Communal Coping Research Articles

Tracing the Empirical Boundaries of Resilience and Posttraumatic Growth: Implications for Generativity and Communal Coping

Inherent to the human experience is the desire to find good in traumatic experiences, and these positive responses to stress are often framed as resilience or posttraumatic growth. Resilience is often defined as the successful adaption to adversity ; whereas posttraumatic growth describes the positive changes emerging from adverse experiences. Despite their potential overlap, the differences between posttraumatic growth and resilience remain unclear. This manuscript considered the respective factor structures of resilience and posttraumatic growth, confirmed their empirical differences, and articulated the conceptual and theoretical implications of this distinction in the coping process.

Predictors of collaborative coping in couples managing type 2 diabetes: Illness factors, relationship factors, and interdependent personality traits

Past work has revealed benefits for both persons with diabetes (PWD) and their partners (e.g., spouses) when engaging in collaborative coping to manage a chronic illness, yet little is known about predictors of this type of dyadic coping. Based on conceptual frameworks on communal and dyadic coping, we sought to examine how illness factors, relationship factors, and interdependent personality traits predicted the frequency of collaborative coping among couples managing type 2 diabetes, and whether role (PWD vs. partner) moderated the associations. Cross-sectional survey data from 296 older adults ( N = 148 different-sex couples) were analyzed. Multilevel models examined both linear and nonlinear associations between each factor and collaborative coping, controlling for race/ethnicity. Linear associations were found for positive relationship quality, and nonlinear associations were found for diagnostic length and relationship length. No significant associations emerged between interdependent personality traits and collaborative coping. Although PWD reported more frequent engagement in collaborative coping than partners, role only moderated the associations between diagnostic length and relationship length with collaborative coping. Findings contribute to an understanding of potential correlates of collaborative coping and may have implications for health promotion and interventions for older couples managing type 2 diabetes.

Embracing Endings: Unveiling the Connection Between Final Conversations, the Opportunity Model for Presence, and Coping With the Death of Our Parents.

This study examines adult children's loss of a parent through final conversations and communal coping. By looking at survivors' experiences through the lens of the opportunity model for presence (OMP) during the end-of-life (EOL) process, a model that provides a path of engagement leading to a good or bad death and consequent bereavement processes, we quantitatively test the relationships between two communication constructs before and after death of a parent. While final conversations as one construct did not lead to appraisal or action coping, results illustrate that final conversation topics of identity, instrumental, love, and everyday talk, were significantly related to shared appraisal. Instrumental talk and love were significantly related to joint action. Joint action and shared appraisal together led to participants engaging in all three types of coping. Final conversations as a whole, was important for bereavement outcomes, whereas communal coping's role in these relationships was convoluted.

Stressors and coping strategies in esports: a systematic review

ABSTRACT In this systematic review, we provide an overview of stressors and coping strategies in esports, emphasizing the goal of informing applied practice and guiding future research. Guided by the PRISMA guidelines and employing the SPIDER framework, we synthesize findings from 19 studies. Performance stressors such as defeat and performance pressure (e.g. pressure to win) were prominently observed, along with team, social, organizational, and personal stressors. Coping strategies, aligned with Nicholls et al. ((2016). The development of a new sport-specific classification of coping and a meta-analysis of the relationship between different coping strategies and moderators on sporting outcomes. Frontiers in Psychology, 7(11), 1–14), demonstrate internal regulation was the most frequently reported, followed by mastery coping, while goal withdrawal strategies were less frequently reported. Comparing esports to traditional sports highlights the role of social stressors such as social media and public perceptionin esports. However, personal stressors remain relatively unexplored. The review also identifies research gaps in stressor appraisal and communal coping strategies. Future research could delve into personal stressors, considering a wide array of psychological factors, and employing dynamic methodologies. Practical implications revolve around tailored interventions, promoting open communication, mastery coping techniques, and holistic well-being strategies. This review provides a broader understanding of esports stressors and coping strategies, offering a starting point for targeted interventions aimed at enhancing performance and well-being in the distinctive competitive landscape of esports.

Optimizing Individual HIV Testing and Counseling for Emerging Adult Sexual Minority Men (Aged 18 to 24) in Relationships: A Pilot Randomized Controlled Trial of Adjunct Communication Components.

