Actor Effects Research Articles

Sanctification of African American Couple Relationships and Relational Forgiveness

AbstractObjectiveUsing participant responses from 525 different‐sex married and cohabiting African American couples, we examined the dyadic association between relational sanctification and relational forgiveness.BackgroundReligion has a central role in the lives of many African Americans because it traditionally has been a place of refuge against stressors that disproportionally impact African Americans. However, little is known about how African American couples utilize relational sanctification as a strength.MethodData were collected from African American couples between October 2019 and January 2020 as part of a larger study called the Strong African American Couples Project. Utilizing dyadic panels from Qualtrics, this project specifically targeted African American couples who were cohabiting (n = 233) or married (n = 292) thus, enabling us to analyze a multigroup actor–partner interdependence model.ResultsSignificant actor effects were found between sanctification and individual as well as perceived partner forgiveness in married and cohabiting couple relationships. No significant partner effects were found.ConclusionThese findings highlight the importance of recognizing various aspects of religiosity and spirituality within relationships, especially for African American couples with historically high rates of dissolution and self‐rated religiosity.ImplicationsAs interventionalists work with religious and spiritual African American couples, they need to understand the role that sanctity may have within these partner relationships and the positive impact it can have on relational outcomes.

Emerging adult siblings' relational entitlement and conflict: The moderating effects of financial dependence on parents

AbstractPast literature has documented a linkage between entitlement and interpersonal tension, primarily in romantic relationships. However, there is a lack of research investigating the impact of entitlement on sibling relationships. Guided by the agency model of narcissism and adult development literature, this study conceptualized relational entitlement as one form of state narcissism and examined the actor and partner effects of relational entitlement on perceived sibling conflict as well as the moderating effects of financial dependence on parents. Participants were 136 emerging adult sibling dyads (older sibling Mage = 22.20, SD = 2.35; younger sibling Mage = 19.54, SD = 1.55). Results indicated that younger siblings' (not older siblings') relational entitlement was positively associated with both their own and their siblings' perceptions of conflict. Moreover, younger siblings' financial dependence buffered the actor association between younger siblings' relational entitlement and perceived conflict. These findings suggest that emerging adult siblings' developmental status of financial dependence provides a nuanced context for understanding the actor and partner effects of relational entitlement on sibling conflict. The discussion focuses on the role of self‐inflated social comparison in emerging adult sibling conflict and how the developmental characteristics of older and younger siblings shape the above associations.

Perspective of Health Care Professionals and Cancer Survivors on the Usage of Technology in Consultations.

This study explored the integration of technology in healthcare consultations between healthcare professionals (HCPs) and cancer survivors. The research aimed to understand how technological tools influence the dynamics and environment of cancer survivor rehabilitation consultations. The study used Actor-Network Theory (ANT) to analyze the effects of new technological actors in consultations and Invisible Work Theory to uncover hidden workflows associated with technology implementation. The study combined observations and in-depth interviews with HCPs and cancer survivors conducted in March to May 2022, and a follow-up group interview in November 2023. The study revealed that technology's presence notably impacts the relationship between HCPs and cancer survivors, with HCPs expressing concerns that technology disrupts the consultation and challenges the relation. Over time, HCPs gradually began to use laptops during consultations to varying degrees, although the resistance to fully embracing technology persisted. This resistance is attributed to perceived pressure from management and a mismatch with established practices. The findings address the challenges in digital literacy and confidence among HCPs to facilitate the effective incorporation of technology and enhance the patient-clinician relationship. This research contributes to a deeper understanding of the interplay between digital health tools and patient-clinician relationships, highlighting the complexities and opportunities in digitizing healthcare consultations.

When love hurts: Testing the stress generation hypothesis between depressive symptoms, conflict behaviors, and breakup rumination in romantic couples

