Partner Effects Research Articles

The payroll tax contribution limit and women's labor market outcomes

AbstractObjectiveTo examine the effect of the male partner's entry into payroll tax‐exempt earnings on the female partner's labor market outcomes.BackgroundEmployees only pay payroll taxes up to a specific limit, which results in a comparatively greater increase in the take‐home pay of individuals who earn labor incomes above this threshold. We argue that returns from payroll‐exempt labor are gendered: That is, because men are more likely high earners than women, they will more often benefit from the payroll tax ceiling. This increases the labor market returns of men and sets substantial incentives within couples to reduce the paid labor of the secondary earner.MethodWe use panel data from the United States (PSID) to examine changes in women's annual work hours, hourly wages, and earnings over the partner's entry into payroll tax‐exempt labor (treatment) using fixed‐effect models with individual slopes. The models enable us to assess women's labor market outcomes while adjusting for heterogeneous within‐couple earnings differential slopes before treatment in addition to any time‐constant heterogeneity. Our sample contains 7297 women providing 65,811 observations.ResultsWomen's earnings on average diminished by 4% after the partner breaks through the payroll tax contribution threshold. This was mostly explained by changes in annual work hours, which on average decreased by 4%. We did not find reduced hourly wages in the short run.ConclusionWe conclude that payroll exemptions for high earners reinforce gender inequality within upper‐income couples, which is a link hitherto missed in the literature.

Actor–Partner Effects of Personality Traits and Psychological Flexibility on Psychological Distress Among Couples Coping with Cancer

In this study, we applied the actor–partner interdependence model (APIM) to explore the associations between personality traits (Big Five) and psychological flexibility, on the one hand, and depression and anxiety, on the other hand, among patients with cancer and their spouses. Method: Forty-six patient—spouse dyads (N = 92) completed the anxiety and depression scales from the Patient-Reported Outcomes Measurement Information System (PROMIS), the ten-item personality inventory (TIPI), and the psychological flexibility scale (AAQ-2). Multilevel APIM models, adjusted for multiple testing, showed that neuroticism and psychological flexibility had actor effects on patients’ depression and anxiety. Furthermore, neuroticism had actor effects on spouses’ depression and anxiety, and agreeableness had actor effects on spouses’ anxiety. In addition, patients’ psychological flexibility and neuroticism had partner effects on spouses’ depression. Conclusion: Being psychologically flexible but emotionally stable is important for one’s own and one’s partner’s psychological outcomes in the context of dyadic coping with cancer. Implications include informing couples’ therapists in the context of psycho-oncology on the importance of considering personality traits and improving psychological flexibility.

Perceived Social Support Mediates the Relationship Between Benefit Finding and Depressive Symptoms Among Young and Middle-Aged Stroke Survivors and Their Spouse Caregivers

Background Existing literature indicates that benefit finding and social support play protective roles against depressive symptoms. However, there is a lack of understanding regarding the interplay between benefit finding, social support, and depressive symptoms within the dyadic context of stroke survivor-spousal caregiver relationships. Objective The objective of this study is to investigate the relationships among benefit finding, social support, and depressive symptoms in young and middle-aged stroke survivors and their spouse caregivers. In addition, the mediating role of social support in the association between benefit finding and depressive symptoms is explored. Methods A total of 203 pairs of stroke survivor-spouse caregiver were included in the study. Depressive symptoms, social support, and benefit finding were measured using the Patient Health Questionnaire-9, the Perceived Social Support Scale, the Benefit Finding Scale, and the Caregiver Benefit Finding Scale. The Actor-Partner Interdependence Mediation Model was used to assess direct and indirect effect. Results The findings revealed a significant negative association between higher levels of benefit finding and lower depressive symptoms in both stroke survivors (actor effect, −0.126) and spousal caregivers (partner effect, −0.044). Perceived social support emerged as a significant mediator in the relationship between benefit finding and depressive symptoms in spousal caregivers (indirect effect, −0.024). Furthermore, spousal caregivers' perceived social support served as a mediating variable between caregiver benefit finding and depressive symptoms in stroke survivors (indirect effect, −0.023). Conclusion The study underscores the interdependence between stroke survivors and spousal caregivers, highlighting the mutual influence they have on each other. Consequently, targeted interventions addressing both members of the dyad, with a focus on enhancing benefit finding and social support, could prove beneficial in ameliorating depressive symptoms in stroke survivor-spousal caregiver.

