The purpose of the present study was to apply Berg and Upchurch’s developmental-conceptual model toward a better understanding of how couples cope with chronic illness. Specifically, a model was hypothesized in which proximal factors (relational quality), dyadic appraisal (illness interference), and dyadic coping (partner support) influence adjustment (health condition management). The study was cross-sectional and included 308 dyads in which one partner has a chronic health condition. The actor partner interdependence model shows how congruence and noncongruence in relational quality, dyadic appraisal, and dyadic coping influence dyadic adjustment.
AcitelliL. K.BadrH. (2005). My illness or our illness? Attending to the relationship when one partner is ill. In RevensonT. A.KayserK.BodenmannG. (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp. 121-136). Washington, DC: American Psychological Association.
2.
AfifiT. D.HutchinsonS.KrouseS. (2006). Toward a theoretical model of communal coping in postdivorce families and other occurring groups. Communication Theory, 16, 378-409.
3.
AndersonG. (2004). Chronic conditions: Making the case for ongoing care. Baltimore, MD: Johns Hopkins University.
BabrowA. S. (2007). Problematic integration theory. In WhaleyB. B.SamterW. (Eds.), Explaining communication: Contemporary theories and exemplars (pp. 181-200). Mahwah, NJ: Lawrence Erlbaum.
6.
BadrH. (2004). Coping in marital dyads: A contextual perspective on the role of gender and health. Personal Relationships, 11, 197-211. doi:1350-4126/02
7.
BergC. A.UpchurchR. (2007). A developmental-contextual model of couples coping with chronic illness across the adult lifespan. Psychological Bulletin, 133, 920-954. doi:10.1037/0033-2909.133.6.920
8.
BergC. A.WiebeD. J.ButnerJ. (2011). Affect covariation in marital couples dealing with stressors surrounding prostate cancer. Gerontology, 57, 167-172. doi:10.1159/000318642
9.
BergC. A.WiebeD. J.ButnerJ.BloorL.BradstreetC.UpchurchR.. . . PattonG. (2008). Collaborative coping and daily mood in couples dealing with prostate cancer. Psychology & Aging, 23, 505-516. doi:10.1037/a0012687
10.
BodenmannG. (2005). Dyadic coping and its significance for marital functioning. In RevensonT. A.KayserK.BodenmannG. (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp. 33-49). Washington, DC: American Psychological Association.
11.
BosworthH. B.SteffensD. C.KuchibhatlaM. N.JiangW. J.AriasR. M.O’ConnorC. M.KrishnanK. R. (2000). The relationship of social support, social networks, and negative events with depression in patients with coronary artery disease. Aging & Mental Health, 4, 253-258.
12.
BrashersD. E. (2007). A theory of communication and uncertainty management. In WhaleyB. B.SamterW. (Eds.), Explaining communication: Contemporary theories and exemplars (pp. 201-218). Mahwah, NJ: Lawrence Erlbaum.
13.
BrowneM. W.CudeckR. (1993). Alternative ways of assessing model fit. In BollenK. A.LongJ. S. (Eds.), Testing structural equation models (pp. 136-162). Newbury Park, CA: Sage.
14.
BurtonA. M.SautterJ. M.TulskyJ. A.LindquistJ. H.HaysJ. C.OlsenM. K.. . . SteinhauserK. E. (2012). Burden and well-being among a diverse sample of cancer, congestive heart failure, and chronic obstructive pulmonary disease caregivers. Journal of Pain and Symptom Management, 44, 410-419. doi:10.1016/j.jpainsymman.2011.09.018
CharmazK. (2000). Experiencing chronic illness. In AlbrechtG. L.FitzpatrickR.ScrimshawS. C. (Eds.), The handbook of social studies in health and medicine (pp. 277-292). Thousand Oaks, CA: Sage.
17.
ChectonM. G.GreeneK. (2012). Beyond initial disclosure: The role of prognosis and symptom uncertainty in patterns of disclosure in relationships. Health Communication, 27, 145-157. doi:10.1080/10410236.2011.571755
18.
ChectonM. G.GreeneK.Magsamen-ConradK.VenetisM. K. (2012). Patients’ and partners’ perspectives of chronic illness and its management. Families, Systems, & Health: The Journal of Collaborative Family Healthcare, 30, 114-129. doi:10.1037/a0028598
19.
CookW. L.KennyD. A. (2005). The actor-partner interdependence model: A model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29, 101-109.
20.
CookW. L.SnyderD. K. (2005). Analyzing nonindependent outcomes in couple therapy using the actor-partner interdependence model. Journal of Family Psychology, 19, 133-141.
21.
