Effects of marital self-disclosure on marital relationship and psychological outcome for cancer patients: a systematic review

Zhou, Ye; Chin, Chong; Chong, Mei Chan; Zhao, Haiyan; Yin, Lu

doi:10.1007/s00520-023-07826-z

Cited by 5 publications

(2 citation statements)

References 48 publications

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“…This is consistent with the ndings of several previous studies (Ramazanu et al, 2020) that reported potential differences in how fathers and their partners communicate with each other. Self-disclosure is critical for developing close relationships and understanding how fathers are affected by the needs of children with ASD; these insights could improve family communication and future research (Zhou et al, 2023). Men who engage in relationship-focused behaviors during di cult transitions may perceive dyadic coping as more chaotic than men who may otherwise have engaged in less self-disclosure-focused communication.…”

Section: Discussionmentioning

confidence: 99%

Effects of Parental Intimacy and Self-disclosure on Dyadic Coping in Parents of Children with Autism Spectrum Disorder Entering School

Xie,

Xu,

Ouyang

2024

Preprint

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Autism spectrum disorder (ASD) is a pervasive and often difficult health condition, especially during the stage in which children with ASD enter school, which can have ripple effects throughout family relationships. This study applied relational turbulence theory (which addresses communication in intimate relationships) and the actor–partner interdependence model, to examine how self-disclosure communication and relationship intimacy between parents of children with ASD affects dyadic coping during a major transitional period in their child’s life. Transition processing includes parental self-disclosure and parental intimacy, which can help parents navigate difficult life events by promoting connection, interaction, and confidence in the relationship. A total of 201 married couples parenting a child with ASD who was beginning school or who had started school in the past six months completed three questionnaires and provided demographic information. The study examined the effects of partners’ intimacy and disclosure levels on their own and their spouses’ experiences of relational uncertainty, changes in interdependence, and relational turbulence. The findings suggest that parental intimacy and self-disclosure in dyadic coping significantly affect some relationship qualities. In addition, individuals’ perceptions of their spouses’ dyadic coping abilities were a stronger predictor of relational turbulence than self-reported dyadic coping. This study’s results provide several implications for understanding how married partners can protect their marriage when dealing with their child’s health-related transitions.

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Section: Discussionmentioning

confidence: 99%

Effects of Parental Intimacy and Self-disclosure on Dyadic Coping in Parents of Children with Autism Spectrum Disorder Entering School

Xie,

Xu,

Ouyang

2024

Preprint

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“…A previous systematic study [ 35 ] by our team found that the most common methods of couple communication are one-on-one and face-to-face communication. They should accept training in marital communication methods before marital self-disclosure, such as how to incorporate the materials from the course into their daily lives through the communication skills learned [ 36 ], the strategies for expressing their thoughts and feelings about cancer, and the strategies for accepting and affirming each other’s feelings and opinions [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

Marital Self-Disclosure Intervention for the Fear of Cancer Recurrence in Chinese Patients With Gastric Cancer: Protocol for a Quasiexperimental Study

Zhao,

Zhou,

Che

et al. 2024

JMIR Res Protoc

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Background Patients with gastric cancer experience different degrees of fear of cancer recurrence. The fear of cancer recurrence can cause and worsen many physical and psychological problems. We considered the “intimacy and relationship processes in couples’ psychosocial adaptation” model. Objective The study aims to examine the effectiveness of a marital self-disclosure intervention for improving the level of fear of cancer recurrence and the dyadic coping ability among gastric cancer survivors and their spouses. Methods This is a quasiexperimental study with a nonequivalent (pretest-posttest) control group design. The study will be conducted at 2 tertiary hospitals in Taizhou City, Jiangsu Province, China. A total of 42 patients with gastric cancer undergoing chemotherapy and their spouses will be recruited from each hospital. Participants from Jingjiang People’s Hospital will be assigned to an experimental group, while participants from Taizhou People’s Hospital will be assigned to a control group. The participants in the experimental group will be involved in 4 phases of the marital self-disclosure (different topics, face-to-face) intervention. Patients will be evaluated at baseline after a diagnosis of gastric cancer and reassessed 2 to 4 months after baseline. The primary outcome is the score of the Fear of Progression Questionnaire-Short Form (FoP-Q-SF) for patients. The secondary outcomes are the scores of the FoP-Q-SF for partners and the Dyadic Coping Inventory. Results Research activities began in October 2022. Participant enrollment and data collection began in February 2023 and are expected to be completed in 12 months. The primary results of this study are anticipated to be announced in June 2024. Conclusions This study aims to assess a marital self-disclosure intervention for improving the fear of cancer recurrence in Chinese patients with gastric cancer and their spouses. The study is likely to yield desirable positive outcomes as marital self-disclosure is formulated based on evidence and inputs obtained through stakeholder interviews and expert consultation. The study process will be carried out by nurses who have received psychological training, and the quality of the intervention will be strictly controlled. Trial Registration ClinicalTrials.gov NCT05606549; https://clinicaltrials.gov/study/NCT05606549 International Registered Report Identifier (IRRID) DERR1-10.2196/55102

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Are couple‐based psychological interventions beneficial for the mental health of prostate cancer patients and their spouses? A systematic review and meta‐analysis

Shen,

Sun,

et al. 2023

Clin Psychology and Psychoth

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As the survival rates for prostate cancer (PCa) have improved, there has been an increasing focus on the mental health of couples affected by this condition. There have been several couple‐based psychological interventions, and yet the impact of this treatment modality on the mental health of PCa patients and their spouses is unclear. Consequently, a systematic search was conducted in PubMed, Embase, Cochrane, LILACS, and Web of Science up to March 2023 for randomized controlled trials (RCTs) addressing the impacts of couple‐based psychological interventions on both PCa patients and their spouses. Besides, the Cochrane Risk of Bias Assessment Tool was employed to evaluate the methodological quality and potential bias of the included studies. Moreover, statistical analysis and meta‐analysis were performed utilizing Revman 5.4, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was employed to assess the certainty of evidence. A total of nine RCTs were included, utilizing anxiety, depression, distress, communication, and self‐efficacy as outcome indicators to assess mental health. Results demonstrated that couple‐based psychological interventions increased spouses' self‐efficacy (WMD, 0.21; 95% CI: −0.00 ~ 0.42; P = 0.05) and communication (SMD, 0.34; 95% CI: 0.09 ~ 0.59; P = 0.009), while reducing their distress (SMD, −0.21; 95% CI: −0.40 ~ −0.02; P = 0.03). Nonetheless, there is a need for additional research on the effect of couple‐based psychological interventions on the mental health of PCa‐affected couples given the limited evidence supporting this conclusion.

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Effects of marital self-disclosure on marital relationship and psychological outcome for cancer patients: a systematic review

Cited by 5 publications

References 48 publications

Effects of Parental Intimacy and Self-disclosure on Dyadic Coping in Parents of Children with Autism Spectrum Disorder Entering School

Effects of Parental Intimacy and Self-disclosure on Dyadic Coping in Parents of Children with Autism Spectrum Disorder Entering School

Marital Self-Disclosure Intervention for the Fear of Cancer Recurrence in Chinese Patients With Gastric Cancer: Protocol for a Quasiexperimental Study

Are couple‐based psychological interventions beneficial for the mental health of prostate cancer patients and their spouses? A systematic review and meta‐analysis

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