The dyadic effects of coping and resilience on psychological distress for cancer survivor couples

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• 作者：Jung-won Lim (1)
  En-jung Shon (2)
  Minso Paek (3)
  Barbara Daly (4)
  
• 关键词：Coping ; Dyadic relationship ; Psychological distress ; Resilience
• 刊名：Supportive Care in Cancer
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：22
• 期：12
• 页码：3209-3217
• 全文大小：346 KB
• 参考文献：1. American Cancer Society (2014) Cancer facts and figures 2014. In: Editor (ed)^(eds) Book cancer facts and figures 2014. American Cancer Society, City
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• 作者单位：Jung-won Lim (1)
  En-jung Shon (2)
  Minso Paek (3)
  Barbara Daly (4)
  
  1. College of Social Welfare, Kangnam University, 111 Gugal-dong, Giheung-gu, Yongin-si, Gyeonggi-do, South Korea
  2. Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH, 44106, USA
  3. Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA
  4. Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH, 44106, USA
  
• ISSN：1433-7339

文摘

Purpose This study aimed to examine the actor and partner effects of coping and resilience characteristics on psychological distress in cancer survivors and their spouses and to examine the mediating role of resilience characteristics in the relationship between coping and psychological distress. Methods A total of 91 breast, colorectal, and prostate cancer survivor-spouse dyads were recruited from the University Hospital Registry in Cleveland, Ohio. Standardized questionnaires that assessed psychological distress, reframing and acquiring social support coping, and resilience characteristics were used. Results The actor-partner interdependence mediation model demonstrated that the resilience of the survivors and spouses was a strong predictor of their personal psychological distress. Survivors-and spouses-own resilience mediated the association between their reframing coping and psychological distress. However, only the survivor model confirmed the mediating effect of resilience characteristics in the relationship between social support coping and psychological distress. In addition, spouse psychological distress was influenced by survivor resilience, indicating a spouse-partner effect in the relationship between resilience characteristics and psychological distress. Conclusions Our findings provide insight into the relationships between coping, resilience characteristics, and psychological distress at the individual and dyadic levels. Enhancing cancer survivors-and their spouses-positive thoughts and available external resources can improve resilience and, in turn, reduce their psychological distress of couples coping with cancer.