Affiliation(s)
| | - Amy Latimer-Cheung
- School of Kinesiology and Health Studies, Queen's University, Kingston, Canada
| | - Trisha Parsons
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
| | - Marcia Finlayson
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
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Mijderwijk HJ, Stolker RJ, Duivenvoorden HJ, Klimek M, Steyerberg EW. Prognostic model for psychological outcomes in ambulatory surgery patients: A prospective study using a structural equation modeling framework. PLoS One 2018; 13:e0193441. [PMID: 29641522 PMCID: PMC5894974 DOI: 10.1371/journal.pone.0193441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2017] [Accepted: 02/12/2018] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Surgical procedures are increasingly carried out in a day-case setting. Along with this increase, psychological outcomes have become prominent. The objective was to evaluate prospectively the prognostic effects of sociodemographic, medical, and psychological variables assessed before day-case surgery on psychological outcomes after surgery. METHODS The study was carried out between October 2010 and September 2011. We analyzed 398 mixed patients, from a randomized controlled trial, undergoing day-case surgery at a university medical center. Structural equation modeling was used to jointly study presurgical prognostic variables relating to sociodemographics (age, sex, nationality, marital status, having children, religion, educational level, employment), medical status (BMI, heart rate), and psychological status associated with anxiety (State-Trait Anxiety Inventory (STAI), Hospital Anxiety and Depression Scale (HADS-A)), fatigue (Multidimensional Fatigue Inventory (MFI)), aggression (State-Trait Anger Scale (STAS)), depressive moods (HADS-D), self-esteem, and self-efficacy. We studied psychological outcomes on day 7 after surgery, including anxiety, fatigue, depressive moods, and aggression regulation. RESULTS The final prognostic model comprised the following variables: anxiety (STAI, HADS-A), fatigue (MFI), depression (HADS-D), aggression (STAS), self-efficacy, sex, and having children. The corresponding psychological variables as assessed at baseline were prominent (i.e. standardized regression coefficients ≥ 0.20), with STAI-Trait score being the strongest predictor overall. STAI-State (adjusted R2 = 0.44), STAI-Trait (0.66), HADS-A (0.45) and STAS-Trait (0.54) were best predicted. CONCLUSION We provide a prognostic model that adequately predicts multiple postoperative outcomes in day-case surgery. Consequently, this enables timely identification of vulnerable patients who may require additional medical or psychological preventive treatment or-in a worst-case scenario-could be unselected for day-case surgery.
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Affiliation(s)
- Hendrik-Jan Mijderwijk
- Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, The Netherlands
- * E-mail:
| | - Robert Jan Stolker
- Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Hugo J. Duivenvoorden
- Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Markus Klimek
- Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Ewout W. Steyerberg
- Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands
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Lehane CM, Elsass P, Hovaldt HB, Dammeyer J. A relationship-focused investigation of spousal psychological adjustment to dual-sensory loss. Aging Ment Health 2018; 22:397-404. [PMID: 27976917 DOI: 10.1080/13607863.2016.1268091] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES The relationship intimacy model of psychosocial adjustment to illness indicates that a patient's willingness to communicate about their illness, as perceived by the spouse, is a strong predictor of spouse relational and psychological well-being. Inspired by the relationship intimacy model, the current study examined the psychological adjustment of spouses of individuals with dual-sensory loss (DSL), a disability where interpersonal communication is of particular concern. METHOD Surveys were sent to all known individuals and their partners who were 50 years of age or older and were enrolled in services for acquired DSL in Denmark. A total of 65 spouses met the inclusion criteria of which 45 (69%) returned a partner survey. RESULTS Results showed a significant association between couples' sensory loss-related communication, relationship satisfaction, perceived support and psychological well-being. Perceived support significantly mediated the association between couples' sensory loss communication and spouse psychological well-being. CONCLUSION The current study's findings provide support for a relationship-focused perspective of spousal psychological adjustment in the context of DSL. Further, couples' sensory loss-related communication is presented as a potential intervention target to enhance spouse perceived support and psychological well-being.
