Abstract
This study examined the psychometric structure of a measure of positive and negative spouse responses to individuals with cancer, the Partner Responses to Cancer Inventory (PRCI). The forty-eight items were either developed by the authors or adapted from the Inventory of Socially Supportive Behaviors. Seven a priori subscales of the PRCI, four positive support scales and three negative spouse behavior scales, were hypothesized. The instrument was administered to 304 cancer patients undergoing cancer treatment. Exploratory factor analyses yielded four factors that were subsequently confirmed by confirmatory factor analysis: (a) Emotional and Instrumental Support, (b) Cognitive Information and Guidance, (c) Encouraging Distancing and Self-Restraint, and (d) Criticism and Withdrawal. The measure satisfied standard criteria for internal consistency and construct validity, and thus may be useful for social support theory and research.
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REFERENCES
Arbuckle, J. L. (1994). Amos Users' Guide. Version 3.6, Smallwaters Corporation, Chicago.
Barrera, M., Sandler, I., and Ramsay, T. (1981). Preliminary development of a scale of social support: Studies on college students. Am. J.Commun. Psychol. 14: 413-445.
Bloom, J. (1982). Social support, accommodation to stress and adjustment to breast cancer. Soc. Sci. Med. 16: 1329-1338.
Bloom, J. R., and Spiegel, D. (1984). The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer. Soc. Sci. Med. 19(8): 831-837.
Bloom, J. R., and Kessler, L. (1994). Emotional support following cancer: A test of the stigma and social activity hypotheses. J. Health Soc. Behav. 35(June): 118-133.
Caplan,G. (1974). Support systems. In Caplan, G. (Ed.), Support Systems and Community Mental Health, Basic Books, New York.
Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, F. L. J., and Clark, K. C. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. J. Pers. Soc. Psychol. 65: 375-390.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosom. Med. 38: 300-314.
Creamer, M., Burgess, P., and Pattison, P. (1992). Reaction to trauma: A cognitive processing model. J. Abnorm. Psychol. 101(3): 452-459.
Cutrona, C., and Russell, D. (1987). The provisions of social relationships and adaptation to stress. Adv. Pers. Relation. 1: 37-67.
Dakof, G., and Taylor, S. (1990). Victims' perceptions of social support: What is helpful from whom? J. Pers. Soc. Psychol. 58: 80-89.
Dunkel-Schetter, C. (1984). Social support and cancer: Findings based on patient interviews and their implications. J. Soc. Issues 40: 77-98.
Epping-Jordan, J. E., Compas, B. E., Osowiecki, D. M., Oppedisano, G., Gerhardt, C., Primo, K., and Krag, D. N. (1999). Psychological adjustment in breast cancer: Process of emotional distress. Health Psychol. 18(4): 315-326.
Fallowfield, L. J., and Hall, A. (1990). Psychological outcomes of different treatment policies in women with early breast cancer outside a clinical trial. Br. Med. J. 301: 575-580.
Finch, J., Okun, M., Barrera, M., Zautra, A., and Reich, J. (1989). Positive and negative social ties among older adults: Measurement models and the prediction of psychological distress and well-being. Am. J. Community Psychol. 17: 585-605.
Folkman, S., and Lazarus, A. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. J. Pers. Soc. Psychol. 48: 150-170.
Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., and Gruen, R. J. (1986). Dynamics of stressful encounter: Cognitive appraisal, coping and encounter outcomes. J. Pers. Soc. Psychol. 50: 992-1003.
Ford, S., Lewis, S., and Fallowfield, L. (1995). Psychological morbidity in newly referred patients with cancer. J. Psychosom. Res. 2: 193-202.
Frazier, P., Davis-Ali, S., and Dahl, K. (1994). Correlates of noncompliance among renal transplant recipients. Clin. Transplant. 8: 550-557.
Funch, D. P., and Marshall, J. (1983). The role of stress, social support and age in survival from breast cancer. J. Psychosom. Res. 27: 77-83.
Gottlieb, B. (1985). Social support and the study of personal relationships. J. Soc. Pers. Rel. 2: 351-375.
Gurowka, K., and Lightman, E. (1995). Supportive and unsupportive interactions as perceived by cancer patients. Soc. Work Health Care 21(4): 77-89.
Helgeson, V. S., and Cohen, S. (1996). Social support and adjustment to cancer: Reconciling descriptive, correlational, and intervention research. Health Psychol. 15(2): 135-148.
Horowitz, M. (1976). Stress Response Syndromes, Aronson, New York.
House, J. S. (1981). Work Stress and Social Support, Addison-Wesley, Reading, MA.
Hoyle, R. H., and Panter, A. T. (1995). Writing about structural equation models. In Structural Equation Modeling: Concepts, Issues, and Applications, Sage, California.
Janoff-Bulman, R., and Frieze, I. H. (1983). A theoretical perspective for understanding reactions to victimization. J. Soc. Issues 39: 1-17.
Janoff-Bulman, R. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In Figley, C. R. (Ed.), Trauma and its Wake, Brunner/Mazel, New York, pp. 15-35.
Klemm, P. R. (1994). Variables influencing psychosocial adjustment in lung cancer: A preliminary study. Oncol. Nurs. Forum 21(6): 1059-1062.
Koopman, C., Hermanson, K., Diamond, S., Angell, K., and Spiegel, D. (1998). Social support, life stress, pain and emotional adjustment to advanced breast cancer. Psycho-Oncology 7: 101-111.
Krishnasamy, M. (1996). Social support and the patient with cancer: A consideration of the literature. J. Adv. Nurs. 23: 757-762.
