The relation between dyadic coping and relationship satisfaction in couples dealing with haematological cancer

Pankrath, Anna-Luise; Weißflog, Gregor; Mehnert, Anja; Niederwieser, Dietger; Döhner, Hartmut; Hönig, Klaus; Gündel, Harald; Vogelhuber, Martin; Friedrich, Michael; Ernst, Jochen

doi:10.1111/ecc.12595

Cited by 27 publications

(29 citation statements)

References 34 publications

(77 reference statements)

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“… 35 Adaptive coping skills such as problem-focused coping strategies may constitute a worthwhile intervention target to prepare families for ESKD treatments given their associations with positive psychological outcomes and capacity to offset negative linkages in the family member–patient dyad. 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 Interventions targeting the transmission of negative emotions and psychological distress in the family member–patient dyad may be especially promising given their potential to improve psychological well-being among family members and patients alike.…”

Section: Discussionmentioning

confidence: 99%

Family Members’ Experiences With Dialysis and Kidney Transplantation

et al. 2019

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Rationale & Objective Understanding whether family members’ experiences with patients’ treatment for end-stage kidney disease (ESKD) were expected could guide the development of family-centered interventions that enhance the preparedness of patients and their care partners for kidney replacement therapies. We explored unexpected negative experiences with ESKD treatments among family members of dialysis and posttransplantation patients to identify meaningful directions for family-centered research and clinical care. Study Design Qualitative study. Setting & Participants 8 focus groups comprising 49 family members of dialysis patients and living donor kidney transplant recipients undergoing medical care in Baltimore, MD. Analytical Approach Focus groups were stratified by patients’ treatment (in-center hemodialysis, home hemodialysis, peritoneal dialysis, or living donor kidney transplantation) and family members’ self-reported race (African American vs non–African American), resulting in 2 groups per treatment experience. Inductive thematic analysis was used to identify themes in focus group transcripts. Themes shared across different treatment groups were highlighted to provide insight into common experiences. Results We identified 4 themes that described family members’ unexpected negative treatment experiences: becoming a care partner (unanticipated responsibilities and sleep disruptions), adverse psychological treatment responses in patients (eg, depression) and family members (eg, anxiety), treatment delivery and logistics (insufficient information, medication regimen, and logistical inconveniences), and patient morbidity (dialysis-related health problems and fatigue). All themes were relevant to discussions in the in-center hemodialysis, peritoneal dialysis, and transplantation groups, whereas psychological responses and morbidity themes did not reflect discussions in home hemodialysis groups. Limitations Data collection occurred from 2008 to 2009; family members were recruited through patients undergoing care in 1 geographic area; 1 family member participant per patient. Conclusions Family members described a broad range of unexpected negative experiences with ESKD treatments. Efforts to prepare families for ESKD treatments through more family-centered care, early and tailored education, and interventions targeting care partner preparedness, health provider–family member communication, and relationship dynamics in family member–patient dyads are needed.

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Section: Discussionmentioning

confidence: 99%

Family Members’ Experiences With Dialysis and Kidney Transplantation

et al. 2019

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“…The four‐item Patient Health Questionnaire (PHQ‐4) is an ultra‐short measure assessing anxiety (Generalised Anxiety Disorder [GAD]‐2) and depression (PHQ‐2) with acceptable psychometric properties that appears promising for use in primary care settings with patients (Kroenke, Spitzer, Williams, & Löwe, ) and warrants further investigation in cancer settings (Pirl et al, ). The PHQ‐4 is also increasingly being utilised in cross‐sectional or longitudinal predictive studies to measure distress as a predictor or outcome in partners (e.g., Ernst et al, ; Haun et al, ; Pankrath et al, ) and caregivers (e.g., Oh, ; Sklenarova, Krümpelmann, et al, ) of cancer patients. However, no studies have examined the diagnostic utility of the PHQ‐4 compared to other ultra‐short or more in‐depth screening measures such as the HADS in partners or caregivers of cancer patients.…”

Section: Discussionmentioning

confidence: 99%

The validity of the Distress Thermometer in female partners of men with prostate cancer

et al. 2018

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Female partners of prostate cancer (PCa) survivors experience heightened psychological distress that may be greater than that expressed by PCa patients. However, optimal approaches to detect distressed, or at risk of distress, partners are unclear. This study applied receiver operating characteristics analysis to evaluate diagnostic accuracy, sensitivity and specificity of the Distress Thermometer (DT) compared to widely used measures of general (Hospital Anxiety and Depression Scale) and cancer‐specific (Impact of Events Scale‐Revised) distress. Participants were partners of men with localised PCa (recruited around diagnosis) about to undergo or had received surgical treatment (N = 189), and partners of men diagnosed with PCa who were 2–4 years post‐treatment (N = 460). In both studies, diagnostic utility of the DT overall was not optimal. Although area under the curve scores were acceptable (ranges: 0.71–0.92 and 0.83–0.94 for general and cancer‐specific distress, respectively), sensitivity, specificity and optimal DT cut‐offs for partner distress varied for general (range: ≥2 to ≥5) and cancer‐specific (range: ≥3 to ≥5) distress both across time and between cohorts. Thus, it is difficult to draw firm conclusions about the diagnostic capabilities of the DT for partners or recommend its use in this population. More comprehensive screening measures may be needed to detect partners needing psychological intervention.

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“…Couples react as an emotional system and not as individuals (Hagedoorn et al, 2008). The partners' distress is significantly related to lower relationship satisfaction (Pankrath et al, 2018). Higher distress in partners might adversely influence dyadic coping processes and have a negative impact on patients' and partners' quality of life and the relationship quality (Segrin, 2005;Kayser et al, 2007;Brusilovskiy et al, 2009;Robbins et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Distress in Women With Breast Cancer and Their Partners and Its Impact on Supportive Care Needs in Partners

et al. 2020

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Objectives: While both patients and informal caregivers report high levels of cancerrelated distress, supportive care needs of relatives are often not taken into account and little is known about mutual perception of distress within couples. Therefore, we aimed to investigate distress in female patients with breast cancer and their male partners as well as supportive care needs in partners. Methods: In this cross-sectional study, we recruited women with breast cancer during primary cancer care and their male partners, obtained information on mental distress and supportive care needs through visual analog scales for four mood domains and the Short Form of Supportive Care Needs Survey (SCNS-SF34). Results: Among 250 eligible patients with breast cancer, 102 patients (40.8%) and their male partners participated. Partners reported higher levels of distress (p = 0.02), whereas patients (self-assessment) indicated stronger needs for help (p < 0.001). Men with higher levels of distress were younger (p < 0.001), and reported a shorter relationship duration (p = 0.001) compared to partners with lower distress. Partners overestimated distress, anxiety, depression, and need for help in the patient. Patients overestimated partners need for help. The majority of partners (78%) reported at least one unmet need, most frequently related to the health system and information domain. Conclusion: A systematic distress and needs assessment for women with breast cancer and their male partners is mandatory. The provision of optimal supportive care depends on protocols that include not only psychosocial care for patients but also procedures for managing distress and needs for partners including individual and couple-based interventions.

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The relation between dyadic coping and relationship satisfaction in couples dealing with haematological cancer

Cited by 27 publications

References 34 publications

Family Members’ Experiences With Dialysis and Kidney Transplantation

Family Members’ Experiences With Dialysis and Kidney Transplantation

The validity of the Distress Thermometer in female partners of men with prostate cancer

Psychosocial Distress in Women With Breast Cancer and Their Partners and Its Impact on Supportive Care Needs in Partners

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