Introduction: In this study we investigated the stress generation hypothesis in romantic relationships, testing how individuals’ depressive symptoms can lead to interpersonal stress that worsens their depressive symptoms. Interpersonal stress was operationalized as conflict enactment (critical, hostile, and rejecting behaviors toward one's romantic partner) and breakup rumination (persistent and intense thoughts of ending the relationship). Methods: Participants included 226 heterosexual adult romantic couples, with a mean age of 21.48 years for women and 22.35 years for men. A short-term longitudinal design was employed, involving three waves of data collection, including a daily diary portion. Depressive symptoms were measured in the lab at the beginning of the study (Wave 1) and again one month later (Wave 3). Following Wave 1, conflict enactment and breakup rumination were measured online over a 14-day period (Wave 2) through daily diary entries, which were then averaged across the 14 days into a single score for each construct. Results: Using actor-partner interdependence mediation modelling, we found women's and men's depressive symptoms at Wave 1 positively predicted their own conflict enactment and breakup rumination at Wave 2, as well as their own depressive symptoms at Wave 3 (actor effects). Women's depressive symptoms at Wave 1 positively predicted men's conflict enactment at Wave 2 (partner effect). Additionally, women's conflict enactment at Wave 2 positively predicted their own depressive symptoms at Wave 3 (actor effect) and mediated the increase in their own depressive symptoms from Wave 1 to 3 (indirect effect). Discussion: Findings illustrate how depressive symptoms are embedded in an interpersonal context and exacerbated by conflictual behaviors within romantic relationships over a period of one month.

Worrying about our children: Parental worry and psychological well-being among Korean middle-aged couples.

When children reach a certain age of maturity, middle-aged parents often reflect on their parenting, harboring continuous worries about their adult children. These parenting experiences are also shared within couples and continue to impact parents' well-being. Utilizing couple data from the 2010 Korean Baby Boomer Panel Study, we examined the dyadic associations of worry about child issues and psychological well-being among middle-aged couples (N = 1,091; aged 47-55) who have at least one adult child (Mage = 23.13 years). Results from the actor-partner interdependence model showed that one's own parental worry was significantly associated with psychological well-being for both husbands and wives (i.e., actor effects). Further, wives' worry about children was significantly associated with husbands' psychological well-being (i.e., partner effects)-but not vice versa. These findings highlight that aspects of parenting not only impact children but also extend to the linked lives of midlife parents themselves. Research on parental experiences at the couple level may inform interventions to enhance middle-aged parents' well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Associations between adolescent friends' responses during problem talk and depressive symptoms.

The present study examined how friends' responses to each other during problem talk predicted depressive symptoms over time. Participants included 271 adolescent friend dyads (69 female and 69 male early adolescent dyads; 72 female and 61 male middle adolescent dyads; 66.4% White and 26.6% Black). The adolescents were observed discussing a problem with the friend and reported on depressive symptoms at the time of observation and 9 months later. Friends' responses were coded into one of nine response type categories (i.e., four positive/engaged response types, one neutral response type, and four negative/disengaged response types). Actor-partner interdependence models revealed significant actor and partner effects for both positive and negative responses. Notably, receiving and/or producing positive/engaged responses, including saying something supportive, sharing related experiences, and asking questions, were associated with lower depressive symptoms over time. Receiving and/or producing negative/disengaged responses, including sharing one's own experience in a distracting way, changing the subject, saying something unsupportive or minimizing the problem, and saying nothing at all heightened risk for depressive symptoms. Additionally, significant Actor × Partner interactions revealed that greater differences between the friends in the degree to which they produced supportive responses were associated with increased depressive symptoms and that both friends saying nothing at all was associated with increased depressive symptoms. When gender and grade differences were found, the associations typically were particularly strong for middle-adolescent girls. These results highlight the importance of attending to friends' specific behaviors in social support contexts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Spousal collaboration mediates the relation between self-rated health and depressive symptoms of Chinese older couples: an actor-partner interdependence approach

BackgroundDyadic coping resources have been considered a potential explanatory mechanism of spousal interdependence in health, but the mediation of spousal collaboration for the relationship between self-rated health and depressive symptoms has yet to be examined. This study aimed to investigate the within- (actor effect) and between-partner effects of self-rated health on depressive symptoms in community-dwelling older couples facing physical functioning limitations and to examine the role of spousal collaboration in mediating the actor and cross-partner effects of self-rated health on depressive symptoms.MethodData from 185 community-dwelling older Chinese married couples were analyzed using the actor–partner interdependence mediation model (APIMeM). Couples were interviewed through trained research assistants using the 5-item common dyadic coping subscale of the Dyadic Coping Inventory (DCI), the Visual Analog Scale (VAS) of the QoL questionnaire EQ-5D and the Patient Health Questionnaire-9 (PHQ‐9).ResultsHusbands’ self-rated health had an actor effect on their own depressive symptoms and a partner effect on their wives’ depressive symptoms. Wives’ self-rated health had an actor effect on their own depressive symptoms. The actor effects between self-rated health and depressive symptoms were partially mediated by their own perception of spousal collaboration. Furthermore, husbands’ self-rated health not only affects wives’ depressive symptoms directly but also indirectly by influencing wives’ perceptions of spousal collaboration.DiscussionThe findings from this study underscored the importance of viewing couples’ coping processes from a dyadic and gender-specific perspective, since more (perceived) collaborative efforts have beneficial effects on both partners’ mental health outcomes.

