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Dyadic coping in young and middle-aged women with gynecological cancer: a latent class analysis

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Abstract

Purpose

Cancer is a shared stress that can cause psychosocial and emotional burdens for both patients and their partners. This study aimed to identify patterns of dyadic coping (DC) among young and middle-aged women with gynecological cancer and to assess between-group differences.

Methods

Between June 2021 and November 2021, patients with gynecological cancer who received therapy in a tertiary-grade hospital in Shandong, China, completed questionnaires including a demographic questionnaire, the Dyadic Coping Inventory, the PROMIS-Anxiety Short Form, the PROMIS-Depression Short Form, and the revised Conflict Tactics Scale and were classified into subtypes by latent class analysis.

Results

The sample consisted of 339 patients. Approximately one-third of the patients, especially cervical cancer patients, were exposed to varying degrees of DC issues. Three patterns were identified: class 1, middle-DC group (33.6%); class 2, low-DC group (32.2%); and class 3, high-DC group (34.2%). Postmenopausal patients were more likely to be included in class 1, while patients with cervical cancer were more likely to be included in class 2 (p < 0.05). Additionally, patients in class 2 were more likely to report insufficient emotional support (p < 0.05). A positive correlation was found for social relationship domains, and a negative correlation was found for anxiety and depression (p < 0.05).

Conclusion

The findings indicated a high prevalence of DC in young and middle-aged women with gynecological cancer. Overall, participants scored in the low-to-middle range in terms of DC levels, and patients with cervical cancer and those with insufficient emotional support were more likely to report DC issues and require additional attention.

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Data Availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Abbreviations

aBIC:

Adjusted Bayesian information criterion

AIC:

Akaike information criterion

BIC:

Bayesian information criterion

BLRT:

Bootstrap likelihood ratio test

DC:

Dyadic coping

LCA:

Latent class analysis

LMR:

Lo-Mendell-Rubin

PROMIS:

Patient-Reported Outcomes Measurement Information System

References

  1. 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 24:1605–1617. https://doi.org/10.1002/pon.3854

    Article  Google Scholar 

  2. Lyons KS, Miller LM, McCarthy MJ (2016) The roles of dyadic appraisal and coping in couples with lung cancer. J Family Nurs 22:493–514. https://doi.org/10.1177/1074840716675976

    Article  Google Scholar 

  3. Falconier MK, Kuhn R (2019) Dyadic coping in couples: a conceptual integration and a review of the empirical literature. Front Psychol 10:571. https://doi.org/10.3389/fpsyg.2019.00571

    Article  Google Scholar 

  4. Weißflog G, Hönig K, Gündel H, Lang D, Niederwieser D, Döhner H, Ernst J (2016) Associations between dyadic coping and supportive care needs: findings from a study with hematologic cancer patients and their partners. Support Care Cancer 25:1444–1454. https://doi.org/10.1007/s00520-016-3541-3

  5. Cai T, Qian J, Yuan C (2021) Dyadic coping in couples with breast cancer in China. Cancer Nurs 44(6):E458–E466. https://doi.org/10.1097/NCC.0000000000000884

    Article  Google Scholar 

  6. Hagedoorn M, Sanderman R, Bolks HN, Tuinstra J, Coyne JC (2008) Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. Psychol Bull 134:1–30. https://doi.org/10.1037/0033-2909.134.1.1

    Article  Google Scholar 

  7. Ştefǎnuţ AM, Vintilǎ M, Tudorel OI (2021) The relationship of dyadic coping with emotional functioning and quality of the relationship in couples facing cancer-a meta-analysis. Front Psychol 11:594015. https://doi.org/10.3389/fpsyg.2020.594015

    Article  Google Scholar 

  8. Acquati C, Kayser K (2019) Dyadic coping across the lifespan: a comparison between younger and middle-aged couples with breast cancer. Front Psychol 10:404. https://doi.org/10.3389/fpsyg.2019.00404

    Article  Google Scholar 

  9. Gonçalves V, Ferreira PL, Saleh M, Tamargo C, Quinn GP (2022) Perspectives of young women with gynecologic cancers on fertility and fertility preservation: a systematic review. Oncologist 27(3):e251–e264. https://doi.org/10.1093/oncolo/oyab051

    Article  Google Scholar 

  10. Taylan E, Oktay K (2019) Fertility preservation in gynecologic cancers. Gynecol Oncol 155(3):522–529. https://doi.org/10.1016/j.ygyno.2019.09.012

    Article  Google Scholar 

  11. Li Q, Lin Y, Chen Y, Loke AY (2018) Mutual support and challenges among Chinese couples living with colorectal cancer: a qualitative study. Cancer Nurs 41(5):E50–E60. https://doi.org/10.1097/NCC.0000000000000553

