Interaction effect of coping self-efficacy and received support in daily life of hematopoietic cell transplant patient-caregiver dyads

Abstract

Objectives According to the social cognitive theory, social support and self-efficacy may interact with each other i.e. compete or account jointly for better adaptation. This study examined the nature of the interaction between coping self-efficacy and received social support in daily lives of patient-caregiver dyads after cancer treatment. We tested whether the effect of daily fluctuations in coping self-efficacy and received support on daily affect was synergistic (positive jointed effect), compensatory (positive competing effect), or interference (negative competing effect). Design A dyadic daily-diary study conducted for 28 days after hospital discharge following hematopoietic cell transplantation. Methods Coping self-efficacy, received support, and positive and negative affect were measured in 200 patient-caregiver dyads. The analysis was based on the actor-partner interdependence moderation model using multilevel structural equation modeling. Results Statistically significant effect of interaction between daily coping self-efficacy and received support on negative affect was found, although only in the caregivers. In that group, higher daily received support compensated for lower daily coping self-efficacy but had a negative effect when coping self-efficacy was significantly higher than typical. Also, direct beneficial effects of higher daily coping self-efficacy and received support on caregiver positive affect were found. In the patients, higher daily coping self-efficacy was directly associated with better daily affect. Conclusions Diverse effects of daily coping self-efficacy and received social support were found—the interference effect in the caregivers and the main effect of coping self-efficacy in the patients. Higher daily coping self-efficacy and optimal received social support may provide resilience against affect disturbance after cancer treatment.

Family caregiver's emotional concerns in advanced cancer: A qualitative content analysis

“…Several studies have supported the development of a deep and mutual relationship between the caregiver and the patient throughout the caregiving process, to the extent that the caregiver and the patient in uence each other's mental and physical health [39][40][41] and feel a sense of commitment to endure their current situation [34]. Our study showed a mutual relationship between the caregiver and the patient, as evidenced by their insistence on physical presence together.…”

A Model of Social Support for a Patient–Informal Caregiver Dyad

“…In practice, patients are withdrawn and unwilling to cooperate with medics. Kroemeke and Sobczyk-Kruszelnicka indicate that typical daily coping and the support received were significantly associated with a higher daily positive affect [42], which additionally strengthens the importance of research on social support in dyads during cancer. Taking account of, for example, existential aspects in experiencing a neoplastic could indicate important factors influencing the experience of multidimensional support in both patients and caregivers.…”

“…In practice, patients are withdrawn and unwilling to cooperate with medics. Kroemeke and Sobczyk-Kruszelnicka indicate that typical daily coping and the support received were significantly associated with a higher daily positive affect [ 42 ], which additionally strengthens the importance of research on social support in dyads during cancer.…”

Behind the scenes of caregiving in patients with advanced cancer: A qualitative study on family caregivers

“…believe that in many cases, the presence of an incurable disease impacts the caregiver–patient relationship and redefines it. 32 Several studies have supported the development of a deep and mutual relationship between the caregiver and the patient throughout the caregiving process to the extent that the caregiver and the patient influence each other's mental and physical health 39 , 40 , 41 and feel a sense of commitment to endure their current situation. 33 Our study showed a mutual relationship between caregivers and patients, as evidenced by their insistence on physical presence.…”