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Affiliation(s)
- Christine M Lehane
- a Department of Psychology , University of Copenhagen , Copenhagen , Denmark
| | - Peter Elsass
- a Department of Psychology , University of Copenhagen , Copenhagen , Denmark
| | - Hanna B Hovaldt
- a Department of Psychology , University of Copenhagen , Copenhagen , Denmark
| | - Jesper Dammeyer
- a Department of Psychology , University of Copenhagen , Copenhagen , Denmark
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Farquhar M. Assessing carer needs in chronic obstructive pulmonary disease. Chron Respir Dis 2018; 15:26-35. [PMID: 28685601 PMCID: PMC5802659 DOI: 10.1177/1479972317719086] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Accepted: 05/21/2017] [Indexed: 12/31/2022] Open
Abstract
Informal carers play a key role in supporting patients with chronic obstructive pulmonary disease (COPD), particularly when disease is advanced. They also enable delivery of healthcare professional advice. There is a well-established impact of the caring role on carers in both the generic and COPD-specific literature. The needs of carers of patients with COPD are both generic to the caring role and disease specific. Healthcare professionals and health systems supporting patients with COPD need to actively identify and support carers. Carer assessment enables unmet needs to be identified and appropriately addressed. Assessments should consider carers' support needs, their caring capacity and practices, and carers own clinical needs. This narrative review outlines considerations for the assessment process including what should be assessed, who should conduct assessment and what should happen as a result of assessment.
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Affiliation(s)
- Morag Farquhar
- School of Health Sciences, University of East Anglia, Norwich Research Park, Norwich, UK
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Mi E, Mi E, Ewing G, Mahadeva R, Gardener AC, Holt Butcher H, Booth S, Farquhar M. Associations between the psychological health of patients and carers in advanced COPD. Int J Chron Obstruct Pulmon Dis 2017; 12:2813-2821. [PMID: 29033562 PMCID: PMC5628689 DOI: 10.2147/copd.s139188] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Objective Anxiety and depression are highly prevalent in patients with COPD and their informal carers, and associated with numerous risk factors. However, few studies have investigated these in primary care or the link between patient and carer anxiety and depression. We aimed to determine this association and factors associated with anxiety and depression in patients, carers, and both (dyads), in a population-based sample. Materials and methods This was a prospective, cross-sectional study of 119 advanced COPD patients and their carers. Patient and carer scores ≥8 on the Hospital Anxiety and Depression Scale defined symptoms of anxiety and depression, χ2 tests determined associations between patient and carer symptoms of anxiety/depression, and χ2 and independent t-tests for normally distributed variables (otherwise Mann–Whitney U tests) were used to identify other variables significantly associated with these symptoms in the patient or carer. Patient–carer dyads were categorized into four groups relating to the presence of anxious/depressive symptoms in: both patient and carer, patient only, carer only, and neither. Factors associated with dyad symptoms of anxiety/depression were determined with χ2 tests and one-way analysis of variance for normally distributed variables (otherwise Kruskal–Wallis tests). Results Prevalence of symptoms of anxiety and depression was 46.4% (n=52) and 42.9% (n=48) in patients, and 46% (n=52) and 23% (n=26) in carers, respectively. Patient and carer symptoms of anxiety/depression were significantly associated. Anxious and depressive symptoms in the patient were also significantly associated with more physical comorbidities, more exacerbations, greater dyspnea, greater fatigue, poor mastery, and depressive symptoms with younger age. Symptoms of carer anxiety were significantly associated with being female and separated/divorced/widowed, and depressive symptoms with younger age, higher educational level, and more physical comorbidities, and symptoms of carer anxiety and depression with more unmet support needs, greater subjective caring burden, and poor patient mastery. Dyad symptoms of anxiety/depression were significantly associated with greater patient fatigue. Conclusion Symptoms of anxiety and depression in COPD patients and carers are significantly associated. Given their high prevalence, considerable impact on mortality, impact on quality of life and health care use, and associations with each other, screening for and addressing patient and carer anxiety and depression in advanced COPD is recommended.