The majority of new HIV infections in the US occur among sexual minority men (SMM) with older adolescent and emerging adult SMM at the highest risk. Those in relationships face unique HIV prevention challenges. Existing sexual HIV transmission risk interventions for male couples often encounter implementation challenges and engaging younger SMM early in relationships may be particularly difficult. This pilot randomized controlled trial evaluated the acceptibility and feasibility of We Test HIV testing - a behavioral health intervention tailored for younger SMM in realtionships - and generated preliminary estimates of effect size. The intervention comprises two adjunct moduls - video-based communication skills training as well as communication goal setting and planning - delivered in conjunction with routine HIV testing and counseling in individual or dyadic formats. A sample of 69 SMM aged 17 to 24 were recruited online. Following baseline assessment, youth were randomized to receive either the experimental, We Test, intervention or routine HIV testing (the control condition). Follow-up assessments were completed 3 and 6 months post-baseline. Results suggested the study was feasible and the individually delivered format was acceptible. We Test HIV testing was associated with significant improvements in communication skills. In addition, youth who remained in a relationship experienced an increase in communal coping to reduce HIV infection risk and relationship power. While groups did not differ with respect to condomless anal sex with casual partners, these psycho-social constructs (communication, communal coping with HIV prevention, and relationship power) may serve as mediators of intervention effects on sexual risk reduction in a larger study.

Understanding family functioning in mothers and daughters with obesity

ABSTRACT Purpose This study sought to understand family functioning surrounding weight in Mexican American women with obesity. Methods Semi-structured in-depth interviews were conducted with mothers and adult daughters (N = 116). Results Thematic analysis identified five themes. 1) The communication process drives perception of supportive messages. Messages perceived as non-supportive consist of directives as interventions, confirmation of faults, and critical compliments whereas supportive consist of compliments, encouragement, empathetic listening, and disclosure. 2) Acculturation differences interfere with intergenerational alliance. Differences involve dissonance in communication, behavioural expectations, and weight-related practices. 3) Maladaptive conflict responses contribute to relational strain. These responses include avoidance, withdrawal, and defensiveness. 4) Role transformations alter the generational hierarchical relationship. Daughters serve as role models, caregivers, or collaborators. 5) Low communal coping heightens psychological distress. It does so by challenging family roles, increasing social isolation, and compromising social support. Conclusion Obesity interventions for Mexican American women may benefit from targeting relational skills to improve family functioning.

A qualitative analysis of cascading effects of critical infrastructure service failure post torrential floods in formal & informal settlement: the study-case of Medellin city, Colombia

ABSTRACT Critical infrastructure (CI) services are crucial to the functioning of modern communities, and a single CI failure can cause cascading effects through a network of services, impacting an entire city. Challenges such as climate change and rapid urbanisation are increasing the risk of cascading effects of CI failure, particularly impacting the urban poor in peri-urban and informal settlements. This study uses a systems thinking approach to validate the hypothesis if CI services are susceptible to generating severe cascading effects in informal than formal settlements. Qualitative data was collected on cascading effects via interviews and focus group discussion in a formal and an informal settlement in Medellin, Colombia. The responses were analysed and structured using a service chain framework and a Causal Loop Diagram. Our findings show that cascading effects vary between the formal and informal contexts concerning CI service availability and accessibility and may be attributed to differences in demography, geography, socio-economic development, risk regulations, community coping capacities and other factors associated with urban development.

My Catastrophizing and Your Catastrophizing: Dyadic Associations of Pain Catastrophizing and the Physical, Psychological, and Relational Well-being of Persons With Endometriosis and Their Partners.

Endometriosis, a painful chronic gynecologic condition, contributes to disruptions in multiple areas of life for both those affected and their partner. Pain catastrophizing has been associated with worse pain outcomes and quality of life for women with endometriosis and with more cognitive load for partners. Examining both partners' pain catastrophizing dyadically with our variables of interest will enhance understanding of its associations with the distressing nature of experiencing and responding to pain during sex for couples with endometriosis. Persons with endometriosis experiencing pain during sex and their partners (n=52 couples; 104 individuals) completed online self-report measures of pain catastrophizing, depressive symptoms, sexual satisfaction, and partner responses to pain. Persons with endometriosis reported on pain during sexual activity. Analyses were guided by the Actor-Partner Interdependence Model. Persons with endometriosis' pain catastrophizing was associated with their higher pain intensity and unpleasantness during sex. When persons with endometriosis reported more pain catastrophizing, they were less sexually satisfied and reported their partners responded more negatively to their pain. When partners reported higher catastrophizing, they were more depressed and responded more negatively to the pain. Consistent with the Communal Coping Model of pain catastrophizing, although meant to elicit support from the environment, the often-deleterious cognitive process of magnifying, ruminating, and feeling helpless about one's pain (or one's partner's pain) is associated with poorer outcomes for the individual with pain and their romantic partner. Implications for pain management include the relevance of involving the partner and attending to the pain cognitions of both members of the couple.