Associations between caregiver-adolescent emodiversity and internalizing symptoms.

Relationships between adolescents and primary caregivers play an important role in the development of internalizing (depressive and anxious) symptoms. We examined associations among caregiver-adolescent emotions and their emodiversity (their breadth and frequency) with adolescents' and caregivers' internalizing symptoms. A total of 181 adolescents (aged 13-17 years old) and their primary caregivers participated in a 14-day daily diary study between 2022 and 2023 where they reported their emotions at the end of each day. We used actor-partner interdependence models to examine whether positive and negative emotions and their emodiversity predicted each individual's and their family member's internalizing symptoms. Primary results concentrated on the actor effects of adolescents' and caregivers' mean levels of positive and negative emotions and their own internalizing symptoms. Greater negative emotion and lower positive emotion were associated with greater internalizing symptoms, for both caregivers and adolescents. Caregivers who showed greater positive emodiversity also showed greater internalizing symptoms. In contrast, relatively few partner effects were observed. Our findings point to the need for more research on the role of interpersonal emotions in daily life as they relate to internalizing symptoms. Although our sample captured diversity in ethnicity, results may not generalize across levels of socioeconomic status, gender identity, and caregiver education.

A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory.

The active coping strategies of family members can help breast cancer patients better handle the crisis, and family adaptation is a manifestation of the family's active coping with the crisis. In the study of breast cancer, a disease that predominantly affects women, we explored the influence of spouses on patients' family adaptation. This aspect has not been explored in previous studies. In recent years, with the development of family stress coping theory, cancer coping styles have shifted from an individual focus to a whole-family approach. This shift has the potential to help families of cancer patients adapt to the crisis. This study aimed to explore the correlation between dyadic coping, family adaptation, and benefit finding in couples with breast cancer. Using convenience sampling, the study included 325 pairs consisting of breast cancer patients and their spouses who attended breast surgery, oncology, and chemotherapy sessions between April and November 2023. The survey utilized the General Information Questionnaire for patients and spouses, the Dyadic Coping Scale, the Benefit Finding Scale, and the Family Adaptability and Cohesion Evaluation Scales. Data analysis was conducted using SPSS 25.0 and Amos 24.0 software. In the actor effect of dyadic coping on family adaptation, the benefit finding of patients and their spouses played a mediating role. Regarding the partner effect (B = 0.019, 95% CI = 0.003-0.045, P < 0.05), the dyadic coping of spouses indirectly affected the family adaptation of patients through the benefit findings of patients. The patient's dyadic coping can directly affect the spouse's family adaptation. The spouse's dyadic coping can influence the patient's benefit finding. There is a partial interaction between breast cancer patients and their spouses' dyadic coping, benefit finding, and family adaptation. Therefore, clinical staff should promptly identify patients and spouses with poor coping abilities and provide them with positive psychological interventions to enhance the dyadic coping abilities of both partners and assist them in overcoming the problems encountered during the treatment process, ultimately helping them better cope with family crises.

The role of we-ness in Chinese serodiscordant male couples' coping with HIV: a mixed-methods study.