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Affiliation(s)
| | | | - Gail Ewing
- Centre for Family Research, University of Cambridge
| | - Ravi Mahadeva
- Department of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust
| | - A Carole Gardener
- Department of Public Health and Primary Care, Institute of Public Health
| | - Hanne Holt Butcher
- Department of Public Health and Primary Care, Institute of Public Health
| | - Sara Booth
- Department of Oncology, University of Cambridge, Cambridge
| | - Morag Farquhar
- School of Health Sciences, University of East Anglia, Norwich, UK
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Cruz J, Marques A, Machado A, O'Hoski S, Goldstein R, Brooks D. Informal caregiving in COPD: A systematic review of instruments and their measurement properties. Respir Med 2017; 128:13-27. [DOI: 10.1016/j.rmed.2017.05.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 05/04/2017] [Accepted: 05/05/2017] [Indexed: 12/20/2022]
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Acevedo Callejas ML, Thompson CM. Stress, Frequency of Challenges, and Coping for Partners of Individuals with Mental Health Conditions. HEALTH COMMUNICATION 2017; 32:880-889. [PMID: 27435447 DOI: 10.1080/10410236.2016.1196408] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study applied Lazarus and Folkman's stress and coping framework to understand how romantic partners cope with the challenges of a significant other's mental health condition at three levels (i.e., individual, dyadic, and social), how coping at each of these three levels contributes to the association between stress and relational quality for these partners, and how these associations depend upon the frequency of challenges partners experience. We predicted that stress would be negatively associated with relational quality, and that individual (i.e., emotion and problem-focused), dyadic, and social coping would mediate this association. We also posited that the extent to which partners cope would depend on the frequency of challenges they face. We analyzed data from 325 individuals with a moderated multiple-mediation model. Findings provided support for the mediating role of dyadic coping and its positive association with relational quality; partial support for the mediating role of emotion-focused coping and its negative association with relational quality; and partial support for the moderating role of frequency of challenges. We discuss the study's findings and contributions.
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Staff HR, Didymus FF, Backhouse SH. The antecedents and outcomes of dyadic coping in close personal relationships: a systematic review and narrative synthesis. ANXIETY STRESS AND COPING 2017; 30:498-520. [PMID: 28513191 DOI: 10.1080/10615806.2017.1329931] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND AND OBJECTIVES Theories of dyadic coping and empirical literature have intermittently and inconsistently highlighted antecedents and outcomes of dyadic coping. The purpose of this review was to systematically identify the antecedents and outcomes of dyadic coping in close personal relationships. DESIGN A PRISMA-guided systematic review and narrative synthesis. METHODS Literature searches were conducted using CINAHL, PubMed, PsycINFO, and citation pearl growing to identify studies that were relevant to the aim of the review. The search strategy and exclusion criteria led to a final sample of 46 studies that each highlighted antecedents and outcomes of dyadic coping among married couples. Each study was critically appraised and analyzed using narrative synthesis. RESULTS The narrative synthesis highlighted five antecedents (learning, gender, relationship characteristics, relationship role, and cultural influences) and two outcomes (relationship functioning and personal health) of dyadic coping. CONCLUSION The review exposes inconsistencies in the conceptualization of dyadic coping, highlights a range of antecedents that influence dyadic coping, and suggests that dyadic coping can have positive benefits for relationship functioning and personal health. The findings have implications for future research and practice (e.g. when working with couples to improve relationship functioning).
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Affiliation(s)
- Helen R Staff
- a Carnegie Research Institute , Leeds Beckett University , Leeds , UK
| | - Faye F Didymus
- a Carnegie Research Institute , Leeds Beckett University , Leeds , UK
| | - Susan H Backhouse
- a Carnegie Research Institute , Leeds Beckett University , Leeds , UK
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Rosa F, Bagnasco A, Aleo G, Kendall S, Sasso L. Resilience as a concept for understanding family caregiving of adults with Chronic Obstructive Pulmonary Disease (COPD): an integrative review. Nurs Open 2017; 4:61-75. [PMID: 28286662 PMCID: PMC5340167 DOI: 10.1002/nop2.63] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Accepted: 05/29/2016] [Indexed: 11/24/2022] Open
Abstract
AIMS This paper was a report of the synthesis of evidence on examining the origins and definitions of the concept of resilience, investigating its application in chronic illness management and exploring its utility as a means of understanding family caregiving of adults with Chronic Obstructive Pulmonary Disease. BACKGROUND Resilience is a concept that is becoming relevant to understanding how individuals and families live with illness, especially long-term conditions. Caregivers of adults with Chronic Obstructive Pulmonary Disease must be able to respond to exacerbations of the condition and may themselves experience cognitive imbalances. Yet, resilience as a way of understanding family caregiving of adults with COPD is little explored. DESIGN Literature review - integrative review. DATA SOURCES CINAHL, PubMed, Google Scholar and EBSCO were searched between 1989-2015. REVIEW METHODS The principles of rapid evidence assessment were followed. RESULTS We identified 376 relevant papers: 20 papers reported the presence of the concept of resilience in family caregivers of chronic diseases patients but only 12 papers reported the presence of the concept of resilience in caregivers of Chronic Obstructive Pulmonary Disease patients and have been included in the synthesis. The term resilience in Chronic Obstructive Pulmonary Disease caregiving is most often understood using a deficit model of health.
