Distinct dyadic coping profiles in Chinese couples with breast cancer

Cai, Tingting; Qian, Jianfeng; Huang, Qingmei; Yuan, Changrong

doi:10.1007/s00520-021-06237-2

Cited by 10 publications

(7 citation statements)

References 41 publications

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“…First, most patients and partners in our study had a normal to above average level of DC efforts. This is in line with a previous study among couples with breast cancer showing similar scores on the total DCI 33 . However, that study also showed lower scores for negative DC: raw scores were 26 and 24 for respectively patients and partners compared to 35 and 34 in our study 33 .…”

Section: Discussionsupporting

confidence: 93%

“…This is in line with a previous study among couples with breast cancer showing similar scores on the total DCI 33 . However, that study also showed lower scores for negative DC: raw scores were 26 and 24 for respectively patients and partners compared to 35 and 34 in our study 33 . The greater frequency of perceived negative DC in our study compared to this group might be due to the larger sample size, older age and more advanced cancer in our study.…”

Section: Discussionsupporting

confidence: 92%

“…These challenges in advanced cancer may be associated with greater feelings of uncertainty and helplessness, which may lead to more negative DC, as observed in our study. However, the previous study was consistent with our finding that patients and partners rate their DC efforts equally high 33 …”

Section: Discussionsupporting

confidence: 92%

“…However, the previous study was consistent with our finding that patients and partners rate their DC efforts equally high. 33 Negative DC was the most common coping style used by patients with advanced cancer and their partners in our study. A previous study of DC among patients with metastatic breast cancer showed that patients used more positive common DC than negative common DC.…”

Section: Discussionmentioning

confidence: 58%

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Dyadic coping and its association with emotional functioning in couples confronted with advanced cancer: Results of the multicenter observational eQuiPe study

et al. 2022

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Objective How patients and their partners cope with advanced cancer as a couple, may impact their emotional functioning (EF). The aim of this study was to assess dyadic coping (DC) of couples confronted with advanced cancer and its association with EF. Methods Actor‐partner interdependence models were used to analyze baseline data of 566 couples facing advanced cancer participating in an observational study on quality of care and life. Measures included the DC Inventory and the European Organization for Research and Treatment of Cancer quality of life questionnaire (EOQLQ‐C30). Results Negative DC (mean 86–88) was most often used and common DC (both mean 66) was least often used. We found small to moderate interdependence (r = 0.27−0.56) between patients' and partners' DC perceptions. Compared to partners, patients were more satisfied with their DC (p < 0.001). Partners' satisfaction with DC was positively associated with their own (B = 0.40, p < 0.001) and patients' (B = 0.23, p = 0.04) EF. We found positive actor (patients B = 0.37 B = 0.13, p = 0.04) and partner (both B = 0.17, p < 0.05) associations for negative DC in patients and partners. Partners' supportive DC was negatively associated with patients (B = −0.31, p = 0.03) and partners' EF (B = −0.34, p = 0.003). Conclusions This study highlight the importance of DC (especially from the partners' perspective) for EF in advanced cancer but also identifies differences in the experience of patients and their partners. Future research is needed to understand the mechanisms of such relations and the common and unique support options that may facilitate adjustment in patients with advanced cancer and their partners.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 58%

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Dyadic coping and its association with emotional functioning in couples confronted with advanced cancer: Results of the multicenter observational eQuiPe study

et al. 2022

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“…Breast cancer may present with persistent and distressing symptoms caused by disease and treatment (1,2). For example, anticipating chemotherapy can be a stressful experience accompanied with multiple symptoms and dysfunction (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Heterogeneity of symptoms and functions among women receiving chemotherapy for breast cancer in China: A multicentre, cross-sectional study

Cai

Zhou²,

Yuan³

et al. 2022

Front. Public Health

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BackgroundCurrently, few studies have explored the heterogeneity of symptoms and functions in patients with breast cancer. This study aimed to identify the subgroups of symptoms and functions in women receiving chemotherapy for breast cancer and determine whether the subgroups differed in demographic and clinical characteristics.MethodsA cross-sectional multicenter survey involving five hospitals in Zhejiang, Shanghai, Shandong, and Guangxi provinces of Mainland China was implemented between August 2020 to December 2021. Participants completed questionnaires that included the PROMIS-57, PROMIS cognitive function short form, and demographic and clinical characteristics. Latent class analysis was performed, followed by chi-square test and analysis of variance. Subsequently, significant variables were included in multinomial logistic regression.ResultsA total of 1,180 patients were investigated, with an average age of 48.9 years. Three classes were identified: low symptom burdens and functions group (26.2%, Class 1), moderate symptom burdens and functions group (16.9%, Class 2), and low symptom burdens and high functions group (56.9%, Class 3). Compared with patients in Class 1 and 3, those in Class 2 consistently showed a higher tendency of having urban employee health insurance (odds ratio = 2.506, P < 0.05) and rural health insurance (odds ratio = 2.207, P < 0.05). Additionally, patients in Class 2 tended to be in their fourth cycle of chemotherapy. However, receiving chemotherapy and surgery increased the likelihood of belonging to Class 1.ConclusionsA high proportion of patients experienced varying degrees of symptom and function issues, suggesting that attention is warranted for women with breast cancer undergoing chemotherapy. Patients with the urban employee basic medical system, the new rural cooperative medical system and in the early stage of chemotherapy cycles were more likely to have symptom burdens. Middle-aged postmenopausal women reported varying degrees of cognitive issues. Additionally, surgery increased the presence of potential long-term effects in functional levels.

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Incidence and risk factors of intimate partner violence among patients with gynaecological cancer in China

et al. 2023

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The population of survivors with gynaecological cancer has dramatically increased due to improvements in screening and treatment (Abrahams et al., 2014;Holman, 2019). Gynaecological cancers, including cervical, uterine and ovarian cancers, account for 5% of all new cancers in China (Feng et al., 2021). Patients tend to report a negative body image, sexual function problems and menopausal symptoms caused by gynaecological cancer, which may affect their intimate relationships with their partners and result in intimate partner violence (IPV) (Brennan et al., 2021). IPV can be defined as physical violence, sexual violence and/or psychological aggression perpetrated by a current or former intimate partner, and it is associated with multiple health problems, including chronic genitourinary disorders, sleep disturbances, depression, posttraumatic stress disorder and even suicide attempts (Messing et al., 2017). IPV can cause superimposed negative impacts for women with cancer, which affect their health outcomes. Evidence shows that patients with gynaecological cancer who have undergone IPV are more likely to engage in unhealthy behaviours such as risky sexual behaviour, drinking

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Distinct dyadic coping profiles in Chinese couples with breast cancer

Cited by 10 publications

References 41 publications

Dyadic coping and its association with emotional functioning in couples confronted with advanced cancer: Results of the multicenter observational eQuiPe study

Dyadic coping and its association with emotional functioning in couples confronted with advanced cancer: Results of the multicenter observational eQuiPe study

Heterogeneity of symptoms and functions among women receiving chemotherapy for breast cancer in China: A multicentre, cross-sectional study

Incidence and risk factors of intimate partner violence among patients with gynaecological cancer in China

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