The Dyadic Relationship of Illness Perception and Fear of Progression in Patients With Digestive System Cancers and Their Caregivers: An Actor‐Partner Interdependence Model Analysis.

This study employs a dyadic analysis approach to explore the relationship between illness perception and fear of progression among digestive system cancer patients and caregivers using the Actor‐Partner Interdependence Model (APIM). We selected 242 pairs of digestive system cancer patients and their...

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Publicado en:Stress & Health: Journal of the International Society for the Investigation of Stress Vol. 41; no. 3; pp. 1 - 11
Autores principales: Cheng, Ying‐Ying, Liu, An‐Kang, Dai, Jin‐Zhen, Zhuo, Yi‐Shang, Liu, Peng, Wu, Qin‐Yang, Li, Zi‐Han, Yang, Qiao‐Hong
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Wiley-Blackwell
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        10.1002/smi.70052
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        atl: The Dyadic Relationship of Illness Perception and Fear of Progression in Patients With Digestive System Cancers and Their Caregivers: An Actor‐Partner Interdependence Model Analysis.
      aug:
        au:
          Cheng, Ying‐Ying
          Liu, An‐Kang
          Dai, Jin‐Zhen
          Zhuo, Yi‐Shang
          Liu, Peng
          Wu, Qin‐Yang
          Li, Zi‐Han
          Yang, Qiao‐Hong
        affil: School of Nursing, Jinan University, Guangzhou, China
      sug:
        subj:
          Attitude to Illness
          Fear
          Disease Progression
          Digestive System Neoplasms
          Caregiver Attitudes
          Patient Attitudes
          Interpersonal Relations
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Convenience Sample
          Confidence Intervals
          Surveys
          Health Beliefs
          Descriptive Statistics
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: This study employs a dyadic analysis approach to explore the relationship between illness perception and fear of progression among digestive system cancer patients and caregivers using the Actor‐Partner Interdependence Model (APIM). We selected 242 pairs of digestive system cancer patients and their primary caregivers from two tertiary hospitals in Guangdong Province using convenient sampling method. Participants completed the Brief Illness Perception Questionnaire and Fear of Progression Questionnaire. Structural equation modelling based on the APIM framework was used to assess both actor effects (individuals' illness perception on their own fear of progression) and partner effects (individuals' illness perception on the other member's fear of progression). This study included a total of 242 sets of participants, with patients having an average age of 55.97 (SD = 14.19) years and caregivers having an average age of 49.40 (SD = 13.18) years. The study revealed that the paired patterns of illness perception and fear of progression among patients and caregivers were couple patterns. Specifically, in terms of actor effects, illness perception among digestive system cancer patients and their caregivers was able to influence their own fear of progression (β = 0.238, 0.163; 95% CI = 0.167–0.310, 0.094–0.233; both p < 0.001). Regarding the partner effects, the illness perception of digestive system cancer patients and their caregivers positively influenced each other's fear of progression (β = 0.238, 0.163; 95% CI = 0.167–0.310, 0.094–0.233; both p < 0.001). This study confirms the existence of the actor‐partner relationships between illness perception and fear of progression among digestive system cancer patients and their caregivers. These interdependent effects highlight the importance of adopting dyad‐centred interventions in psycho‐oncology care, where clinicians should address both patients and caregivers as an emotionally connected unit rather than isolated individuals.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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