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Journal of Occupational Health... Apr 2015This research examines the impact of role boundary management on the work-family interface, as well as on organizational (job embeddedness) and family (relationship...
This research examines the impact of role boundary management on the work-family interface, as well as on organizational (job embeddedness) and family (relationship tension) outcomes. First, we integrate conservation of resources theory with crossover theory, to build a theoretical model of work-family boundary management. Second, we extend prior work by exploring positive and negative paths through which boundary management affects work and family outcomes. Third, we incorporate spouse perceptions to create a dynamic, systems-perspective explanation of the work-family interface. Using a matched sample of 639 job incumbents and their spouses, we found that family-to-work boundary transitions was related to the job incumbents' work-to-family conflict, work-to-family enrichment, and job embeddedness as well as the boundary management strain transmitted to the spouse. We also found that the boundary management strain transmitted to the spouse mediated the relationship between family-to-work boundary transitions and both work-to-family conflict and work-to-family enrichment. Finally, we found significant indirect effects between family-to-work boundary transitions and job embeddedness and relationship tension through both the boundary management strain transmitted to the spouse and the incumbent's work-family conflict, but not through work-family enrichment. Thus, family-to-work boundary transitions offer some benefits to the organization by contributing to job embeddedness, but they also come at a cost in that they are associated with work-family conflict and relationship tension. We discuss the study's implications for theory, research, and practice while suggesting new research directions.
Topics: Adult; Conflict, Psychological; Employment; Family; Female; Humans; Interpersonal Relations; Male; Middle Aged; Models, Theoretical; Personnel Loyalty; Spouses; Stress, Psychological
PubMed: 25365628
DOI: 10.1037/a0038279 -
Family Process Dec 2023Reductions in marital relationship quality are pervasive post-cardiac event. It is not yet understood how relationship quality is linked to mental health outcomes in...
Reductions in marital relationship quality are pervasive post-cardiac event. It is not yet understood how relationship quality is linked to mental health outcomes in couples where one member has established cardiovascular disease (CVD) and the interdependence within dyads is seldom measured. This research is required as psychological distress has been independently linked to CVD incidence, morbidity, and mortality. This study assessed associations of relationship quality with depression and anxiety among patients with CVD and their spouses. Participants completed questionnaires measuring four dimensions of relationship quality and mental health. Data were analyzed using an Actor-Partner Interdependence Model with hierarchical moderation analyses. 181 dyads (N = 362 participants) comprised the study sample. Most patients had coronary artery disease (66.3%) and 25.9% were female. Patients reported higher relationship satisfaction and fewer anxiety symptoms than did spouses. Patients and spouses with high dyadic consensus and affectional expression reported fewer mental health symptoms, but only when the other partner also perceived high levels of consensus and affectional expression in the relationship. Patients and spouses with low dyadic cohesion reported worse mental health symptoms (actor effects), but those effects were no longer significant when both the patient and the spouse appraised the relationship as having high levels of dyadic cohesion. Taken together, relationship quality is linked to mental health symptoms in patients with CVD and their spouses. Longitudinal and experimental studies are now warranted to further substantiate the cross-sectional findings of this study.
Topics: Humans; Female; Male; Spouses; Mental Health; Cross-Sectional Studies; Marriage; Cardiovascular Diseases
PubMed: 36404415
DOI: 10.1111/famp.12836 -
Biodemography and Social Biology 2022Previous studies have found that the positive relationship between personal income and fertility for men in the United States is primarily due to childlessness among...
Previous studies have found that the positive relationship between personal income and fertility for men in the United States is primarily due to childlessness among low-income men. Yet because of the opposite effects of income on fertility for men and women, it is important to examine the effects of income net of spouse's income. An analysis of income from all sources and biological fertility data for husbands and wives from the Survey of Income and Program Participation (2014) shows that for men their own income is positively associated with the number of their biological children, while their spouse's income is negatively associated with total children ever fathered. The reverse is true for women. These results are not because of childlessness among low-income men and high-income women, but also hold true among all those with children. For men and women aged 45-65, who likely have completed fertility, these results hold regardless of whether or not education is controlled. These findings suggest that if status is measured as personal income for men and husband's income for women, the positive relationship between status and fertility persists in a postdemographic transition society.