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Affiliation(s)
- Francesca Rosa
- Department of Health SciencesUniversity of GenoaGenoaItaly
| | | | - Giuseppe Aleo
- Department of Health SciencesUniversity of GenoaGenoaItaly
| | - Sally Kendall
- Centre for Research in Primary and Community Care (CRIPACC)University of HertfordshireHatfieldUK
| | - Loredana Sasso
- Department of Health SciencesUniversity of GenoaGenoaItaly
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Abstract
Receiving support from a romantic partner may yield benefits for individuals with chronic pain (ICPs), but may also carry unintended side effects. The conditions under which partner support provision yields (mal)adaptive effects deserve greater attention. Grounded in Self-determination theory, partners may provide help for autonomous or volitional (eg, enjoyment, full commitment) or rather controlled or pressured (eg, avoiding guilt and criticism) motives. This study examined associations between day-to-day fluctuations in partners' type of helping motivation and several outcomes, among partners and ICPs. Seventy couples, with 1 partner having chronic pain (75.7% female), completed a diary for 14 consecutive days. Daily helping motivation was assessed together with daily affect, relational conflict, and relationship-based need satisfaction. Partners (Mage = 55.14) additionally reported on daily helping exhaustion, whereas ICPs (Mage = 54.71) reported on daily pain intensity, disability, satisfaction with received help, and amount of received help. Providing autonomous help related to improvements in partners' affective (eg, positive affect), relational (eg, conflict), and help-specific (eg, exhaustion) functioning, which were accounted for by improvements in daily relationship-based psychological need satisfaction. Similarly, daily autonomously motivated help yielded a direct (ie, relational conflict; perceived amount of help) or indirect (ie, positive and negative affects; relational conflict; satisfaction with help, disability) contribution in explaining ICP outcomes-through improvements in ICPs' relationship-based psychological need satisfaction. Findings highlight the importance of a motivational and dynamic perspective on help provision within chronic pain couples. Considering reasons why a partner provides help is important to understand when partners and ICPs may benefit from daily support.
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Thandi G, Oram S, Verey A, Greenberg N, Fear NT. Informal caregiving and intimate relationships: the experiences of spouses of UK military personnel. J ROY ARMY MED CORPS 2016; 163:266-272. [PMID: 27909070 DOI: 10.1136/jramc-2016-000679] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Revised: 09/15/2016] [Accepted: 11/06/2016] [Indexed: 11/04/2022]
Abstract
AIM Currently, there is no research available on the experiences of spouses providing informal care to wounded, injured or sick (WIS) UK military personnel. The aim of this study was to fill this gap by investigating the relationship experiences of non-military partners caring for WIS UK military personnel. METHODS Spouses of WIS military personnel (n=25) completed telephone interviews with the research team. The data were transcribed and analysed using thematic analysis. The transcripts were cross-coded and checked for inter-rater reliability. RESULTS Six major themes were identified: (1) communication between couples, (2) adverse family environment, (3) reintegration, (4) intimacy, (5) financial uncertainty and (6) transition from partner to caregiver. CONCLUSIONS Partners caring for injured/ill military personnel appear to be at risk of experiencing personal distress caused by impaired relationship functioning, which may lead to diminished physical and mental well-being. Partners of WIS military personnel experience significant levels of distress and burden associated with caregiving in the form of arguments with the military partner, problems in reintegration and a lack of physical and emotional intimacy.