Coping self-efficacy mediates effects of posttraumatic distress on communal coping in parent-adolescence dyads after floods.

Social cognitive theory provides a framework of human agency during environmental challenges, with coping self-efficacy (CSE) as an important construct underlying adaptation. We examined two alternative models involving CSE as a mediator of the association between posttraumatic stress symptoms (PTSS) and communal coping among parent-youth dyads after severe floods using Bayesian dyadic multilevel modeling. The first model included PTSS as the independent variable and communal coping as the dependent variable (disaster distress model). The independent and dependent variables were replaced for each other in the second model (communal coping model). We used data from 485 parent-youth dyads who experienced floods between 2015 and 2016 in Texas, USA. Parents of children (69% women) aged 10-19 years old, and their oldest child (53% male; Mean age = 13.75) in that age range were recruited. We assessed PTSS, CSE, and communal coping for parents and youths. Results favored the disaster distress model over the communal coping model. In the disaster distress model, results demonstrated that CSE declines as PTSS increases, predicting decreased communal coping. This mediation effect of CSE is stronger for youths compared to parents, indicating that children's CSE is affected more by PTSS.

We are sidekicks! Concretizing the antecedents and outcomes of communal coping in the COVID‐19 crisis renewal

AbstractScholars have gradually shifted efforts to understand the COVID‐19 crisis renewal stage. Viewing a gap in college communities' knowledge regarding COVID‐19 renewal, this study drew upon the extended theoretical model of communal coping and explored college students' stressor coping in back‐to‐campus situations. Results of an online survey (N = 460) across nine US universities, first, supported the presence of communal coping in such a situation. Second, universities' transparent communication benefited students' communal coping appraisal, while online and offline bonding social capital boosted communal coping action; both the appraisal and action components positively contributed to student adaptivity, with life satisfaction being associated only with the action dimension. Theoretical and practical implications for interdisciplinary model concretization and public health crisis renewal are discussed.

Academic Solidarity in the Wake of Disaster: Blueprint for an Online Writing Support Group

ABSTRACTThis article develops a blueprint for creating online writing groups (OWGs) to support scholars who are directly and indirectly affected by disaster. Those who are living in regions affected by natural disasters face a severe psychological toll along with physical and logistical challenges. Furthermore, scholars in the diaspora who are watching their colleagues go about daily life while they struggle to meet writing deadlines can also experience detrimental psychological effects, including isolation anxiety. Findings from disaster studies research suggest that communal coping strategies can mitigate the short- and long-term challenges to mental health, including spiraling concerns about productivity that, in turn, inhibit productivity. My research builds on these studies, as well as analyses of virtual platforms used during the COVID-19 pandemic, to identify specific aspects of OWGs that can provide community and structure for scholars in the wake of natural disasters. I draw from my experience of creating and hosting a Zoom writing group for scholars from Turkey and Syria in the aftermath of the February 2023 earthquakes. In addition to participant observation of more than 240 two-hour sessions held over 42 weeks between March and December 2023, I draw from a survey-based assessment and email correspondence with participants to develop a best-practices model that I hope other scholars will replicate.

Family-Focused Facilitated Fitness: Feasibility and Acceptability of a Couple-Based Physical Activity Intervention for Hematopoietic Cell Transplant Recipients and Their Caregiving Partners