Topics: Child; Female; Humans; Income; Male; Population Dynamics; Social Class; Socioeconomic Factors; Spouses; United States
PubMed: 35188024
DOI: 10.1080/19485565.2022.2037070 -
Psycho-oncology Jul 2021Patients and spouses use various support strategies to deal with cancer and its associated burden. Support can be perceived within the dyad [perceived dyadic coping...
OBJECTIVE
Patients and spouses use various support strategies to deal with cancer and its associated burden. Support can be perceived within the dyad [perceived dyadic coping (PDC)] or from others [perceived social support (PSS)]. The present study investigates the association of PDC and PSS with depression and anxiety symptoms experienced by hematooncological dyads.
METHODS
A total of 330 hematooncological dyads participated in the study. Dyadic Coping Inventory (DCI) including perceived stress communication and four PDC strategies (supportive, negative, delegated, common), ENRICHED Social Support Instrument (ESSI) and Patient Health Questionnaire-4 (PHQ-4) are used for assessment. To take nonindependence of patient's and spouse's variables into account, data are analyzed with the Actor-partner-interdependence model (APIM).
RESULTS
Hematological cancer patients and their spouses reported a similar level of depression and anxiety symptoms. Perceived negative dyadic coping (DC) was adversely related with both patient's and spouse's outcomes (all p < 0.01) and perceived positive DC was adversely related with depression symptoms in both and anxiety symptoms in spouses (all p < 0.05). More PSS was associated with less depression and anxiety symptoms in both (all p < 0.05), and spouse's PSS (b = -0.04, p < 0.05) was significantly associated with patient's depression symptoms.
CONCLUSIONS
This study highlights the association between perceived negative DC, perceived positive DC and PSS with depression and anxiety symptoms. Focus should be on enhancement of PSS especially in spouses, as they experience a comparable amount of psychosocial distress and have considerable impact on the patient's wellbeing.
Topics: Adaptation, Psychological; Anxiety; Humans; Psychological Distress; Quality of Life; Social Support; Spouses; Stress, Psychological
PubMed: 33474778
DOI: 10.1002/pon.5631 -
Oral Oncology Apr 2017High-risk human papillomaviruses (HR-HPV) are the cause of most ano-genital cancers and a fast growing subset of oropharyngeal cancer. As these malignancies occur as a... (Review)
Review
BACKGROUND
High-risk human papillomaviruses (HR-HPV) are the cause of most ano-genital cancers and a fast growing subset of oropharyngeal cancer. As these malignancies occur as a result of an HPV- infection transmitted through intimate contact, many patients with HPV- induced cancer and their partners are concerned about HPV-transmission and the potential partners' cancer risk. Few studies have addressed this issue and whether the HPV-related cancer risk of partners of patients with HPV-related cancers is comparable to or greater than that of the general population.
METHODS
We performed a systematic review of the published literature addressing this issue. Out of 1055 references screened, 53 articles were found eligible for inclusion.
RESULTS
Regarding the issue of coincidence of HPV-induced oropharyngeal and/or anogenital cancers in couples, 13 case-reports or case-series were reported and 9 larger studies based on population-registries. Four of these registry studies showed an increased risk of cervical cancer in the partner while four did not. Among the four positive studies, odds ratios for the development of HPV-related cancer among spouses were between 2.6 and 6.7. One study showed an increased risk of tongue or tonsil cancer among husbands of women with cervical dysplasia or cancer. Overall the absolute risk increase in all these studies was small, on the order of 1-3%, although potentially underestimated. Indeed, all these studies have assessed partner's cancer risk at only one anatomical site whereas HPV- related malignancies can affect different locations.
CONCLUSION
This systematic review suggests a small trend of increase risk in HPV-associated cancers among spouses of patients with HPV-related cancer.
