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International Journal of Environmental... Oct 2022Positive psychology approaches (PPAs) to interventions focus on developing positive cognitions, emotions, and behavior. Benefits of these interventions may be compounded... (Review)
Review
OBJECTIVE
Positive psychology approaches (PPAs) to interventions focus on developing positive cognitions, emotions, and behavior. Benefits of these interventions may be compounded when delivered to interdependent dyads. However, dyadic interventions involving PPAs are relatively new in the cancer context. This scoping review aimed to provide an overview of the available research evidence for use of dyadic PPA-based interventions in cancer and identify gaps in this literature.
METHODS
Following PRISMA guidelines, we conducted a scoping review of intervention studies that included PPAs delivered to both members of an adult dyad including a cancer patient and support person (e.g., family caregiver, intimate partner).
RESULTS
Forty-eight studies, including 39 primary analyses and 28 unique interventions, were included. Most often (53.8%), the support person in the dyad was broadly defined as a "caregiver"; the most frequent specifically-defined role was spouse (41.0%). PPAs (e.g., meaning making) were often paired with other intervention components (e.g., education). Outcomes were mostly individual well-being or dyadic coping/adjustment.
CONCLUSIONS
Wide variability exists in PPA type/function and their targeted outcomes. More work is needed to refine the definition/terminology and understand specific mechanisms of positive psychology approaches.
Topics: Adult; Humans; Psychology, Positive; Caregivers; Adaptation, Psychological; Neoplasms; Spouses; Quality of Life
PubMed: 36294142
DOI: 10.3390/ijerph192013561 -
Oncology Nursing Forum Sep 2018I try to touch base with the clinic nurses each day before patients and physicians (in that order) start arriving and the usual busyness of the day takes over. A recent...
I try to touch base with the clinic nurses each day before patients and physicians (in that order) start arriving and the usual busyness of the day takes over. A recent early morning conversation centered on one nurse's frustration with the spouse of a man who had been treated in another city and who was now under the care of a physician at our clinic. The woman had been calling the nurse repeatedly since her husband had returned home after the procedure. He was having complications, and she wanted something to be done about this immediately. The nurse was receiving text and email messages from the physician, who was also being contacted by the man's spouse, and his frustration was doubling up the effect on the nurse. The physician had agreed to provide follow-up care for this man and, frankly, I was somewhat surprised at the fuss this was creating.
Topics: Adult; Aftercare; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Neoplasms; Oncology Nursing; Patient Satisfaction; Quality of Health Care; Quality of Life; Spouses
PubMed: 30118449
DOI: 10.1188/18.ONF.563-564 -
Sleep Medicine Reviews Feb 2015Poor adherence to continuous positive airway pressure (CPAP) treatment is associated with substantial health care costs, morbidity and mortality, and has been a leading... (Review)
Review
Poor adherence to continuous positive airway pressure (CPAP) treatment is associated with substantial health care costs, morbidity and mortality, and has been a leading obstacle in the effective management of obstructive sleep apnea (OSA). Successful interventions to improve CPAP adherence may ultimately include a variety of components. For patients living with spouses (refers to all domestic partners), the spouse will likely be an integral component to any successful intervention. Developing understanding of the role of spouses in adherence to CPAP has been identified to be a critical research need. This review expands the investigation of CPAP adherence to a broader context, from an exclusive focus on individual patients to a dyadic perspective encompassing both patients and their spouses. A conceptual framework based on social support and social control theories is proposed to understand spousal involvement in CPAP adherence. Methodologies for future investigations are discussed, along with implications for developing interventions that engage both patients and their spouses to improve CPAP use.
Topics: Adaptation, Psychological; Continuous Positive Airway Pressure; Humans; Patient Compliance; Sleep Apnea, Obstructive; Spouses; Treatment Outcome
PubMed: 24906222
DOI: 10.1016/j.smrv.2014.04.005 -
Pain Sep 2022The experience of pain and pain behaviors is not only determined by physiological but also psychosocial factors. In this context, the learning history of the individual...
