Associations between dyadic coping and supportive care needs: findings from a study with hematologic cancer patients and their partners

Weißflog, Gregor; Hönig, Klaus; Gündel, Harald; Lang, D.; Niederwieser, Dietger; Döhner, Hartmut; Vogelhuber, Martin; Mehnert, Anja; Ernst, Jochen

doi:10.1007/s00520-016-3541-3

Cited by 26 publications

(33 citation statements)

References 31 publications

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“…Regarding the year of publication, 36 out of 62 articles were published in 2017 and 28 in 2018. Countries where the respective studies were conducted were the USA/Canada ( n = 23) [9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31], Scandinavia ( n = 7) [32,33,34,35,36,37,38], UK ( n = 4) [39,40,41,42], Germany ( n = 4) [43,44,45,46], Southern Europe (Italy, Portugal, Spain; n = 8) [47,48,49,50,51,52,53,54], East Asia (Japan, China, Korea, Taiwan; n = 4) [55,56,57,58,59,60], Australia/New Zealand ( n = 4) [61,62,63,64], other ( n = 4) [65,66,67,68], and multinational ( n = 2) [69,70].…”

Section: Resultsmentioning

confidence: 99%

“…Forty-seven studies reported on relatives of advanced cancer patient’s [9,10,11,13,15,16,17,18,19,20,21,22,23,24,26,27,28,29,30,31,32,34,36,37,38,39,42,43,44,46,47,48,49,50,51,52,53,55,56,57,58,59,60,61,65,66,67] and 15 studies included relatives of mixed patient samples [12,14,25,33,35,40,41,45,54,62,63,64,68,69,70]. The environment in which the patient received palliative or hospice care were home care in 18 studies [10,14,25,26,27,30,3...…”

Section: Resultsmentioning

confidence: 99%

“…Weißflog et al analyzed the specific needs of patients with hematological cancer and their partners and could demonstrate that their supportive care needs were lower in the dimensions “health system/information” and “physical problems/daily living” compared to an advanced cancer patients’ validation sample. Partners’ supportive care needs were higher in cases perceiving the patient’s negative dyadic coping, while socio-demographic and illness-related factors were only partially associated with the partners’ supportive care needs [46].…”

Section: Resultsmentioning

confidence: 99%

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Current Advances in Palliative & Hospice Care: Problems and Needs of Relatives and Family Caregivers During Palliative and Hospice Care—An Overview of Current Literature

Oechsle

2019

Medical Sciences

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Palliative and hospice care aims to improve quality of life of patients’ relatives, but still little is known about their specific problems and needs. We present a comprehensive literature update. Narrative review to present an expert overview of peer-reviewed, English-written original research publications and reviews on psychosocial and existential problems, supportive needs as well as interventions for relatives during the patients’ disease trajectory published between January 2017 and November 2018. A total of 64 publications were included. Relatives report high rates of psychological and existential distress, burden and psychological morbidity during the total disease trajectory of the patient. In addition, relatives report an alarmingly high number of unmet needs with information being the central issue. Relatives’ problems and needs are part of complex systems influenced by various socio-demographic factors and patient–relatives-interactions and dependency between different psychological phenomena. First support interventions for relatives during disease trajectory have proven feasible and secondary data from randomized studies suggest beneficial effects of providing early palliative care also for relatives. Relatives should be addressed to a still larger extent in the daily practice of palliative and hospice care, thus further research to reveal more detailed systematic information is needed to improve relatives’ psychological burden and quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Current Advances in Palliative & Hospice Care: Problems and Needs of Relatives and Family Caregivers During Palliative and Hospice Care—An Overview of Current Literature

Oechsle

2019

Medical Sciences

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“…Studies with Western couples in which one partner suffers from depression (Bodenmann et al, 2004) or cancer (e.g., Weißflog et al, 2016) have indicated that patients tend to communicate about their stress less frequently than their partners do. It is possible that depressed patients might suffer from a lack of energy, generally employ maladaptive coping strategies (Kovacs and Beck, 1978), and thus experience a decline in their communication competences (Hoffmann et al, 2016), whereas patients with cancer might consciously hold back information that would make their partner worry.…”

Section: Stress Communication (Stm)mentioning

confidence: 99%

“…In German couples coping with COPD, use of hostile/ambivalent DC is related to lower quality of life (Vaske et al, 2015). German couples coping with a partner's hematologic malignancy reported higher unmet supportive care needs when hostile/ambivalent DC was higher (Weißflog et al, 2016). When coping with breast cancer, hostile/ambivalent DC was associated with partners' poorer emotional well-being and patients' poorer physical well-being in patients in American couples (Feldman and Broussard, 2006), and with depressive symptoms and lower relationship quality in Danish couples (Rottmann et al, 2015).…”

Section: Individual Negative Dc: Hostile/ambivalent DC (Stm)mentioning

confidence: 99%

Dyadic Coping in Couples: A Conceptual Integration and a Review of the Empirical Literature

2019

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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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Dyadic coping and social support: Various types of support in hematooncological patients and their spouses—Associations with psychological distress

et al. 2021

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Objective Patients and spouses use various support strategies to deal with cancer and its associated burden. Support can be perceived within the dyad [perceived dyadic coping (PDC)] or from others [perceived social support (PSS)]. The present study investigates the association of PDC and PSS with depression and anxiety symptoms experienced by hematooncological dyads. Methods A total of 330 hematooncological dyads participated in the study. Dyadic Coping Inventory (DCI) including perceived stress communication and four PDC strategies (supportive, negative, delegated, common), ENRICHED Social Support Instrument (ESSI) and Patient Health Questionnaire‐4 (PHQ‐4) are used for assessment. To take nonindependence of patient's and spouse's variables into account, data are analyzed with the Actor‐partner‐interdependence model (APIM). Results Hematological cancer patients and their spouses reported a similar level of depression and anxiety symptoms. Perceived negative dyadic coping (DC) was adversely related with both patient's and spouse's outcomes (all p < 0.01) and perceived positive DC was adversely related with depression symptoms in both and anxiety symptoms in spouses (all p < 0.05). More PSS was associated with less depression and anxiety symptoms in both (all p < 0.05), and spouse's PSS (b = −0.04, p < 0.05) was significantly associated with patient's depression symptoms. Conclusions This study highlights the association between perceived negative DC, perceived positive DC and PSS with depression and anxiety symptoms. Focus should be on enhancement of PSS especially in spouses, as they experience a comparable amount of psychosocial distress and have considerable impact on the patient's wellbeing.

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Associations between dyadic coping and supportive care needs: findings from a study with hematologic cancer patients and their partners

Abstract: In order to diminish SCN of patients and partners, a possible way is to strengthen the quality of the dyadic relation. Due to its associations with elevated SCN, stress communication and negative dyadic coping behaviours may be useful targets for psychosocial interventions.

Cited by 26 publications

References 31 publications

Current Advances in Palliative & Hospice Care: Problems and Needs of Relatives and Family Caregivers During Palliative and Hospice Care—An Overview of Current Literature

Current Advances in Palliative & Hospice Care: Problems and Needs of Relatives and Family Caregivers During Palliative and Hospice Care—An Overview of Current Literature

Dyadic Coping in Couples: A Conceptual Integration and a Review of the Empirical Literature

Dyadic coping and social support: Various types of support in hematooncological patients and their spouses—Associations with psychological distress

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