Men who have sex with men represent a significant portion of new HIV diagnoses in China. Guided by the systemic transactional model and interdependence theory, we examined the mediating role of 'we-ness' between dyadic coping and HIV-specific support among Chinese serodiscordant male couples, and how cultural interdependence shapes this we-ness. We employed a mixed-methods design which included a cross-sectional survey of 234 couples and qualitative interviews with 20 couples. Using the actor-partner interdependence mediation model, our quantitative analysis found that (1) both positive and negative dyadic coping had significant actor effects but nonsignificant partner effects on HIV-specific support, and (2) we-ness mediated both dyadic coping strategies and HIV-specific support, with significant actor-actor effects and partner-actor effects. Our qualitative inquiry identified that we-ness is fundamentally shaped by couples' negotiated pattern of interdependence, characterised by selective independence in HIV care alongside interdependence in HIV prevention. Our findings advance theoretical understanding by demonstrating we-ness as a critical mediating mechanism and reveal how couples' negotiated interdependence extends beyond the traditional continuum between dependence and independence. Findings suggest the need for culturally embedded interventions that recognise couples' shared we-ness and strategic negotiation in HIV management.

Racial Discrimination and Trauma Symptoms Among Black Adolescent-Caregiver Dyads

ABSTRACT Objective Research to date has produced compelling evidence of the potentially traumatic consequences of racial discrimination among Black adolescents and adults. Seldom explored, however, is how the potentially traumatic effects of racial discrimination may be shared across the family context. To clarify the relevance of racial trauma across the family system, the current study examined the relationship between racial discrimination and trauma symptoms among a sample of Black adolescent-caregiver dyads. Method Data were drawn from a larger self-report survey study examining Black family life experiences. For this study, data from 202 Black adolescents (Mage = 14.50, 52% female) and their caregiver (Mage = 41.63, 83% female) were used to test actor-partner interdependence models examining the associations of racial discrimination and trauma symptoms. Results Significant actor effects revealed that racial discrimination was positively associated with self-reported trauma symptoms among adolescents and caregivers. Additionally, partner effects were found, such that adolescent and caregiver experiences of discrimination were positively associated with the trauma symptoms of their family member. Analyses also revealed that the association between racial discrimination and trauma symptoms among caregivers was dependent upon youth experiences of racial discrimination. Conclusion The current study lends credence to theories linking racism and trauma-related symptomatology across the life course and family system. Collectively, study findings highlight the importance of understanding the effects of racism beyond the individual and underscores the value and need for family tailored interventions that can repudiate the shared impact and potential intergenerational effects of racial discrimination across Black families.

Examining associations among depressive symptoms, negative partner attributions, and relationship functioning in different‐gender couples using the actor‐partner interdependence mediation model

AbstractNegative attributions about the cause of and blame for relationship problems are highly predictive of relationship dysfunction and depression. Consequently, researchers have attempted to understand the role of negative relationship attributions in the association between depression and relationship functioning, with theory and research suggesting negative attributions may mediate the association between depression and relationship functioning. However, these studies were conducted on individuals, not couples. Including a couple of data and employing a dyadic design can provide a more holistic picture of the associations among these variables. The present study used the actor‐partner interdependence mediation model (APIMeM) to examine associations among depressive symptoms, relationship functioning, and negative partner attributions. Different‐gender couples (N = 200) seeking couples’ clinical services completed measures of negative relationship attributions, relationship distress, and depressive symptoms. Results revealed depressive symptoms to be indirectly related to one's own and one's partner's relationship functioning through one's own negative causal attributions. Actor and partner effects of responsibility attributions and depressive symptoms on relationship functioning were also observed. Results underscore the possible mechanistic role of negative attributions—particularly causal attributions—in maintaining the depression‐relationship dysfunction association.

Actor, partner, and similarity effects of attachment anxiety and avoidance on well-being and health in romantic couples

Actor, partner, and similarity effects of attachment anxiety and avoidance on well-being and health in romantic couples

Predictors of Decisional Capacity in Alzheimer's Disease Biomarker Test Candidates.

