title: The dyadic effects of coping and resilience on psychological distress for cancer survivor couples.
abstract: OBJECTIVE
  This study aimed to examine the actor and partner effects of coping and resilience characteristics on psychological distress in cancer survivors and their spouses and to examine the mediating role of resilience characteristics in the relationship between coping and psychological distress.
  
  
  METHODS
  A total of 91 breast, colorectal, and prostate cancer survivor-spouse dyads were recruited from the University Hospital Registry in Cleveland, Ohio. Standardized questionnaires that assessed psychological distress, reframing and acquiring social support coping, and resilience characteristics were used.
  
  
  RESULTS
  The actor-partner interdependence mediation model demonstrated that the resilience of the survivors and spouses was a strong predictor of their personal psychological distress. Survivors' and spouses' own resilience mediated the association between their reframing coping and psychological distress. However, only the survivor model confirmed the mediating effect of resilience characteristics in the relationship between social support coping and psychological distress. In addition, spouse psychological distress was influenced by survivor resilience, indicating a spouse-partner effect in the relationship between resilience characteristics and psychological distress.
  
  
  CONCLUSIONS
  Our findings provide insight into the relationships between coping, resilience characteristics, and psychological distress at the individual and dyadic levels. Enhancing cancer survivors' and their spouses' positive thoughts and available external resources can improve resilience and, in turn, reduce their psychological distress of couples coping with cancer.
authors.affiliation: College of Social Welfare, Kangnam University, 111 Gugal-dong, Giheung-gu, Yongin-si, Gyeonggi-do, South Korea, jungwonlim@kangnam.ac.kr.
authors.forename: Jung-Won
authors.initials: JW
authors.lastname: Lim
authors.forename: En-Jung
authors.initials: EJ
authors.lastname: Shon
authors.forename: Minso
authors.initials: M
authors.lastname: Paek
authors.forename: Barbara
authors.initials: B
authors.lastname: Daly
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D005006:Ethnicity; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology*; D009820:Ohio / Q000453:epidemiology; D055500:Resilience, Psychological; D057566:Self Report; D012917:Social Adjustment; D012944:Social Support; D012959:Socioeconomic Factors; D018454:Spouses / Q000523:psychology*; D013315:Stress, Psychological / Q000175:diagnosis / Q000503:physiopathology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*