The experience of pain and pain behaviors is not only determined by physiological but also psychosocial factors. In this context, the learning history of the individual and specifically operant reinforcement related to spouse responses might play an important role. We investigated the effect of a solicitous and habitually pain-reinforcing spouse for the processing of pain in patients with chronic pain. Using multichannel electroencephalography, pain behaviors, and self-reports of pain, we examined 20 patients with chronic back pain (10 with solicitous and 10 with nonsolicitous spouses) and 10 matched healthy controls. The participants received a series of painful and nonpainful electrical stimuli applied to the site of pain (back) and a control area (finger) in the presence vs absence of the spouse. The global field power of the electroencephalogram with a focus in the frontal region was enhanced in patients with chronic back pain who had a solicitous spouse compared to those with a nonsolicitous spouse and the healthy controls. This was specific for the painful stimulation at the back and occurred only in the presence but not the absence of the spouse. Pain ratings of intensity and unpleasantness were also higher in the patients with solicitous spouses when the spouse was present during painful stimulation. These data suggest that significant other responses indicative of operant reinforcement may have a direct effect on the cerebral processing of pain and related pain perception.
Topics: Back Pain; Central Nervous System; Chronic Pain; Humans; Pain Measurement; Spouses
PubMed: 35027517
DOI: 10.1097/j.pain.0000000000002559 -
Health Psychology : Official Journal of... Oct 2016This study of adults with osteoarthritis and their spouses examined spouse responses to patients' pain as mediators of the associations between spouse confidence in...
OBJECTIVE
This study of adults with osteoarthritis and their spouses examined spouse responses to patients' pain as mediators of the associations between spouse confidence in patients' ability to manage arthritis and improvements in patients' physical function and activity levels over time.
METHOD
Participants were 152 older adults with knee osteoarthritis and their spouses. In-person interviews were conducted with patients and spouses (separately) at 3 time points: baseline (Time[T] 1), 6 months after baseline (T2), and 18 months after baseline (T3). At each time point, patients reported their self-efficacy for arthritis management, functional limitations, and time spent in physical activity; spouses reported their confidence for patients' arthritis management and their empathic, solicitous, and punishing responses to patients' pain. Multiple mediation regression models were used to examine hypothesized associations across 2 distinct time frames: 6 months (T1-T2) and 12 months (T2-T3).
RESULTS
Across 6 months, spouse confidence was indirectly related to improvements in patients' functional limitations and activity levels through increased empathic responses to patient pain. Across 12 months, spouse confidence was indirectly related to improvements in patients' functional limitations and activity levels through decreased solicitous responses to patient pain.
CONCLUSIONS
This study adds to the literature on spousal influences on health by identifying 2 spouse behaviors that help to explain how spouse confidence for patients' illness management translates into improvements in patients' physical health over time. Findings can inform the development of couple-focused illness management interventions aiming to increase the positive influence of the spouse on patients' health behaviors and outcomes. (PsycINFO Database Record
Topics: Adult; Aged; Empathy; Family Characteristics; Female; Health Behavior; Humans; Interviews as Topic; Male; Middle Aged; Osteoarthritis, Knee; Pain; Pain Measurement; Qualitative Research; Self Care; Self Efficacy; Spouses
PubMed: 27294596
DOI: 10.1037/hea0000383 -
Arthritis and Rheumatism Aug 2009
Topics: Affect; Arthritis, Rheumatoid; Depression; Disabled Persons; Female; Humans; Male; Social Behavior; Spouses
PubMed: 19644907
DOI: 10.1002/art.24692 -
Psycho-oncology Aug 2020The goal of this study was to describe the quality of naturalistic communication between patients with advanced cancer and their spouse caregivers using observational... (Observational Study)
Observational Study
OBJECTIVE
The goal of this study was to describe the quality of naturalistic communication between patients with advanced cancer and their spouse caregivers using observational methods. We also assessed the association between patient and caregiver communication behaviors and psychological and physical health using the actor-partner interdependence model.
METHODS
Data on 81 dyads were gathered as part of a prospective observational study. Patients with advanced cancer and their spouse caregivers completed demographic, physical health, and emotional well-being questionnaires. Cancer and relationship communication captured in "day-in-the-life" audio recordings were coded using Gottman's Turning System to assess the quality of bids for attention and responses.
RESULTS
Bids for attention were most often informational (Low Bids) and responses were mostly positive and effortful (Turn Towards); patients and caregivers did not significantly differ in communication behavior. More effortful bids for attention (High Bids) were associated with more positive and effortful responses. Patient communication behaviors were significantly associated with caregiver emotional well-being, whereas caregiver communication behaviors were significantly associated with their own emotional well-being and patient physical health.