Deciding to learn one's Alzheimer's disease (AD) biomarker status is a high-stakes endeavor that requires comprehending and deliberating about complex and nuanced information. Assessing capacity to consent to AD biomarker testing and disclosure is further complicated when candidates have cognitive impairment and present with family care partners. The objective of this analysis was to identify predictors of decisional capacity for an amyloid Positron Emission Tomography (PET) disclosure study among persons with mild cognitive impairment (MCI) and their family care partners. This analysis used an analytical correlational design, using baseline data from a randomized controlled trial of amyloid PET results disclosure. Simple linear regression was used to examine predictors of decisional capacity. Focusing on persons with MCI, the predictor variables of interest were sociodemographic characteristics, level of knowledge of MCI/AD, global cognition, and neuropsychological tests of language and executive functioning. Dyadic analyses were conducted with data from 82 dyads of persons with MCI and care providers using the Actor Partner Interdependence Model to assess for presence of actor and partner effects among key variables. Capacity to consent scores demonstrated sufficient capacity for all participants to consent to the study. For persons with MCI, lower age, higher mental status scores, MCI/AD knowledge scores, and better performance on measures of language and executive functioning were predictors of decisional capacity. The model revealed positive actor relations for MCI/AD knowledge with decisional capacity for both persons with MCI and family care partners and negative partner relationships for family care partners MCI/AD knowledge with the decisional capacity of persons with MCI. Assessment of decisional capacity is imperative when considering participation in AD research, including studies with high-stakes procedures like biomarker results disclosure. Our findings highlight that not only do individual characteristics put persons with MCI at risk for lower decisional capacity, but dyadic effects from family care partners may also be present.

The association between marital satisfaction and perceived coparenting in infancy: A longitudinal dyadic approach.

Healthy marital relationships and coparenting are vital elements of a well-functioning family, serving as the foundation for promoting optimal child development. By analyzing four waves of dyadic data collected from 236 Chinese parents during the early years of their child's life, our study sought to (a) examine the links between marital satisfaction and coparenting and (b) explore the actor and partner effects between fathers and mothers by constructing corresponding time-averaged and time-specific components of these two variables. Our study revealed that there might be bidirectional associations between marital satisfaction and coparenting. Furthermore, we found that fathers and mothers influence each other in terms of their marital satisfaction and coparenting, both at the average level over time and to some extent at specific time points. This highlights the need for interventions and support programs that address both marital satisfaction and coparenting, as improving one aspect can potentially have a positive impact on the other.

Application of the Actor-Partner Interdependence Model in Parent-Adolescent Mental Health Knowledge and Depression.

To explore the individual and interpersonal association between mental health knowledge (MHK) and depression in adolescents and one of their parents, and to explore whether gender differences exist between fathers and mothers in these associations. Participants were 3456 father-adolescent dyads and 4478 mother-adolescent dyads, recruited from eight middle schools in Wuhan, who completed self-report assessments of MHK and depression from September to October 2021. With the application of the actor-partner interdependence model, A positive actor effect between MHK and depression in adolescents was found. Adverse partner effects from fathers' MHK and mothers' MHK to adolescent depression were noted and showed no significant difference. Adolescents' depression was significantly associated with parental depression in both fathers and mothers. It is implied that milder adolescent depression was associated with lower levels of adolescent MHK, along with higher levels of MHK in both fathers and mothers. For parents, it is important to emphasise the improvement of their own MHK and increase their attention to adolescent mental health problems, as this may contribute to enhancing the mental health of adolescents. This study is instructive and related to family-based nursing interventions for mental health, emphasising the potential influence of parents in the family on adolescent depressive symptoms. The findings suggest that parental involvement should be encouraged and that the family's role in supporting the child's mental health should be recognised, contributing to the development of relevant policies. This study highlights that higher parental MHK is associated with lower levels of adolescent depression, with no gender differences between fathers and mothers. Family-based nursing interventions that emphasise mental health education for parents may have an impact on improving depression in adolescents. Guidelines were followed using the STROBE reporting method. None.

