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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 2/2008

01-10-2008 | Original Article

Lung Cancer Patients and Their Spouses: Psychological and Relationship Functioning Within 1 Month of Treatment Initiation

Authors: Cindy L. Carmack Taylor, Ph.D., Hoda Badr, Ph.D., Ji H. Lee, B.A., Frank Fossella, M.D., Katherine Pisters, M.D., Ellen R. Gritz, Ph.D., Leslie Schover, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 2/2008

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Abstract

Background

Lung cancer morbidity and mortality may increase the risk for distress in couples facing this malignancy.

Purpose

We examined the prevalence of psychological and relationship distress in lung cancer patients and their spouses, predictors of psychological distress for both, and whether relationship satisfaction moderated the relation between patient and spouse distress.

Methods

Participants (169 patients and 167 spouses) completed questionnaires provided during clinic appointments at baseline (within one month of treatment initiation) and through the mail 3 and 6 months later. Analyses were from the baseline data.

Results

In total, 34.6% of patients and 36.4% of spouses reported psychological distress. Patient and spouse distress were correlated, depending on the symptom examined. Only 10.9% of patients and 14.1% of spouses reported distressed spousal relationships. Distress predictors for patients included less positive social interaction support, more behavioral disengagement and self-distraction coping, and the spouse reporting less use of humor for coping. Predictors for spouses included more behavioral disengagement and substance use coping, more blaming the patient for causing the cancer, and the patient using more behavioral disengagement coping. Relationship satisfaction moderated the association between each partner’s distress.

