The mediating role of the intimate relationship between dyadic coping and reproductive concerns in couples of childbearing age facing breast cancer: A cross-sectional study.

To evaluate the relationship between dyadic coping, intimate relationship, and reproductive concerns of breast cancer women of reproductive age and identify the mediational role of the intimate relationship in linking dyadic coping and reproductive concerns. This descriptive cross-sectional study enrolled only breast cancer patients aged 18-44years. Finally, 296 participants aged 24-44 (38.38 ± 4.14) years were recruited. They completed the general information questionnaire, the Dyadic Coping Inventory, the Marriage Adjustment Test, and the Reproductive Concerns After Cancer Scale. Spearman correlation analysis was conducted to validate the association between study variables. The structural equation model was performed to confirm the hypothesized mediation model. This study revealed that both dyadic coping (r = - 0.579, P < 0.001) and intimate relationship (r = - 0.670, P < 0.001) reported significantly negative concerning reproductive concerns. In contrast, dyadic coping was positively related to intimate relationship (r = 0.818, P < 0.001). Additionally, our results confirmed that intimate relationship was a mediator of the relation between dyadic coping and reproductive concerns (indirect effect = - 0.543, 95% confidence interval, - 0.719 to - 0.382). Dyadic coping can impact patients' reproductive concerns through the intimate relationship, which should be considered a target for intervention. Health professionals should concentrate on implementing couple-based interventions to increase the level of dyadic coping and improve the intimate relationship between couples, which will reduce the level of reproductive concerns in patients.

Relationship between dyadic coping and quality of life among women of childbearing age with cancer and their spouses: mediating roles of fertility concerns and self-disclosure based on the actor-partner interdependence mediation model.

Health-related quality of life(HRQoL) is essential for high-risk pregnant women and their spouses. This study aimed to explore the dyadic associations (including actor and partner effects) among self-efficacy, dyadic coping, and HRQoL of high-risk pregnant women and their spouses and examine the mediating effect of dyadic coping. This cross-sectional study recruited participants from two Grade A tertiary hospitals in China from October 2022 to September 2023. A questionnaire including the Chinese version of the General Self-Efficacy Scale, Dyadic Coping Inventory, and 12 Short Form Health Survey Scales was used for the survey. The actor-partner interdependence mediation model was constructed to test dyadic associations and mediating effects. In the actor effects, self-efficacy was positively associated with dyadic coping and HRQoL (P < 0.05). Regarding partner effects, pregnant women's self-efficacy was positively associated with spouses' dyadic coping and physical health (P < 0.05). Dyadic coping partially mediated the relationship between self-efficacy and HRQoL for both groups(P < 0.05). The HRQoL of high-risk pregnant women and their spouses requires urgent attention. Enhancing self-efficacy and dyadic coping in these couples is related to their improved physical and mental health. Healthcare professionals should consider interactions between couples and include them together in perinatal care. Intervention programs for couples or families based on existing positive psychology and dyadic interventions may work together to improve the HRQoL of couples.

Dyadic appraisal and dyadic coping in breast cancer couples: Family resources as mediators in an actor‒partner interdependence mediation model.

A good intimate relationship (IR) can relieve the psychological distress of patients with cervical cancer and promote a sense of well-being during stressful times. Researchers have found that IR is related to illness perception (IP) and dyadic coping (DC). Therefore, this study aimed to (1) describe the IR of patients with cervical cancer, (2) identify the relationships and pathways among IP, DC and IR in patients with cervical cancer and (3) explore the mediating role of DC between IP and IR in cervical cancer patients. A total of 175 patients with cervical cancer were recruited at a tertiary hospital in China from September 2021 to January 2023. The data were collected through a general demographic and disease-related information questionnaire, the Locke-Wallace Marriage Adjustment Test, the Revised Illness Perception Questionnaire of Cervical Cancer and the Dyadic Coping Inventory. The mean score for intimate relationships was 107.78 (SD = 23.99, range 30-154). Pearson's correlation analysis revealed that intimate relationships were positively correlated with IP (personal control) and DC (stress communication, supportive DC, delegated DC and common DC) and were negatively correlated with IP (consequence, timeline acute/chronic, timeline cyclical and emotional representation) and negative DC. As for the results of the structural equation model, DC fully mediated the influencing effects of both positive and negative IP on IR. The level of IR of patients with cervical cancer in China should be improved. DC has a significant mediating effect on the link between the IP and IR.