Topics: Alphapapillomavirus; Humans; Neoplasms; Risk Factors; Spouses
PubMed: 28351568
DOI: 10.1016/j.oraloncology.2017.02.024 -
The Journals of Gerontology. Series B,... Jul 2022The susceptibility of older adults' affect to fluctuations in their own health (within-person health sensitivity) indicates how they handle everyday health challenges....
OBJECTIVES
The susceptibility of older adults' affect to fluctuations in their own health (within-person health sensitivity) indicates how they handle everyday health challenges. In old age, affective well-being is often increasingly influenced by close others, yet it is unknown whether older adults' affect is additionally susceptible to fluctuations in their spouse's health (within-partnership health sensitivity) and the extent to which age and relationship satisfaction moderate such associations.
METHODS
Parallel sets of multilevel actor-partner interdependence models are applied to self-reported health (feelings of pain/discomfort) and positive and negative affect, obtained 6 times a day over 7 consecutive days from 2 independent samples, the Berlin Couple Dynamics Study (N = 87 couples; Mage = 75 years; M relationship length = 46 years) and the Socio-Economic Panel Couple Dynamics Study (N = 151 couples; Mage = 72 years; M relationship length = 47 years).
RESULTS
Husbands and wives had lower positive affect and higher negative affect in moments when they reported more pain (within-person health sensitivity) and when their respective spouse reported more pain (within-partnership health sensitivity). Tests for moderation suggest that within-person, but not within-partnership, health sensitivity is lower at older ages and higher with more satisfying relationships.
DISCUSSION
These findings empirically illustrate life-span notions that close relationships shape time-varying health-affect links and thus underscore the theoretical and practical utility of examining social-contextual antecedents of older adults' everyday affective well-being.
Topics: Aged; Emotions; Humans; Pain; Personal Satisfaction; Self Report; Spouses
PubMed: 34653253
DOI: 10.1093/geronb/gbab188 -
Aging & Mental Health Mar 2018The relationship intimacy model of psychosocial adjustment to illness indicates that a patient's willingness to communicate about their illness, as perceived by the...
OBJECTIVES
The relationship intimacy model of psychosocial adjustment to illness indicates that a patient's willingness to communicate about their illness, as perceived by the spouse, is a strong predictor of spouse relational and psychological well-being. Inspired by the relationship intimacy model, the current study examined the psychological adjustment of spouses of individuals with dual-sensory loss (DSL), a disability where interpersonal communication is of particular concern.
METHOD
Surveys were sent to all known individuals and their partners who were 50 years of age or older and were enrolled in services for acquired DSL in Denmark. A total of 65 spouses met the inclusion criteria of which 45 (69%) returned a partner survey.
RESULTS
Results showed a significant association between couples' sensory loss-related communication, relationship satisfaction, perceived support and psychological well-being. Perceived support significantly mediated the association between couples' sensory loss communication and spouse psychological well-being.
CONCLUSION
The current study's findings provide support for a relationship-focused perspective of spousal psychological adjustment in the context of DSL. Further, couples' sensory loss-related communication is presented as a potential intervention target to enhance spouse perceived support and psychological well-being.
Topics: Aged; Aged, 80 and over; Cross-Sectional Studies; Deaf-Blind Disorders; Emotional Adjustment; Female; Humans; Interpersonal Relations; Male; Middle Aged; Spouses
PubMed: 27976917
DOI: 10.1080/13607863.2016.1268091 -
Supportive Care in Cancer : Official... Aug 2021To describe spouse caregivers' perceived gains in their own words from participating in a fully manualized 5-session educational counseling program whose goals were to...
OBJECTIVE
To describe spouse caregivers' perceived gains in their own words from participating in a fully manualized 5-session educational counseling program whose goals were to enhance their self-care and skills to interpersonally support their wife with breast cancer.
METHODS
Interviews from 81 spouses obtained 7 months after exiting from a fully manualized educational counseling program, Helping Her Heal, were content analyzed using inductive coding methods adapted from grounded theory. Trustworthiness of study results was protected by coding to consensus, formal peer debriefing, and maintaining an audit trail.
