Dyadic Coping in Patients Undergoing Radiotherapy for Head and Neck Cancer and Their Spouses

Frontiers in Psychology

Hoda Badr¹ 

关键词: head and neck cancer;    couples;    caregiving;    dyadic coping;    radiotherapy;    psychosocial intervention;    depression;    dyadic adjustment;   

DOI  :  10.3389/fpsyg.2018.01780

学科分类：心理学（综合）

来源: Frontiers

【 摘 要 】

Background: Head and neck cancer (HNC) adversely affects the psychological (i.e., depression, anxiety) and marital adjustment of patients and their spouses. Dyadic coping refers to how couples cope with stress. It includes positive actions like sharing practical or emotional concerns (i.e., problem- and emotion-focused stress communication; PFSC, EFSC), and engaging in problem- or emotion-focused actions to support each other (problem- and emotion-focused dyadic coping; PFDC, EFDC). It also includes negative actions like avoidance (negative dyadic coping; NEGDC). In this secondary analysis of a randomized pilot trial of a couple-based intervention called SHARE (Spouses coping with the Head And neck Radiation Experience), we first examined associations between patients’ and spouses’ dyadic coping (and satisfaction with dyadic coping; SATDC) and their own/each other’s psychological and marital adjustment. Next, we examined the effects of SHARE relative to usual medical care (UMC) on patients’ and spouses’ dyadic coping. Finally, we examined whether changes in dyadic coping were associated with changes in patients’ and spouses’ psychological and marital adjustment.

【 授权许可】

CC BY