Dyadic coping, resilience, and quality of life in young and middle-aged couples after gynecologic cancer: An actor-partner interdependence mediation model

To examine the dyadic relationships of dyadic coping, marital satisfaction, and posttraumatic growth and to confirm the mediating effect of marital satisfaction between dyadic coping and posttraumatic growth among breast cancer patients and their spouses. A total of 206 pairs of female breast cancer patients and their spouses from one tertiary hospital in Guangzhou, China, from August 2018 to July 2019 were invited to complete the demographics and disease-related information questionnaire, the Posttraumatic Growth Inventory, the Marital Adjustment Scale, and the Dyadic Coping Inventory. Patients' and spouses' positive/negative dyadic coping exerted actor effects and partner effects on marital satisfaction, while their marital satisfaction and positive dyadic coping only exerted actor effects on posttraumatic growth. In addition, the mediating effects of marital satisfaction on the impact of dyadic coping on posttraumatic growth were confirmed in both patients and spouses. Our findings provide a new perspective on the relationships between dyadic coping, marital satisfaction, and posttraumatic growth at the individual and dyadic levels. Promoting positive dyadic coping and decreasing negative dyadic coping among breast cancer patients and spouses can improve their marital satisfaction and posttraumatic growth.

This study was to explore the mediating effect of resilience on the relationship between dyadic coping and post-traumatic growth in patient-spousal caregiver dyads living with coronary heart disease (CHD). A cross-sectional study was conducted from December 2022 to June 2023. Three hundred eighteen young and middle-aged patient-spousal caregiver dyads from a tertiary hospital in China participated. The dyadic participants were evaluated using self-report questionnaires on dyadic coping, resilience and post-traumatic growth. A significant actor effect was observed, in which dyadic coping in patients was associated with their own post-traumatic growth; this relationship was partially mediated by both the patient's and the partner's resilience. Furthermore, in the examination of partner effects, the association between dyadic coping in spousal caregivers and post-traumatic growth in patients was found to be completely mediated by the resilience of both the patients and the caregivers. The findings suggest that the dyadic coping, resilience and post-traumatic growth of patients and their spousal caregivers display interactive effects. Healthcare providers treating CHD should regard patient-spousal caregiver dyads as a whole and implement interventions that focus on improving positive dyadic coping and resilience to promote post-traumatic growth. This paper found that the patients with CHD and their spousal caregivers exhibited low levels of post-traumatic growth, with both groups demonstrating mediating and interactive effects via resilience. The findings offer valuable insights to support the early primary identification and implementation of more effective intervention strategies aimed at fostering post-traumatic growth in CHD patient-spousal caregiver dyads. Not applicable.

PurposeThe current study aims to analyze the relationships between perceived stress, adult attachment (attachment avoidance and attachment anxiety), and dyadic coping among Chinese couples during pregnancy. Additionally, it seeks to explore the mediating effects of adult attachment on these relationships.MethodsA total of 701 heterosexual pregnant couples participated in this cross-sectional study, which was conducted at three tertiary hospitals in central and western China from September 2023 to July 2024. Participants’ mean age was 29.56±4.15 years for pregnant women and 31.11±4.33 years for their partners. They completed the Perceived Stress Scale, the Dyadic Coping Inventory, and the Experiences in Close Relationships Scale-Chinese Short Version. The actor-partner interdependence mediation model was employed to analyze the data derived from the dyadic relationships.ResultsThe dyadic coping scores were recorded as 117.42±16.63 for pregnant women and 117.75±16.12 for their partners. The analysis revealed that individuals’ perceived stress was both directly and indirectly associated with their dyadic coping, as a mediator role of adult attachment (attachment avoidance and attachment anxiety). Furthermore, partners’ attachment avoidance was identified as a complete mediator of the partner effect. Partners’ attachment anxiety played a complete partner mediating role in the relationship between perceived stress on dyadic coping for pregnant women and their partners.ConclusionThe present study examined the relationship between perceived stress, adult attachment (attachment avoidance and attachment anxiety), and dyadic coping. The findings indicate that interventions should consider the couple as a unit and take into account their adult attachment during pregnancy. Healthcare professionals may aim to reduce adult attachment insecurity in pregnant couples and enhance their dyadic coping abilities to improve psychological well-being.

