Skip to main content

Advertisement

Log in

The effects of dyadic coping and marital satisfaction on posttraumatic growth among breast cancer couples

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Objectives

To examine the dyadic relationships of dyadic coping, marital satisfaction, and posttraumatic growth and to confirm the mediating effect of marital satisfaction between dyadic coping and posttraumatic growth among breast cancer patients and their spouses.

Methods

A total of 206 pairs of female breast cancer patients and their spouses from one tertiary hospital in Guangzhou, China, from August 2018 to July 2019 were invited to complete the demographics and disease-related information questionnaire, the Posttraumatic Growth Inventory, the Marital Adjustment Scale, and the Dyadic Coping Inventory.

Results

Patients’ and spouses’ positive/negative dyadic coping exerted actor effects and partner effects on marital satisfaction, while their marital satisfaction and positive dyadic coping only exerted actor effects on posttraumatic growth. In addition, the mediating effects of marital satisfaction on the impact of dyadic coping on posttraumatic growth were confirmed in both patients and spouses.

Conclusion

Our findings provide a new perspective on the relationships between dyadic coping, marital satisfaction, and posttraumatic growth at the individual and dyadic levels. Promoting positive dyadic coping and decreasing negative dyadic coping among breast cancer patients and spouses can improve their marital satisfaction and posttraumatic growth.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data availability

The data of this study can be available from the corresponding author.

Code availability

N/A.

Notes

  1. They are a little bit low, probably due to the small number of items of MAS. However, considering that the MAS has been widely used and that an alpha of 0.7~0.8 is believed acceptable [30], we still used the MAS as a measurement.

References

  1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68:394–424. https://doi.org/10.3322/caac.21492

    Article  PubMed  Google Scholar 

  2. Li H, Zheng RS, Zhang SW, Zeng HM, Sun KX, Xia CF, Yang ZX, Chen WQ, Sai J (2018) Incidence and mortality of female breast cancer in China, 2014. Chin J Oncol 40:166–171. https://doi.org/10.3760/cma.j.issn.0253-3766.2018.03.002

    Article  CAS  Google Scholar 

  3. Zheng RS, Sun KX, Zhang SW, Wu RX, Meng Q (2019) Report of cancer epidemiology in China, 2015. Chin J Oncol 41:19–28. https://doi.org/10.3760/cma.j.issn.0253-3766.2019.01.005

    Article  CAS  Google Scholar 

  4. Kagee A, Roomaney R, Knoll N (2018) Psychosocial predictors of distress and depression among South African breast cancer patients. Psychooncology 27:908–914. https://doi.org/10.1002/pon.4589

    Article  PubMed  Google Scholar 

  5. Duprez C, Vanlemmens L, Untas A, Antoine P, Lesur A, Loustalot C, Guillemet C, Leclercq M, Segura C, Carlier D, Lefeuvre-Plesse C, Simon H, Frenel JS, Christophe V (2017) Emotional distress and subjective impact of the disease in young women with breast cancer and their spouses. Future Oncol 13:2667–2680. https://doi.org/10.2217/fon-2017-0264

    Article  CAS  PubMed  Google Scholar 

  6. Zhang JY, Zhou YQ, Feng ZW, Fan YN, Zheng GC, Wei L (2017) Randomized controlled trial of mindfulness-based stress reduction (MBSR) on posttraumatic growth of Chinese breast cancer survivors. Psychol Health Med 22:94–109. https://doi.org/10.1080/13548506.2016.1146405

    Article  PubMed  Google Scholar 

  7. Taku K, Tedeschi RG, Cann A (2015) Relationships of posttraumatic growth and stress responses in bereaved young adults. J Loss Trauma 20:56–71. https://doi.org/10.1080/15325024.2013.824306

    Article  Google Scholar 

  8. Tedeschi RG, Calhoun LG (1996) The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress 9:455–471. https://doi.org/10.1007/BF02103658

    Article  CAS  PubMed  Google Scholar 

  9. Jung-Won L (2018) The role of post-traumatic growth in promoting healthy behavior for couples coping with cancer. Support Care Cancer 27:829–838. https://doi.org/10.1007/s00520-018-4359-y

    Article  Google Scholar 

  10. Holtmaat K, van der Spek N, Lissenberg-Witte BI, Cuijpers P, Verdonck-de Leeuw IM (2019) Positive mental health among cancer survivors: overlap in psychological well-being, personal meaning, and posttraumatic growth. Support Care Cancer 27:443–450. https://doi.org/10.1007/s00520-018-4325-8