    Article  Google Scholar 

  12. Chen M, Gong J, Cao Q, Luo X, Li J, Li Q (2021) A literature review of the relationship between dyadic coping and dyadic outcomes in cancer couples. Eur J Oncol Nurs 54:102035. https://doi.org/10.1016/j.ejon.2021.102035

    Article  Google Scholar 

  13. Campbell SB, Trachik B, Goldberg S, Simpson TL (2020) Identifying PTSD symptom typologies: a latent class analysis. Psychiat Res 285:112779. https://doi.org/10.1016/j.psychres.2020.112779

    Article  Google Scholar 

  14. Randall AK, Hilpert P, Jimenez-Arista LE, Walsh KJ, Bodenmann G (2016) Dyadic coping in the U.S.: psychometric properties and validity for use of the English version of the Dyadic Coping Inventory. Curr Psychol 35(4):570–582. https://doi.org/10.1007/s12144-015-9323-0

    Article  Google Scholar 

  15. 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–e140. https://doi.org/10.1037/pas0000329

    Article  Google Scholar 

  16. Wong JYH, Choi EPH, Lo HHM, Wong W, Chio JHM, Choi AWM, Fong DYT (2021) Intimate partner sexual violence and mental gealth indicators among Chinese emerging adults. J Interpers Violence 36(19–20):10229–10254. https://doi.org/10.1177/0886260519872985

    Article  Google Scholar 

  17. Recklitis CJ, Blackmon JE, Chang G (2020) Screening young adult cancer survivors with the PROMIS Depression Short Form (PROMIS-D-SF): comparison with a structured clinical diagnostic interview. Cancer 126:1568–1575. https://doi.org/10.1002/cncr.32689

    Article  Google Scholar 

  18. Huang Q, Wu F, Cai T (2022) Psychometric properties of Chinese version PROMIS anxiety and depression short form among patients with breast cancer in China. J Nurs Training 37(3):193–198

  19. Cai T, Huang Q, Wu F, Xia H, Yuan C (2022) Psychometric validation of the Chinese version of the PROMIS Social Relationships Short Forms. Nurs Open 9:394–401. https://doi.org/10.1002/nop2.1077

    Article  Google Scholar 

  20. Cai T, Huang Q, Yuan C (2021) Profiles of instrumental, emotional, and informational support in Chinese breast cancer patients undergoing chemotherapy: a latent class analysis. BMC Womens Health 21:183. https://doi.org/10.1186/s12905-021-01307-3

  21. Hahn EA, DeWalt DA, Bode RK, Garcia SF, DeVellis RF, Cella D (2014) New English and Spanish social health measures will facilitate evaluating health determinants. Health Psychol 33:490–499. https://doi.org/10.1037/hea0000055

    Article  Google Scholar 

  22. Nylund KL, Asparouhov T, Muthén BO (2007) Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Struct Equ Modeling 14:535–569. https://doi.org/10.1080/10705510701575396

    Article  Google Scholar 

  23. Choi EPH, Huang J, Chau PH, Wan EYF (2021) Health-related quality of life among Chinese primary care patients with different lower urinary tract symptoms: a latent class analysis. Qual Life Res 30:1305–1315. https://doi.org/10.1007/s11136-020-02731-y

    Article  Google Scholar 

  24. Hong HC, Kim YM, Min A (2020) Symptom clusters in childhood cancer survivors in Korea: a latent class analysis. European J Cancer Care 29(6):e13322. https://doi.org/10.1111/ecc.13322

    Article  Google Scholar 

  25. Kayser K, Acquati C (2019) The influence of relational mutuality on dyadic coping among couples facing breast cancer. J Psychosoc Oncol 37:194–212. https://doi.org/10.1080/07347332.2019.1566809

    Article  Google Scholar 

  26. Shapira R, Turbitt E, Erby LH, Biesecker BB, Klein WMP, Hooker GW (2017) Adaptation of couples living with a high risk of breast/ovarian cancer and the association with risk-reducing surgery. Fam Cancer 17(4):485–493. https://doi.org/10.1007/s10689-017-0065-z

    Article  CAS  Google Scholar 

  27. Cai T, Qian J, Huang Q, Yuan C (2021) Distinct dyadic coping profiles in Chinese couples with breast cancer. Support Care Cancer 29(11):1–10. https://doi.org/10.1007/s00520-021-06237-2

    Article  Google Scholar 

  28. 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 96:120–127. https://doi.org/10.1016/j.pec.2014.04.010