Conclusions

Psychosocial counseling for lung cancer patients should include spouses and target decreasing individual distress and enhancing relationship satisfaction.
Literature
1.
Spiegel D. Cancer and depression. Br J Psych. 1996; 168: 109–116.
2.
Massie MJ, Holland JC. Depression and the cancer patient. J Clin Psych. 1990; 51: 12–17.
3.
Zabora J, Brintzenhofeszoc K, Curbow B, Hooker C, Piantadosi S. The prevalence of psychological distress by cancer site. Psycho-Oncol. 2001; 10: 19–28.CrossRef
4.
Hopwood P, Stephens RJ. Depression in patients with lung cancer: Prevalence and risk factors derived from quality-of-life data. J Clin Oncol. 2000; 18: 893–903.PubMed
5.
Gritz ER, Wellisch DK, Siau J, Wang H-J. Long-term effects of testicular cancer on marital relationships. Psychosomatics. 1990; 31: 301–312.PubMed
6.
Compas BE, Worsham NL, Epping-Jordan JE, et al. When mom or dad has cancer: Markers of psychological distress in cancer patients, spouses, and children. Health Psychol. 1994; 13: 507–515.PubMedCrossRef
7.
Given CW, Stommel M, Given B, et al. The influence of cancer patients’ symptoms and functional states on patients’ depression and family caregivers’ reaction and depression. Health Psychol. 1993; 12: 277–285.PubMedCrossRef
8.
Northouse LL, Mood D, Templin T, Mellon S, George T. Couples’ patterns of adjustment to colon cancer. Soc Sci Med. 2000; 50: 271–284.PubMedCrossRef
9.
Kornblith AB, Herr HW, Ofman US, Scher HI, Holland JC. Quality of life of patients with prostate cancer and their spouses: The value of a data base in clinical care. Cancer. 1994; 73: 2791–2802.PubMedCrossRef
10.
Hagedoorn M, Sanderman R, Bolks HN, Tuinstra J, Coyne JC. Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects. Psychol Bull. 2008; 134: 1–30.PubMedCrossRef
11.
Abernathy AD, Chang T, Seidlitz L, Evinger JS, Duberstein PR. Religious coping and depression among spouses of people with lung cancer. Psychosomatics. 2002; 43: 456–463.CrossRef
12.
Kim Y, Buberstein PR, Sorensen S, Larson MR. Levels of depressive symptoms of spouses of people with lung cancer: Effects of personality, social support, and caregiving burden. Psychosomatics. 2005; 46: 123–130.PubMedCrossRef
13.
Revenson TA, Kayser K, Bodenmann G. Introduction. In: Revenson TA, Kayser K, Bodenmann G, eds. Couples Coping with Stress. Washington, DC: American Psychological Association; 2005: 3–10.
14.
Revenson TA, Abraido-Lanza AF, Majerovitz SD, Jordan C. Couples coping with chronic illness: What’s gender got to do with it? In: Revenson TA, Kayser K, Bodenmann G, eds. Couples Coping with Stress. Washington, DC: American Psychological Association; 2005.
15.
McNaughton ME, Smith LW, Patterson TL, Grant I. Stress, social support, coping resources, and immune status in elderly women. J of Nerv Ment Dis. 1990; 178: 460–461.CrossRef
16.
Holahan CJ, Moos RH, Holahan CK, Brennan PL. Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness. Health Psychol. 1995; 14: 152–163.PubMedCrossRef
17.
Carver CS, Pozo C, Harris SD, et al. How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. J Pers Soc Psychol. 1993; 65: 375–390.PubMedCrossRef
18.
Cordova MJ, Cunningham LLC, Carlson CR, Andrykowski MA. Social constraints, cognitive processing, and adjustment to breast cancer. J Consult Clin Psychol. 2001; 69: 706–711.PubMedCrossRef
19.
Lepore SJ, Helgeson V. Social constraints, intrusive thoughts, and mental health in prostate cancer survivors. J Soc Clin Psychol. 1998; 17: 89–106.
20.
Sammarco A. Perceive social support, uncertainty, and quality of life of younger breast cancer survivors. Cancer Nurs. 2001; 24: 212–219.PubMedCrossRef
21.
Alferi SM, Carver CS, Antoni MH, Weiss S, Duran RE. An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer. Health Psychol. 2001; 20: 41–46.PubMedCrossRef
22.
Morse SR, Fife B. Coping with a partner’s cancer: Adjustment at four stages of the illness trajectory. Oncol Nurs Forum. 1998; 25: 751–760.PubMed
23.
Baron RS, Cutrona CE, Hicklin D, Russell DW, Lubaroff DM. Social support and immune function among spouses of cancer patients. J Pers Soc Psychol. 1990; 59: 344–352.PubMedCrossRef
24.
Nijboer C, Tempelaar R, Triemstra M, van den Bos GAM, Sanderman R. The role of social and psychologic resources in caregiving of cancer patients. Cancer. 2001; 91: 1029–1039.PubMedCrossRef
25.
Bodenmann G. Dyadic coping and its significance for marital functioning. In: Revenson TA, Kayser K, Bodenmann G, eds. Couples Coping with Stress. Washington, D.C.: American Psychological Association; 2005: 33–49.CrossRef
26.
Janoff-Bulman R. Shattered Assumptions: Towards a New Psychology of Trauma. New York: Free; 1992.
27.
