Emotional intelligence and coping strategies as determinants of quality of life in depressed patient–caregiver dyads: An actor–partner interdependence analysis

Boyer, Laurent; Baumstarck, Karine; Alessandrini, Marine; Hamidou, Zeinab; Testart, J.; Serres, M.; Arquillière, P.; Auquier, Pascal; Leroy, T.; Zendjidjian, Xavier

doi:10.1016/j.comppsych.2017.01.003

Cited by 22 publications

(18 citation statements)

References 48 publications

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“…Conversely, when they used the avoidance and social‐support coping strategies, their QoL was lower. These results have been previously described in different contexts: not only among patients with cancer, such as gliomas and breast cancer, but also among patients with noncancer‐related but severe diseases and disorders, such multiple sclerosis, kidney disease requiring hemodialysis, schizophrenia, and severe depression . This finding encourages a systematic assessment of patient and caregiver coping styles to identify individuals who do not adopt healthy coping strategies and to offer targeted psychological interventions .…”

Section: Discussionsupporting

confidence: 78%

“…In particular, patients and their caregivers were found to implement coping strategies based on problem solving and positive thinking more than strategies based on social support or avoidance (statistically not tested). This unbalanced use has already been described in other populations, including individuals with severe and less severe diseases and impairments, such as gliomas, depression, and age‐related hearing loss, and their caregivers. This finding suggests that people who know each other very well and who face the same difficult situation tend to cope with it similarly.…”

Section: Discussionmentioning

confidence: 74%

“…FIGURE 3 Actor-partner interdependence model for associations between personality and quality of life within the dyads These results have been previously described in different contexts: not only among patients with cancer, such as gliomas 5 and breast cancer, 28 but also among patients with noncancer-related but severe diseases and disorders, such multiple sclerosis, 29 kidney disease requiring hemodialysis, 30 schizophrenia, 31 and severe depression. 25 This finding encourages a systematic assessment of patient and caregiver coping styles to identify individuals who do not adopt healthy coping strategies and to offer targeted psychological interventions. 32 Positive findings have been reported for combined cognitive-rehabilitation and problem-solving therapy interventions for patients with brain tumors and their caregivers.…”

Section: Discussionmentioning

confidence: 94%

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Dyadic effects of coping strategies, time perspectives, and personality on the quality of life of cancer patients and their caregivers

et al. 2017

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 94%

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Dyadic effects of coping strategies, time perspectives, and personality on the quality of life of cancer patients and their caregivers

et al. 2017

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“…The nature of an individual’s coping strategies may directly impact not only their own QoL, but also the QoL of the family caregiver. Previous studies have examined these effects in various contexts, such as when individuals have cancer [ 14 , 15 ], severe mental diseases [ 16 ], or hearing impairment [ 17 ]. Coping strategies based on problem-solving or positive thinking appear to be associated with a better QoL, while coping strategies based on avoidance or social support appear to be a psychological risk factor for a lower QoL [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Coping strategies and quality of life: a longitudinal study of high-grade glioma patient-caregiver dyads

