Associations between dyadic coping and supportive care needs: findings from a study with hematologic cancer patients and their partners

作者：Weissflog Gregor^*; Hoenig Klaus; Guendel Harald; Lang Dirk; Niederwieser Dietger; Doehner Hartmut; Vogelhuber Martin; Mehnert Anja; Ernst Jochen

来源：Supportive Care in Cancer, 2017, 25(5): 1445-1454.

DOI：10.1007/s00520-016-3541-3

• Cancer
• Oncology
• Dyadic coping
• Supportive care needs
• Couples

Purpose The way couples mutually cope with hematologic cancer is likely to influence their levels of supportive care needs (SCN). Therefore, this study evaluated the levels of dyadic coping (DC) and SCN and the concurrent associations between both variables.
Methods Three hundred thirty patients with a hematologic malignancy (63% male) and their partners completed the dyadic coping inventory (DCI) and the supportive care needs survey (SCNS-SF-34-G). The levels of dyadic coping (DC) and supportive care needs (SCN) were compared with representative validation samples. Correlational analyses and actor-partner interdependence models (APIM) were calculated to estimate the association between DC and SCN.
Results Partners' stress communication of cancer patients (as part of DC) was decreased in contrast to that of a non-cancer sample. The perception of partners' delegated DC was higher (both with a moderate effect size of g >= |0.50|). SCN of patients and partners were lower in the dimensions health system/information and physical problems/daily living in contrast to those of a cancer patients' validation sample ( both with a small effect of g >= |0.20|). Higher perceptions of partners' negative DC were associated with higher SCN for both patients and partners. The same was true for patients' own stress communication and SCN, but only for the patients. Sociodemographic and illness-related factors were only partially related with the SCN of patients and partners.
Conclusions In order to diminish SCN of patients and partners, a possible way is to strengthen the quality of the dyadic relation. Due to its associations with elevated SCN, stress communication and negative dyadic coping behaviours may be useful targets for psychosocial interventions.

• 出版日期2017-5