Couples Communication and Cancer: Sequences and Trajectories of Behavioral Affective Processes in Relation to Intimacy.

Cancer poses a set of physical and emotional challenges to the patient, spouse, and their relationship. One challenge for couples is discussing cancer-related concerns in a manner that facilitates intimacy. Current couple-based interventions have been shown to have mixed efficacy, and little is know...

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Publicado en:Journal of Family Psychology Vol. 38; no. 2; pp. 246 - 260
Autores principales: Leo, Karena, Langer, Shelby L., Porter, Laura S., Ramos, Katherine, Romano, Joan M., Baucom, Donald H., Baucom, Brian R. W.
Formato: Artículo
Publicado: American Psychological Association Mar2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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      pub: American Psychological Association
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        10.1037/fam0001178
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        atl: Couples Communication and Cancer: Sequences and Trajectories of Behavioral Affective Processes in Relation to Intimacy.
      aug:
        au:
          Leo, Karena
          Langer, Shelby L.
          Porter, Laura S.
          Ramos, Katherine
          Romano, Joan M.
          Baucom, Donald H.
          Baucom, Brian R. W.
        affil:
          Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine
          Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University
          Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine
          Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill
          Department of Psychology, University of Utah
      su:
        Dyadic communication
        Intimacy (Psychology)
        Affect (Psychology)
        Couples
        Approach behavior
      sug:
        subj:
          Dyadic communication
          Intimacy (Psychology)
          Affect (Psychology)
          Couples
          Approach behavior
      keyword:
        cancer
        communication
        couples
        observational coding
        relationship intimacy
        cancer
        communication
        couples
        observational coding
        relationship intimacy
      ab: Cancer poses a set of physical and emotional challenges to the patient, spouse, and their relationship. One challenge for couples is discussing cancer-related concerns in a manner that facilitates intimacy. Current couple-based interventions have been shown to have mixed efficacy, and little is known about how they bring about improvements. This study aims to expand our understanding of dyadic communication and intimacy to adapt and/or develop more effective interventions for couples coping with cancer. To accomplish this goal, the present study examined affective and behavioral processes associated with intimacy using the valence–affective–connection (VAC) framework and observational coding methods. Participants were 134 couples in which a patient was diagnosed with breast, colorectal, or lung cancer. Couples completed a battery of questionnaires, including a self-report measure of intimacy. Couples also completed a 15-min videotaped interaction about a cancer topic of their choosing, which was observationally coded for communication behavior and affective expression. Couples coping with cancer who reported higher versus lower intimacy engaged in qualitatively different levels, types, and patterns of communication behavior and affective expression. Specifically, couples who reported lower relationship intimacy used negative approach behavior and hard negative affect more frequently and for longer periods of time and were more likely to use avoidance-based communication. Higher intimacy couples were less likely to sustain the use of negative behavior and affect and displayed more reciprocity of positive joining affect. The study highlights important considerations for couple-based interventions and research in the context of cancer.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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