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Affiliation(s)
- Gursimran Thandi
- Academic Department of Military Mental Health, King's College London, London, UK
| | - S Oram
- Health Services and Population Research, King's College London, London, UK
| | - A Verey
- King's Centre for Military Health Research, London, UK
| | - N Greenberg
- Academic Department of Military Mental Health, King's College London, London, UK
| | - N T Fear
- Academic Department of Military Mental Health, King's College London, London, UK
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Pankrath AL, Weißflog G, Mehnert A, Niederwieser D, Döhner H, Hönig K, Gündel H, Vogelhuber M, Friedrich M, Ernst J. The relation between dyadic coping and relationship satisfaction in couples dealing with haematological cancer. Eur J Cancer Care (Engl) 2016; 27. [DOI: 10.1111/ecc.12595] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2016] [Indexed: 11/29/2022]
Affiliation(s)
- A.-L. Pankrath
- Department of Medical Psychology and Medical Sociology; University of Leipzig; Leipzig Germany
| | - G. Weißflog
- Department of Medical Psychology and Medical Sociology; University of Leipzig; Leipzig Germany
| | - A. Mehnert
- Department of Medical Psychology and Medical Sociology; University of Leipzig; Leipzig Germany
| | - D. Niederwieser
- Department of Haematology and Medical Oncology; University Hospital Leipzig; Leipzig Germany
| | - H. Döhner
- Department of Internal Medicine III; University of Ulm; Ulm Germany
| | - K. Hönig
- Clinic of Psychosomatic Medicine and Psychotherapy; University of Ulm; Ulm Germany
| | - H. Gündel
- Clinic of Psychosomatic Medicine and Psychotherapy; University of Ulm; Ulm Germany
| | - M. Vogelhuber
- Department of Internal Medicine III; University Medical Centre Regensburg; Regensburg Germany
| | - M. Friedrich
- Department of Medical Psychology and Medical Sociology; University of Leipzig; Leipzig Germany
| | - J. Ernst
- Department of Medical Psychology and Medical Sociology; University of Leipzig; Leipzig Germany
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Bove DG, Zakrisson AB, Midtgaard J, Lomborg K, Overgaard D. Undefined and unpredictable responsibility: a focus group study of the experiences of informal caregiver spouses of patients with severe COPD. J Clin Nurs 2016; 25:483-93. [PMID: 26818373 DOI: 10.1111/jocn.13076] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/27/2015] [Indexed: 01/23/2023]
Abstract
AIMS AND OBJECTIVES To explore how spouses of patients with severe chronic obstructive pulmonary disease experience their role as informal caregiver. BACKGROUND Informal caregiver spouses are of pivotal importance in the way that patients with chronic obstructive pulmonary disease cope with their daily life, including their opportunity to stay at home and avoid hospitalisations in the last stages of the disease. However, caregiving is associated with increased morbidity and mortality among caregivers. Further understanding of the role as an informal caregiver spouse of patients with severe chronic obstructive pulmonary disease is needed to develop supportive interventions aimed at reducing the caregiver burden. DESIGN The study had a qualitative exploratory design. The data collection and analysis were based on framework method. Framework method is a thematic methodology and consists of five key stages: familiarisation, identifying a thematic framework, indexing, charting and mapping & interpretation. METHODS Three focus groups were conducted in November 2013 with 22 spouses of patients with severe chronic obstructive pulmonary disease. RESULTS Undefined and unpredictable responsibility was found to be the overarching theme describing the informal caregiver role. Underlying themes were: being constantly in a state of alertness, social life modified, maintaining normality, ambivalence in the relationship and a willingness to be involved. CONCLUSIONS The informal caregiver spouses experienced ambiguity about expectations from their private and the health professionals' surroundings. The informal caregiver spouses wanted to provide meaningful care for their partners, but sought knowledge and support from the health professionals. RELEVANCE TO CLINICAL PRACTICE We recommend that nurses take on the responsibility for including the informal caregiver spouses in those aspects of decision-making that involve the common life of the patients and their spouses.
