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Higher emotional distress in female partners of cancer patients: prevalence and patient-partner interdependencies in a 3-year cohort.
Psychooncology. 2013 Dec; 22(12):2693-701.P

Abstract

OBJECTIVE

Assessment and treatment of psychological distress in cancer patients was recognized as a major challenge. The role of spouses, caregivers, and significant others became of salient importance not only because of their supportive functions but also in respect to their own burden. The purpose of this study was to assess the amount of distress in a mixed sample of cancer patients and their partners and to explore the dyadic interdependence.

METHODS

An initial sample of 154 dyads was recruited, and distress questionnaires (Hospital Anxiety and Depression Scale, Symptom Checklist 9-Item Short Version and 12-Item Short Form Health Survey) were assessed over four time points. Linear mixed models and actor-partner interdependence models were applied.

RESULTS

A significant proportion of patients and their partners (up to 40%) reported high levels of anxiety, depression, psychological distress, and low quality of life over the course of the investigation. Mixed model analyses revealed that higher risks for clinical relevant anxiety and depression in couples exist for female patients and especially for female partners. Although psychological strain decreased over time, the risk for elevated distress in female partners remained. Modeling patient-partner interdependence over time stratified by patients' gender revealed specific effects: a moderate correlation between distress in patients and partners, and a transmission of distress from male patients to their female partners.

CONCLUSIONS

Our findings provide empirical support for gender-specific transmission of distress in dyads coping with cancer. This should be considered as an important starting point for planning systemic psycho-oncological interventions and conceptualizing further research.

Authors+Show Affiliations

Clinical Research Aargau, Aarau, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23825026

Citation

Moser, Michael T., et al. "Higher Emotional Distress in Female Partners of Cancer Patients: Prevalence and Patient-partner Interdependencies in a 3-year Cohort." Psycho-oncology, vol. 22, no. 12, 2013, pp. 2693-701.
Moser MT, Künzler A, Nussbeck F, et al. Higher emotional distress in female partners of cancer patients: prevalence and patient-partner interdependencies in a 3-year cohort. Psychooncology. 2013;22(12):2693-701.
Moser, M. T., Künzler, A., Nussbeck, F., Bargetzi, M., & Znoj, H. J. (2013). Higher emotional distress in female partners of cancer patients: prevalence and patient-partner interdependencies in a 3-year cohort. Psycho-oncology, 22(12), 2693-701. https://doi.org/10.1002/pon.3331
Moser MT, et al. Higher Emotional Distress in Female Partners of Cancer Patients: Prevalence and Patient-partner Interdependencies in a 3-year Cohort. Psychooncology. 2013;22(12):2693-701. PubMed PMID: 23825026.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Higher emotional distress in female partners of cancer patients: prevalence and patient-partner interdependencies in a 3-year cohort. AU - Moser,Michael T, AU - Künzler,Alfred, AU - Nussbeck,Fridtjof, AU - Bargetzi,Mario, AU - Znoj,Hans J, Y1 - 2013/07/03/ PY - 2012/04/19/received PY - 2013/05/13/revised PY - 2013/05/13/accepted PY - 2013/7/5/entrez PY - 2013/7/5/pubmed PY - 2014/8/1/medline KW - APIM KW - cancer KW - couples KW - distress KW - oncology KW - transmission SP - 2693 EP - 701 JF - Psycho-oncology JO - Psychooncology VL - 22 IS - 12 N2 - OBJECTIVE: Assessment and treatment of psychological distress in cancer patients was recognized as a major challenge. The role of spouses, caregivers, and significant others became of salient importance not only because of their supportive functions but also in respect to their own burden. The purpose of this study was to assess the amount of distress in a mixed sample of cancer patients and their partners and to explore the dyadic interdependence. METHODS: An initial sample of 154 dyads was recruited, and distress questionnaires (Hospital Anxiety and Depression Scale, Symptom Checklist 9-Item Short Version and 12-Item Short Form Health Survey) were assessed over four time points. Linear mixed models and actor-partner interdependence models were applied. RESULTS: A significant proportion of patients and their partners (up to 40%) reported high levels of anxiety, depression, psychological distress, and low quality of life over the course of the investigation. Mixed model analyses revealed that higher risks for clinical relevant anxiety and depression in couples exist for female patients and especially for female partners. Although psychological strain decreased over time, the risk for elevated distress in female partners remained. Modeling patient-partner interdependence over time stratified by patients' gender revealed specific effects: a moderate correlation between distress in patients and partners, and a transmission of distress from male patients to their female partners. CONCLUSIONS: Our findings provide empirical support for gender-specific transmission of distress in dyads coping with cancer. This should be considered as an important starting point for planning systemic psycho-oncological interventions and conceptualizing further research. SN - 1099-1611 UR - https://www.unboundmedicine.com/medline/citation/23825026/Higher_emotional_distress_in_female_partners_of_cancer_patients:_prevalence_and_patient_partner_interdependencies_in_a_3_year_cohort_ L2 - https://doi.org/10.1002/pon.3331 DB - PRIME DP - Unbound Medicine ER -