CoyneJ. C.EllardJ. H.SmithD. (1990). Social support, interdependence, the dilemmas of helping. In SarasonB. R.SarasonI. G.PierceG. R. (Eds.). Social support: An interactional view (pp. 129-149). New York, NY: Wiley.
22.
CunninghamM. R.BarbeeA. P. (2000). Social support. In HendrickC.HendrickS. S. (Eds.), Close relationships: A sourcebook (pp. 273-285). Thousand Oaks, CA: Sage.
23.
DevinsG. M. (2010). Using the illness intrusiveness ratings scale to understand health-related quality of life in chronic disease. Journal of Psychosomatic Research, 68, 591-602. doi:10.1016/j.jpsychores.2009.05.006
24.
FagundesC. P.BergC. A.WiebeD. J. (2012). Intrusion, avoidance, and daily negative affect among couples coping with prostate cancer: A dyadic investigation. Journal of Family Psychology, 26, 246-253. doi:10.1037/a0027332
25.
FangC. Y.ManneS. L.PapeS. J. (2001). Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients’ spouses. Health Psychology, 20, 452-457.
FeketeE. M.StephensM. A. P.MickelsonK. D.DruleyJ. A. (2007). Couples’ support provision during illness: The role of perceived emotional responsiveness. Families, Systems, & Health, 25, 204-217. doi:10.1037/1091-7527.25.2.204
28.
FisherL. (2006). Research on the family and chronic disease among adults: Major trends and directions. Families, Systems, & Health, 24, 373-380. doi:10.1037/1091-7527.24.4.373
29.
FranksM. M.WendorfC. A.GonzalezR.KettererM. (2004). Aid and influence: Health promoting exchanges of older married partners. Journal of Social and Personal Relationships, 21, 421-445. doi:10.1177/0265407504044839
30.
GilbarO.WeinbergM.GilS. (2012). The effects of coping strategies on PTSD in victims of a terror attack and their spouses: Testing dyadic dynamics using an actor-partner interdependence model. Journal of Social and Personal Relationships, 29, 246-261. doi:10.1177/0265407511426939
31.
GoldsmithD. J. (2004). Communicating social support. Cambridge, England: Cambridge University Press.
32.
GoldsmithD. J. (2009). Uncertainty and communication in couples coping with serious illness. In AfifiT. D.AfifiW. A. (Eds.), Uncertainty, information management, and disclosure decisions: Theories and applications (pp. 203-225). New York, NY: Routledge.
33.
GoldsmithD. J.LindholmK. A.ButeJ. J. (2006). Dilemmas of talking about lifestyle changes among couples coping with a cardiac event. Social Science & Medicine, 63, 2079-2090. doi:10.1016/j.socscimed.2006.05.005
34.
GoldsmithD. J.MillerL. E.CaughlinJ. (2007). Openness and avoidance in couples communicating about cancer. In BeckC. (Ed.), Communication Yearbook, 31 (pp. 62-117). Malden, MA: Blackwell.
35.
GreeneK. (2009). An integrated model of health disclosure decision-making. In AfifiT. D.AfifiW. A. (Eds.), Uncertainty and information regulation in interpersonal contexts: Theories and applications (pp. 226-253). New York, NY: Routledge.
36.
GreeneK.Magsamen-ConradK.VenetisM.ChectonM. G.BagdasarovZ.BanerjeeS. (2012). Assessing health information disclosure decisions in relationships: Testing the disclosure decision-making model. Health Communication, 27, 356-368.
37.
HoldenG. (1991). The relationship of self-efficacy appraisals to subsequent health-related outcomes: A meta-analysis. Social Work in Health Care, 16, 53-93.
38.
KayserK.WatsonL. E.AndradeJ. T. (2007). Cancer as a “we-disease”: Examining the process of coping from a relational perspective. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 25, 404-418. doi:10.1037/1091-7527.25.4.404
39.
KennyD. A.KashyD. A.CookW. L. (2006). Dyadic data analysis. New York, NY: Guilford Press.
40.
Kiecolt-GlaserJ. K.NewtonT. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 27, 472-503.
41.
KnoblochL. K.TheissJ. A. (2010). An actor-partner interdependence model of relational turbulence: Cognitions and emotions. Journal of Social and Personal Relationships, 27, 597-619. doi:10.1177/0265407510368967
42.
LyonsR. F.MickelsonK.SullivanM. J. L.CoyneJ. C. (1998). Coping as a communal process. Journal of Social and Personal Relationships, 15, 579-605.
43.
MacGeorgeE. L.GillihanS. J.SamterW.ClarkR. A. (2003). Skill deficit or differential motivation? Testing alternative explanations for gender differences in the provision of emotional support. Communication Research, 30, 272-303. doi:10.1177/0093650203030003002
44.