The impact of illness perception on marital quality among patients with cervical cancer and their husbands: based on actor-partner interdependence mediation model.

Dyadic coping may play an important role in promoting marital adjustment in couples with breast cancer. However, few studies have explored dyadic coping and its predictors in couples with breast cancer. To assess the dyadic coping level of Chinese couples with breast cancer and identify its predictors and explore the actor and partner effects of marital adjustment on dyadic coping. Chinese couples (n = 114) with breast cancer participated in a cross-sectional study and completed the general information questionnaire, the Dyadic Coping Inventory, the Locke-Wallace Marital Adjustment Test, and the Body Image Scale. Total scores of the Dyadic Coping Inventory were 114.09 (SD, 18.49) and 114.62 (SD, 17.42) for the patients and partners, respectively. Relationship duration, monthly family income, postoperative time, adjuvant treatments, marital adjustment, body image, and dyadic coping style of the partners predicted dyadic coping among patients with breast cancer. In addition, marital adjustment exhibited both actor and partner effects on dyadic coping in the couples. Dyadic coping in couples with breast cancer in China was in the reference range. Psychosocial characteristics, marital adjustment, and body image should be considered and evaluated when conducting interventions for couples with breast cancer. When conducting interventions for couples with breast cancer, nurses should identify couples who are likely to adopt negative dyadic coping styles and then conduct targeted interventions that consider psychosocial characteristics, marital adjustment, and body image in couples with breast cancer.

Maintenance hemodialysis patients and their caregivers is experiencing poor quality of life. The dyadic illness management theory has linked dyadic coping and mutuality to quality of life. This study explored the effects of dyadic coping on mental/ physical quality of life and the mediating role of mutuality in these relationships among maintenance hemodialysis patients and their caregivers. A cross-sectional study was conducted with 302 patient-caregiver dyads recruited from four blood purification centers in Jinan, Qingdao, Yantai, and Zaozhuang, China, between May 2024 and November 2024. Data were collected using a sociodemographic characteristics questionnaire, the dyadic coping inventory, the mutuality scale, and the 12-item short-form health survey. Data analysis was performed using the actor-partner interdependence mediation model. The findings revealed that in terms of actor effects, dyadic coping directly impacted mental and physical quality of life in maintenance hemodialysis patients and mental quality of life in caregivers (p < 0.01). The relationships were mediated through their own mutuality (p < 0.05). In terms of partner effects, caregivers' dyadic coping directly impacted maintenance hemodialysis patients' mental and physical quality of life (p < 0.05), with mutuality of both maintenance hemodialysis patients and their caregivers serving as a mediator (p < 0.05). The study confirms the significant dyadic relationships between dyadic coping, mutuality, and mental/ physical quality of life among maintenance hemodialysis patients and their caregivers. The findings suggest that it is essential to develop effective dyadic interventions based on dyadic coping strategies or mutuality to improve mental and physical quality of life for both members.

To investigate the relationships and pathways between dyadic coping, intimaterelationship and post-traumatic growth (PTG) in Chinese patients with breast cancer. A cross-sectional study. Between November 2019 and November 2020, 133 patients with breast cancer who received therapy in tertiary grade-A hospitals at Dalian, China completed questionnaires including demographic and clinical questionnaires, Locke-Wallace Marriage Adjustment Test, Chinese version of the Dyadic Coping Inventory and Chinese version of the Post-traumatic Growth Inventory. Structural equation modelling was used to analyse the pathways. Dyadic coping was positively interrelated with PTG and intimate relationship (r=.355, p<.01; r=.213, p<.05); intimaterelationship was negatively interrelated with PTG (r=-.207, p<.05). The structural equation model demonstrated adequate fit. Dyadic coping and intimaterelationship directly affected PTG (β=.469, p<.05; β=-.309, p<.05). Dyadic coping indirectly affected PTG through intimate relationship (β=-.066, p<.05). Dyadic coping was a stimulus factor, but intimaterelationship was an obstructivefactor in enhancing PTG for the Chinese patients with breast cancer. Furthermore, intimaterelationship may have significant mediating effects in the link between dyadic coping and PTG. Strategies that improve dyadic coping level and avoid excessive intimacy relationships between couples contribute to the development of PTG among patients with breast cancer. The research provides new ideas and intervention entry points for global nurses and psychotherapists so that they can enact and implement targeted PTG intervention plans for patients with breast cancer worldwide.

