Individual and dyadic development of personal growth in couples coping with cancer

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Datum
2014
Autor:innen
Künzler, Alfred
Moser, Michael T.
Bodenmann, Guy
Kayser, Karen
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Zusammenfassung

Rationale
Couples share distress as well as potential personal growth (PG) after a cancer diagnosis. It is essential for professionals to learn more about the ways couples cope together with adversity. Dyadic results may help to understand controversial results in the PG literature and inform clinicians in optimizing psychological support for couples.

Objective
We examine the temporal and dyadic development of PG among patients and their intimate partners. In addition, life threat is examined as a potential factor influencing PG after cancer diagnosis.

Methods
We assessed PG using the Personal Growth Inventory in a clinically representative, mixed-type and mixed-stage cancer cohort (N = 154 couples) 6 and 12 months after cancer diagnosis. Medical data on cancer diagnoses and treatments were collected from physicians. Actor–partner interdependence models were applied.

Results
PG was reported by patients and their partners. Women (either as patients or partners) reported more PG than male patients or partners. PG remained relatively stable over 6 months and was related to whether the patient was receiving curative or palliative treatment. Female patients experienced less PG 6 months after the cancer diagnosis and if treatment was curative. Male patients experienced less PG if their partners experienced PG, and the treatment was curative.

Conclusions
Dyadic growth is a phenomenon not limited to breast cancer or female patient couples and may represent a form of dyadic coping. Patients and partners seem to develop individual and dyadic growth, depending on a combination of gender and life threat. Psycho-oncology services may want to promote both couple level coping and support in order to optimize cancer care.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
Schlagwörter
Cancer, Oncology, Couples, Posttraumatic growth, APIM
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ISO 690KÜNZLER, Alfred, Fridtjof W. NUSSBECK, Michael T. MOSER, Guy BODENMANN, Karen KAYSER, 2014. Individual and dyadic development of personal growth in couples coping with cancer. In: Supportive Care in Cancer. 2014, 22(1), pp. 53-62. ISSN 0941-4355. eISSN 1433-7339. Available under: doi: 10.1007/s00520-013-1949-6
BibTex
@article{Kunzler2014-01Indiv-43799,
  year={2014},
  doi={10.1007/s00520-013-1949-6},
  title={Individual and dyadic development of personal growth in couples coping with cancer},
  number={1},
  volume={22},
  issn={0941-4355},
  journal={Supportive Care in Cancer},
  pages={53--62},
  author={Künzler, Alfred and Nussbeck, Fridtjof W. and Moser, Michael T. and Bodenmann, Guy and Kayser, Karen}
}
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    <dcterms:abstract xml:lang="eng">Rationale&lt;br /&gt;Couples share distress as well as potential personal growth (PG) after a cancer diagnosis. It is essential for professionals to learn more about the ways couples cope together with adversity. Dyadic results may help to understand controversial results in the PG literature and inform clinicians in optimizing psychological support for couples.&lt;br /&gt;&lt;br /&gt;Objective&lt;br /&gt;We examine the temporal and dyadic development of PG among patients and their intimate partners. In addition, life threat is examined as a potential factor influencing PG after cancer diagnosis.&lt;br /&gt;&lt;br /&gt;Methods&lt;br /&gt;We assessed PG using the Personal Growth Inventory in a clinically representative, mixed-type and mixed-stage cancer cohort (N = 154 couples) 6 and 12 months after cancer diagnosis. Medical data on cancer diagnoses and treatments were collected from physicians. Actor–partner interdependence models were applied.&lt;br /&gt;&lt;br /&gt;Results&lt;br /&gt;PG was reported by patients and their partners. Women (either as patients or partners) reported more PG than male patients or partners. PG remained relatively stable over 6 months and was related to whether the patient was receiving curative or palliative treatment. Female patients experienced less PG 6 months after the cancer diagnosis and if treatment was curative. Male patients experienced less PG if their partners experienced PG, and the treatment was curative.&lt;br /&gt;&lt;br /&gt;Conclusions&lt;br /&gt;Dyadic growth is a phenomenon not limited to breast cancer or female patient couples and may represent a form of dyadic coping. Patients and partners seem to develop individual and dyadic growth, depending on a combination of gender and life threat. Psycho-oncology services may want to promote both couple level coping and support in order to optimize cancer care.</dcterms:abstract>
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