Journal of Behavioral Medicine

, Volume 26, Issue 1, pp 31–52 | Cite as

The Effects of Dyadic Strength and Coping Styles on Psychological Distress in Couples Faced with Prostate Cancer

  • Rajni Banthia
  • Vanessa L. Malcarne
  • James W. Varni
  • Celine M. Ko
  • Georgia Robins Sadler
  • Helen L. Greenbergs
Article

Abstract

Dyadic adjustment and coping styles have been shown to predict levels of psychological distress following cancer diagnoses. This study examined the relationship between coping and distress in couples faced with prostate cancer, considering dyadic functioning as a third variable that potentially moderated or mediated the relationship. To investigate its influence on the success of patients' and spouses' coping efforts, both moderational and mediational models were tested using couples' composite dyadic adjustment scores. Only the moderational model was supported for patients: dyadic strength moderated the effects of avoidant coping and intrusive thinking on mood disturbance. Despite maladaptive coping, patients that were members of stronger dyads reported less distress than those in more dysfunctional relationships. Findings suggest that the relationship between coping and distress depends on the quality of dyadic functioning. Being part of a strong dyad may serve as a buffering factor, implying the need for psychosocial intervention for couples in maladjusted relationships.

prostate cancer spouses coping marital/dyadic functioning distress 

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References

  1. American Cancer Society (2002). Cancer Facts and Figures, American Cancer Society, Atlanta, GA.Google Scholar
  2. Baider, L., Koch, U., Esacson, R., and Kaplan De-Nour, A. (1998a). Prospective study of cancer patients and the spouses: The weakness of marital strength. Psychooncology 7: 49–56.PubMedGoogle Scholar
  3. Baider, L., Walach, N., Perry, S., and Kaplan De-Nour, A. (1998b). Cancer in married couples: Higher or lower distress? J. Psychosom. Res. 45: 239–248.PubMedGoogle Scholar
  4. Baron, R. M., and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J. Pers. Soc. Psychol. 6: 1173–1182.Google Scholar
  5. Burman, B., and Margolin, G. (1992). Analysis of the association between marital relationships and health problems: An interactional perspective. Psychol. Bull. 112: 39–63.PubMedGoogle Scholar
  6. Carter, C. A., and Carter, R. E. (1994). Marital adjustment and effects of illness in married pairs with one or both spouses chronically ill. Am. J. Fam. Ther. 22: 315–326.Google Scholar
  7. Ey, S., Compas, B. E., Epping-Jordan, J. E., and Worsham, N. (1998). Stress responses and psychological adjustment in patients with cancer and their spouses. J. Psychosoc. Oncol. 16: 59–77.Google Scholar
  8. Gilbar, O. (1999). Gender as a predictor of burden and psychological distress of elderly husbands and wives of cancer patients. Psychooncology 8: 287–294.PubMedGoogle Scholar
  9. Giunta, C. T., and Compas, B. E. (1993). Coping in marital dyads: Patterns and associations with psychological symptoms. J. Marr. Fam. 55: 1011–1017.Google Scholar
  10. Gray, R. E., Fitch, M. I., Phillips, C., Labrecque, M., and Klotz, L. (1999). Presurgery experiences of prostate cancer patients and their spouses. Cancer Pract. 7: 130–135.PubMedGoogle Scholar
  11. Hagedoorn, M., Buunk, B. P., Kuijer, R. G., Wobbes, T., and Sanderman, R. (2000). Couples dealing with cancer: Role and gender differences regarding psychological distress and quality of life. Psychooncology 9: 232–242.PubMedGoogle Scholar
  12. Hoekstra-Weebers, J. E. H. M., Jaspers, J. P. C., Kamps, W. A., and Klip, E. C. (1998). Gender differences in psychological adaptation and coping in parents of pediatric cancer patients. Psychooncology 7: 26–36.PubMedGoogle Scholar
  13. Jacobs, J. R., Banthia, R., Sadler, G. R., Varni, J. W., Malcarne, V. L., Greenbergs, H. L., Schmidt, J., and Johnstone, P. A. S. (2002). Problems associated with prostate cancer: Differences in opinion among health care providers, patient, and spouses. J. Cancer Educ. 17: 33–36.PubMedGoogle Scholar
  14. Kurtz, M. E., Kurtz, J. C., Given, C. W., and Given, B. (1995). Relationship of caregiver reactions and depression to cancer patients' symptoms, functional states and depression—A longitudinal view. Soc. Sci. Med. 40: 837–846.PubMedGoogle Scholar