Reductions in physical activity (PA) are common among patients following hematopoietic cell transplantation, and a risk factor for poor physical functioning. PA among spouses/cohabiting partners, who frequently serve as the patient's primary caregiver, may also be reduced due to caregiving demands and limited bandwidth for self-care. In addition, the patient-caregiver relationship can be compromised, and communication patterns disrupted. All PA interventions in the hematopoietic cell transplantation setting have focused entirely on patients, ignoring an opportunity to synergistically engage and benefit the caregiver as well. We sought to test feasibility and acceptability of a couple-based intervention entitled Family-Focused Facilitated Fitness (FFFF), designed to improve PA as assessed by daily step counts among both patients undergoing hematopoietic cell transplantation and their caregivers. Guided by interdependence and communal coping perspectives, FFFF is an 8-week, remotely-delivered intervention that provides training in communication skills and joint problem-solving to help patients and caregivers support one another in PA. Participants are also given a Fitbit to track their steps and weekly individualized step prescription based on the 75th percentile ranked value of their last 7 recorded daily step counts. A priori benchmarks for feasibility and acceptability in this single-arm pilot were as follows: 50% of eligible couples would agree to participate, 70% of couples would attend all 8 sessions, 80% of participants would provide valid Fitbit wear data 4/7 days/ week, and among sessions reviewed for treatment fidelity, 85% of treatment protocol elements would be covered. Couples were recruited prior to transplant. Among 26 couples approached and deemed eligible, 17 enrolled (65% agreement) and completed baseline assessment. Three couples later withdrew after transplantation but prior to receiving the intervention, resulting in 14 couples commencing the intervention, on average 21 days post-transplant. Four couples subsequently discontinued due to medical complications (n = 3) or caregiver schedule (n = 1). Among the 10 couples who completed the intervention, the percentage of participants meeting our benchmark of valid Fitbit wear at least 4 days per week was 85% in week 1, 90% in weeks 2 to 7, and 80% in week 8. Treatment fidelity was 95% on average across 24 sessions reviewed (3 cases). Treatment satisfaction scores were uniformly high across multiple dimensions, with all means above 4 on the 1 to 5 scale. Daily step counts among those attending all 8 intervention sessions increased from 2249 ± 302 steps/day in week 1 to 4975 ± 1377 steps/day in week 8 among patients, and from 8676 ± 3760 steps/day in week 1 to 9838 ± 3723 steps/day in week 8 among caregivers. Qualitative feedback indicated perceived mental and physical health benefits of the program. Participants also offered suggestions for adaptations to accommodate medical setbacks and constraints. All a priori feasibility benchmarks were met or exceeded. Results offer promise for utility of the program to engage and leverage patient-caregiver dyads to increase PA following transplant. An investigation using a randomized controlled design will be necessary to adequately examine change over time relative to control and its possible impact on clinical and patient-reported outcomes.

Bullying as a Destructive Communal Coping of the School Community: A New Conceptualization

School bullying has long been the subject of numerous empirical studies and applied interventions, due to its high prevalence and serious negative consequences. However, the theoretical understanding of this phenomenon, its predictors and dynamics, is not so rich. The paper examines the most established and influential theories developed by domestic and foreign scientists explaining the causes and dynamics of school bullying. The views on bullying as a result of social learning and a consequence of cognitive representations, a way to increase status and achieve popularity, a group process, the result of synergy of factors within the various social systems, as well as a form of adaptation are discussed. These theories are used to varying degrees to develop anti-bullying interventions, such as prevention programs, technologies to stop bullying, and educational activities. Based on the works on the effectiveness of various interventions, the paper problematizes the issues of the reasons for joining school bullying of children and adults, as well as the rapid return to bullying in schools after the end of anti-bullying activities. The author's concept of bullying is proposed as a communal coping strategy of the school community, where the rejection and displacement of one or more children who find themselves in the role of a victim to the periphery of a group of participants in the educational process, performs the functions of coping with stress and helps to reduce emotional stress to all other members of the community. It seems that this view of school bullying provides answers to the questions raised about the spread and stability of bullying and can be used as a basis for the development of programs addressed to the school community.

Pilot evaluation of a Psychological First Aid online training for COVID-19 frontline workers in American Indian/Alaska Native communities.

The COVID-19 pandemic exacerbated mental health concerns and stress among American Indians and Alaska Natives (AI/ANs) in the United States, as well as among frontline workers responding to the pandemic. Psychological First Aid (PFA) is a promising intervention to support mental wellbeing and coping skills during and after traumatic events, such as the COVID-19 pandemic. Since PFA is often implemented rapidly in the wake of a disaster or traumatic event, evidence evaluating its impact is lacking. This paper reports pilot evaluation results from a culturally adapted PFA training designed to support COVID-19 frontline workers and the AI/AN communities they serve during the pandemic. This study was designed and implemented in partnership with a collaborative work group of public health experts and frontline workers in AI/AN communities. We conducted a pre-post, online pilot evaluation of a culturally adapted online PFA training with COVID-19 frontline workers serving AI/AN communities. Participants completed a baseline survey and two follow-up surveys 1 week and 3 months after completing the PFA training. Surveys included demographic questions and measures of anxiety, burnout, stress, positive mental health, communal mastery, coping skills, PFA knowledge, confidence in PFA skills, and satisfaction with the PFA training. Participants included N = 56 COVID-19 frontline workers in AI/AN communities, 75% were AI/AN, 87% were female, and most (82%) were between the ages of 30-59. Participants reported high satisfaction with the training and knowledge of PFA skills. Pilot results showed significant increases in positive mental health and social wellbeing and reductions in burnout from baseline to 3 months after completing the PFA training among frontline workers. There were no changes in communal mastery, coping skills, stress, or anxiety symptoms during the study period. To our knowledge, this is the first pilot evaluation of a PFA training designed and culturally adapted with and for AI/AN communities. Given that many AI/AN communities were disproportionately impacted by COVID-19 and prior mental health inequities, addressing acute and chronic stress is of crucial importance. Addressing traumatic stress through culturally adapted interventions, including Indigenous PFA, is crucial to advancing holistic wellbeing for AI/AN communities.