Parenting Under Pressure: Associations between Perceived Social Pressure and Parental Involvement among Mothers and Fathers

In many Western countries, the ideology of intensive parenting has gained prominence in the discourse of experts, policymakers, and within popular culture. This ideology emphasizes deep parental involvement in emotional, physical, and financial aspects (Lee et al., 2014). Meeting these demanding standards can exert significant pressure on parents, especially on mothers often considered as the primary caregiver. Moreover, these pressures may prompt parents to be highly, and potentially overly, involved in their children’s lives. Using data from 146 parent dyads (N = 292 parents; Mage = 47.57 years) of Swiss adolescents, the study explores parental perceptions of pressure to be a perfect parent and its association with one positive (responsiveness) and two negative types of involvement (overprotection and overvaluation). Thereby, we estimated Actor-Partner Interdependence Models (APIM) to examine mutual influences between mothers and fathers. The results indicated that mothers reported experiencing significantly more pressure than fathers. We found evidence for a positive association between perceptions of pressure and parental overprotection among both parents. The results also showed that there was a significant association between feelings of pressure and overvaluation, but only among fathers. Associations between pressure and responsiveness were not significant, and no significant partner effects were observed in any of the models. In conclusion, mothers particularly face heightened pressure to be perfect parents, but both parents may adapt their parenting strategies in response to perceived pressure to be perfect as a parent. These findings highlight the potential issues associated with societal pressures on parents and their impact on parenting behavior.

Impact of firm’s supply chain network position on digital transformation: evidence from China

Purpose Given the complexity and increasing interdependence of supply chain networks, a broader perspective beyond a simple binary relationship is needed to analyse the impact of supply chain networks on firms. Based on social network theory, this study aims to explore the relationship between firms’ network position in the supply chain network and digital transformation, as well as the moderating effects of structural holes and network partners’ digitalisation. Design/methodology/approach This study analyses a sample of Chinese A-share companies listed on the Shanghai and Shenzhen Stock Exchanges for the period 2011–2020 using regression analysis to test hypothesised relationships. Findings A firm’s centrality in the supply chain network is positively related to its digital transformation, and that the firm’s structural holes and the level of network partners’ digitalisation can both strengthen the positive influence of network centrality on digital transformation. Moreover, the heterogeneity analysis reveals that the positive effect of firms’ network centrality on digital transformation is more pronounced in non-SOEs and upstream firms. Practical implications In the pursuit of digital transformation, firms should recognise the significance of their position in the supply chain network and enhance their capability for information and resource acquisition by proactively strengthening their business cooperation with other network members. Moreover, firms should emphasise the value of open networks and their partners in supply chain networks. Originality/value This study applies social network theory to investigate the role of a firm’s external supply chain network in its digital transformation, clarifying the context and boundaries in which a firm’s position in the supply chain network influences digital transformation. The results extend the research and theoretical perspective on digital transformation and the consequences of supply chain networks.

The Interaction of Positive and Negative Relationship Characteristics and Their Association with Relationship and Individual Health Outcomes in Older Couples.

The purpose of this study was to examine how positive and negative relationship characteristics and their interaction were predictive of global relationship happiness, psychological symptoms, and physical health in a large sample of older couples. The NSHAP Wave 2 partner data n = 955) were used to estimate both actor (within person) and partner (between person) effects using the Actor Partner Interdependence Model with Moderation. Global relationship happiness was predicted by the interaction of positive and negative characteristics, suggesting that more positive characteristics are only predictive of greater happiness in the presence of some negative characteristics. Male partners' depressive symptoms were predicted by the female partners' interaction of positive and negative characteristics, suggesting that negative characteristics were only associated with male partner depressive symptoms when positive characteristics were rated very low by their partner. Positive and negative characteristics were predictive of anxiety and stress but not their interaction, and only the male partner's perception of positive characteristics was predictive of the female partner's physical health. These results are discussed in the context of controversy over the measurement of relationship satisfaction in the field.

The Association Between Mutuality and Quality of Life in Adults With Chronic Illnesses and Their Nurses: Actor-Partner Interdependence Model Analysis.

