title: Coping with a partner's cancer: adjustment at four stages of the illness trajectory.
abstract: OBJECTIVE
  To study the psychosocial adjustment of partners/spouses of patients with cancer at four specific stages of the illness trajectory time of diagnosis, period of first remission, first recurrence, and period of metastatic disease.
  
  
  METHODS
  A cross-sectional, descriptive survey.
  
  
  METHODS
  A university cancer center, a private cancer clinic, and a clinic in a large city serving people who are uninsured and unable to pay for their treatment.
  
  
  METHODS
  175 partners of patients who were in one of four specific stages of the illness trajectory participated in this study, Various types of cancer were represented. Seventy-seven participants were men, and 98 were women; their mean age was 49 years.
  
  
  METHODS
  A survey questionnaire was used to collect data on psychosocial adjustment, specific sources of social support, dyadic adjustment, coping strategies, emotional response, cognitive response, and personal control.
  
  
  RESULTS
  Results indicate that partners of patients who were experiencing a recurrence of their illness or who were in the metastatic stage of the disease were more vulnerable to increased distress and problems of adjustment. Women also reported higher levels of distress than men. Variables that had the most significant direct affect on adjustment were emotional response, cognitive response, family support, and partner cohesion. Coping strategies influenced emotion and cognition.
  
  
  CONCLUSIONS
  Caring for partners is essential to promoting quality of life for the patient and the family.
  
  
  CONCLUSIONS
  Assessment, providing an opportunity to express concerns, and referral for psychosocial intervention as necessary are important to promote the highest possible quality of life for partners and patients.
authors.affiliation: Indiana University School of Nursing Center for Nursing Research, Indianapolis, USA.
authors.forename: S R
authors.initials: SR
authors.lastname: Morse
authors.forename: B
authors.initials: B
authors.lastname: Fife
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing / Q000523:psychology*; D009859:Oncology Nursing; D012803:Sick Role; D018454:Spouses / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States