Spousal Involvement in Collaborative Management and Glycemic Behavior Change among Patients with Diabetes Mellitus: A Systematic Review.

The marked increase in the number of individuals with diabetes mellitus (DM) worldwide each year has resulted in the importance of the spouse's contribution to the promotion and support of patient self-management programs. This study aimed to systematically explore the role or involvement of spouses in collaborative management and glycemic behavior change in DM. Five databases including Scopus, PubMed, Cumulative Index of Nursing and Allied Health Literature, SAGE, and Web of Science were reviewed for relevant articles retrieved from 2017 to 2022. Literature search used keywords, including "Spouse," "Support," "Self-management," "Glycemic Control," and "Diabetes mellitus." The Joanna Briggs Institute guidelines were used for appraisal review of journals. The component of partner support in the self-management of patients with DM is associated with an increase in the patient's glycemic level. Twenty-five studies were identified that describe the different spousal roles and strategies in the promotion and support of DM management. Overall, spouses' involvement positively impacted healthy diets, higher self-efficacy, improved quality of psychological well-being, increased perceived support, and changes in glycemic-influenced behavior. Adaptation in the spouse patient relationship including maintaining cohesiveness can result in positive coping is essential in normalizing and contextualizing the chronic condition of DM. Partner-based collaboration is important for diabetes management, overcoming management barriers, and generating communal coping. This systematic review observed that the involvement of a spouse is important in improving collaborative management and results in better glycemic behavior in patients with DM. A better understanding of the relationship between spousal involvement, coping strategies, and adherence in daily management and the subsequent use of this information are highly useful for creating targeted and effective interventions.

Analisis Pemberdayaan Masyarakat Di Bidang Kesehatan Masyarakat Desa Sirnabaya Kecamatan Rajadesa Jawa Barat

Introduction: The results of the study in Sirnabaya Village have problems with stunting and non-communicable diseases (Hypertension and Diabetes Mellitus) and waste management. Based on the results of the ranking of community problems, there are problems regarding readiness to improve health management: knowledge of mothers who have toddlers, Ineffective health management: adolescent reproductive health, readiness to increase community coping: increased knowledge of tasks in family development stages in the community, readiness to improve community health management of couples of childbearing age.
 Objective: The purpose of this service was community empowerment in Sirnabaya aims to improve health status.
 Method: community empowertment used is the method of counseling or lectures and demonstrations or practice.
 Result: The results are to train children's motor skills, and increase knowledge about adolescent health, couples of childbearing age, families, and the elderly. The results of knowledge on the average increase, especially in the elderly.
 Conclusion empowering the Sirnabaya community is to increase the knowledge and skills of cadres in solving health problems to improve the health of the community.

“I too have a responsibility for my partner's life”: Communal coping among Malawian couples living with HIV and cardiometabolic disorders

RationaleHIV and cardiometabolic disorders including hypertension and diabetes pose a serious double threat in Malawi. Supportive couple relationships may be an important resource for managing these conditions. According to the theory of communal coping, couples will more effectively manage illness if they view the illness as “our problem” (shared illness appraisal) and are united in shared behavioral efforts. MethodsThis study qualitatively investigated communal coping of 25 couples living with HIV and hypertension or diabetes in Zomba, Malawi. Partners were interviewed separately regarding relationship quality, shared illness appraisal, communal coping, and dyadic management of illness. ResultsMost participants (80%) were living with HIV, and more than half were also living with hypertension. Most participants expressed high levels of unity and the view that illness was “our problem.” In some couples, partners expected but did not extend help and support and reported little collaboration. Communal coping and dyadic management were strongly gendered. Some women reported a one-sided support relationship in which they gave but did not receive support. Women were also more likely to initiate support interactions and offered more varied support than men. In couples with poor relationship quality and weak communal coping, dyadic management of illness was also weak. Partner support was particularly crucial for dietary changes, as women typically prepared meals for the entire family. Other lifestyle changes that could be supported or hindered by a partner included exercise, stress reduction, and medication adherence. ConclusionWe conclude that gendered power imbalances may influence the extent to which couple-level ideals translate into actual communal coping and health behaviors. Given that spouses and families of patients are also at risk due to shared environments, we call for a shift from an illness management paradigm to a paradigm of optimizing health for spouses and families regardless of diabetes or hypertension diagnosis.