Baumstarck

Chinot

Tabouret

et al. 2018

Health Qual Life Outcomes

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BackgroundAmong a sample of patient-informal caregiver dyads in the specific context of new diagnoses of high-grade glioma in the time-frame between diagnosis and the third month following diagnosis, we examine whether the coping strategies implemented by the patients and their caregivers influenced their own quality of life (QoL) and the QoL of their relatives.MethodsThirty-eight dyads with patients having recent diagnoses of high-grade glioma were involved in this longitudinal study. The self-reported data include QoL (Patient-Generated Index, EORTC QLQ-C30, and CareGiver Oncology Quality of Life), and coping strategies (BriefCope). Data were collected at T1 corresponding to the time-frame between diagnosis and postsurgical treatment initiation and T2 corresponding to the 3-month post-inclusion follow-up.ResultsCoping strategies based on social support and avoidance were the least used at baseline and the 3-month follow-up, both for patients and caregivers. At the 3-month follow-up, the use of social support at baseline was significantly related to lower scores of QoL for the patients and with higher QoL for the caregivers. For the patient, the use of problem-solving or positive thinking at baseline was not related to his/her QoL, while it was related to more satisfactory QoL scores for the caregiver. The use of avoidance at baseline was linked to a higher 3-month QoL for the patients and a lower 3-month QoL for the caregivers. Using the specific dyadic analyses (actor–partner interdependence model), the 3-month patient’s QoL was lower (β = − 0.322; p = 0.03) when the patient mobilized the social support strategy at baseline, but was higher(β = 0.631; p < 10− 3) when his/her informal caregiver used this strategy. After adjustment for sex, age, and baseline PGI score, the link between high use of the social support strategy at baseline by the caregiver and the patient’s 3-month QoL, remained present (positive partner effect; β =0.675; p < 10− 3).ConclusionThe QoL for patients and their informal caregivers since the time of diagnosis is directly related to the use of coping strategies based on social support at time of diagnosis.

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“…More interestingly and surprisingly, the nature of the coping strategies used played a consequential role in the individual’s burden modulation. The association between using avoidance as a coping strategy with worse individual outcomes has been described previously in many various contexts, such as cancer34 or severe mental illnesses,35 and also in institutional caregivers of PLH individuals 36. In contrast, a positive-thinking strategy arose as a protective strategy for burden.…”

Section: Discussionmentioning

confidence: 69%

Impact of severe polyhandicap cared for at home on French informal caregivers’ burden: a cross-sectional study

Rousseau¹,

Baumstarck²,

Valkov³

et al. 2020

BMJ Open

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Objectives Polyhandicap (PLH), defined by a combination of profound intellectual impairment and serious motor deficits, is a severe condition with complex disabilities. In France, care of the large majority of PLH individuals is managed in specialised rehabilitation centres or residential facilities, but some of PLH individuals are cared for at home. The aims of this study were to assess the self-perceived burden among informal caregivers of PLH individuals and to identify potential determinants of this burden. Design Cross-sectional study (Neuropaediatric Department, Trousseau Hospital, Paris, France). settings PLH children were recruited from a specialised paediatric/neurological department. Participants The selection criteria of caregivers were age above 18 years and being the PLH individual's next of kin. Outcomes measures From March 2015 to December 2016, data were collected from the caregivers, including sociodemographical data, health status, psychobehavioural data (quality of life, mood disorders and coping) and self-perceived burden. In addition, the health status of the PLH individual was collected. Relationships between the burden scores and potential determinants were tested (correlations coefficients, Mann-Whitney tests, generalised estimating equations models). results Eighty-four children were eligible; 77 families returned their questionnaire. The informal caregivers of PLH children experienced a high level of perceived burden (scores ranged from 55±20 to 81±12). Eighty per cent of them had more than 5 hours of daily caregiving and 51% of them had to get up more than twice during the night. The main factors associated with caregiver burden were age, financial issues, health status, daily care and coping strategies. The patients' health status was not associated with caregiver burden. Conclusions Some of the caregiver burden determinants might be modifiable. These findings should help healthcare workers and health-decision makers implement specific and appropriate interventions. trial registration number NCT02400528.bACkgrOunD Polyhandicap (PLH) is a severe health condition with complex disabilities. This chronic disorder occurs in an immature brain,

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Emotional intelligence and coping strategies as determinants of quality of life in depressed patient–caregiver dyads: An actor–partner interdependence analysis

Cited by 22 publications

References 48 publications

Dyadic effects of coping strategies, time perspectives, and personality on the quality of life of cancer patients and their caregivers

Dyadic effects of coping strategies, time perspectives, and personality on the quality of life of cancer patients and their caregivers

Coping strategies and quality of life: a longitudinal study of high-grade glioma patient-caregiver dyads

Impact of severe polyhandicap cared for at home on French informal caregivers’ burden: a cross-sectional study

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