A systematic review of dyadic studies examining relationship quality in couples facing colorectal cancer together

Kayser, Karen; Acquati, Chiara; Reese, Jennifer Barsky; Mark, Kristen P.; Wittmann, Daniela; Karam, Eli A.

doi:10.1002/pon.4339

Cited by 52 publications

(59 citation statements)

References 50 publications

(120 reference statements)

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“…Furthermore, the individual and interpersonal protective factors amenable to change that distinguish such patterns, in this case low patient concealment and high relationship quality, have been consistently found to be protective in our own body of work and the broader dyadic literature . Notably, there were no differences in care strain, social support, or gender across the three patterns, despite evidence that women experience significantly poorer mental health regardless of whether they are cancer patient or partner and tend to be more interdependent in their self‐representations and collaborative in their coping than men . Although patient gender was relatively balanced across patterns, care partners were not surprisingly predominantly women.…”

Section: Discussionmentioning

confidence: 92%

Patterns, relevance, and predictors of dyadic mental health over time in lung cancer

Lee

Lyons

2019

Psycho-Oncology

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Objective To identify distinct patterns of dyadic mental health in a sample of lung cancer dyads over 12 months and associations with other health characteristics and individual, dyadic, and familial predictors. Methods A sample of 113 patient‐care partner dyads living with nonsmall cell lung cancer were examined five times over 12 months. An integrative multilevel and mixture modeling approach was used to generate dyadic mental health summaries and identify common dyadic patterns of mental health over time, respectively. Results Three distinct patterns of dyadic mental health were observed: a congruent pattern (32.7%) characterized by almost identical mental health between members of the dyad, a disparate pattern (29.2%) characterized by better mental health of the patient compared with the care partner, and a parallel pattern (38.1%) characterized by care partner patterns of improvement and greater similarity in mental health over time. Membership of patterns was associated with physical health characteristics of both patient and care partner, levels of patient concealment regarding worries and concerns, and relationship quality reported by the care partner. Patterns did not differ by patient gender, care partner strain, or levels of social support. Conclusions Findings emphasize the importance of examining patterns of dyadic mental health to identify dyads most at risk so we may optimize the health of the dyad in tailored ways.

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Section: Discussionmentioning

confidence: 92%

Patterns, relevance, and predictors of dyadic mental health over time in lung cancer

Lee

Lyons

2019

Psycho-Oncology

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“…First, we cannot disentangle the effects of gender and patient‐partner role, as all patients were female and all partners were male. CDC might be essential for male partners' adaption, which in turn affects female patients, who were found to have a greater risk for poorer adjustment to cancer . Furthermore, in studies of healthy couples, perceptual congruence of dyadic coping mattered more for women than men .…”

Section: Discussionmentioning

confidence: 99%

“…CDC might be essential for male partners' adaption, which in turn affects female patients, who were found to have a greater risk for poorer adjustment to cancer. 35 Furthermore, in studies of healthy couples, perceptual congruence of dyadic coping mattered more for women than men. 19,20 And although gender differences in dyadic coping are usually small, 36 they amplify under stress.…”

Section: Study Limitationsmentioning

confidence: 99%

We are in this together — Aren't we? Congruence of common dyadic coping and psychological distress of couples facing breast cancer

et al. 2019

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Objectives Breast cancer (BC) can be understood as a we‐disease, which affects a couple as a unit and requires coping as a unit (eg, common dyadic coping, CDC). However, partners can be incongruent in their perceptions of CDC, for example, because of misunderstandings and lack of mutuality or conflict, which may likely be associated with greater distress. Thus, this paper examines the effect of CDC congruence on individual psychological distress in cancer patients and their partners. Methods Seventy mixed‐sex couples in which the woman had nonmetastatic BC completed self‐report questionnaires at 2 weeks, 3 months, and 1 year after cancer surgery. CDC congruence measured the difference between patients' and partners' CDC perceptions while controlling for CDC itself. Results Multilevel modeling showed negative associations between couples' CDC and psychological distress. Beyond this effect, female patients' psychological distress was associated with CDC congruence with an interaction showing that psychological distress was greater when couples were congruent with low rather than a high CDC. Conclusion Less congruence was associated with greater psychological distress in BC patients but not their male partners — especially if the couple reported low CDC. Health professionals should identify and address diverging perceptions, so that additional distress can be minimized for BC patients.

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“…Caregivers' relationship with patients (e.g. spouse, family, friends), gender of patients/caregivers and clinical characteristics of patients were associated with dyadic adjustment to cancer (Kayser et al, 2018). Therefore, Mann-Whitney U test was conducted to identify possible differences in positive affect and life satisfaction in terms of spousal relationship (no/yes), prior surgical treatment (no/yes) and adjuvant treatment at survey (no/yes) among patients and caregivers respectively.…”

Section: Analytic Planmentioning

confidence: 99%

Savouring and psychological well‐being in family dyads coping with cancer: An actor–partner interdependence model

et al. 2019

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Previous studies have investigated interdependence of the associations between predictors and negative psychological outcomes in dyads of cancer patients and family caregivers. This study examined the dyadic effects of perceived capability of savouring the moment on psychological well‐being. A total of 152 dyads of cancer patients and caregivers reported their perceived capability of savouring the moment (Savoring Beliefs Inventory), state positive affect (Chinese Affect Scale) and life satisfaction (Satisfaction With Life Scale) within 6 months following diagnosis. Actor–Partner Interdependence Model (APIM) demonstrated that patients’ and caregivers’ savouring the moment was positively associated with their own positive affect and life satisfaction (actor effects: βs = 0.309–0.603, 95% CIs = 0.171–0.502, 0.446–0.703, ps < 0.001). Patients’ savouring the moment was positively associated with caregivers’ positive affect (β = 0.158, 95% CI = 0.018, 0.299, p = 0.028), whereas caregivers’ savouring the moment was positively associated with patients’ life satisfaction (β = 0.158, 95% CI = 0.026, 0.289, p = 0.020). Partner effects between caregivers’ savouring the moment and patients’ positive affect and between patients’ savouring the moment and caregivers’ life satisfaction were not significant. The findings suggest the role of savouring in psychological well‐being within patient–caregiver dyads, highlighting the importance of investigating positive psychological pathways in their joint adaptation.

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A systematic review of dyadic studies examining relationship quality in couples facing colorectal cancer together

Abstract: Background Despite the adverse effects that treatment for colorectal cancer can have on

Cited by 52 publications

References 50 publications

Patterns, relevance, and predictors of dyadic mental health over time in lung cancer

Patterns, relevance, and predictors of dyadic mental health over time in lung cancer

We are in this together — Aren't we? Congruence of common dyadic coping and psychological distress of couples facing breast cancer

Savouring and psychological well‐being in family dyads coping with cancer: An actor–partner interdependence model

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