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Landolt SA, Weitkamp K, Roth M, Sisson NM, Bodenmann G. Dyadic coping and mental health in couples: A systematic review. Clin Psychol Rev 2023; 106:102344. [PMID: 37866090 DOI: 10.1016/j.cpr.2023.102344] [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] [Received: 12/31/2022] [Revised: 09/13/2023] [Accepted: 10/02/2023] [Indexed: 10/24/2023]
Abstract
Globally, one out of three people suffer from a mental health issue during their lifetime. In romantic relationships, impaired mental health does not only affect the individual but also their partner and therefore needs to be coped with dyadically. In this systematic review, we summarize research examining dyadic coping (DC) in the context of mental health and individual and relational outcomes. We searched for peer-reviewed articles published between January 1990 and April 2023 on PsycInfo, Medline, and PSYNDEX on DC and mental health within romantic relationships. A total of 60 qualitative, quantitative, and intervention studies met the inclusion criteria, reporting on 16,394 individuals and 4,945 dyads. To synthesize the studies, we used a narrative synthesis approach. Overall, stress expression and positive DC yielded beneficial individual and relational outcomes, whereas, for negative DC, the opposite was true. Results differed between mental health clusters and context played an important role (e.g., symptom severity, life phase). Due to the great diversity of studies and variables, further research should focus on understudied mental health clusters (e.g., anxiety disorders). Clinicians are advised to view mental health issues as a dyadic rather than an individual phenomenon ("we-disease") and develop tailored couple-centered interventions.
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Affiliation(s)
| | | | - Michelle Roth
- Department of Psychology, University of Zurich, Switzerland
| | - Natalie M Sisson
- Department of Psychology, University of Toronto Mississauga, Canada
| | - Guy Bodenmann
- Department of Psychology, University of Zurich, Switzerland
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Meskó N, Őry F, Happ Z, Zsidó AN. Sex differences in predictors of relationship satisfaction: The effects of dyadic coping, love, sexual motivation and having children. INTERPERSONA: AN INTERNATIONAL JOURNAL ON PERSONAL RELATIONSHIPS 2022. [DOI: 10.5964/ijpr.7217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
The present study explored sex differences in the predictors of relationship satisfaction (dyadic coping, love, sexual motivation, having children). A total of 465 Hungarian participants (319 women and 146 men) with a mean age of 33.6 years completed an online test battery comprising four self-report measures. The results revealed that women’s relationship satisfaction had more significant predictors than men’s, and half of the common predictors showed significant sex differences. Men’s satisfaction was positively predicted by the Intimacy and Passion components of love, while it was negatively predicted by Negative Dyadic Coping and by having at least one child. Besides Intimacy and Passion, two common predictors across sexes, women’s satisfaction was also positively predicted by the Commitment component of love, and also by successful coping with dyadic stress. By contrast, negative predictors were having sex as a means of coping with emotional problems (Sex as Coping), the individual aspect of dyadic coping (One’s Own Dyadic Coping), and Negative Dyadic coping. The findings are discussed in both bio-psychological and social constructionist approaches.
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Rogers CW, Murphy LA, Murphy RA, Malouf KA, Natsume RE, Ward BD, Tansey C, Nakamura RK. An analysis of client complaints and their effects on veterinary support staff. Vet Med Sci 2022; 8:925-934. [PMID: 35044103 PMCID: PMC8959328 DOI: 10.1002/vms3.725] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Background Veterinarians and support staff have been reporting the negative mental health effects from client complaints (CC). A previous study was performed evaluating these effects in veterinarians however no such study has been performed on veterinary support staff (VSS). Objectiv The purpose of this study was to investigate the frequency and effects of CCs on VSS. Methods A cross sectional anonymous survey using a web‐based questionnaire was created evaluating the frequency, type, and effects from CC. The survey was distributed to five different VSS Facebook groups and respondents provided demographic information and reported the frequency and effects of such complaints. Results A total of 681 questionnaires were collected during the study period but 130 were incomplete and were excluded from analysis. This resulted in 551 completed questionnaires available for review. One hundred and ninety (34.4%) VSS reported being subject to a CC in the previous 6 months with cost of care the most common reason (78.6%). Two hundred and sixty VSS (47.2%) reported feeling depressed because of CCs made against them, 295 VSS (53.5%) stated CCs negatively affected their enjoyment of their job, and 146 (26.5%) have considered changing their career because of CCs. Conclusions CC have detrimental effects on VSS career satisfaction, mental health and hospital practices. Further studies are warranted to mitigate the detrimental effects of CCs.
