Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative study

Purpose Dyadic coping interventions alleviate emotional problems in patients and families with a variety of chronic illnesses. Current coping research on depression focuses mainly on the individual level. This study examined the experiences of people with depression and their spouses, using a dyadic...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiaoli Cheng, Liping Liu, Shifen Ni, Chuansu Li, Hongyin Zhang, Bo Mao, Jing Zeng
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2025.2503565
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850139852816777216
author Xiaoli Cheng
Liping Liu
Shifen Ni
Chuansu Li
Hongyin Zhang
Bo Mao
Jing Zeng
author_facet Xiaoli Cheng
Liping Liu
Shifen Ni
Chuansu Li
Hongyin Zhang
Bo Mao
Jing Zeng
author_sort Xiaoli Cheng
collection DOAJ
description Purpose Dyadic coping interventions alleviate emotional problems in patients and families with a variety of chronic illnesses. Current coping research on depression focuses mainly on the individual level. This study examined the experiences of people with depression and their spouses, using a dyadic coping perspective to support the implementation of a targeted dyadic intervention. Method Semi-structured, in-depth interviews were conducted with patients with depression and their spouses. The data were organized and analysed using Colaizzi’s seven-step method. Results The experiences of individuals with depression and their spouses were categorized into four themes and 12 subthemes: delays in medical care (delays in medical decision-making, delays in in-hospital care), spousal maladjustment (perceived stress of the illness, role conflict, negative emotions), coexistence of positive and negative dyadic coping strategies (shared coping, positive communication, emotional support, negative communication, overprotectiveness), and confusion and needs (fear of illness prognosis, desire for continuity of care). Conclusion Healthcare professionals should promote positive dyadic coping among individuals with depression and their spouses while caring for depressive illnesses. They should strengthen individuals’ knowledge of the disease, attend to spouses’ physical and mental health, explore couple-centred dyadic intervention strategies, and improve continuity in the healthcare system.
format Article
id doaj-art-4f7790f230464af7a5a1fa93b57dd1c8
institution OA Journals
issn 1748-2623
1748-2631
language English
publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series International Journal of Qualitative Studies on Health & Well-Being
spelling doaj-art-4f7790f230464af7a5a1fa93b57dd1c82025-08-20T02:30:05ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312025-12-0120110.1080/17482631.2025.25035652503565Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative studyXiaoli Cheng0Liping Liu1Shifen Ni2Chuansu Li3Hongyin Zhang4Bo Mao5Jing Zeng6The First Affiliated Hospital of Chongqing Medical UniversityThe First Affiliated Hospital of Chongqing Medical UniversityThe First Affiliated Hospital of Chongqing Medical UniversityThe First Affiliated Hospital of Chongqing Medical UniversityThe First Affiliated Hospital of Chongqing Medical UniversityThe First Affiliated Hospital of Chongqing Medical UniversityThe First Affiliated Hospital of Chongqing Medical UniversityPurpose Dyadic coping interventions alleviate emotional problems in patients and families with a variety of chronic illnesses. Current coping research on depression focuses mainly on the individual level. This study examined the experiences of people with depression and their spouses, using a dyadic coping perspective to support the implementation of a targeted dyadic intervention. Method Semi-structured, in-depth interviews were conducted with patients with depression and their spouses. The data were organized and analysed using Colaizzi’s seven-step method. Results The experiences of individuals with depression and their spouses were categorized into four themes and 12 subthemes: delays in medical care (delays in medical decision-making, delays in in-hospital care), spousal maladjustment (perceived stress of the illness, role conflict, negative emotions), coexistence of positive and negative dyadic coping strategies (shared coping, positive communication, emotional support, negative communication, overprotectiveness), and confusion and needs (fear of illness prognosis, desire for continuity of care). Conclusion Healthcare professionals should promote positive dyadic coping among individuals with depression and their spouses while caring for depressive illnesses. They should strengthen individuals’ knowledge of the disease, attend to spouses’ physical and mental health, explore couple-centred dyadic intervention strategies, and improve continuity in the healthcare system.http://dx.doi.org/10.1080/17482631.2025.2503565dyadic copingdepressionspousecaregivingqualitative study
spellingShingle Xiaoli Cheng
Liping Liu
Shifen Ni
Chuansu Li
Hongyin Zhang
Bo Mao
Jing Zeng
Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative study
International Journal of Qualitative Studies on Health & Well-Being
dyadic coping
depression
spouse
caregiving
qualitative study
title Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative study
title_full Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative study
title_fullStr Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative study
title_full_unstemmed Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative study
title_short Dualistic perspectives on illness coping experiences of individuals with depression and their spouses: a qualitative study
title_sort dualistic perspectives on illness coping experiences of individuals with depression and their spouses a qualitative study
topic dyadic coping
depression
spouse
caregiving
qualitative study
url http://dx.doi.org/10.1080/17482631.2025.2503565
work_keys_str_mv AT xiaolicheng dualisticperspectivesonillnesscopingexperiencesofindividualswithdepressionandtheirspousesaqualitativestudy
AT lipingliu dualisticperspectivesonillnesscopingexperiencesofindividualswithdepressionandtheirspousesaqualitativestudy
AT shifenni dualisticperspectivesonillnesscopingexperiencesofindividualswithdepressionandtheirspousesaqualitativestudy
AT chuansuli dualisticperspectivesonillnesscopingexperiencesofindividualswithdepressionandtheirspousesaqualitativestudy
AT hongyinzhang dualisticperspectivesonillnesscopingexperiencesofindividualswithdepressionandtheirspousesaqualitativestudy
AT bomao dualisticperspectivesonillnesscopingexperiencesofindividualswithdepressionandtheirspousesaqualitativestudy
AT jingzeng dualisticperspectivesonillnesscopingexperiencesofindividualswithdepressionandtheirspousesaqualitativestudy