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Affiliation(s)
- Dorthe Gaby Bove
- Department of Pulmonary and Infectious Diseases, Nordsjaellands Hospital, University of Copenhagen, Denmark
| | - Ann-Britt Zakrisson
- University Healthcare Research Centre, Faculty of Health and Medicine, Örebro University, Sweden.,Centre for Assessment of Medical Technology, Örebro University, Sweden
| | - Julie Midtgaard
- Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.,The University Hospital Centre for Health Research, Copenhagen University Hospital, Rigshospitalet, København Ø, Denmark
| | - Kirsten Lomborg
- Section for Nursing, Department of Clinical Medicine and Department of Public Health, Faculty of Health Sciences, Aarhus University, Aarhus N, Danmark
| | - Dorthe Overgaard
- Research Unit, Nordsjaellands Hospital, University of Copenhagen, Department of Nursing, Metropolitan University College, Copenhagen, Denmark
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Saltmarsh N, Murphy B, Bennett P, Higgins R, Macvean M, Le Grande M, Thompson D, Ski C, Worcester M, Jackson A. Distress in partners of cardiac patients: relationship quality and social support. ACTA ACUST UNITED AC 2016. [DOI: 10.12968/bjca.2016.11.8.397] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- Nadine Saltmarsh
- Research Fellow, Australian Centre for Heart Health; Department of Psychology and Counselling, La Trobe University, Bendigo, Australia
| | - Barbara Murphy
- Associate Professor, Australian Centre for Heart Health, Melbourne; Faculty of Health, Deakin University; Department of Psychology, University of Melbourne; Department of Behavioural Medicine, University of Newcastle, Australia
| | - Pauleen Bennett
- Associate Professor, Department of Psychology and Counselling, La Trobe University, Bendigo, Australia
| | - Rosemary Higgins
- Associate Professor, Australian Centre for Heart Health, Melbourne; Department of Psychology, Deakin University, Melbourne; Department of Physiotherapy, University of Melbourne, Australia
| | - Michelle Macvean
- Former Research Fellow, Heart Research Centre, Melbourne, Australia
| | - Michael Le Grande
- Research Fellow, Australian Centre for Heart Health, Melbourne; Faculty of Health, Deakin University, Melbourne, Australia
| | - David Thompson
- Professor, University of Melbourne, Department of Psychiatry, Melbourne, Australia
| | - Chantal Ski
- Associate Professor, University of Melbourne, Department of Psychiatry, Melbourne, Australia
| | - Marian Worcester
- Former Director, Heart Research Centre, Melbourne; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - Alun Jackson
- Professor, Australian Centre for Heart Health, Melbourne; Faculty of Health, Deakin University, Melbourne, Australia; Centre on Behavioural Health, Hong Kong University, Hong Kong
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Ernst J, Hinz A, Niederwieser D, Döhner H, Hönig K, Vogelhuber M, Mehnert A, Weissflog G. Dyadic coping of patients with hematologic malignancies and their partners and its relation to quality of life – a longitudinal study. Leuk Lymphoma 2016; 58:655-665. [DOI: 10.1080/10428194.2016.1194983] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Jochen Ernst
- Medical Psychology & Medical Sociology, Psychosocial Oncology, University Medical Center Leipzig, Leipzig, Germany
| | - Andreas Hinz
- Medical Psychology & Medical Sociology, Psychosocial Oncology, University Medical Center Leipzig, Leipzig, Germany
| | - Dietger Niederwieser
- Division of Hematology and Oncology, University Hospital of Leipzig, Leipzig, Germany
| | - Hartmut Döhner
- Department of Internal Medicine III, University Hospital of Ulm, Ulm, Germany
- Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany
| | - Klaus Hönig
- Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany
- Department of Psychosomatic Medicine and Psychotherapy, University of Ulm, Ulm, Germany
| | - Martin Vogelhuber
- Department of Internal Medicine III, University of Regensburg, Regensburg, Germany
| | - Anja Mehnert
- Medical Psychology & Medical Sociology, Psychosocial Oncology, University Medical Center Leipzig, Leipzig, Germany
| | - Gregor Weissflog
- Medical Psychology & Medical Sociology, Psychosocial Oncology, University Medical Center Leipzig, Leipzig, Germany
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Mansfield E, Bryant J, Regan T, Waller A, Boyes A, Sanson-Fisher R. Burden and Unmet Needs of Caregivers of Chronic Obstructive Pulmonary Disease Patients: A Systematic Review of the Volume and Focus of Research Output. COPD 2016; 13:662-7. [DOI: 10.3109/15412555.2016.1151488] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Elise Mansfield
- Health Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle & Hunter Medical Research Institute, HMRI Building, University of Newcastle, Callaghan, New South Wales, Australia
| | - Jamie Bryant
- Health Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle & Hunter Medical Research Institute, HMRI Building, University of Newcastle, Callaghan, New South Wales, Australia
| | - Timothy Regan
- Health Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle & Hunter Medical Research Institute, HMRI Building, University of Newcastle, Callaghan, New South Wales, Australia
| | - Amy Waller
- Health Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle & Hunter Medical Research Institute, HMRI Building, University of Newcastle, Callaghan, New South Wales, Australia
| | - Allison Boyes
- Health Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle & Hunter Medical Research Institute, HMRI Building, University of Newcastle, Callaghan, New South Wales, Australia
| | - Rob Sanson-Fisher
- Health Behaviour Research Group, Priority Research Centre for Health Behaviour, University of Newcastle & Hunter Medical Research Institute, HMRI Building, University of Newcastle, Callaghan, New South Wales, Australia
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