Lazarus, R. S., DeLongis, A., Folkman, S., and Gruen, R. (1985). Stress and adaptational outcomes: The problem of confounded measures. Am. Psychol. 40: 770-779.
Lepore, S. (1997). Expressive writing moderates the relation between intrusive thoughts and depressive symptoms. J. Pers. Soc. Psychol. 73: 1030-1087.
Lepore, S., Silver, R., Wortman, C., and Wayment, H. (1996). Social constraints, intrusive thoughts, and depressive symptoms among bereaved mothers. J. Pers. Soc. Psychol. 70: 271-282.
Lepore, S. (2001). A social-cognitive processing model of emotional adjustment to cancer. In Baum, A. and Andersen, B. (Eds.), Psychosocial interventions for cancer, American Psychological Association, Washington, DC, pp. 99-118.
Manne, S. (1999). Intrusive thoughts and psychological distress among cancer patients: The role of spouse avoidance and criticism. J. Consult. Clin. Psychol. 67: 539-546.
Manne, S., Pape, S., Taylor, K., and Dougherty, J. (1999). Spouse support, coping and mood among individuals with cancer. Ann. Behav. Med. 21(2): 111-121.
Manne, S., Taylor, K., Dougherty, J., and Kemeny, N. (1997). Social support and negative responses in the marital relationship: Their association with psychological adjustment among individuals with cancer. J. Behav. Med. 20(2): 101-125.
Manne, S. L., and Zautra, A. (1990). Spouse criticism and support: Their association with coping and psychological adjustment amongwomenwith rheumatoid arthritis. J. Pers. Soc. Psychol. 56: 608-617.
Neuling, S., and Winefield, H. (1988). Social support and recovery after surgery for breast cancer: Frequency and correlates of supportive behaviors by family, friends, and surgeon. Soc. Sci. Med. 27: 385-392.
Northouse, L. L. (1988). Social support in patients' and husbands' adjustment to breast cancer. Nurs. Res. 37(2): 91-95.
Norusis, M. (1990). SPSS Advanced Statistics 8.0., SPSS, Chicago.
Pennebaker, J. (1989). Confession, inhibition and disease. In Berkowitz, L. (Ed.), Advances in Experimental Social Psychology, Vol. 22, Academic Press, Orlando, FL, pp. 211-244.
Pennebaker, J. and Beall, S. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. J. Abnorm. Psychol. 95: 274-281.
Pierce, G., Sarason, I., and Sarason, B. (1991). General and relationship-based perceptions of social support: Are two constructs better than one? J. Pers. Soc. Psychol. 61: 1028-1039.
Pistrang, N., and Barker, C. (1998). Partners and fellow patients: Two sources of emotional support for women with breast cancer. Am. J. Community Psychol. 26: 439-456.
Primomo, J., Yates, B. C., and Woods, N. F. (1990). Social support for women during chronic illness: The relationship among sources and types to adjustment. Res. Nurs. Health 13: 153-161.
Quinn, M., Fontana, A., and Reznikoff, M. (1986). Psychological distress in reaction to lung cancer as a function of spousal support and coping strategy. J. Psychosoc. Oncol. 4: 79-90.
Revenson, T. A., Wollmann, C. A., and Felton, B. J. (1983). Social support as stress buffers for adult cancer patients. Psychosom. Med. 45: 321-331.
Roberts, C. S., Cox, C. E., Shannon, V. J., and Wells, N. L. (1994). A closer look at social support as a moderator of stress in breast cancer. Health Soc. Work 19(3): 157-164.
Roberts, B., Matecjyck, M., and Anthony, M. (1996). The effects of social support on the relationship of functional limitation and pain to depression. Arthritis Care Res. 9: 67-73.
Sandler, I. and Barrera, M. (1984). Toward a multi-method approach to assessing the effects of social support. Am. J. Community Psychol. 12: 37-52.
Sollner, W., Zschocke, I., Zingg-Schir, M., Stein, B., Rumpold, G., Fritsch, P., and Augustin, M. (1999). Interactive patterns of social support and individual coping strategies in melanoma patients and their correlations with adjustment to illness. Psychosomatics 40(3): 239-250.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J. Marr. Fam. 38: 15-28.
Stokes, J., and Wilson, D. (1984). The Inventory of Socially Supportive Behaviors: Dimensionality, prediction and gender differences. Am. J. Community Psychol. 12: 53-69.
Tabachnick, B. G., and Fidell, L. S. (1997). Using Multivariate Statistics, 3rd ed., Harper Collins, New York.
Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. Am. Psychol. 38: 1161-1173.
Tempelaar, R., de Haes, J., de Ruiter, J., Bakker, D., Van Den Heuvel, W., and Van Nieuwenhuijzen, M. (1989). The social experiences of cancer patients under treatment: A comparative study. Soc. Sci. Med. 29(5): 635-642.
Thoits, P. (1986). Social support as coping assistance. J. Consult. Clin. Psychol. 54: 416-423.
Thoits, P. (1995). Stress, coping and social support processes: Where are we? What next? J. Health Soc. Behav. (extra issue): 53-79.
Weiss, R. (1974). The provisions of social relationships. In Rubin, Z. (Ed.), Doing Unto Others, Prentice Hall, Englewood Cliffs, NJ, pp. 17-26.
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Manne, S., Schnoll, R. Measuring Supportive and Unsupportive Responses During Cancer Treatment: A Factor Analytic Assessment of the Partner Responses to Cancer Inventory. J Behav Med 24, 297–321 (2001). https://doi.org/10.1023/A:1010667517519
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DOI: https://doi.org/10.1023/A:1010667517519