Participatory approaches and Social Network Analysis to analyse the emergence of collective action for rural development: a case study in the Spanish Pyrenees

This paper explores the social capital of an emergent beef quality brand in two valleys (Ansó and Hecho) in the Spanish Pyrenees through a combination of participatory approaches (focus groups) and Social Network Analysis. We organised three focus groups with stakeholders from the administration, tourism and commerce, and farming sectors to evaluate the interest for the initiative. In the Social Network Analysis, we surveyed 32 local stakeholders to construct an advisory network, including the surveyed actors and non-surveyed actors that they mentioned, and a trust network, including only the surveyed actors and their trust level in each other. The trust network was analysed using the Louvain’s algorithm to identify potential internal communities and the exponential random graph model (ERGM) to infer the shaping effects of actors’ attributes on the network’s structure. Our results revealed a general interest of the stakeholders in the beef quality brand and a sparse network characterised by a propensity to mutual and open interactions with four clusters based on employment sectors/educational levels and connected by two prominent actors. Therefore, the social capital of the initiative showed both risks because a loss of these few prominent actors could inhibit the network, and opportunities, because their presence, along with the mutual and open interactions, would ensure efficient information exchange. The investigation revealed also two possible limiting factors: the absence of a coordinator and the actors’ unwillingness to assume this role. The results confirmed the efficacy of the methodology used to investigate the social capital of emergent initiatives, but further research should be carried out including stakeholders’ concerns on its economic implications. HIGHLIGHTS Focus groups and Social Network Analysis allowed to explore the social capital of a beef production quality brand initiative. A sparse network with mutual interactions but few central actors emerged. The absence of a coordinator and unwillingness to cover the role are possible limiting factors.

Sexual Sanctification and Relationship Satisfaction in Black Heterosexual Couples

This study examines dyadic data from 299 married and 242 cohabiting Black heterosexual couples in the United States (an understudied cross-section of the population) and assesses individual (actor) effects as well as couple (partner) effects of sexual sanctification and relationship satisfaction. Higher levels of sexual sanctification were associated with higher levels of relationship satisfaction for women and men in the actor effects, but no significant associations were found in the partner effects for couples. Additionally, initial findings suggest that sexual sanctification may act as a relational protective factor for Black married and cohabiting couples. Implications for further research as well as practical applications for clergy, therapists, and practitioners working with Black heterosexual couples in sexual relationships are also discussed.

Social Inhibition and Depressive Symptoms among Couples with Children with Autism Spectrum Disorder: The Mediating Role of Perceived Family Support.

Background and Objectives: A limited understanding exists regarding the intricate dynamics between the levels of social inhibition exhibited by both wives and husbands concerning their perceived family support and depressive symptoms, particularly within couples who are parents of children diagnosed with autism spectrum disorder (ASD). Materials and Methods: This study used the actor-partner interdependence mediation model to analyze data collected from 397 pairs of Chinese parents with children diagnosed with ASD. Results: The findings of the study revealed significant indirect actor effects, indicating that the levels of social inhibition exhibited by both wives and husbands were associated with their own depressive symptoms through their respective perceptions of family support. In general, the study did not find significant partner effects, except for some indirect effects of wives on their husbands' depressive symptoms through the wives' perceived social support. Conclusions: In line with related studies, social inhibition was associated with depressive symptoms. At the same time, perceived family support could be a mediator of depression. Gender differences in emotional expression, influenced by cultural norms and distinct role expectations within the family context, may elucidate why only wives' perceived family support could impact husbands' depressive symptoms. These results underscore the potential importance of interventions aimed at addressing social inhibition and enhancing perceived family support to alleviate depressive symptoms in this population. Additionally, encouraging family support for both wives and husbands' involvement in collaboration may be of benefit in improved outcomes for both parents and children within families affected by ASD.

