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Supportive Care in Cancer

, Volume 25, Issue 5, pp 1445–1454 | Cite as

Associations between dyadic coping and supportive care needs: findings from a study with hematologic cancer patients and their partners

  • Gregor Weißflog
  • Klaus Hönig
  • Harald Gündel
  • Dirk Lang
  • Dietger Niederwieser
  • Hartmut Döhner
  • Martin Vogelhuber
  • Anja Mehnert
  • Jochen Ernst
Original Article

Abstract

Purpose

The way couples mutually cope with hematologic cancer is likely to influence their levels of supportive care needs (SCN). Therefore, this study evaluated the levels of dyadic coping (DC) and SCN and the concurrent associations between both variables.

Methods

Three hundred thirty patients with a hematologic malignancy (63% male) and their partners completed the dyadic coping inventory (DCI) and the supportive care needs survey (SCNS-SF-34-G). The levels of dyadic coping (DC) and supportive care needs (SCN) were compared with representative validation samples. Correlational analyses and actor-partner interdependence models (APIM) were calculated to estimate the association between DC and SCN.

Results

Partners’ stress communication of cancer patients (as part of DC) was decreased in contrast to that of a non-cancer sample. The perception of partners’ delegated DC was higher (both with a moderate effect size of g ≥ |0.50|). SCN of patients and partners were lower in the dimensions health system/information and physical problems/daily living in contrast to those of a cancer patients’ validation sample (both with a small effect of g ≥ |0.20|). Higher perceptions of partners’ negative DC were associated with higher SCN for both patients and partners. The same was true for patients’ own stress communication and SCN, but only for the patients. Sociodemographic and illness-related factors were only partially related with the SCN of patients and partners.

Conclusions

In order to diminish SCN of patients and partners, a possible way is to strengthen the quality of the dyadic relation. Due to its associations with elevated SCN, stress communication and negative dyadic coping behaviours may be useful targets for psychosocial interventions.

Keywords

Cancer Oncology Dyadic coping Supportive care needs Couples 

Notes

Acknowledgments

We would like to thank all the couples for their participation in the study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interests.

Source of funding

This work was supported by a grant from the Deutsche José Carreras Leukämie-Stiftung (grant no. DJCLS R 12/36).

