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The dyadic effects of coping and resilience on psychological distress for cancer survivor couples

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Abstract

Purpose

This study aimed to examine the actor and partner effects of coping and resilience characteristics on psychological distress in cancer survivors and their spouses and to examine the mediating role of resilience characteristics in the relationship between coping and psychological distress.

Methods

A total of 91 breast, colorectal, and prostate cancer survivor-spouse dyads were recruited from the University Hospital Registry in Cleveland, Ohio. Standardized questionnaires that assessed psychological distress, reframing and acquiring social support coping, and resilience characteristics were used.

Results

The actor-partner interdependence mediation model demonstrated that the resilience of the survivors and spouses was a strong predictor of their personal psychological distress. Survivors’ and spouses’ own resilience mediated the association between their reframing coping and psychological distress. However, only the survivor model confirmed the mediating effect of resilience characteristics in the relationship between social support coping and psychological distress. In addition, spouse psychological distress was influenced by survivor resilience, indicating a spouse-partner effect in the relationship between resilience characteristics and psychological distress.

Conclusions

Our findings provide insight into the relationships between coping, resilience characteristics, and psychological distress at the individual and dyadic levels. Enhancing cancer survivors’ and their spouses’ positive thoughts and available external resources can improve resilience and, in turn, reduce their psychological distress of couples coping with cancer.

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Abbreviations

APIMeM:

The actor-partner interdependence mediation model

BSI-18:

Brief Symptom Inventory-18

CFI:

Comparative Fit Index

F-COPES:

Family Crisis Oriented Personal Evaluation Scales

GSI:

Global Severity Index

RA:

Research assistant

RMSEA:

The root mean square error of approximation

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Acknowledgments

Funding for this research was supported by a grant from the National Institute of Nursing Research (P30NR011907).

Conflict of interest

None of the sponsors played any role in the study design, the collection, analysis, or interpretation of data, the writing of the manuscript, or in the decision to submit it for publication. We have full control of all primary data and agree to allow the journal to review our data if requested.

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Correspondence to Jung-won Lim.

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Lim, Jw., Shon, Ej., Paek, M. et al. The dyadic effects of coping and resilience on psychological distress for cancer survivor couples. Support Care Cancer 22, 3209–3217 (2014). https://doi.org/10.1007/s00520-014-2334-9

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  • DOI: https://doi.org/10.1007/s00520-014-2334-9

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