Restricted accessResearch articleFirst published online 2014-11
The psychological well-being of couples experiencing a chronic illness: A matter of personal and partner illness cognitions and the role of marital quality
This study aimed to examine the effects of 75 cardiac patients’ and their spouses’ illness cognitions of acceptance and helplessness on their own and their partner’s psychological symptoms, as well as the impact of marital quality. Dyadic responses were examined with the Actor–Partner Interdependence Model, while PROCESS was used to examine possible conditional indirect effects. Patients’ and spouses’ cognitions were related to their partners’ symptoms through the partners’ cognitions. These relationships were not statistically significant at the higher levels of marital quality. Thus, there seems to be a flow of information between partners, while marital quality may impact self-regulation processes.
AndreuYGaldónMJDuráE. (2012) A longitudinal study of psychosocial distress in breast cancer: Prevalence and risk factors. Psychology & Health27(1): 72–87.
2.
AugustKJRookKSParris StephensMA. (2011) Are spouses of chronically ill partners burdened by exerting health-related social control?Journal of Health Psychology16(7): 1109–1119.
3.
BenyaminiYGozlanMKokiaE (2009) Women’s and men’s perceptions of infertility and their associations with psychological adjustment: A dyadic approach. British Journal of Health Psychology14(1): 1–16.
4.
BergCAUpchurchR (2007) A developmental-contextual model of couples coping with chronic illness across the adult life span. Psychological Bulletin133(6): 920–954.
5.
BodenmannG (2005) Dyadic coping and its significance for marital functioning. In: RevensonTAKayserKBodenmannG (eds) Couples Coping with Stress: Emerging Perspectives on Dyadic Coping. Washington, DC: American Psychological Association, pp. 33–50.
6.
BossemaERSeuntiënsMWMMarijnenCAM. (2011) The relation between illness cognitions and quality of life in people with and without a stoma following rectal cancer treatment. Psycho-Oncology20(4): 428–434.
7.
BurrisCTRempelJK (2012) The crystal globe: Emotional empathy and the transformation of self. Consciousness and Cognition21(3): 1526–1532.
8.
ChristakisNAAllisonPD (2006) Mortality after the hospitalization of a spouse. The New England Journal of Medicine354(7): 719–730.
9.
EversAWMKraaimaatFWvan LankveldW. (2001) Beyond unfavorable thinking: The illness cognition questionnaire for chronic diseases. Journal of Consulting and Clinical Psychology69(6): 1026–1036.
10.
FigueirasMJWeinmanJ (2003) Do similar patient and spouse perceptions of myocardial infarction predict recovery?Psychology & Health18(2): 201–216.
11.
FisherLCheslaCAChunKM. (2004) Patient-appraised couple emotion management and disease management among Chinese American patients with type 2 diabetes. Journal of Family Psychology18(2): 302–310.
12.
FranksMMLucasTStephensMAP. (2010) Diabetes distress and depressive symptoms: A dyadic investigation of older patients and their spouses. Family Relations59(5): 599–610.
13.
HagedoornMBuunkBKuijerRG. (2000) Couples dealing with cancer: Role and gender differences regarding psychological distress and quality of life. Psycho-Oncology9(3): 232–242.
14.
HajdarevicSSchmitt-EgenolfMSundbomE. (2013) Coping styles in decision making among men and women diagnosed with malignant melanoma. Journal of Health Psychology. DOI: 10.1177/1359105312464671.
15.
HayesAF (2012) PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling (White paper). Available at: http://www.afhayes.com/public/process2012.pdf
16.
HenrySLRookKSParris StephensMA. (2013) Spousal undermining of older diabetic patients’ disease management. Journal of Health Psychology. DOI: 10.1177/1359105312465913.
KarademasECGiannousiZ (2013) Representations of control and psychological symptoms in couples dealing with cancer: A dyadic-regulation approach. Psychology & Health28(1): 67–83.
19.
KarademasECTsagarakiALambrouN (2009) Illness acceptance, hospitalization stress and subjective health in a sample of chronic patients admitted to hospital. Journal of Health Psychology14(8): 1243–1250.
20.
KennyDAKashyDACookWL (2006) Dyadic Data Analysis. New York: Guilford.
21.
LeventhalHDiefenbachMLeventhalEA (1992) Illness cognition: Using common sense to understand treatment adherence and affect cognition treatment. Cognitive Therapy and Research16(2): 223–230.
22.
LeventhalHMeyerDNerenzD (1980) The common-sense representations of illness danger. In: RachmanS (ed.) Medical Psychology, vol. 2. New York: Pergamon, pp. 7–30.
23.
McCrackenLMEcclestonC (2005) A prospective study of acceptance of pain and patient functioning with chronic pain. Pain118(1–2): 164–169.
24.
MarkeyCMarkeyP (2011) Romantic partners, weight status, and weight concerns: An examination using the actor-partner interdependence model. Journal of Health Psychology16(2): 217–225.
25.
MartireLMLustigAPSchulzR. (2004) Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology23(6): 599–611.
26.
MellonSKershawTSNorthouseLL. (2007) A family-based model to predict fear of recurrence for cancer survivors and their caregivers. Psycho-Oncology16(3): 214–223.
27.
MystakidouKTsilikaEParpaE. (2004) The Hospital Anxiety and Depression Scale in Greek cancer patients: Psychometric analyses and applicability. Supportive Care in Cancer12(12): 821–825.
28.
NortonR (1983) Measuring marital quality: A critical look at the dependent variable. Journal of Marriage and the Family45(1): 141–151.
29.
RandallGMolloyGLSteptoeA (2009) The impact of an acute cardiac event on the partners of patients: A systematic review. Health Psychology Review3(1): 1–84.
30.
RegenbogenCSchneiderDAFinkelmeyerA. (2012) The differential contribution of facial expressions, prosody, and speech content to empathy. Cognition & Emotion26(6): 995–1014.
31.
SchokkerMCStuiveIBoumaJ. (2010) Support behavior and relationship satisfaction in couples dealing with diabetes: Main and moderating effects. Journal of Family Psychology24(5): 578–586.
32.
SearleANormanPThompsonR. (2007) A prospective examination of illness beliefs and coping in patients with type 2 diabetes. British Journal of Health Psychology12(4): 621–638.
33.
SterbaKRDeVellisRFLewisMA. (2008) Effect of couple illness perception congruence on psychological adjustment in women with rheumatoid arthritis. Health Psychology27(2): 221–229.
34.
VothJSiroisFM (2009) The role of self-blame and responsibility in adjustment to inflammatory bowel disease. Rehabilitation Psychology54(1): 99–108.
35.
WeinmanJHeijmansMFigueirasMJ (2003) Carer perceptions of chronic illness. In: CameronLDLeventhalH (eds) The Self-Regulation of Health and Illness Behaviour. New York: Routledge, pp. 207–219.
36.
WhitfordDLMcGeeHO’SullivanB (2009) Will people with type 2 diabetes speak to family members about health risk?Diabetes Care32(2): 251–253.
37.
ZhouESKimYRasheedM. (2011) Marital satisfaction of advanced prostate cancer survivors and their spousal caregivers: The dyadic effects of physical and mental health. Psycho-Oncology20(12): 1353–1357.
38.
ZigmondASSnaithRP (1983) The Hospital Anxiety and Depression Scale (validity and reliability). Acta Psychiatrica Scandinavica67(1): 361–370.