    Article  CAS  PubMed  Google Scholar 

  11. Hamama-Raz Y, Pat-Horenczyk R, Roziner I, Perry S, Stemmer SM (2019) Can posttraumatic growth after breast cancer promote positive coping?-a cross-lagged study. Psychooncology 28:767–774. https://doi.org/10.1002/pon.5017

    Article  PubMed  Google Scholar 

  12. Bodenmann G, Pihet S, Shantinath SD, Cina A, Widmer K (2006) Improving dyadic coping in couples with a stress-oriented approach: a 2-year longitudinal study. Behav Modif 30:571–597. https://doi.org/10.1177/0145445504269902

    Article  PubMed  Google Scholar 

  13. 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 34:486–495. https://doi.org/10.1037/hea0000218

    Article  PubMed  Google Scholar 

  14. Falconier MK, Jackson JB, Hilpert P, Bodenmann G (2015) Dyadic coping and relationship satis- -faction: a meta-analysis. Clin Psychol Rev 42:28–46. https://doi.org/10.1016/j.cpr.2015.07.002

    Article  PubMed  Google Scholar 

  15. Kelley DE, Kent EE, Litzelman K, Mollica MA, Rowland JH (2019) Dyadic associations between perceived social support and cancer patient and caregiver health: an actor-partner interdependence modeling approach. Psychooncology 28:1453–1460. https://doi.org/10.1002/pon.5096

    Article  PubMed  PubMed Central  Google Scholar 

  16. Zumrut B, Arzu A, Emre HA (2018) Mediating role of coping styles in personal, environmental and event related factors and posttraumatic growth relationships in women with breast cancer. J Clin Psychiat 21:38–45. https://doi.org/10.5505/kpd.2018.65365

    Article  Google Scholar 

  17. Heyman R, Sayers S, Bellack A (1994) Global marital satisfaction versus marital adjustment: an empirical comparison of three measures. J Fam Psychol 8:432–446. https://doi.org/10.1037/0893-3200.8.4.432

    Article  Google Scholar 

  18. Locke HJ, Wallace KM (1959) Short marital-adjustment and prediction tests: their reliability and validity. Marriage Fam Living 21:251–255. https://doi.org/10.2307/348022

    Article  Google Scholar 

  19. Lee MS, Kim K, Lim C, Kim JS (2016) Posttraumatic growth in breast cancer survivors and their spouses, based on the actor-partner interdependence model. Psychooncology 26:1586–1596. https://doi.org/10.1002/pon.4343

    Article  Google Scholar 

  20. García-López C, Sarriá E, Pozo P, Recio P (2016) Supportive dyadic coping and psychological adaptation in couples parenting children with autism spectrum disorder: the role of relationship satisfaction. J Autism Dev Disord 46:3434–3447. https://doi.org/10.1007/s10803-016-2883-5

    Article  PubMed  Google Scholar 

  21. Traa MJ, Vries JD, Bodenmann G, Oudsten BLD (2015) Dyadic coping and relationship functioning in couples coping with cancer: a systematic review. Br J Health Psychol 20:85–114. https://doi.org/10.1111/bjhp.12094

    Article  PubMed  Google Scholar 

  22. Aflakseir A, Nowroozi S, Mollazadeh J, Goodarzi MA (2016) The role of psychological hardiness and marital satisfaction in predicting posttraumatic growth in a sample of women with breast cancer in Isfahan. Iran J Cancer Prev 9:e4080. https://doi.org/10.17795/ijcp-4080

    Article  PubMed  PubMed Central  Google Scholar 

  23. Manne S, Badr H (2008) Intimacy and relationship processes in couples' psychosocial adaptation to cancer. Cancer 112:2541–2555. https://doi.org/10.1002/cncr.23450

    Article  PubMed  Google Scholar 

  24. Bodenmann G (1997) Dyadic coping-asystemic-transactional view of stress and coping among couples: theory and empirical findings. Eu Rev Appl Psychol 47:137–140. https://doi.org/10.1027/1015-5759.13.3.229

    Article  Google Scholar 

  25. Ledermann T, Bodenmann G (2006) Moderator and mediator effects in dyadic research: two extensions of the actor-partner interdependence model. Z Sozialpsychol 37:27–40. https://doi.org/10.1024/0044-3514.37.1.27

    Article  Google Scholar 

  26. Ledermann T, Macho S, Kenny DA (2011) Assessing mediation in dyadic data using the actor-partner interdependence model. Struct Equ Model 18:595–612. https://doi.org/10.1080/10705511.2011.607099

    Article  Google Scholar 

  27. Dong L, Hu Y, Xu GH, Huang JL (2013) Reliability and validity of the Chinese version of post-traumatic growth inventory scale in breast cancer survivors. J Nurs Sci 28:21–23. https://doi.org/10.3870/hlxzz.2013.22.021