To examine the association between mutuality and quality of life in nurse-patient dyads. A cross-sectional multi-centre study was conducted. The study was conducted in five tertiary hospitals in Italy. We enrol both inpatients and outpatients with chronic diseases and their nurses with a convenience sampling. One-hundred ninety-two dyads participated to the study. A self-assessment instrument including the Short-Form 12 Health Survey (SF-12), and the Nurse Patient Mutuality in Chronic Illness scale (NPM-CI scale), in the two versions-one for patients and one for nurses, was administered. The effects of nurse-patient mutuality on the physical and mental quality of life of nurses and patients were estimated with a series of actor-partner-interdependence models (APIM). Patients' and nurses' perceptions of their mutuality were positively correlated. For patient mental quality of life, there was a statistically significant actor effect both for patients, and for nurses. There was also a consistent statistically significant partner effect for patient mental quality of life. There were no statistically significant actor or partner effects for the nurses' and patients' physical quality of life. This construct may be influenced by additional components, further studies are needed. Mutuality between nurses and patients in chronic diseases influence both patient and nurse quality of life. Our results support the importance of taking a dyadic perspective when considering mutuality and quality of life in nurse-patient dyads. Nurse-patient mutuality is an indicator of a high-quality relationship, which allows shared goals and shared decision-making. Quality of life is one of the most important outcomes for chronic conditions patients and is an indicator of well-being. Quality of life is also an important variable in healthcare professionals' lives. Little is known about the association between mutuality and quality of life in nurse-patient dyads. Mutuality has an actor effect on patient's and nurse's quality of life and has a negative partner effect on patient's quality of life. The understanding of mutuality and interdependence within the dyad, could increase mental quality of life in nurse-patient dyads. STROBE checklist for cross-sectional studies was followed in this study. Patients were involved in the sample of the study.

Associations between school engagement and mental well-being among Finnish parent-child dyads

Abstract Background To understand how individual differences in mental well-being emerge for children and adolescents, it is important to understand the amenable factors in the context in which the development takes place - that is, for children, primarily in the family and in school. There is a notable gap in the research exploring the positive impacts of school factors on parent-child dyads and their mental well-being, and if there are any associations between school engagement and the mental well-being of parents and their children. Methods Data from 307 parent-child dyads were included in the study, the data stemming from a Finnish l research project (CONSENSUS) encompassing longitudinal survey data collection among both children in grades 4-6 and their parents. By exploring bivariate correlations and using the Actor-Partner Interdependence Model (APIM), the present study aims to investigate actor and partner effects of school engagement and mental well-being among parents and their child in grade 4-6. Results Preliminary results show that there are statistically significant correlations between parents’ and their children’s mental well-being, but that there are no significant correlations between children’s school engagement and parental school engagement. Further, statistically significant actor effects emerge between children’s school engagement and mental well-being, and between parental school engagement and mental well-being. Conclusions By clarifying the interaction between school engagement and mental well-being in parent-child dyads, this study not only contributes to the theoretical understanding of these constructs but also offers insights that can inform future development of mental well-being promotion interventions aimed at families and educational settings in Finland and elsewhere. Key messages • This study offers an innovative exploration of the links between mental well-being and school engagement among 274 Finnish parent-child dyads. • Results show various interactions between school engagement and mental well-being among the parent-child dyads, with implications for interventions intended to support well-being in families.

Romantic Functioning in the Aftermath of Adult Sexual Assault: A Scoping Review.

This scoping review investigates the influence of Adult Sexual Assault (ASA) on romantic functioning through an analysis of 16 studies. Four databases were searched (Google Scholar, PsycINFO, Taylor & Francis Online, and ProQuest) in June 2023 for relevant published and grey literature. Emphasis was placed on conducting analyses solely among individuals who had experienced ASA, defined in this context as non-consensual sexual contact occurring at or after the age of 18 years. The review highlighted several factors explored in existing literature, encompassing relationship satisfaction, sexual functioning, partner effects, risk assessment, and protective factors. Results yielded mixed findings on the effects of ASA on relationships and sexual functioning. Insights from the partners of individuals who have experienced ASA illuminate emotional repercussions and communication disruptions, highlighting the intricate relationship dynamics affected by ASA within romantic relationships. Moreover, the review identifies protective factors, such as enhanced relationship communication and partner support, potentially mitigating adverse romantic outcomes. The review also revealed shortcomings in the existing literature, including sparse research on ASA, limited demographic representation, and inadequate control between adult and child sexual assault. These insights inform evidence-based interventions, policy development, and future research directions, highlighting the need for tailored approaches to address ASA's multifaceted impact on survivors' romantic well-being.

