Dyadic Coping of Patients with Haemato-Oncological Diseases and their Partners: Discrepancy Indexes and Association with Social Support and Psychological Distress

Osin, Rinat and Pankrath, Anna-Luise and Niederwieser, Dietger and Doehner, Hartmut and Hoenig, Klaus and Vogelhuber, Martin and Mehnert, Anja and Weissflog, Gregor and Ernst, Jochen (2018) Dyadic Coping of Patients with Haemato-Oncological Diseases and their Partners: Discrepancy Indexes and Association with Social Support and Psychological Distress. PSYCHOTHERAPIE PSYCHOSOMATIK MEDIZINISCHE PSYCHOLOGIE, 68 (2). pp. 55-65. ISSN 0937-2032, 1439-1058

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Abstract

Background Cancer is often associated with negative psychosocial consequences not only for patients but also for their partners. These consequences are also influenced by the applied coping strategies. Objective The study examines the influence of Dyadic Coping (DC) on social support and psychological distress (symptoms of depression and anxiety) in haemato-oncological patients and their partners. Of particular interest is the significance of dyadic accordance (conformity) of the assessment of DC ("discrepancy indexes"). Methods The study investigates 330 couples (haemato-oncological patients and their partners, average age patient 57.0 years, 63.3 percent male, 25.8 percent acute leukemia). In addition to Dyadic Coping Inventory (DCI), standardized instruments are used. Research data is being analyzed with t-tests, partial correlation and regression. Results Patients and partners use similar dyadic coping strategies, whereby partners assess coping behaviors of patients more accurately than vice versa. Regarding social support, the DC total score plays a more decisive role than discrepancy indexes, in particular with patients (R-2 = 20.4 %). Conversely, discrepancy indexes explain a large part of the patients' variance (R-2 = 10.2 %); regarding psychological stress, the DC total score shows no effects in this model. Discussion The results demonstrate the relevance of the DC discrepancy indexes as a measure for interpersonal accordance for psychosocial outcomes, especially for psychological distress. Further application- related research is necessary to generate reliable statements about these associations.

Item Type: Article
Uncontrolled Keywords: QUALITY-OF-LIFE; HEMATOLOGICAL CANCER; PROSTATE-CANCER; BREAST-CANCER; COUPLES; CAREGIVERS; SURVIVORS; TRANSPLANTATION; DEPRESSION; ANXIETY; heamatological cancer; dyadic coping; social support; distress; partner
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 Mar 2020 06:11
Last Modified: 19 Mar 2020 06:11
URI: https://pred.uni-regensburg.de/id/eprint/15080

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