Tingting Cai1, Jianfeng Qian2, Qingmei Huang1, Changrong Yuan3. 1. School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China. 2. Department of Breast Surgery, Jiaxing First Hospital, Zhejiang, China. 3. School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China. yuancr@fudan.edu.cn.
Abstract
PURPOSE: Conceptualizing cancer as a dyadic stress provides new insight into how stress impacts couples with breast cancer. The present study aimed to identify subgroups with distinct dyadic coping profiles in a sample of Chinese couples with breast cancer and to determine how these subgroups differed in terms of demographic and clinical characteristics in addition to marital adjustment outcomes. METHODS: Using convenience sampling, a cross-sectional survey was conducted. Couples with breast cancer completed the general information questionnaire, the Dyadic Coping Inventory, and the Locke-Wollance Marital Adjustment Test. The modeling was performed using a latent profile analysis to identify the dyadic coping subgroups. Parametric and nonparametric tests were applied to examine between-group differences across the identified classes. RESULTS: The analytical results supported a three-class solution of dyadic coping groups: high (27.4%), medium (32.2%), and low (40.4%). Between-group differences were found in educational background, number of children, postoperative time, and type of surgery. CONCLUSION: Most couples reported low levels of dyadic coping. The couples with an educational level of primary school or below, with one child or who were childless, and who had undergone breast preservation surgery within the past year were more likely to belong to the low dyadic coping group. When supporting couples with breast cancer, it is essential to assess several demographic and clinical risk factors in addition to the marital adjustment level to identify high-risk subgroups that warrant intervention.
PURPOSE: Conceptualizing cancer as a dyadic stress provides new insight into how stress impacts couples with breast cancer. The present study aimed to identify subgroups with distinct dyadic coping profiles in a sample of Chinese couples with breast cancer and to determine how these subgroups differed in terms of demographic and clinical characteristics in addition to marital adjustment outcomes. METHODS: Using convenience sampling, a cross-sectional survey was conducted. Couples with breast cancer completed the general information questionnaire, the Dyadic Coping Inventory, and the Locke-Wollance Marital Adjustment Test. The modeling was performed using a latent profile analysis to identify the dyadic coping subgroups. Parametric and nonparametric tests were applied to examine between-group differences across the identified classes. RESULTS: The analytical results supported a three-class solution of dyadic coping groups: high (27.4%), medium (32.2%), and low (40.4%). Between-group differences were found in educational background, number of children, postoperative time, and type of surgery. CONCLUSION: Most couples reported low levels of dyadic coping. The couples with an educational level of primary school or below, with one child or who were childless, and who had undergone breast preservation surgery within the past year were more likely to belong to the low dyadic coping group. When supporting couples with breast cancer, it is essential to assess several demographic and clinical risk factors in addition to the marital adjustment level to identify high-risk subgroups that warrant intervention.
Authors: Guy Bodenmann; Bernard Plancherel; Steven R H Beach; Kathrin Widmer; Barbara Gabriel; Nathalie Meuwly; Linda Charvoz; Martin Hautzinger; Elisabeth Schramm Journal: J Consult Clin Psychol Date: 2008-12
Authors: Amanda N Gesselman; Silvia M Bigatti; Justin R Garcia; Kathryn Coe; David Cella; Victoria L Champion Journal: Psychooncology Date: 2016-07-04 Impact factor: 3.894
Authors: Sara Soares Dos Santos; Isabel Amélia Costa Mendes; Simone de Godoy; Elaine Maria Leite Rangel; Mirella Castelhano Souza; Artur Acelino Francisco Luz Nunes Queiroz; Valtuir Duarte de Souza-Junior; Maria Veronica Ferrarezi Ferreira Journal: Appl Nurs Res Date: 2019-12-26 Impact factor: 2.257
Authors: Janneke van Roij; Natasja Raijmakers; Jeroen Kloover; Evelien Kuip; Tineke Smilde; Lilly-Ann van der Velden; Gary Rodin; Lonneke van de Poll-Franse Journal: Psychooncology Date: 2022-05-23 Impact factor: 3.955