The Relationship Between Dyadic Coping and Mental Health in Stroke Survivors and Their Spouse Caregivers: An Actor-Partner Interdependence Model.

To investigate the relationship among dyadic coping, mental health and the individual and mutual influences on stroke survivors and their spouse caregivers. A cross-sectional descriptive study was conducted in China from November 2019 to August 2020. The STROBE checklist was used to report the present study. The analysis included 224 dyads of stroke survivors and their spouse caregivers in China. Data on stroke survivors and their spouse caregivers were collected using the Dyadic Coping Inventory (DCI), the Patient Health Questionnaire nine-item scale (PHQ-9) and the Generalised Anxiety Disorder seven-item scale (GAD-7). The dyadic analysis was conducted based on the Actor-Partner Interdependence Model (APIM). Regarding actor effects, spouse caregivers' dyadic coping and perceived dyadic coping had a negative predictive effect on their own anxiety and depression. Stroke survivors' perceived dyadic coping had a negative effect on their own depression. Regarding partner effects, spouse caregivers' perceived dyadic coping also had a negative predictive effect on the depression of the patients. In contrast, stroke survivors' perceived dyadic coping was positively associated with spouse caregivers' anxiety and depression. These findings suggested that mental health of stroke survivors and their spouse caregivers was affected by various dyadic coping dimensions. Our research has the potential to contribute to the understanding dyadic coping and mental health of stroke survivor-spouse caregiver dyads. The findings reveal that the coping strategies employed by stroke couples are closely related to the mental health of both partners. This study provides evidence for the significant impact of dyadic coping on the psychological well-being of stroke survivors and their spouse caregivers. Therefore, dyadic interventions aiming at strengthening dyadic coping may have positive effects on their mental health. This study directly involved the patients and family caregivers in hospital settings.

Informing Psychosocial Care for Young Couples Coping with Early-Onset Breast Cancer: A Cross-Sectional Examination of Unmet Service Needs and Their Association with Psychological Distress in the First Year Post-Diagnosis.

Objective: Young women diagnosed with breast cancer report greater psychological and physical morbidity than both older women and healthy peers. Similarly, young partners experience elevated cancer-related distress. Psychosocial oncology programs are not frequently attuned to the needs of young adult patients and may exclude their social networks. This marks a critical gap in psychosocial care delivery. The study investigated unmet service needs, psychological distress, and care preferences of young couples managing breast cancer in the first year post-diagnosis. Methods: Forty dyads (n = 80) of women aged 18-45 and their partners completed measures of anxiety (Generalized Anxiety Disorder-7), depression (Patient Health Questionnaire-9), and a service use questionnaire adapted from previously published Adolescent and Young Adult (AYA) literature. The resulting 25 items assessed perceived care needs and service utilization across three domains: informational, emotional/supportive, and practical issues. Descriptive statistics, cross-tabulations, and bivariate correlations were computed. Actor and partner effects of unmet needs on mental health outcomes were investigated with generalized estimating equations (GEE). Results: Patients and partners were in their late thirties, mostly non-Hispanic White, married, highly educated, and employed. Approximately 60% of patients and 43%-66% of partners presented one or more unmet service needs, which correlated with greater distress. Unmet needs about information related to exercise, recurrence, nutrition, and symptom management were prevalent. Unmet supportive service needs of both patients and partners included age-appropriate programs, sexual health, and family counseling. Women reported practical needs for work/school accommodations, integrative care, financial issues and health coverage; while financial concerns, health insurance, and caregiving demands were priorities for partners. Conclusion: Young couples facing early-onset breast cancer experience large proportions of unmet service needs. These challenges were exacerbated by the lack of developmentally targeted psychosocial programs pertaining to informational, supportive, and practical care needs. Enhancing providers' understanding of the psychosocial issues affecting young couples' well-being, and the implementation of systematic procedures to detect and respond to their distress, is urgently needed.