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Partner unsupportive responses, avoidant coping, and distress among women with early stage breast cancer: Patient and partner perspectives.
Abstract
This 18-month longitudinal study examined the associations among partner unsupportive behavior, avoidant coping, and distress experienced by 219 women with early stage breast cancer. The role of patient and partner ratings of unsupportive behavior were evaluated. Results indicated that patient and partner ratings of unsupportive behavior were highly correlated. Growth curve modeling suggested that unsupportive behavior, from both patient and partner perspectives, predicted more avoidant coping and distress. When partner and patient perceptions were placed in the same model, patient perceptions mediated the association between partners' ratings of their unsupportive behavior and patient distress. Avoidance also mediated the association between unsupportive behavior and distress, extending prior cross-sectional findings. Results highlight the long-term detrimental effects of partners' unsupportive behavior on the quality of life of women with early stage breast cancer.
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“Avoidance has been identified as one important factor resulting in psychological distress in cancer patients and their partners [15,16].”
From A web-based self-help intervention for partners of cancer patients based on Acceptance and Commitment Therapy: a protocol of a randomized controlled trial. (2015) · cites this paper as [15]
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Metadata
- Authors
- Manne, S. L., Ostroff, J., Winkel, G., Grana, G., & Fox, K.
- Affiliations
- Fox Chase Cancer Center (US)
- Memorial Sloan Kettering Cancer Center (US)
- The Graduate Center, CUNY (US)
- Cooper University Hospital (US)
- Hospital of the University of Pennsylvania (US)
- Venue
- Health Psychology
- Published
- 2005
- Volume
- 24
- Issue
- 6
- Pages
- 635-641
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2086006547
- Cited by
- 176
- References
- 27
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 8 · 2018: 7 · 2017: 10 · 2016: 13 · 2015: 17 · 2014: 12 · 2013: 9 · 2012: 12
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R01 CA78084, R01CA078084)
- 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
- early breast cancer, avoidance coping, psychological distress, spousal support, mediation, quality of life, women with cancer
- MeSH terms
- Adaptation, Psychological, Breast Neoplasms, Cooperative Behavior, Depression, Escape Reaction, Female, Humans, Middle Aged, Sexual Partners, Social Support
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