Cited by 111Cancer survivorship and careAttachment and Relationship DynamicsFamily Support in Illness

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Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients’ spouses

Fang, Carolyn Y., Manne, Sharon L., Pape, Stephen J.·2001·Health Psychology

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Abstract

This study investigated contextual determinants of psychological distress among 197 spouses of cancer patients. It was hypothesized that higher levels of patient functional impairment would lead to greater patient distress. Patient distress, in turn, would lead to lower spouse marital satisfaction and ultimately to higher spouse distress. Spouses completed measures of distress and marital quality at three time points. Cancer patients rated their functional impairment and psychological distress at the same time points. Results indicated that at all time points, greater patient impairment was associated with higher levels of patient distress, which, in turn, was related to lower marital satisfaction. However, marital quality was related to spouse distress at only 1 time point, but spouse distress was directly associated with patient distress at each time point. Implications for cancer patients and spouses are discussed.

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Authors: Fang, C. Y., Manne, S. L., & Pape, S. J.
Affiliations: Fox Chase Cancer Center (US)
The Ohio State University (US)
ORCID: Fang, Carolyn Y.
Manne, Sharon L.
Pape, Stephen J.
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 2001-11
Volume: 20
Issue: 6
Pages: 452-457
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.20.6.452
OpenAlex: W1985668906
Cited by: 111
References: 22
Citations by year: 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 7 · 2013: 5 · 2012: 4
FWCI: 1.76
Type: journal article
Language: en
Open access: closed
Locations: Health Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r21ca088307-02, 1k07ca082347-01, 5k04ca065727-05, 1r29ca057379-01)
National Cancer Institute (R21 CA88307, R29-CA57379, K04 CA65727, K07 CA82347)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
Keywords: psychological distress, marital satisfaction, marital quality, caregiver burden
MeSH terms: Adult, Aged, Major Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Marriage, Middle Aged, Neoplasms, Personal Satisfaction, Predictive Value of Tests, Quality of Life, Surveys and Questionnaires

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Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients’ spouses

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