  15. Litwin, M. S., Hays, R. D., Fink, A., Ganz, P. A., Leake, B., and Brook, R. H. (1998). The UCLA Prostate Cancer Index: Development, reliability, and validity of a health-related quality of life measure. Med. Care 36: 1002–1012.PubMedGoogle Scholar
  16. Malcarne, V. L., Banthia, R., Varni, J. W., Sadler, G. R., Greenbergs, H. L., and Ko, C. M. (2002). Problems associated with prostate cancer: Differences in opinion among health care providers, patient, and spouses. J. Cancer Educ. 17: 148–152.Google Scholar
  17. Manne, S. L. (1998). Cancer in the marital context: A review of the literature. Cancer Invest. 16: 188–202.PubMedGoogle Scholar
  18. Manne, S. L. (1999). Intrusive thoughts and psychological distress among cancer patients: The role of spouse avoidance and criticism. J. Consult. Clin. Psychol. 67: 539–546.PubMedGoogle Scholar
  19. Manne, S. L., Alfieri, T., Taylor, K. L., and Dougherty, J. (1999). Spousal negative responses to cancer patients: The role of social restriction, spouse mood, and relationship satisfaction. J. Consult. Clin. Psychol. 67: 352–361.PubMedGoogle Scholar
  20. Manne, S. L., and Glassman, M. (2000). Perceived control, coping efficacy, and avoidance coping as mediators between spouses' unsupportive behaviors and cancer patients' psychological distress. Health Psychol. 19: 155–164.PubMedGoogle Scholar
  21. Manne, S. L., Taylor, K. L., Dougherty, J., and Kemeny, N. (1997). Supportive and negative responses in the partner relationship: Their association with psychological adjustment among individuals with cancer. J. Behav. Med. 20: 101–124.PubMedGoogle Scholar
  22. Manne, S. L., and Zautra, A. (1989). Spouse criticism and support: Their association with coping and psychological adjustment among women with rheumatoid arthritis. J. Pers. Soc. Psychol. 56: 608–617.PubMedGoogle Scholar
  23. McNair, D. M., Lorr, M., and Droppleman, L. F. (1992). Manual for the Profile of Mood States–Revised 1992, Educational and Industrial Testing Service, San Diego, CA.Google Scholar
  24. Nicholas, D. R. (2000). Men, masculinity, and cancer: Risk-factor behaviors, early detection, and psychosocial adaptation. J. Am. Coll. Health 49: 27–33.PubMedGoogle Scholar
  25. Nijboer, C., Triemstra, M., Tempelaar, R., Sanderman, R., and van den Bos, G. A. M. (1999). Determinants of caregiving experiences and mental health of partners of cancer patients. Cancer 86: 577–588.PubMedGoogle Scholar
  26. Northouse, L. L., Dorris, G., and Charron-Moore, C. (1995). Factors affecting couples' adjustment to recurrent breast cancer. Soc. Sci. Med. 41: 69–76.PubMedGoogle Scholar
  27. Northouse, L. L., Mood, D., Templin, T., Mellon, S., and George, T. (2000). Couples' patterns of adjustment to colon cancer. Soc. Sci. Med. 50: 271–284.PubMedGoogle Scholar
  28. Northouse, L. L., and Swain, M. A. (1987). Adjustments of patients and husbands to the initial impact of breast cancer. Nurs. Res. 36: 221–225.PubMedGoogle Scholar
  29. Northouse, L. L., Templin, T., Mood, D., and Oberst, M. (1998). Couples' adjustment to breast cancer and benign breast disease: A longitudinal analysis. Psychooncology 7: 37–48.PubMedGoogle Scholar
  30. Revenson, T. (1994). Social support and marital coping with chronic illness. Ann. Behav. Med. 16: 122–130.Google Scholar
  31. Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J. Marr. Fam. February: 15–27.Google Scholar
  32. Weiss, D. S., and Marmar, C. R. (1997) The Impact of Events Scale-Revised. In Wilson, J. P., and Keane, T. M. (Eds.), Assessing Psychological Trauma and PTSD, Guilford, New York, pp. 399–411.Google Scholar

Copyright information

© Plenum Publishing Corporation 2003

Authors and Affiliations

  • Rajni Banthia
    • 1
  • Vanessa L. Malcarne
    • 2
  • James W. Varni
    • 3
    • 4
  • Celine M. Ko
    • 1
  • Georgia Robins Sadler
    • 3
    • 4
  • Helen L. Greenbergs
    • 4
  1. 1.SDSU/UCSD Joint Doctoral Program in Clinical PsychologySan Diego
  2. 2.Department of Psychology, SDSUSan Diego
  3. 3.UCSD School of MedicineSan DiegoCalifornia
  4. 4.Children's Hospital and Health CenterSan Diego

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