    Article  Google Scholar 

  28. Wang XD, Wang XL, Ma H (1999) Handbook of mental health assessment scales Chinese Mental Health Association. Chinese Mental Health Journal, Beijing

    Google Scholar 

  29. Hunt RA (1978) The effect of item weighting on the Locke-Wallace Marital Adjustment Scale. Marriage Fam Living 40:249–256. https://doi.org/10.2307/350756

    Article  Google Scholar 

  30. Tavakol M, Dennick R (2011) Making sense of Cronbach's alpha. Int J Med Educ 2:53–55. https://doi.org/10.5116/ijme.4dfb.8dfd

    Article  PubMed  PubMed Central  Google Scholar 

  31. Bodenmann G (2008) Dyadisches coping inventar (DCI). J Fam Res 18:185–202

    Google Scholar 

  32. Xu F, Hilpert P, Randall AK, Li Q, Bodenmann G (2016) Validation of the dyadic coping inventory with Chinese couples: factorial structure, measurement invariance, and construct validity. Psychol Assess 28:e127. https://doi.org/10.1037/pas0000329

    Article  PubMed  Google Scholar 

  33. Wu ML (2010) Structural equation models: the operations and applications of AMOS, 2nd edn. Chongqing university press, Chongqing

    Google Scholar 

  34. Macho S, Ledermann T (2011) Estimating, testing, and comparing specific effects in structural equation models: the phantom model approach. Psychol Methods 16:34–43. https://doi.org/10.1037/a0021763

    Article  PubMed  Google Scholar 

  35. Bollen KA (1989) Structural equations with latent variables. Wiley, New York

    Book  Google Scholar 

  36. Orth U (2013) How large are actor and partner effects of personality on relationship satisfaction? The importance of controlling for shared method variance. Personal Soc Psychol Bull 39:1359–1372. https://doi.org/10.1177/0146167213492429

    Article  Google Scholar 

  37. Wang ML, Liu JE, Wang HY, Chen J, Li YY (2014) Posttraumatic growth and associated socio-demographic and clinical factors in Chinese breast cancer survivors. Eur J Oncol Nurs 18:478–483. https://doi.org/10.1016/j.ejon.2014.04.012

    Article  PubMed  Google Scholar 

  38. Teixeira RJ, Applebaum AJ, Bhatia S, Brandão T (2018) The impact of coping strategies of cancer caregivers on psychophysiological outcomes: an integrative review. Psychol Res Behav Manag 11:207–215. https://doi.org/10.2147/PRBM.S.164946

    Article  PubMed  PubMed Central  Google Scholar 

  39. Kausar S, Saghir R (2010) Posttraumatic growth and marital satisfaction after breast Cancer: patient and spouse perspective. Pakistan J Soc Clin Psychol 8:3–17

    Google Scholar 

  40. Hu Y, Scott J (2016) Family and gender values in China: generational, geographic, and gender differences. J Fam Issues 37:1267–1293. https://doi.org/10.1177/0192513X14528710

    Article  CAS  Google Scholar 

  41. Cao W, Qi X, Cai DA, Han XY (2018) Modeling posttraumatic growth among cancer patients: the roles of social support, appraisals, and adaptive coping. Psychooncology 27:208–215. https://doi.org/10.1002/pon.4395

    Article  PubMed  Google Scholar 

Download references

Funding

This work was supported by the National Natural Science Foundation of China (Grant Number. 71974217) and the Graduate Innovative Education Program Foundation of Guangdong Province (Grant Number. 53000-18842214).

Author information

Authors and Affiliations

Authors

Contributions

All authors have made contributions to the conception of this study. Study design: RFS, LJZ, JY, HMT, FLY, and YNZ; data collection: RFS, LJZ, HMT, FLY, and YNZ; and manuscript preparation: RFS, LJZ, and JY.

Corresponding author

Correspondence to Jun Yan.

Ethics declarations

Ethics approval

The study was approved by the institution’s ethics committee (L2019ZSLYEC-001).

Consent to participate

All participants signed informed consent forms.

Consent for publication

All authors agree to submit and publish the work in Supportive Care in Cancer.

Conflict of interest

The authors declare no conflicts of interest.

All authors have no relevant financial or non-financial interests to disclose.

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

All authors have no financial or proprietary interests in any material discussed in this article.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

ESM 1

(PDF 151 kb)

ESM 2

(PDF 105 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Suo, R., Zhang, L., Tao, H. et al. The effects of dyadic coping and marital satisfaction on posttraumatic growth among breast cancer couples. Support Care Cancer 29, 5425–5433 (2021). https://doi.org/10.1007/s00520-021-06121-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-021-06121-z

Keywords

Navigation