Abstract

Objective: This study is a meta-analysis that considers the association between dyadic coping and emotional functioning, and between dyadic coping and the quality of the relationship as perceived by cancer patients and their life partners.Methods: A systematic search was conducted in the electronic databases PsycINFO, PubMed, ScienceDirect and those peer-reviewed cross-sectional and longitudinal studies published up until April 2020 that investigated these relationships were selected.Results: A total of 1,168 studies were identified, of which 10 met the inclusion criteria (N = 1,727 couples). These evidenced statistically significant positive relationships between common dyadic coping and emotional functioning and between common dyadic coping and the quality of the relationship as perceived by patients and their partners. There was also a statistically significant positive association between stress communication (by oneself), supportive dyadic coping (by oneself and by partner), and the quality of the relationship. In addition, a statistically significant negative association was found between negative dyadic coping (by oneself and by partner) and the quality of the relationship as perceived by patients' partners and also between negative dyadic coping (by oneself) and the quality of the relationship as perceived by patients.Conclusions: The results suggest the existence of a significant association between dyadic coping and emotional functioning and between dyadic coping and the quality of the relationship as perceived by members of couples facing cancer. However, these results must be interpreted with caution due to the small number of studies included in the analysis. Clinically, an understanding of the existence of such relationships is helpful for the implementation, and study of the effectiveness of, interventions aimed at improving dyadic coping in order to improve both quality of life and quality of relationship in couples where there is an oncological diagnosis.

Highlights

  • Cancer is a life-threatening disease that represents one of the most difficult experiences that a person can be faced with during their life

  • A statistically significant negative association was found between negative dyadic coping and the quality of the relationship as perceived by patients’ partners and between negative dyadic coping and the quality of the relationship as perceived by patients

  • The results suggest the existence of a significant association between dyadic coping and emotional functioning and between dyadic coping and the quality of the relationship as perceived by members of couples facing cancer

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Summary

Introduction

Cancer is a life-threatening disease that represents one of the most difficult experiences that a person can be faced with during their life. It became clear that the chief source of support for cancer sufferers was frequently their life partners (Kim and Spillers, 2010) and that these people in their turn faced high levels of distress (Jaafar et al, 2014; Heckel et al, 2015), sometimes higher than those experienced by patients (Couper et al, 2006). This led to a recognition that cancer patients’ partners too were in need of support (Northhouse and Muhammad, 2000; Jaafar et al, 2014; Heckel et al, 2015). In recent years psycho-oncological research has widened its focus from a concentration on the individual (patient or partner) toward a dyadic perspective, from individual coping to dyadic coping

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