Partner Support

Donato, Silvia; Iafrate, Raffaella; Bertoni, Anna Marta Maria; Rapelli, Giada

doi:10.1007/978-3-319-69909-7_2087-2

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…Furthermore, no partner effects were found and this suggests that the way the patient perceives the DC responses provided by the partner is more important for patients' HSE than how the partner himself/herself says to enact DC, and this is in line with previous studies demonstrating that patient-perceived DC has a stronger impact on health outcomes than partner-provided one (Antonucci & Jackson, 1990;Donato et al, 2020;Liang et al, 2001). This also emphasizes that the patient may perceive partner DC differently than the partner's own willingness to provide help: indeed, patientperceived and partner-provided DC styles were only moderately correlated in our study.…”

Section: Discussionsupporting

confidence: 86%

Yes, I can (with you)! Dyadic coping and self‐management outcomes in cardiovascular disease: The mediating role of health self‐efficacy

Rapelli

Donato

Parise

et al. 2022

Health Social Care Comm

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Cardiac patients show alarming levels of nonadherence to medications. It is important to consider also patient activation levels. Furthermore, the partner could have a supporting role in these processes. The aim of this study was to investigate the mediating role of patient health self-efficacy (HSE) in the link between dyadic coping (DC) and two self-management outcomes (i.e. medication adherence and patient activation) across the first 6 months of cardiac disease. One hundred couples completed two self-report questionnaires during the hospitalisation for cardiac disease and 6 months after discharge. A longitudinal and dyadic research design was adopted. Cross-sectional analyses at T0 revealed that patient-provided and perceived positive DC and common DC are positively associated with HSE, which in turn is positively associated with medication adherence. HSE mediated the association between patient positive and common DC styles, with the only exception of Patient-provided positive DC, and patient activation. Conversely, patient-provided and perceived negative DC are negatively associated with HSE, which in turns is positively associated with medication adherence and patient activation. Prospective analyses showed that only patient-perceived negative DC at discharge is negatively associated with HSE at T1, which in turns is positively associated with patient activation over time. These results suggest to consider patient perceived and provided DC as antecedents of self-management outcomes via patient HSE. Furthermore, our results recommend to pay particular attention to negative DC, whose negative consequences are manifested also over time, planning interventions targeting partners' awareness of their own DC style.

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Section: Discussionsupporting

confidence: 86%

Yes, I can (with you)! Dyadic coping and self‐management outcomes in cardiovascular disease: The mediating role of health self‐efficacy

Rapelli

Donato

Parise

et al. 2022

Health Social Care Comm

Self Cite

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“…Caring for a significant other can be a rewarding experience, but due to a lack of time and energy, or financial, emotional, and social strains, it can also turn out to be an overwhelming responsibility for caregivers (Donato et al, 2020;Rapelli et al, 2020a;Bertuzzi et al, 2021). Therefore, it is important to ensure the wellbeing of partners of individuals with cardiovascular disease, and adequately support them with tailored and integrated healthcare actions within the context of cardiac rehabilitation and through the use of telemedicine.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the management of heart disease is complex and requires constant monitoring of symptoms over time. For this reason, if present, the partner plays an important role by providing both practical and emotional support (Bertoni et al, 2015;Donato et al, 2020). Since romantic relationships play a significant role in people's lives (Bertoni et al, 2015), it is important to investigate the role of the partner in either helping or hindering the patient's psychological adjustment to heart disease over the course of the medical treatment.…”

Section: Introductionmentioning

confidence: 99%

Psychological couple-oriented interventions for patients with heart disease and their partners: a scoping review and guidelines for future interventions

Rapelli,

Giusti,

Tarquinio

et al. 2023

Front. Psychol.

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ObjectiveThis scoping review aims to provide an accessible summary of available evidence on the efficacy of psychological couple-based interventions among patients with heart disease and their partners focusing on specific aspects and strategies by assessing different emotional and physical cardiac-related outcome measures.MethodsA literature search was performed in PubMed, Scopus, Medline, PsycINFO, and Web of Science databases using the keywords “heart diseases” and “couple-based intervention.” A literature search using systematic methods was applied. Data were extracted to address the review aims and were presented as a narrative synthesis.ResultsThe database search produced 11 studies. Psychological couple-based interventions varied in terms of the type of intervention, personnel, format (group or individual, phone or in person), number of sessions, and duration. Most of the contributions also lacked adequate details on the training of professionals, the contents of the interventions, and the theoretical models on which they were based. Finally, although partners were involved in all the treatment, in most studies, the psychological strategies and outcomes were focused on the patient.ConclusionThe variability of the psychological couple-based interventions of included studies represents a challenge in summarizing the existing literature. Regarding their impact, psychological interventions for patients with cardiovascular disease and their partners were found to moderately improve patients’ and partners’ outcomes.

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“…Scholars argued that these effects are influenced by marital status as a proxy for partner support (Case et al, 1992; Vujcic et al, 2015), but few studies have explored the effects of how partner support is provided, examining different types of partner behaviors—from positive and supportive to less skillful or inadequate behaviors specific to heart disease. In fact, partners vary in their ability to provide support to each other (Donato et al, 2020). Furthermore, the stress caused by the illness and by caregiving may elicit unsupportive or hostile reactions in partners.…”

Section: Cardiac Disease Management: the Role Of Partner Supportmentioning

confidence: 99%

“Cardiotoxic” and “cardioprotective” partner support for patient activation and distress: Are two better than one?

et al. 2022

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The study aimed to test whether the presence of a partner was always beneficial to people with cardiac disease and how different types of partner behaviors promoted or hindered their activation and distress. Background: Cardiac disease challenges not only patients but also their partners, whose support is not always effective. Method: A cross-sectional dyadic research design, in which both partners completed a self-report questionnaire during hospitalization, was adopted. The associations between partner support and patient outcomes were tested using stepwise regression analysis. Results: The mere presence of a partner was not associated with distress or activation of a person with cardiac illness. On the contrary, the quality of partner support is differently linked with outcomes of person with cardiac illness; in particular, partner support for activation is significantly associated with lower levels of depression, anxiety, and somatization of person with cardiac disease, whereas overprotection is significantly associated with lower levels of activation. Conclusion: Partner support may be a double-edged sword: Partners may be a powerful ally in illness management but also a barrier to it when partner support is ineffective. Implications: This study highlights the importance of integrating partners in cardiac recovery programs and provides suggestions for the design of couple-based interventions.

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Partner Support

Cited by 4 publications

References 27 publications

Yes, I can (with you)! Dyadic coping and self‐management outcomes in cardiovascular disease: The mediating role of health self‐efficacy

Yes, I can (with you)! Dyadic coping and self‐management outcomes in cardiovascular disease: The mediating role of health self‐efficacy

Psychological couple-oriented interventions for patients with heart disease and their partners: a scoping review and guidelines for future interventions

“Cardiotoxic” and “cardioprotective” partner support for patient activation and distress: Are two better than one?

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