title: A dyadic and longitudinal investigation of adjustment in couples coping with multiple sclerosis.
abstract: BACKGROUND
  Multiple sclerosis (MS) can affect adjustment at both the individual and couple level.
  
  
  OBJECTIVE
  This study examined differences and associations between MS patient and spouse adjustment, and whether one partner's adjustment predicts the other partner's adjustment over time.
  
  
  METHODS
  A total of 160 couples at Time 1 and 98 couples at Time 2 completed questionnaires.
  
  
  RESULTS
  Mixed-model ANOVAs found that patients reported poorer adjustment than their spouse on a range of adjustment indicators and that positive affect and relationship satisfaction declined over time for both patients and spouses. Intraclass correlations found that patient and spouse scores on all adjustment indicators were related at Time 1. Multilevel modelling showed that one's partner's relationship satisfaction at Time 1 positively predicted one's own relationship satisfaction at Time 2.
  
  
  CONCLUSIONS
  The findings indicate that a focus on the interpersonal nature of adjustment to MS may be beneficial for future research and practice.
authors.affiliation: Department of Psychology, Bond University, Robina, Gold Coast, Queensland, 4229, Australia, csamios@bond.edu.au.
authors.forename: Christina
authors.initials: C
authors.lastname: Samios
authors.forename: Kenneth I
authors.initials: KI
authors.lastname: Pakenham
authors.forename: Jill
authors.initials: J
authors.lastname: O'Brien
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009103:Multiple Sclerosis / Q000523:psychology*; D010549:Personal Satisfaction; D012747:Sexual Partners / Q000523:psychology*; D018454:Spouses / Q000523:psychology*; D011795:Surveys and Questionnaires