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Affiliation(s)
| | - Lisa A Murphy
- Friendship Hospital for Animals, Washington, District of Colombia, USA
| | | | - Kylee A Malouf
- Midwestern University College of Pharmacy, Downers Grove, Illinois, USA
| | - Rachel E Natsume
- University of Sydney School of Veterinary Medicine, Camden, New South Wales, Australia
| | - Briana D Ward
- Philadelphia Osteopathic School of Medicine, Philadelphia, Pennsylvania, USA
| | - Colleen Tansey
- VCA West Los Angeles Animal Hospital, Los Angeles, California, USA
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Tilden T, Ulvenes P, Zahl-Olsen R, Hoffart A, Johnson SU, Wampold BE, Håland ÅT. Predicting change through individual symptoms and relationship distress: A study of within- and between-person processes in couple therapy. Clin Psychol Psychother 2021; 28:1275-1284. [PMID: 33605519 DOI: 10.1002/cpp.2575] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Accepted: 02/01/2021] [Indexed: 11/08/2022]
Abstract
OBJECTIVE In couple therapy clients often suffer from a blend of individual psychiatric symptoms as well as severe relational distress. However, research is inconclusive on whether relational change predicts symptom change or vice versa. Because answers to this question could have important clinical implications on what to focus on in couple therapy at which time in treatment, more research is recommended. METHOD In this study, data collected before every therapy session were used to test whether changes in relational functioning predicted symptom functioning or vice versa. The study used a multilevel modelling approach, and the variables of interest were disaggregated into within- and between-person effects. RESULTS The results indicated that if an individual improved more than expected on relational functioning, this predicted more improvement than expected on individual symptoms. No significant reciprocal relationship was found between these variables. CONCLUSIONS The clinical implication is discussed, suggesting that an emphasis on relational improvement seems to be an important mechanism during couple therapy that may facilitate the change on individual symptoms in the long run.
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Affiliation(s)
- Terje Tilden
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway
| | - Pål Ulvenes
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway.,Psychological Institute, University of Oslo, Oslo, Norway
| | - Rune Zahl-Olsen
- Department for Child and Adolescent Mental Health, Sorlandet Hospital, Kristiansand, Norway
| | - Asle Hoffart
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway.,Psychological Institute, University of Oslo, Oslo, Norway
| | - Sverre Urnes Johnson
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway.,Psychological Institute, University of Oslo, Oslo, Norway
| | - Bruce E Wampold
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway.,Department of Counseling Psychology, University of Wisconsin, Madison, Wisconsin, USA
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Psychometric properties and measurement invariance of the Polish version of the dyadic coping inventory. CURRENT PSYCHOLOGY 2020. [DOI: 10.1007/s12144-020-00623-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
AbstractRecently, there has been growing interest in stress and coping strategies from a relational perspective. Researchers recognize the importance of a partner’s coping strategy in terms of relationship satisfaction and a relational sense of well-being. The aim of the article is to present the results of work on the Polish validation of the Dyadic Coping Inventory (DCI), which was developed by Bodenmann et al. (2008). Dyadic coping is a multidimensional construct which consists of stress communication by partners and four components of dyadic coping behavior: supporting, delegated, negative and common behavior. The DCI examines the quality of communication between partners and the level of dyadic coping with stress. The DCI was tested based on a study of 550 people (275 couples) aged between 20 and 72. The conducted analyses were aimed at checking the factor structure and psychometric properties of the Polish version of the DCI. Measurement invariance (MI) was also tested across genders on a Polish sample and across cultures on Polish, Swiss and Romanian samples. After rejection of three pairs of items, factor analysis of the DCI revealed a 5-factor structure with respect to a partner’s own dyadic coping and their partner’s dyadic coping and a 2-factor structure with respect to common dyadic coping. MI results confirmed the criteria for configural, metric and full scalar invariance across genders and configural, metric and partial scalar invariance across cultures. The Polish version of DCI has satisfactory psychometric characteristics and can be used to assess the dyadic coping of people in romantic relationships; also, it can be used in cross-cultural studies.
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Tilden T, Theisen M, Wampold BE, Johnson SU, Hoffart A. Individual distress and dyadic adjustment over the course of couple therapy and three-year follow-up: A replication study. Psychother Res 2019; 30:375-386. [PMID: 31354074 DOI: 10.1080/10503307.2019.1645369] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
This replication study examined the change over time and the relationship between depressive symptoms and dyadic adjustment during residential couple therapy and at one- and three-year follow-up. Mixed models were used in the analyses, and a disaggregation procedure was applied to examine the results on a between-person as well as on a within-person level. Overall, the results of the previous study were replicated. Significant improvement (p < .001) occurred on measures assessing relationship satisfaction and depressive symptoms from admission to discharge (effect sizes .47 to.72) and from admission to three-year follow-up (effect sizes .59 to .66). The within-person finding implies that when a person experiences more depressive symptoms than usual for him/her, subsequent dyadic adjustment is poorer than usual. Thus, our previous clinical implication suggestion is reinforced in this study: When treating couples suffering from co-existing relational and symptomatic distress, couple therapy should include the aim of lowering individual depressive symptoms.
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Affiliation(s)
- Terje Tilden
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway
| | - Marie Theisen
- Family Unit at Modum Bad Psychiatric Center, Vikersund, Norway
| | - Bruce E Wampold
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway.,University of Wisconsin, Madison, WI, USA
| | | | - Asle Hoffart
- Research Institute at Modum Bad Psychiatric Center, Vikersund, Norway.,Psychological Institute, University of Oslo, Oslo, Norway
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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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Alves S, Fonseca A, Canavarro MC, Pereira M. Dyadic coping and dyadic adjustment in couples with women with high depressive symptoms during pregnancy. J Reprod Infant Psychol 2018; 36:504-518. [DOI: 10.1080/02646838.2018.1490496] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Stephanie Alves
- Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Ana Fonseca
- Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | | | - Marco Pereira
- Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
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