Couples and Concealable Chronic Illness: Investigating Couples' Communication, Coping, and Relational Well-Being Over Time

被引:6
|
作者
Shrout, M. Rosie [1 ,2 ]
Weigel, Daniel J. [3 ,4 ]
Laurenceau, Jean-Philippe [5 ]
机构
[1] Purdue Univ, Dept Human Dev & Family Sci, 610 Purdue Mall, W Lafayette, IN 47907 USA
[2] Purdue Univ, Ctr Aging & Life Course, W Lafayette, IN 47907 USA
[3] Univ Nevada, Human Dev & Family Sci, Reno, NV USA
[4] Univ Nevada, Interdisciplinary Social Psychol PhD Program, Reno, NV USA
[5] Univ Delaware, Dept Psychol & Brain Sci, Delaware, OH USA
基金
美国国家卫生研究院;
关键词
chronic illness; couples; dyadic coping; illness appraisal; satisfaction; RELATIONSHIP SATISFACTION; PSYCHOLOGICAL DISTRESS; MARITAL SATISFACTION; BREAST-CANCER; SEXUAL SATISFACTION; SELF-DISCLOSURE; CHRONIC DISEASE; INTIMACY; SUPPORT; SCALE;
D O I
10.1037/fam0001136
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Couples managing chronic illnesses-the leading causes of death and disability in the United States-can experience challenges in their daily lives and relationships. Both couple members have reported lower satisfaction, greater burden, and communication difficulties. Many of these illnesses are nonvisible or concealable, increasing fear and uncertainty when sharing illness information, and reducing self-disclosure. These challenges can leave couples vulnerable to dissatisfaction and distress. In this longitudinal study, we integrated dyadic coping frameworks to examine how couples' communication and coping predicted relational well-being over time. Couples, where one partner was diagnosed with a concealable chronic illness, completed three online surveys 6 months apart (n = 242 couples at baseline, 146 couples at 6 months, and 123 couples at 12 months). Couples were recruited from university settings. Actor-partner interdependence mediation models using within-person multilevel dyadic path modeling tested the theoretical model. For patient and partner actor effects, at times when they saw the illness as shared and something that they could manage together, the more they talked about the illness and used dyadic coping strategies (p < .001). In turn, when using dyadic coping strategies more often, patients and partners felt more satisfied, close, and sexually satisfied than they typically felt that year (p < .001). For cross-partner effects, when patients talked about the illness more than usual, their partners also used dyadic coping strategies more often (p = .01). Patients' open communication may not only benefit themselves but also their partners. This multifaceted approach offers new insight into promoting relational well-being while managing concealable chronic illness.
引用
收藏
页码:136 / 148
页数:13
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