Transient States and Timeless Ties: (In)Formality, Power Networks, and the EU Mission in Kosovo

Abstract State-building by external actors can be understood as a practice of intervention in post-conflict spaces characterized by convergences and contestations between different actors striving for power and legitimacy. Informal non-state (armed) groups and clientele networks profit from the contingencies during transition and “capture” emerging formal state institutions to secure private gains and public positions. Order in this newly formed state is established through a dynamic process involving both external actors and domestic power networks. Most of the literature on intervention either focuses on top-down effects of external actors or resistance by local actors, thus falling short of describing the timeless ties of post-war networks and individuals in their day-to-day interaction patterns. How can we then understand the interaction and collusion between post-conflict power networks and external “statebuilders”? We use Bourdieu’s concept of the field to examine the local spaces of interventions and argue that interventions are social and relational practices characterized by day-to-day routines and overlapping, yet co-existing modes of formal and informal interactions. Empirically, we rely on qualitative social network analysis and interviews to visibilize these social practices and collusion between external actors and power networks in Kosovo and its impact on “state-building” efforts by the international community.

Group member attachment style interacts with actor and partner helping alliance to predict decreasing binge eating episodes

Objective An individual’s attachment style may impact how they interact with their therapy group. This study examined the moderating role of a group member’s attachment on the dynamic relationships between that group member’s (actor) and other group members’ (partner) therapeutic alliances and symptom outcomes. Method: This is a secondary analysis of data from a trial testing the outcome of emotionally-focused group therapy for binge-eating disorder. The sample consisted of 2,360 sessions nested within 118 group members who attended a 20-session treatment. Patients recorded binge eating episodes (BEE), their body weight and an alliance measure session-by-session. Results Dynamic structural equation modelling showed decreases in BEE and weight over the therapy. When attachment style was not included in the model, higher-than-average partner’s alliance scores in the previous session were related to decreases in BEE in the current session. Attachment style moderated these actor and partner effects. For patients with preoccupied attachments, higher-than-average actor alliance in the previous session was related to subsequent decreases in BEE. For patients with dismissing or disorganized attachments, higher partner alliance in the previous session was related to subsequent decreases in BEE. Conclusion Group members’ attachment characteristics can play a role in the development of alliance-outcome patterns in group therapy.

Exploring Family Adjustment Among Parents of a Child With a Disability Attending Relationship Education

Objective: The current exploratory study examined dyadic changes in family adjustment (i.e., parental stress, positive coping, family-based support, social support) reported by parents of a child with a disability after 12-hours of relationship education (RE). Background: Parents of a child with a disability encounter social barriers that contribute to parental stress and inhibit family well-being. RE reduced psychological and relationship distress in community samples—yet, ability status and the influence on a family's presenting needs/resources are overlooked in previous research. Methods: We extracted a subset of data to examine pre- and post-reports of family adjustment among couples parenting a child with a disability who completed the PREP curriculum. We used structural equation modeling to examine an actor–partner interdependence model for the dyadic association of mean-centered baseline subscale measures of family adjustment and residual change scores for men and women in a relationship post-RE intervention. Results: Actor effects were significant and predicted the amount of residual change for men and women. Significant partner effects existed for male social support and male and female family-based support. Conclusion: Results expand our understanding of RE effectiveness with an understudied subset of parents, those raising a child with a disability. Parents reported improvements in family adjustment and partners influenced one another in terms of family adjustment changes. Implications: Supportive parent programming, such as RE, may be an important consideration for families that include a child with a disability to address the social barriers that tax existing parent and family resources.

The Relations Between Parents’ Gender Equality Values and (co)parenting: Examining Actor-Partner Effects in an Australian Community Sample

In most Western societies, parents’ gender roles and values have shifted significantly over the past decades. However, it is not yet clear whether parents’ gender-related values impact both their own and their partners’ coparenting and parenting practices. This study examined the relations between parents’ gender equality values, their coparenting, and parental warmth and hostility. Drawing 6745 families from an ongoing Australian panel study, we used actor-partner interdependence modeling to estimate the associations between mothers’ and fathers’ equality values and their (co)parenting. Results revealed a significant positive partner effect of mothers’ gender equality values on fathers’ warmth and coparenting, but no significant actor effects for mothers’ or fathers’ values. We also found that mothers’ work status moderated the relationship between parents’ values and coparenting. In conclusion, these findings suggest that it is important to consider mothers’ gender values and its transactional influence on fathers’ involvement for understanding contemporary parenting.

