title: Associations between dyadic coping and supportive care needs: findings from a study with hematologic cancer patients and their partners.
abstract: The way couples mutually cope with hematologic cancer is likely to influence their levels of supportive care needs (SCN). Therefore, this study evaluated the levels of dyadic coping (DC) and SCN and the concurrent associations between both variables.
  
  
  
  Three hundred thirty patients with a hematologic malignancy (63% male) and their partners completed the dyadic coping inventory (DCI) and the supportive care needs survey (SCNS-SF-34-G). The levels of dyadic coping (DC) and supportive care needs (SCN) were compared with representative validation samples. Correlational analyses and actor-partner interdependence models (APIM) were calculated to estimate the association between DC and SCN.
  
  
  
  Partners' stress communication of cancer patients (as part of DC) was decreased in contrast to that of a non-cancer sample. The perception of partners' delegated DC was higher (both with a moderate effect size of g ≥ |0.50|). SCN of patients and partners were lower in the dimensions health system/information and physical problems/daily living in contrast to those of a cancer patients' validation sample (both with a small effect of g ≥ |0.20|). Higher perceptions of partners' negative DC were associated with higher SCN for both patients and partners. The same was true for patients' own stress communication and SCN, but only for the patients. Sociodemographic and illness-related factors were only partially related with the SCN of patients and partners.
  
  
  
  In order to diminish SCN of patients and partners, a possible way is to strengthen the quality of the dyadic relation. Due to its associations with elevated SCN, stress communication and negative dyadic coping behaviours may be useful targets for psychosocial interventions.
authors.affiliation: Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Germany. gregor.weissflog@medizin.uni-leipzig.de.
authors.forename: Gregor
authors.initials: G
authors.lastname: Weißflog
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, University of Ulm, Ulm, Germany.|Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany.
authors.forename: Klaus
authors.initials: K
authors.lastname: Hönig
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, University of Ulm, Ulm, Germany.|Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany.
authors.forename: Harald
authors.initials: H
authors.lastname: Gündel
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, University of Ulm, Ulm, Germany.|Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany.
authors.forename: Dirk
authors.initials: D
authors.lastname: Lang
authors.affiliation: Division of Hematology and Oncology, University Hospital of Leipzig, Leipzig, Germany.
authors.forename: Dietger
authors.initials: D
authors.lastname: Niederwieser
authors.affiliation: Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany.|Department of Internal Medicine III, University Hospital of Ulm, Ulm, Germany.
authors.forename: Hartmut
authors.initials: H
authors.lastname: Döhner
authors.affiliation: Department of Internal Medicine III, University of Regensburg, Regensburg, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Vogelhuber
authors.affiliation: Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Mehnert
authors.affiliation: Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Germany.
authors.forename: Jochen
authors.initials: J
authors.lastname: Ernst
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D005191:Family Characteristics; D005260:Female; D019337:Hematologic Neoplasms / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010465:Perception; D018454:Spouses / Q000523:psychology*; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: Cancer; Couples; Dyadic coping; Oncology; Supportive care needs