Parenting Concerns, Psychological Distress, and Relationship Adjustment Among Patients With Cancer and Their Partners: A Longitudinal Study

被引:0
|
作者
Leo, Karena [1 ]
Langer, Shelby L. [2 ]
Mcdaniel, Hannah [3 ]
Baucom, Brian R. W. [4 ]
Keefe, Francis [1 ]
Ramos, Katherine [1 ]
Lee, Daniel J. [5 ]
Porter, Laura S. [1 ]
机构
[1] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Durham, NC 27708 USA
[2] Arizona State Univ, Edson Coll Nursing & Hlth Innovat, Ctr Hlth Promot & Dis Prevent, Phoenix, AZ USA
[3] Brigham Young Univ, Dept Psychol, Provo, UT USA
[4] Univ Utah, Dept Psychol, Salt Lake City, UT USA
[5] Duke Univ, Trinity Coll Arts & Sci, Durham, NC USA
关键词
cancer; communication; couples; oncology; parents; psycho-oncology; psychological adjustment; relationship; ADULTS; INTERVENTION; DEPRESSION; CAREGIVERS; QUALITY; FAMILY; CARE;
D O I
10.1002/pon.70057
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: Studies have found that cancer patients with dependent children exhibit high symptoms of anxiety, depression, and worry. Patients' parenting concerns can negatively impact their own and their family's adjustment to the cancer experience. However, relatively little is known about parenting concerns of partners of cancer patients, or associations between parenting concerns and couples' relationship adjustment. This longitudinal study investigated parenting concerns among both patients and partners, and their associations with psychological and relationship adjustment. Methods: One hundred thirty-four patients with cancer and their partners (67 couples) completed the Parenting Concerns Questionnaire at baseline and measures of psychological distress, communication, and relationship adjustment at four time points (baseline, 4-, 8-, and 12-month follow up). Results: Baseline parenting concerns did not differ by role, gender, cancer site or cancer stage (p > 0.05). Patients and partners who reported higher levels of parenting concerns at baseline reported significantly greater psychological distress and poorer communication concurrently and at each subsequent assessment. There were no significant associations between parenting concerns and relationship satisfaction either concurrently or over time. Conclusions: These findings reinforce the need for a dyadic perspective to assessing both patients' and partners' parenting concerns and a focus on processes such as communication as an avenue for managing and processing parenting concerns.
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页数:10
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