Individual and social determinants of COVID-19 vaccine hesitancy and uptake in Northwest Syria

IntroductionThe COVID-19 outbreak devastated the fragmented health system in Syria, a war-torn country, and exaggerated the demands for humanitarian assistance. COVID-19 vaccination was rolled out in Northwest Syria, an area out of government control, in May 2021. However, vaccine acceptance rates are still minimal, which is reflected in the meager percentage of vaccinated people. The study aims to investigate the effectiveness of the humanitarian actors’ plans to address the COVID-19 vaccine hesitancy and conclude practical strategies for boosting vaccine uptake in Northwest Syria.Methods and materialsTwo questionnaires were developed to collect data from humanitarian organizations involved in the COVID-19 vaccination campaign and people from northwest Syria. Data analysis was performed using SPSS 22 data analysis program.ResultsAccording to the findings, 55.5% of people refused the COVID-19 vaccine. The results showed a knowledge gap and lack of evidence regarding humanitarian actors’ strategies to address the vaccine’s low uptake. Besides, it was found that doctors and medical workers were reliable sources of information about the vaccine. However, they were not systematically engaged in community mobilization and risk communication to promote people’s perspectives on the vaccine.ConclusionRisk communication and community engagement programs were not significantly associated with increasing the COVID-19 acceptance rate. Humanitarian actors must reconsider their strategies to address vaccine hesitancy in Northwest Syria. These strategies should engage medical professionals through dialogue sessions on the realities of the pandemic and vaccine development mechanism based on a compelling and evidence-based approach.

Going through it together: Dyadic associations between parents' birth experience, relationship satisfaction, and mental health

BackgroundPrevious research suggests that a negative birth experience is associated with symptoms of postpartum depression and anxiety in mothers and partners. However, this has mostly been investigated within the first year postpartum and research on the long-term effects is lacking. Additionally, the role of relationship satisfaction and the interdependence between parents have not been considered so far. MethodsCouples (N = 1992) completed questionnaires on their birth experience, relationship satisfaction, and symptoms of depression and anxiety at two months, 14 months, and two years after birth, respectively. ResultsActor-Partner Interdependence Mediation Models indicated no partner effects, but several significant actor and indirect effects. A more positive birth experience was associated with higher relationship satisfaction and less depression and anxiety symptoms for both parents. Higher relationship satisfaction was in turn associated with less depression (mothers and partners) and anxiety symptoms (mothers). The association between birth experience and depression symptoms was partially mediated by relationship satisfaction for mothers and partners, while the association between birth experience and anxiety symptoms was partially mediated by relationship satisfaction only for mothers. LimitationsDue to the highly educated, very healthy sample with low levels of depression and anxiety as well as high relationship satisfaction, results cannot be generalized to less privileged parents. Moreover, all effects were very small. ConclusionsResults highlight the importance of a positive birth experience for parents' relationship satisfaction and mental health. Negative birth experiences need to be avoided to prevent a negative impact on the whole family.

Racial discrimination and parenting perceptions among low-income Black couples.

Racism affects Black individuals in the United States through multiple institutional, social, and economic injustices. Relationship scientists have called for greater attention to the potentially harmful effects racism might exert on Black families. A small literature has begun to document negative associations between experiences of racism and romantic relationship functioning. However, even less empirical work has focused on a central relationship domain for many Black couples: parenting. The present study used cross-sectional data (N = 312 couples) from low-income Black couples who had recently had a child together. We examined associations between both partners' experiences of racial discrimination and their coparenting relationship quality and parenting stress. We next controlled for depression and relationship dedication as substantive covariates that could guide future research in this area. Actor-partner interdependence models revealed actor associations between discrimination and poorer parenting outcomes and a partner association specifically between one's partner's discrimination experience and own lower coparenting relationship quality. This partner effect was no longer significant, and actor effects were attenuated, when controlling for depression and relationship dedication, respectively. Our findings indicate that the negative effects of racial discrimination on Black couples' relationships are also apparent in the parenting domain, even above and beyond associations of individual depression and relationship dedication. These findings underscore the urgent need for more basic science to better understand the harms of racism for Black families, identify mechanisms that drive those effects, and highlight ways that clinical services can begin to address these impacts even now. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

부부의 성별 평등 인식과 행복의 관계에서 가정생활 만족의 상호매개효과 검증

The purpose of this study was to examine the mutual mediating effect of satisfaction with family life in the relationship between a couple's perception of gender equality and happiness, using the couple as the unit of analysis and analyzing it by considering the actor and partner effects of each variable. Partner Interdepence Model extended to Mediation was applied. 3,190 people (1,595 couples) from the 21st year of the Korean National Happiness Survey conducted by the National Assembly Future Institute were used in the analysis. As a result of the analysis, in the relationship between the husband and wife's perception of gender equality, happiness, and satisfaction with family life, both husband and wife found that the perception of gender equality had a significant effect on satisfaction with family life in the actor effect, and that satisfaction with family life had a significant effect on happiness. It was confirmed that this was a factor. However, there was a gender difference between couples in the partner effect. For the wife, both perception of gender equality and satisfaction with family life had a significant impact on the husband's happiness, while for the husband, there was no significant partner effect. In the relationship between husband and wife's perception of gender equality and happiness, it was confirmed that the full mediating effect of family life satisfaction appeared for both husband and wife. Regarding the partner effect, the wife's perception of gender equality had a significant effect on the husband's happiness, but in the case of the husband, there was no statistically significant partner mediating effect.