Janoff-Bulman R. Characterological versus behavioral self-blame: Inquiries into depression and rape. J Pers Soc Psychol. 1979; 37: 1798–1809.PubMedCrossRef
28.
Malcarne VL, Compas BE, Epping-Jordan JE, Howell DC. Cognitive factors in adjustment to cancer: Attributions of self-blame and perceptions of control. J Behav Med. 1995; 18: 401–417.PubMedCrossRef
29.
Houldin AD, Jacobsen B, Lowery BJ. Self-blame and adjustment to breast cancer. Oncol Nurs Forum. 1996; 23.
30.
Glinder JG, Compas BE. Self-blame attributions in women with newly diagnosed breast cancer: A prospective study of psychological adjustment. Health Psychol. 1999; 18: 475–481.PubMedCrossRef
31.
Breslau N, Kilbey MM, Andreski P. Nicotine dependence, major depression, and anxiety in young adults. Arch Gen Psychiatry. 1991; 48: 1069–1074.PubMed
32.
Covey LS, Hughes DC, Glassman AH, Blazer DG, George LK. Ever-smoking, quitting, and psychiatric disorders: Evidence from the Durham, North Carolina, epidemiologic catchment area. Tob Control. 1994; 3: 222–227.CrossRef
33.
Manne SL, Norton TR, Ostroff JS, et al. Protective buffering and psychological distress among couples coping with breast cancer: The moderating role of relationship satisfaction. J Fam Psychol. 2007; 21: 380–388.PubMedCrossRef
34.
Schag CAC, Ganz PA, Wing D-S, Sim MS, Lee JJ. Quality of life in adult survivors of lung, colon and prostate cancer. Qual Life Res. 1994; 3: 127–141.PubMedCrossRef
35.
Badr H, Carmack Taylor CL. Social constraints and spousal communication in lung cancer. Psycho-Oncol. 2006; 15: 673–683.CrossRef
36.
Manne S, Ostroff J, Norton T, et al. Cancer-related relationship communication in couples coping with early stage breast cancer. Psycho-Oncol. 2006; 15: 234–247.CrossRef
37.
Oken MM, Creech RH, Tormey DC, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982; 5: 649–655.PubMedCrossRef
38.
Buccheri G, Ferrigno D, Tamburini M. Karnofsky and ECOG Performance Status scoring in lung cancer: A prospective, longitudinal study of 536 patients from a single institution. Eur J Cancer. 1996; 32A: 1135–1141.PubMedCrossRef
39.
Maestu I, Pastor M, Gomez-Codina J, et al. Pretreatment prognostic factors for survival in small-cell lung cancer: A new prognostic index and validation of three known prognostic indices on 341 patients. Ann Oncol. 1997; 8: 547–553.PubMedCrossRef
40.
Derogatis LR. Brief Symptom Inventory: Administration, Scoring and Procedures Manual. 3rd ed. Minneapolis, MN: National Computer Systems; 1993.
41.
Derogatis LR, Melisaratos N. The brief symptom inventory: An introductory report. Psychol Med. 1983; 13: 595–605.PubMedCrossRef
42.
Amenson CS, Lewinsohn PM. An investigation of observed sex differences in prevalence of unipolar depression. J Abnorm Psychology. 1981; 90: 1–13.CrossRef
43.
Croog SH, Levine S, Tets MA, et al. The effects of antihypertensive therapy on quality of life. N Engl J Med. 1986; 314.
44.
Spanier GB. The dyadic adjustment scale. J Marriage Fam. 1976; 38: 15–28.CrossRef
45.
Carver C, Scheier M, Weintraub J. Assessing coping strategies: A theoretically based approach. J Pers Soc Psychol. 1989; 56: 267–283.PubMedCrossRef
46.
Donald Sherbourne C, Stewart AL. The MOS social support survey. Soc Sci Med. 1991; 32: 705–714.CrossRef
47.
Campbell L, Kashy DA. Estimating actor, partner, and interaction effects for dyadic data. Pers Relat. 2002; 9: 327–342.CrossRef
48.
Kenny D. Models of non-interdependence in dyadic research. J Soc Pers Relat. 1996; 13: 279–294.CrossRef
49.
Kenny D, Cook W. Partner effects in relationship research: Conceptual issues, analytic difficulties, and illustrations. Pers Relat. 1999; 6: 433–448.CrossRef
50.
Kenny D, Kashy DA, Cook D. Dyadic Data Analysis. New York: Guilford; 2006.
51.
Lepore SJ, Ragan JD, Jones S. Talking facilitates cognitive-emotional processes of adaptation to an acute stressor. J Pers Soc Psychol. 2000; 78: 499–508.PubMedCrossRef
52.
Scott JL, Halford WK, Ward BG. United we stand? The effects of a couple-coping intervention on adjustment to early stage breast or gynecologic cancer. J Consult Clin Psychol. 2004; 72: 1122–1135.PubMedCrossRef
53.
de Groot JM, Mah K, Fyles A, et al. The psychosocial impact of cervical cancer among affected women and their partners. Int J Gynecol Cancer. 2005; 15: 918–925.PubMedCrossRef
Metadata
Title
Lung Cancer Patients and Their Spouses: Psychological and Relationship Functioning Within 1 Month of Treatment Initiation
Authors
Cindy L. Carmack Taylor, Ph.D.
Hoda Badr, Ph.D.
Ji H. Lee, B.A.
Frank Fossella, M.D.
Katherine Pisters, M.D.
Ellen R. Gritz, Ph.D.
Leslie Schover, Ph.D.
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 2/2008
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-008-9062-7

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