POLICIES TO OUTCOMES: MULTILEVEL CONSIDERATIONS FOR THE ASSISTED LIVING WORKFORCE

Abstract Assisted living (AL) staff mix, levels, training requirements, regulatory enforcement, and career opportunities vary widely across license types, companies, and states. ALs represent the largest care providers for people living with dementia across the U.S. In most states, ALs must have enough qualified, trained staff to sufficiently meet the needs of their resident populations. While the use of interventions to address appropriate staffing levels and workforce retention is increasing, little is known about how the variation in the AL workforce relates to resident and staff experiences or manifests from policies governing these settings. This symposium uses a socioecological framework to examine AL-specific workforce variation. Presentations focus on national variation in staff training requirements, workforce recruitment and retention, trends in staffing levels, how staffing levels can relate to resident outcomes, and direct care staff experiences with stress and coping in long-term care communities. Findings emphasize similarities and differences in workforce composition and experience between states and across different types of facilities. From national comparison of state regulations to facility contexts to individual resident and staff experiences, this panel embraces multilevel contextual understanding of how policies, practices, and outcomes can intersect across AL and residential care environments. This is an Assisted Living Interest Group Sponsored Symposium.

Community Resilience after Disasters: Exploring Teacher, Caregiver and Student Conceptualisations in Indonesia

Despite the potentially catastrophic nature of disasters, survivors can be highly resilient. Resilience, the capacity to successfully adapt to adversity, is both individual and collective. Policymakers and academics have recently emphasised the importance of community resilience, but with little consideration of local survivors’ perspectives, particularly young survivors within low- and middle-income countries. Therefore, this exploratory study aims to give voice to disaster-affected caregivers, teachers and female adolescent students by examining their conceptualisations of community coping and priorities for resilient recovery following the 2018 Central Sulawesi earthquake and tsunami. A total of 127 survivors of the devastating disaster, including 47 adolescents, answered open-ended survey questions related to post-disaster resilience. A content analysis identified key constituents of community resilience. The results indicate that survivors highly value community cohesion and participation, drawing on the community’s intra-personal strengths to overcome post-disaster stressors. Student conceptualisations of and recommendations for a resilient recovery often differ from the views of important adults in their lives, for example, regarding the role played by the built environment, “trauma healing” and religiosity in the recovery process. These findings have implications for the design of disaster resilience interventions.

Communal coping and glycemic control: Daily patterns among young adult couples with type 1 diabetes.

Young adulthood is a time when persons with Type 1 diabetes (T1D) become more fully responsible for diabetes management. Establishing healthy diabetes routines during this period is foundational for successful management across adulthood. Although partner support is generally considered helpful in T1D management, less is known about specific partner behaviors that could benefit glucose levels. The aim of this study was to explore associations between communal coping behaviors and T1D glucose management. During 2018-2020, 23 young married opposite-sex couples (Mage = 25.7 years), wherein one spouse had T1D, completed daily measures of communal coping for 9 consecutive days. Daily average glucose and time-in-range were computed from the person with T1D's glucose meter or continuous glucose monitor. Multilevel model results suggested that higher time-in-range on a given day was predicted by reports of lower daily spousal instrumental support, lower overprotective and controlling behaviors, and by higher emotional support. Controlling spousal behavior on one day was associated with higher time-in-range the next day. At the same time, patient reports of higher average spousal controlling behavior (across all days) were associated with lower time-in-range and higher average glucose. Average glucose was also predicted by communal coping behaviors (especially within-person higher instrumental support), yet results were less robust after covariates were considered. Some young romantic partners may engage in behaviors that are associated with higher average blood glucose and lower time-in-range for the person with T1D. Persons with T1D could communicate to their partners types of support that are helpful versus not. (PsycInfo Database Record (c) 2024 APA, all rights reserved).