Family resilience, patient-reported symptoms in young stroke dyads: The effect of caregiver readiness and social support.

To investigate empirically the direct effect and potential mechanism of family resilience on patient-reported outcomes among young stroke dyads in China. Young patients with stroke have been becoming an important public health issue. According to relevant theories and previous studies, we found that family resilience might play an important role in patient's symptoms. However, it is less clear about the specific relationship and potential mechanisms of these two variables. We used a prospective cross-sectional design. A multi-item questionnaire was used to assess the constructs of interest. Researchers progressively constructed and validated conditional process models. The PROCESS macro was used to verify the research hypotheses. A total of 560 questionnaires were collected in this study. We found that family resilience of stroke patients and their spouses had a direct effect on the physical, psychological and social aspects of patient-reported symptoms. We further revealed that caregiver preparedness partially mediated the relationship between family resilience and patient's symptoms in stroke patient-spouse dyads, while perceived social support moderated the relationship between caregiver preparedness and patient's symptoms. Finally, we observed that the impact of caregiver readiness and social support on patients' symptoms predominantly manifested in physical and physiological outcomes. Our research provides evidence about the positive impact of family resilience on patient-reported symptoms in young stroke dyads. Meanwhile, it further revealed how caregiver preparedness and perceived social support may play out in the relationship. Our research introduces a novel perspective and pathway to enhance short-term recovery outcomes for patients. It also furnishes clinicians and nurses with evidence to guide the implementation of interventions aimed at improving patient health outcomes and facilitating smoother transitions from the hospital to home. What problem did the study address? Families play a crucial role in a patient's recovery process from illness, with family resilience serving as an important force for families to overcome adversity. However, the impact on patient symptoms and the underlying mechanisms of this relationship are uncertain. Empirical research is required to validate these aspects. What were the main findings? Family resilience has a positive impact on the physical, psychological and social aspects of patient-reported symptoms in young stroke dyads. Both the actor effect and partner effect are supported. The impact of caregiver readiness and social support on patient-reported symptoms is primarily observed in physical and physiological outcomes. Where and on whom will the research have an impact? This study offers a novel approach to enhance the short-term recovery of stroke patients. The researchers believe that the findings of this study will play an even more significant role during patients' transition from the hospital to home. This study followed the STROBE statement of cross-sectional studies. The study was conducted by patients, their spouses, healthcare professionals and the research team.

Couples and concealable chronic illness: Investigating couples' communication, coping, and relational well-being over time.

Couples managing chronic illnesses-the leading causes of death and disability in the United States-can experience challenges in their daily lives and relationships. Both couple members have reported lower satisfaction, greater burden, and communication difficulties. Many of these illnesses are nonvisible or concealable, increasing fear and uncertainty when sharing illness information, and reducing self-disclosure. These challenges can leave couples vulnerable to dissatisfaction and distress. In this longitudinal study, we integrated dyadic coping frameworks to examine how couples' communication and coping predicted relational well-being over time. Couples, where one partner was diagnosed with a concealable chronic illness, completed three online surveys 6 months apart (n = 242 couples at baseline, 146 couples at 6 months, and 123 couples at 12 months). Couples were recruited from university settings. Actor-partner interdependence mediation models using within-person multilevel dyadic path modeling tested the theoretical model. For patient and partner actor effects, at times when they saw the illness as shared and something that they could manage together, the more they talked about the illness and used dyadic coping strategies (p < .001). In turn, when using dyadic coping strategies more often, patients and partners felt more satisfied, close, and sexually satisfied than they typically felt that year (p < .001). For cross-partner effects, when patients talked about the illness more than usual, their partners also used dyadic coping strategies more often (p = .01). Patients' open communication may not only benefit themselves but also their partners. This multifaceted approach offers new insight into promoting relational well-being while managing concealable chronic illness. (PsycInfo Database Record (c) 2024 APA, all rights reserved).