Huiying An1, Changying Chen2, Ruofei Du3, Chunyan Cheng1, Panpan Wang3, Shiqi Dong3. 1. Henan Provincial People' s Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan, China. 2. Department of Quality control, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. 3. School of Nursing and Health, Zhengzhou University, Zhengzhou, China.
Abstract
OBJECTIVE: This study explored the mediating role of dyadic coping between self-efficacy, psychological distress and marital quality among young and middle-aged couples facing lymphoma. METHODS: A total of 243 couples in which the patients were lymphoma were recruited to complete Dyadic Coping Inventory(DCI), Locke-Wallace Marital Adjustment Scale(MAS) for both. And Strategies Used by People Promote Health(SUPPH), Fear of Progression Questionnaire-Short(FoP-Q-SF) for patients; General Self-Efficacy Scale and Hospital Anxiety(HADS) for spouses.We used the statistical programs SPSS 20.0 and SPSS Amos 20.0 for data analysis. RESULTS: There were significant correlations between patient-spouse's dyadic coping and marriage quality scores. The patients' dyadic coping scores were significantly associated with their self-efficacy, FCR scores, marriage quality, their spouse's self-efficacy, and marriage quality. The spouses' dyadic coping scores were significantly associated with their self-efficacy, anxiety, and marriage quality. The APIMeM analysis mediator effect of dyadic coping in the relationship between self-efficacy, psychological distress, and marriage quality had a good fit, with χ2 /df =17.106, P = 0.194; RMSEA = 0.036; GFI = 0.992; CN = 243. CONCLUSIONS: For both patient and spouses, dyadic coping mediated impact of self-efficacy on marriage quality of themselves and their spouses, and individuals' dyadic coping mediated impact their psychological distress on marriage quality of themselves and spouses. The study highlighted the need for couple-based interventions and including strategies combined with individual and dyadic therapy for both partners. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
OBJECTIVE: This study explored the mediating role of dyadic coping between self-efficacy, psychological distress and marital quality among young and middle-aged couples facing lymphoma. METHODS: A total of 243 couples in which the patients were lymphoma were recruited to complete Dyadic Coping Inventory(DCI), Locke-Wallace Marital Adjustment Scale(MAS) for both. And Strategies Used by People Promote Health(SUPPH), Fear of Progression Questionnaire-Short(FoP-Q-SF) for patients; General Self-Efficacy Scale and Hospital Anxiety(HADS) for spouses.We used the statistical programs SPSS 20.0 and SPSS Amos 20.0 for data analysis. RESULTS: There were significant correlations between patient-spouse's dyadic coping and marriage quality scores. The patients' dyadic coping scores were significantly associated with their self-efficacy, FCR scores, marriage quality, their spouse's self-efficacy, and marriage quality. The spouses' dyadic coping scores were significantly associated with their self-efficacy, anxiety, and marriage quality. The APIMeM analysis mediator effect of dyadic coping in the relationship between self-efficacy, psychological distress, and marriage quality had a good fit, with χ2 /df =17.106, P = 0.194; RMSEA = 0.036; GFI = 0.992; CN = 243. CONCLUSIONS: For both patient and spouses, dyadic coping mediated impact of self-efficacy on marriage quality of themselves and their spouses, and individuals' dyadic coping mediated impact their psychological distress on marriage quality of themselves and spouses. The study highlighted the need for couple-based interventions and including strategies combined with individual and dyadic therapy for both partners. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.