CONCLUSIONS
While patients may benefit from caregivers' more positive and engaged communication at home, the emotional labor of focusing on and engaging the patient may take a toll on caregivers' own well-being. This work contributes to the understanding of what everyday communication looks like for patients with advanced cancer and their spouse caregivers and how this communication may impact physical and psychological health. Our findings provide a foundation to develop guidelines for psychosocial couple-based interventions.
Topics: Adaptation, Psychological; Adult; Aged; Caregivers; Cost of Illness; Female; Humans; Male; Mental Health; Middle Aged; Neoplasms; Prospective Studies; Quality of Life; Self Concept; Social Support; Spouses; Surveys and Questionnaires
PubMed: 32419243
DOI: 10.1002/pon.5416 -
American Family Physician Dec 2019
Topics: Aged, 80 and over; Anniversaries and Special Events; Death; Female; Humans; Male; Spouses; Stroke
PubMed: 31790175
DOI: No ID Found -
Health Psychology : Official Journal of... Aug 2020The present study examined positive and negative aspects of relationship quality with one's spouse or partner as predictors of mortality and the role of gender in...
OBJECTIVE
The present study examined positive and negative aspects of relationship quality with one's spouse or partner as predictors of mortality and the role of gender in moderating this link.
METHOD
Data were drawn from 2 waves, 5 years apart, of the National Social Life, Health, and Aging Project ( = 1,734). Positive aspects of relationship quality (frequency of opening up to the partner to talk about worries and relying on the partner) and negative aspects (frequency of the partner making too many demands and criticism by the partner) were assessed. Survival/mortality status was recorded at the time of Wave 2 data collection 5 years later (1,567 alive; 167 deceased). Covariates included sociodemographic variables, relationship type, health status, and the network size of close family relationships and friendships.
RESULTS
Logistic regression analyses showed that negative relationship quality with one's spouse or partner was associated with significantly higher odds for mortality after 5 years (odds ratio = 1.20, 95% CI [1.03, 1.38], < .001), after including the statistical covariates. Also, age, gender, education, self-rated health, and medication use were significantly related to mortality. Propensity score matching replicated these findings. Follow-up analyses revealed that criticism from one's spouse or partner, in particular, was linked to a higher mortality risk ( = 1.44, 95% CI [1.10, 1.88]). Gender did not moderate the relationship-quality-mortality link.
CONCLUSIONS
Negative relationship quality, notably, criticism received from one's spouse or partner, heightens older adults' risk of mortality. These results suggest the value of developing interventions that target reducing expressed criticism in couple relationships. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Topics: Adult; Aged; Aging; Family Relations; Female; Humans; Male; Middle Aged; Mortality; Spouses; Time Factors
PubMed: 32406727
DOI: 10.1037/hea0000883 -
Journal of Clinical Sleep Medicine :... Mar 2017Many adults sleep with a significant other; thus, sleep disorder symptoms and treatments of one partner are likely to impact the other partner's health. A literature... (Review)
Review
STUDY OBJECTIVES
Many adults sleep with a significant other; thus, sleep disorder symptoms and treatments of one partner are likely to impact the other partner's health. A literature review was conducted to examine the impact of obstructive sleep apnea (OSA) and OSA treatments on partner-assessed sleep and daytime functioning and partner involvement in OSA treatment.
METHODS
MEDLINE, EMBASE, and CINAHL searches yielded 38 pertinent quantitative and qualitative studies that described sleep and/or daytime functioning assessed in partners of patients with untreated OSA, sleep and/or daytime functioning assessed in partners who were referred for OSA treatment, including continuous positive airway pressure (CPAP) therapy, oral appliance (OA), or surgery, and/or associations between partner involvement and OSA treatment use.
RESULTS
The majority of studies found untreated OSA to have a negative impact on partners' objective and subjective sleep and daytime functioning, in particular mood, quality of life, and relationship quality. Improvements in partner-assessed sleep quality were reported for CPAP, OA, and surgery. Conflicting results were reported for partners' mood, quality of life, daytime sleepiness, and relationship quality. Perceived partner support was associated with greater CPAP use.
CONCLUSIONS
Symptoms associated with OSA can negatively impact partners' sleep and daytime functioning. Treatment of OSA with CPAP, OA, or surgery can have health benefits for not only patients but also partners. Collaborative partner involvement may be a useful strategy for interventions promoting CPAP adherence.
Topics: Adult; Attitude to Health; Continuous Positive Airway Pressure; Female; Humans; Male; Sleep Apnea, Obstructive; Spouses
PubMed: 28095973
DOI: 10.5664/jcsm.6504