    Article  Google Scholar 

  29. Manne S, Kissane D, Zaider T, Kashy D, Lee D, Heckman C, Virtue SM (2015) Holding back, intimacy, and psychological and relationship outcomes among couples coping with prostate cancer. J Fam Psychol 29:708–719. https://doi.org/10.1037/fam0000096

    Article  Google Scholar 

  30. Brandão T, Schulz MS, Matos PM (2016) Psychological adjustment after breast cancer: a systematic review of longitudinal studies. Psychooncology 26:917–926. https://doi.org/10.1002/pon.4230

    Article  Google Scholar 

  31. Hebdon M, Badger TA, Segrin C, Pasvogel A (2021) Social support and healthcare utilization of caregivers of Latinas with breast cancer. Support Care Cancer 29(8):4395–4404. https://doi.org/10.1007/s00520-020-05983-z

    Article  Google Scholar 

  32. Liu B, Wu X, Shi L, Li H, Wu D, Lai X, Li Y, Yang Y, Li D (2021) Correlations of social isolation and anxiety and depression symptoms among patients with breast cancer of Heilongjiang province in China: the mediating role of social support. Nurs Open 8(4):1981–1989. https://doi.org/10.1002/nop2.876

    Article  Google Scholar 

  33. Crangle CJ, Torbit LA, Ferguson SE, Hart TL (2020) Dyadic coping mediates the effects of attachment on quality of life among couples facing ovarian cancer. J Behav Med 43(4):564–575. https://doi.org/10.1007/s10865-019-00096-3

    Article  Google Scholar 

  34. Künzler A, Nussbeck FW, Moser MT, Bodenmann G, Kayser K (2014) Individual and dyadic development of personal growth in couples coping with cancer. Support Care Cancer 22(1):53–62. https://doi.org/10.1007/s00520-013-1949-6

    Article  Google Scholar 

  35. Lin Y, Luo X, Li J, Xu Y, Li Q (2021) The dyadic relationship of benefit finding and its impact on quality of life in colorectal cancer survivor and spousal caregiver couples. Support Care Cancer 29(3):1477–1486. https://doi.org/10.1007/s00520-020-05602-x

    Article  Google Scholar 

  36. An H, Chen C, Du R, Cheng C, Wang P, Dong S (2021) Self-efficacy, psychological distress, and marital quality in young and middle-aged couples facing lymphoma: the mediating effect of dyadic coping. Psychooncology 30:1492–1501. https://doi.org/10.1002/pon.5711

    Article  Google Scholar 

  37. 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  Google Scholar 

  38. Okati-Aliabad H, Ansari-Moghadam A, Mohammadi M, Kargar S, Shahraki-Sanavi F (2022) The prevalence of anxiety and depression and its association with coping strategies, supportive care needs, and social support among women with breast cancer. Support Care Cancer 30:703–710. https://doi.org/10.1007/s00520-021-06477-2

    Article  Google Scholar 

  39. Bodschwinna D, Ernst J, Mehnert-Theuerkauf A, Gündel H, Weissflog G, Hönig K (2021) Dyadic coping and social support: various types of support in hematooncological patients and their spouses-associations with psychological distress. Psychooncology 30:1041–1050. https://doi.org/10.1002/pon.5631

    Article  Google Scholar 

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Acknowledgements

The authors extend their sincere thanks to all the participants in this study.

Funding

This research was supported by the Start-up Fund of Shandong Cancer Hospital (No. 2020-A09).

Author information

Authors and Affiliations

  1. Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Shandong, China

    Meimei Shang, Yingtao Meng, Qian Wang, Yongchun Cui & Fang Zhang

  2. School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China

    Tingting Cai

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  1. Meimei Shang
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  4. Qian Wang
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Contributions

Tingting Cai was involved in the analysis, interpretation of the data, and drafting of the manuscript and gave final approval of the manuscript. Meimei Shang made substantial contributions to the conception and design of the study as well as the drafting and critical revision of the manuscript. Yingtao Meng, Qian Wang, and Yongchun Cui contributed to the data collection and data acquisition. Every author fully participated in this work and assumes public responsibility for the relevant part of the content.

Corresponding author

Correspondence to Tingting Cai.

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Ethics approval and consent to participate

This study was approved by the Ethics Committee of the Shandong Cancer Hospital (No. SDZLEC2020-110–01). Written informed consent was obtained from all patients.

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All authors read the final version of the paper and approved its submission for publication.

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The authors declare no competing interests.

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Shang, M., Cai, T., Meng, Y. et al. Dyadic coping in young and middle-aged women with gynecological cancer: a latent class analysis. Support Care Cancer 31, 47 (2023). https://doi.org/10.1007/s00520-022-07515-3

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