RESULTS
Analysis yielded 3 conceptual domains: Giving Me Structure; Adding Skills to Help Her and Us; and Gaining Insights into Myself and My Wife, all of which reflected practical things on which spouses could take action and ways they could take care of themselves, support their wife, and from which they gained insight into their own and their wife's response to the breast cancer.
CONCLUSIONS
Findings suggest that short-term, fully manualized counseling programs can provide opportunities and practical ways spouse caregivers are able to gain interpersonal communication, self-care skills, and personal insights. This scripted model of counseling is a way in which to deliver educational counseling with self-reported benefits, even though the program is fully scripted and not uniquely fashioned for each caregiver's unique experience.
CLINICAL TRIAL REGISTRATION NUMBERS
NCI-2013-01838 .
Topics: Caregivers; Counseling; Female; Humans; Male; Middle Aged; Spouses
PubMed: 33438051
DOI: 10.1007/s00520-021-05985-5 -
Health Psychology : Official Journal of... Nov 2021Theories suggest that laughter decreases negative affect and enhances social bonds; however, no studies have examined the benefits of laughter on stress biomarkers in...
OBJECTIVE
Theories suggest that laughter decreases negative affect and enhances social bonds; however, no studies have examined the benefits of laughter on stress biomarkers in dyads. This study examined the hypotheses that individual and shared laughter would be associated with lower blood pressure reactivity and decreased self-reported and perceived partner distress for the target and spouse in a social support interaction.
METHOD
One hundred seventy-three middle-aged and older adult couples from a larger study were video-recorded, and their blood pressure was monitored continuously in the laboratory during a resting baseline, during a social support interaction in which they discussed a target's fear related to aging, and while playing a game (used as a comparison). Both partners self-reported their own and perceived partner distress after the support interaction. Laughter behavior was coded using the Facial Action Coding System criteria.
RESULTS
According to Actor Partner Interdependence Models, during the support interaction, the more the target laughed, the lower the spouse's systolic blood pressure was (partner effect). Also, greater laughter was associated with less self-reported and perceived partner distress for targets and spouses (actor effects). There were no other significant associations between individual laughter, shared laughter, systolic or diastolic blood pressure, and distress. Models controlled for gender, marital satisfaction, baseline blood pressure, and the target's baseline distress rating of their fear.
CONCLUSIONS
In social support interactions, targets' laughter may have short-term blood pressure benefits for caregiving spouses and distress reducing benefits for both spouses. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Topics: Aged; Blood Pressure; Humans; Laughter; Middle Aged; Social Support; Spouses
PubMed: 34914482
DOI: 10.1037/hea0001136 -
PloS One 2019Education of disease plays an important role in management of Parkinson's disease (PD). However, little is known about the link between the understanding of disease and...
BACKGROUND AND OBJECTIVE
Education of disease plays an important role in management of Parkinson's disease (PD). However, little is known about the link between the understanding of disease and the burden of care. This study was carried out to find the correlation between the burden of care and the understanding of disease in caregivers for PD patients.
METHODS
Non-demented patients with PD and their caregivers participated in structured interviews. Understanding of patients and caregivers was evaluated through newly-devised questions. The caregiver burden inventory was used to assess the burden of care.
RESULTS
A total of 142 pairs of patients and their caregivers were recruited. A correlation analysis showed that the burden of care was positively associated with low understanding of the disease by the caregiver. Daily care time and female patients were revealed to be independently associated with the burden of care through a multivariate analysis. Further analyses were performed in the caregiver group according to relationship with patients. The spouse group showed an increased burden of care and poor understanding compared to the offspring group. A multivariate analysis revealed that daily care time and understanding were independent predictors for the burden of care in the spouse group. There was no significant association in the offspring group.
CONCLUSION
The burden of care was associated with higher daily caregiving time and female gender of the patient, and was significantly increased in the spouse of the patient. In the spouse group, better understanding of the caregiver correlated with less burden of care.
Topics: Adaptation, Psychological; Adult; Adult Children; Aged; Caregivers; Cost of Illness; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Parkinson Disease; Quality of Life; Sex Factors; Spouses; Surveys and Questionnaires
PubMed: 31150470
DOI: 10.1371/journal.pone.0217581