Chronic heart failure (CHF) has emerged as a significant global public health challenge. Fear of progression (FoP) constitutes a critical psychosocial issue among patients with CHF, with dyadic coping (DC) and social support serving as key influencing factors; however, the intrinsic mechanisms linking these components remain ambiguous. In this study, our aim was to elucidate the mediating role of social support within patient-spouse dyads as a bidirectional dependency in the relationship between DC and FoP, thereby providing a scientifically grounded foundation for clinical intervention strategies. Between July 2024 and February 2025, a total of 221 CHF patient-spouse dyads were recruited via convenience sampling at a tertiary hospital in Tangshan City, Hebei Province. Data collection instruments included a demographic questionnaire, the Fear of Progression Questionnaire-Short Form, the Dyadic Coping Inventory, and the Perceived Social Support Scale. Data were analyzed using AMOS 24.0 for the actor-partner interdependence mediation model. Analysis of the actor-partner interdependence mediation model demonstrated significant actor effects across all pathways (β = -0.204 to 0.228, P <.01), with partial partner effects observed (β = -0.066 to 0.116, P <.05). Notably, significant mediating effects were identified (β = -0.043 to -0.017; 95% confidence interval: -0.071, -0.003; P <.05). Actor effects indicated that social support partially mediated the relationship between individual DC and FoP. Partner effects revealed that social support partially mediated the association between spouses' DC and patients' FoP. The findings illuminate the interactive dynamics among DC capabilities, social support, and FoP within dyads of patients with CHF and their spouses. Clinical interventions should adopt a dyadic approach, simultaneously enhancing mutual coping skills and social support levels to effectively mitigate FoP in both patients and their spouses.

The diagnosis and treatment of cancer triggers not only a negative psychological response for the patient, but also a positive psychological outcome. Positive dyadic coping, as a form of coping for mental health outcomes, can maintain or reestablish internal stability between the patient and his or her spouse, resulting in positive physical and psychological changes. However, there is a paucity of research on body image, dyadic coping, and post-traumatic growth in breast cancer patients. The purpose of this study was to explore the relationship and pathways between body image, dyadic coping, and post-traumatic growth in breast cancer patients. A cross-sectional study was conducted from November 2022 to November 2023 at a tertiary care hospital in Wuxi, Jiangsu, China. This study was conducted among 154 breast cancer patients treated at the Affiliated Hospital of Jiangnan University, all of whom completed demographic and clinical information questionnaires, Body image self-rating questionnaire for breast cancer (BISQ-BC), Dyadic Coping Inventory (DCI) and Post Traumatic Growth Inventory (PTGI). A Pearson correlation analysis was used to explore the relationship between body image, dyadic coping, and post-traumatic growth. Structural equation modeling was used to analyze the path relationships among the three and to explore the mediating role of dyadic coping. The level of body image was negatively correlated with post-traumatic growth (r = -0.462, p < 0.01); and the level of body image was negatively correlated with dyadic coping (r = -0.308, p < 0.01). And dyadic coping was positively associated with post-traumatic growth (r = 0.464, p < 0.01). The structural equation modeling results supported the mediation model with the following model fit indices, chi-square to degrees of freedom ratio (χ2/df = 2.05), goodness of fit index (GFI = 0.93), comparative fit index (CFI = 0.99), canonical fit index (NFI = 0.93), incremental fit index (IFI = 0.99), non-canonical fit index (TLI = 0.99) and the root mean square of the difference in approximation error (RMSEA = 0.03). Body image and dyadic coping directly affected post-traumatic growth (β = -0.33, p < 0.05; β = 0.43, p < 0.05). And body image indirectly influenced post-traumatic growth through dyadic coping (β = -0.17, p < 0.05). Interconnections between body image, dyadic coping, and post-traumatic growth in breast cancer patients. A preliminary validation of the mediating role of dyadic coping between body image and post-traumatic growth, body image can have an impact on dyadic coping, which in turn can have an impact on post-traumatic growth. Whereby higher levels of dyadic coping in patients may also be associated with higher levels of post-traumatic growth, whereas body image disturbance may impede levels of post-traumatic growth.