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Distress in Couples Coping with Cancer: A Meta-Analysis and Critical Review of Role and Gender Effects

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Title: Distress in Couples Coping with Cancer: A Meta-Analysis and Critical Review of Role and Gender Effects
Language: English
Authors: Hagedoorn, Mariet, Sanderman, Robbert, Bolks, Hilde N.
Source: Psychological Bulletin. Jan 2008 134(1):1-30.
Availability: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Peer Reviewed: Y
Physical Description: PDF
Page Count: 30
Publication Date: 2008
Document Type: Journal Articles
Reports - Research
Descriptors: Cancer, Coping, Psychological Patterns, Stress Management, Spouses, Gender Differences, Meta Analysis, Personal Narratives, Correlation, Emotional Response, Caregiver Role, Role
ISSN: 0033-2909
Abstract: Research concerning distress in couples coping with cancer was integrated using meta-analysis and narrative critical appraisal. Individual levels of distress were determined more by gender than by the role of being the person with cancer versus that person's partner. That is, women reported consistently more distress than men regardless of their role (standardized mean difference = 0.31). The association between patient and partner distress within couples was only moderate (r = 0.29) but is sufficient to warrant further consideration of the notion that these couples react as an emotional system rather than as individuals. It is noteworthy that this association is not moderated by gender. With a general lack of comparison groups, the question of how much distress can be ascribed to the cancer experience cannot be answered decisively; elevations in distress are probably modest. We critically discuss these results, identify important unanswered questions, and indicate directions for future research. Attention needs to be directed toward factors other than cancer as direct influences of distress in these couples and to mediators and moderators of the cancer experience.
Abstractor: Author
Entry Date: 2008
Access URL: https://content.apa.org/journals/bul/134/1/1
Accession Number: EJ783090
Database: ERIC
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  Data: Research concerning distress in couples coping with cancer was integrated using meta-analysis and narrative critical appraisal. Individual levels of distress were determined more by gender than by the role of being the person with cancer versus that person's partner. That is, women reported consistently more distress than men regardless of their role (standardized mean difference = 0.31). The association between patient and partner distress within couples was only moderate (r = 0.29) but is sufficient to warrant further consideration of the notion that these couples react as an emotional system rather than as individuals. It is noteworthy that this association is not moderated by gender. With a general lack of comparison groups, the question of how much distress can be ascribed to the cancer experience cannot be answered decisively; elevations in distress are probably modest. We critically discuss these results, identify important unanswered questions, and indicate directions for future research. Attention needs to be directed toward factors other than cancer as direct influences of distress in these couples and to mediators and moderators of the cancer experience.
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      – SubjectFull: Psychological Patterns
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      – SubjectFull: Stress Management
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      – SubjectFull: Gender Differences
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