ManneS.BadrH. (2010). Intimacy processes and psychological distress among couples coping with head and neck or lung cancers. Psycho-Oncology, 19, 941-954. doi:10.1002/pon.1645
45.
ManneS.ZautraA. (1989). Spouse criticism and support: Their association with coping and psychological adjustment among women with rheumatoid arthritis. Journal of Personality and Social Psychology, 56, 608-617.
46.
MerzE. L.MalcarneV. L.KoC. M.SadlerM.KwackL.VarniJ. W.SadlerG. (2011). Dyadic concordance among prostate cancer patients and their partners and health-related quality of life: Does it matter?Psychology & Health, 26, 651-666. doi:10.1080/08870441003721251
47.
MishelM. H.ClaytonM. F. (2003). Theories of uncertainty. In SmithM. J.LiehrP. R. (Eds.), Middle range theory for nursing (pp. 25-48). New York, NY: Springer.
48.
OliverK.CronanT. A. (2005). Correlates of physical activity among women with fibromyalgia syndrome. Annals of Behavioral Medicine, 29, 44-53.
49.
RevensonT. A.Abraido-LanzaA. F.MajerovitzS. D.JordanC. (2005). Couples coping with chronic illness: What’s gender got to do with it? In RevensonT. A.KayserK.BodenmannG. (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp. 137-157). Washington, DC: American Psychological Association.
50.
RevensonT. A.KayserK.BodenmanG. (Eds.). (2005). Couples coping with stress: Emerging perspectives on dyadic coping. Washington, DC: American Psychological Association.
51.
RohrbaughM. J.MehlM. R.ShohamV.ReillyE. S.EwyG. A. (2008). Prognostic significance of spouse we talk in couples coping with heart failure. Journal of Consulting and Clinical Psychology, 76, 781-789. doi:10.1037/a0013238
52.
RubinZ. (1970). Measurement of romantic love. Journal of Personality and Social Psychology, 16, 265-273.
53.
SchokkerM. C.StuiveI.BoumaJ.KeersJ. C.LinksT. P.WolffenbuttelB. R.. . . HagedoornM. (2010). Support behavior and relationship satisfaction in couples dealing with diabetes: Main and moderating effects. Journal of Family Psychology, 24, 578-586. doi:10.1037/a0021009
54.
ShenB. J.McCrearyC. P.MyersH. F. (2004). Independent and mediated contributions of personality, coping, social support, and depressive symptoms to physical functioning outcome among patients in cardiac rehabilitation. Journal of Behavioral Medicine, 27, 39-62.
55.
StephensonM. T.HolbertR. L. (2003). A Monte Carlo simulation of observable-versus latent-variable structural equation modeling techniques. Communication Research, 30, 332-354. doi:10.1177/0093650203030003004
56.
SterbaK.de VellisR. F.LewisM. A.BaucomD. H.JordanJ. M.de VellisB. (2007). Developing and testing a measure of dyadic efficacy for married women with rheumatoid arthritis and their spouses. Arthritis & Rheumatism, 57, 294-302. doi:10.1002/art.22538
57.
StrecherV. J.DevillisB. M.BeckerH.RosenstockJ. M. (1986). The role of self-efficacy in achieving health behavior change. Health Education Quarterly, 13, 73-92.
58.
UchinoB. N. (2004). Social support and physical health: Understanding the health consequences of relationships. New Haven, CT: Yale University Press.
59.
VenetisM. K.GreeneK.ChectonM. G.Magsamen-ConradK. (in press). Decision making in cancer-related topic avoidance. Journal of Health Communication.
60.
VenetisM. K.Magsamen-ConradK.ChectonM. G.GreeneK. (2014). Cancer communication and partner burden: An exploratory study. Journal of Communication, 64, 82-102. doi:10.1111/jcom.12069
61.
WangH. X.MittlemanM. A.Orth-GomerK. (2005). Influence of social support on coronary artery disease in women. Social Science & Medicine, 60, 599-607. doi:10.1016/j.socscimed.2004.05.021
62.
WestS. G.TaylorA. B.WuW. (2012). Model fit and model selection in structural equation modeling. In HoyleR. H. (Ed.), Handbook of structural equation modeling (pp. 209-231). New York, NY: Guilford Press.
63.
YorgasonJ. B.RoperS. O.WheelerB.CraneK.ByronR.CarpenterL.. . . HigleyD. (2010). Older couples’ management of multiple-chronic illnesses: Individual and shared perceptions and coping in Type 2 diabetes and osteoarthritis. Families, Systems, & Health, 28, 30-47. doi:10.1037/a0019396
