Cited by 71Cancer survivorship and careFamily Support in IllnessAttachment and Relationship Dynamics

Higher emotional distress in female partners of cancer patients: prevalence and patient–partner interdependencies in a 3‐year cohort

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Moser, Michael T., Künzler, Alfred, Nussbeck, Fridtjof, Bargetzi, Mario, Znoj, Hans J.·2013·Psycho-Oncology

Abstract

Objective: Assessment and treatment of psychological distress in cancer patients was recognized as a major challenge. The role of spouses, caregivers, and significant others became of salient importance not only because of their supportive functions but also in respect to their own burden. The purpose of this study was to assess the amount of distress in a mixed sample of cancer patients and their partners and to explore the dyadic interdependence. Methods: An initial sample of 154 dyads was recruited, and distress questionnaires (Hospital Anxiety and Depression Scale, Symptom Checklist 9‐Item Short Version and 12‐Item Short Form Health Survey) were assessed over four time points. Linear mixed models and actor–partner interdependence models were applied. Results: A significant proportion of patients and their partners (up to 40%) reported high levels of anxiety, depression, psychological distress, and low quality of life over the course of the investigation. Mixed model analyses revealed that higher risks for clinical relevant anxiety and depression in couples exist for female patients and especially for female partners. Although psychological strain decreased over time, the risk for elevated distress in female partners remained. Modeling patient–partner interdependence over time stratified by patients' gender revealed specific effects: a moderate correlation between distress in patients and partners, and a transmission of distress from male patients to their female partners. Conclusions: Our findings provide empirical support for gender‐specific transmission of distress in dyads coping with cancer. This should be considered as an important starting point for planning systemic psycho‐oncological interventions and conceptualizing further research. Copyright © 2013 John Wiley & Sons, Ltd.

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  • A three-year study by Moser et al. reported distress being prevalent even after a long time, though severity may have decreased among spouses.

    “A three-year study by Moser et al. reported distress being prevalent even after a long time, though possibly the severity levels may have decreased among the spouses [14].”

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Authors
Moser, M. T., Künzler, A., Nussbeck, F., Bargetzi, M., & Znoj, H. J.
Affiliations
  • Clinical Research Aargau Aarau Switzerland
  • University of Bern (CH)
  • Bielefeld University (DE)
  • Kantonsspital Aarau (CH)
Corresponding author
Künzler, Alfred
Venue
Psycho-Oncology
Publisher
Wiley
Published
2013-07-03
Volume
22
Issue
12
Pages
2693-2701
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
OpenAlex
W1914506748
Cited by
71
References
44
Citations by year
2026: 1 · 2025: 7 · 2024: 8 · 2023: 5 · 2022: 4 · 2020: 5 · 2019: 10 · 2018: 7 · 2017: 10 · 2016: 6 · 2015: 5 · 2014: 3
FWCI
2.50
Type
journal article
Language
en
Open access
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • BORIS (University Library Bern) (submittedVersion)
  • PUB – Publications at Bielefeld University (Bielefeld University) (submittedVersion)
  • Publikationen an der Universität Bielefeld (Universität Bielefeld) (submittedVersion)
Funders
Swiss Cancer League (NPK-01432-08-03, OCS-01741-08-2005)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Sociology and Political Science › Family Support in Illness
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords
cancer patients, female partners, spousal caregivers, psychological distress, anxiety, depression, quality of life, dyadic interdependence, gender differences, actor-partner interdependence
MeSH terms
Adult, Aged, Aged, 80 and over, Anxiety, Anxiety Disorders, Depression, Depressive Disorder, Female, Humans, Interpersonal Relations, Male, Middle Aged, Neoplasms, Quality of Life, Sex Factors, Stress, Psychological, Cohort Studies, Prevalence, Linear Models, Caregivers, Spouses, Young Adult

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