References

  1. 1.
    Aizer AA, Chen MH, McCarthy EP, Mendu ML, Koo S, Wilhite TJ, Graham PL, Choueiri TK, Hoffman KE, Martin NE, JC H, Nguyen PL (2013) Marital status and survival in patients with cancer. J Clin Oncol 31:3869–3876CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Manne S, Badr H (2008) Intimacy and relationship processes in couples’ psychosocial adaptation to cancer. Cancer 112:2541–2555CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Badr H, Carmack CL, Kashy DA, Cristofanilli M, Revenson TA (2010) Dyadic coping in metastatic breast cancer. Health Psychol 29:169–180CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Kayser K, Watson LE, Andrade JT (2007) Cancer as a “we-disease”: examining the process of coping from a relational perspective. Families, Systems & Health 25:404–418CrossRefGoogle Scholar
  5. 5.
    Regan TW, Lambert SD, Kelly B, Falconier M, Kissane D, Levesque JV (2015) Couples coping with cancer: exploration of theoretical frameworks from dyadic studies. Psychooncology 24:1605–1617CrossRefPubMedGoogle Scholar
  6. 6.
    Bodenmann G (2000) Stress und Coping bei Paaren. Hogrefe, GöttingenGoogle Scholar
  7. 7.
    Rottmann N, Hansen DG, Larsen PV, Nicolaisen A, Flyger H, Johansen C, Hagedoorn M (2015) Dyadic coping within couples dealing with breast cancer: a longitudinal, population-based study. Health Psychol 34:486–495CrossRefPubMedGoogle Scholar
  8. 8.
    Regan TW, Lambert SD, Kelly B, McElduff P, Girgis A, Kayser K, Turner J (2014) Cross-sectional relationships between dyadic coping and anxiety, depression, and relationship satisfaction for patients with prostate cancer and their spouses. Patient Educ Couns 96:120–127CrossRefPubMedGoogle Scholar
  9. 9.
    Hall A, Lynagh M, Bryant J, Sanson-Fisher R (2013) Supportive care needs of hematological cancer survivors: a critical review of the literature. Crit Rev Oncol Hematol 88:102–116CrossRefPubMedGoogle Scholar
  10. 10.
    Swash B, Hulbert-Williams N, Bramwell R (2014) Unmet psychosocial needs in haematological cancer: a systematic review. Support Care Cancer 22:1131–1141CrossRefPubMedGoogle Scholar
  11. 11.
    Girgis A, Lambert SD, McElduff P, Bonevski B, Lecathelinais C, Boyes A, Stacey F (2013) Some things change, some things stay the same: a longitudinal analysis of cancer caregivers’ unmet supportive care needs. Psychooncology 22:1557–1564CrossRefPubMedGoogle Scholar
  12. 12.
    Boyes AW, Clinton-McHarg T, Waller AE, Steele A, D’Este CA, Sanson-Fisher RW (2015) Prevalence and correlates of the unmet supportive care needs of individuals diagnosed with a haematological malignancy. Acta Oncol 54:507–514CrossRefPubMedGoogle Scholar
  13. 13.
    Sklenarova H, Krumpelmann A, Haun MW, Friederich HC, Huber J, Thomas M, Winkler EC, Herzog W, Hartmann M (2015) When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer 121:1513–1519CrossRefPubMedGoogle Scholar
  14. 14.
    Hodgkinson K, Butow P, Hunt GE, Wyse R, Hobbs KM, Wain G (2007) Life after cancer: couples’ and partners’ psychological adjustment and supportive care needs. Support Care Cancer 15:405–415CrossRefPubMedGoogle Scholar
  15. 15.
    Bodenmann G (2008) Dyadisches coping Inventar. Huber, BernGoogle Scholar
  16. 16.
    Levesque C, Lafontaine M-F, Caron A, Fitzpatrick J (2014) Validation of the English version of the dyadic coping inventory. Meas Eval Couns Dev 47:215–225CrossRefGoogle Scholar
  17. 17.
    Randall AK, Hilpert P, Jimenez-Arista LE, Walsh KJ, Bodenmann G (2016) Dyadic coping in the US: psychometric properties and validity for use of the English version of the dyadic coping inventory. Curr Psychol 570–582Google Scholar
  18. 18.
    Lehmann C, Koch U, Mehnert A (2012) Psychometric properties of the German version of the short-form supportive care needs survey questionnaire (SCNS-SF34-G). Support Care Cancer 20:2415–2424CrossRefPubMedGoogle Scholar
  19. 19.
    Boyes A, Girgis A, Lecathelinais C (2009) Brief assessment of adult cancer patients’ perceived needs: development and validation of the 34-item supportive care needs survey (SCNS-SF34). J Eval Clin Pract 15:602–606CrossRefPubMedGoogle Scholar
  20. 20.
    Borenstein M, Hedges LV, Higgins JPT, Rothstein HR (2009) Introduction to meta-analysis. Wiley, ChichesterCrossRefGoogle Scholar
  21. 21.
    Langer SL, Brown JD, Syrjala KL (2009) Intrapersonal and interpersonal consequences of protective buffering among cancer patients and caregivers. Cancer 115:4311–4325CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Zimmermann T, Heinrichs N, Scott J (2006) CanCOPE ‘step by step’: the effectiveness of a couple-based intervention program for women with breast or gynecological cancer. Verhaltenstherapie 16:247–255CrossRefGoogle Scholar
  23. 23.
    Manne S, Kashy DA, Siegel S, Myers Virtue S, Heckman C, Ryan D (2014) Unsupportive partner behaviors, social-cognitive processing, and psychological outcomes in couples coping with early stage breast cancer. J Fam Psychol 28:214–224CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Bartley EJ, Edmond SN, Wren AA, Somers TJ, Teo I, Zhou S, Rowe KA, Abernethy AP, Keefe FJ, Shelby RA (2014) Holding back moderates the association between health symptoms and social well-being in patients undergoing hematopoietic stem cell transplantation. J Pain Symptom Manag 48:374–384CrossRefGoogle Scholar
  25. 25.
    Dagan M, Hagedoorn M (2014) Response rates in studies of couples coping with cancer: a systematic review. Health Psychol 33:845–852CrossRefPubMedGoogle Scholar
  26. 26.
    Terp H, Rottmann N, Larsen PV, Hagedoorn M, Flyger H, Kroman N, Johansen C, Dalton S, Hansen DG (2015) Participation in questionnaire studies among couples affected by breast cancer. Support Care Cancer 23:1907–1916CrossRefPubMedGoogle Scholar
  27. 27.
    Revenson TA, Griva K, Luszczynska A, Morrison V, Panagopoulou E, Vilchinsky N, Hagedoorn M (2016) Caregiving as a dyadic process. In: Revenson TA et al (eds) Caregiving in the illness context. Palgrave Macmillan UK, London, pp. 25–37Google Scholar
  28. 28.
    Li Q, Loke AY (2014) A systematic review of spousal couple-based intervention studies for couples coping with cancer: direction for the development of interventions. Psychooncology 23:731–739CrossRefPubMedGoogle Scholar
  29. 29.
    Taylor K, Chan RJ, Monterosso L (2015) Models of survivorship care provision in adult patients with haematological cancer: an integrative literature review. Support Care Cancer 23:1447–1458CrossRefPubMedGoogle Scholar
  30. 30.
    Landis M, Bodenmann G, Bradbury TN, Brandstätter V, Peter-Wight M, Backes S, Sutter-Stickel D, Nussbeck FW (2014) Commitment and dyadic coping in long-term relationships. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry 27:139–149CrossRefGoogle Scholar
  31. 31.
    Nicholls W, Hulbert-Williams N, Bramwell R (2014) The role of relationship attachment in psychological adjustment to cancer in patients and caregivers: a systematic review of the literature. Psychooncology 23:1083–1095CrossRefPubMedGoogle Scholar
  32. 32.
    Badr H, Acitelli LK (2017) Re-thinking dyadic coping in the context of chronic illness. Current Opinion in Psychology 13:44–48CrossRefGoogle Scholar
  33. 33.
    Berg CA, Upchurch R (2007) A developmental-contextual model of couples coping with chronic illness across the adult life span. Psychol Bull 133:920–954CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Gregor Weißflog
    • 1
  • Klaus Hönig
    • 2
    • 3
  • Harald Gündel
    • 2
    • 3
  • Dirk Lang
    • 2
    • 3
  • Dietger Niederwieser
    • 4
  • Hartmut Döhner
    • 3
    • 5
  • Martin Vogelhuber
    • 6
  • Anja Mehnert
    • 1
  • Jochen Ernst
    • 1
  1. 1.Department of Medical Psychology and Medical SociologyUniversity Medical Center LeipzigLeipzigGermany
  2. 2.Department of Psychosomatic Medicine and PsychotherapyUniversity of UlmUlmGermany
  3. 3.Comprehensive Cancer Center Ulm (CCCU)UlmGermany
  4. 4.Division of Hematology and OncologyUniversity Hospital of LeipzigLeipzigGermany
  5. 5.Department of Internal Medicine IIIUniversity Hospital of UlmUlmGermany
  6. 6.Department of Internal Medicine IIIUniversity of RegensburgRegensburgGermany

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