A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory

BackgroundThe active coping strategies of family members can help breast cancer patients better handle the crisis, and family adaptation is a manifestation of the family's active coping with the crisis. In the study of breast cancer, a disease that predominantly affects women, we explored the i...

Full description

Saved in:
Bibliographic Details
Main Authors: Zhangyi Ding, Yarong Fan, Gaoxiang Zhong, Xinmiao Zhang, Xichen Li, Yan Qiao, Huixia Cui
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1453830/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850162382754545664
author Zhangyi Ding
Yarong Fan
Gaoxiang Zhong
Xinmiao Zhang
Xichen Li
Yan Qiao
Huixia Cui
author_facet Zhangyi Ding
Yarong Fan
Gaoxiang Zhong
Xinmiao Zhang
Xichen Li
Yan Qiao
Huixia Cui
author_sort Zhangyi Ding
collection DOAJ
description BackgroundThe active coping strategies of family members can help breast cancer patients better handle the crisis, and family adaptation is a manifestation of the family's active coping with the crisis. In the study of breast cancer, a disease that predominantly affects women, we explored the influence of spouses on patients' family adaptation. This aspect has not been explored in previous studies.PurposeIn recent years, with the development of family stress coping theory, cancer coping styles have shifted from an individual focus to a whole-family approach. This shift has the potential to help families of cancer patients adapt to the crisis. This study aimed to explore the correlation between dyadic coping, family adaptation, and benefit finding in couples with breast cancer.MethodsUsing convenience sampling, the study included 325 pairs consisting of breast cancer patients and their spouses who attended breast surgery, oncology, and chemotherapy sessions between April and November 2023. The survey utilized the General Information Questionnaire for patients and spouses, the Dyadic Coping Scale, the Benefit Finding Scale, and the Family Adaptability and Cohesion Evaluation Scales. Data analysis was conducted using SPSS 25.0 and Amos 24.0 software.ResultsIn the actor effect of dyadic coping on family adaptation, the benefit finding of patients and their spouses played a mediating role. Regarding the partner effect (B = 0.019, 95% CI = 0.003–0.045, P < 0.05), the dyadic coping of spouses indirectly affected the family adaptation of patients through the benefit findings of patients. The patient's dyadic coping can directly affect the spouse's family adaptation. The spouse's dyadic coping can influence the patient's benefit finding.ConclusionThere is a partial interaction between breast cancer patients and their spouses' dyadic coping, benefit finding, and family adaptation. Therefore, clinical staff should promptly identify patients and spouses with poor coping abilities and provide them with positive psychological interventions to enhance the dyadic coping abilities of both partners and assist them in overcoming the problems encountered during the treatment process, ultimately helping them better cope with family crises.
format Article
id doaj-art-e0c59b0a84b046868a80ed0d923bc446
institution OA Journals
issn 2296-2565
language English
publishDate 2024-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj-art-e0c59b0a84b046868a80ed0d923bc4462025-08-20T02:22:34ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-11-011210.3389/fpubh.2024.14538301453830A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theoryZhangyi Ding0Yarong Fan1Gaoxiang Zhong2Xinmiao Zhang3Xichen Li4Yan Qiao5Huixia Cui6School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaSchool of Nursing, Shanxi Medical University, Taiyuan, Shanxi, ChinaSchool of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaSchool of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaSchool of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaSchool of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaSchool of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaBackgroundThe active coping strategies of family members can help breast cancer patients better handle the crisis, and family adaptation is a manifestation of the family's active coping with the crisis. In the study of breast cancer, a disease that predominantly affects women, we explored the influence of spouses on patients' family adaptation. This aspect has not been explored in previous studies.PurposeIn recent years, with the development of family stress coping theory, cancer coping styles have shifted from an individual focus to a whole-family approach. This shift has the potential to help families of cancer patients adapt to the crisis. This study aimed to explore the correlation between dyadic coping, family adaptation, and benefit finding in couples with breast cancer.MethodsUsing convenience sampling, the study included 325 pairs consisting of breast cancer patients and their spouses who attended breast surgery, oncology, and chemotherapy sessions between April and November 2023. The survey utilized the General Information Questionnaire for patients and spouses, the Dyadic Coping Scale, the Benefit Finding Scale, and the Family Adaptability and Cohesion Evaluation Scales. Data analysis was conducted using SPSS 25.0 and Amos 24.0 software.ResultsIn the actor effect of dyadic coping on family adaptation, the benefit finding of patients and their spouses played a mediating role. Regarding the partner effect (B = 0.019, 95% CI = 0.003–0.045, P < 0.05), the dyadic coping of spouses indirectly affected the family adaptation of patients through the benefit findings of patients. The patient's dyadic coping can directly affect the spouse's family adaptation. The spouse's dyadic coping can influence the patient's benefit finding.ConclusionThere is a partial interaction between breast cancer patients and their spouses' dyadic coping, benefit finding, and family adaptation. Therefore, clinical staff should promptly identify patients and spouses with poor coping abilities and provide them with positive psychological interventions to enhance the dyadic coping abilities of both partners and assist them in overcoming the problems encountered during the treatment process, ultimately helping them better cope with family crises.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1453830/fulldyadic copingfamily adaptationbenefit findingfamily stress coping theoryactor-partner
spellingShingle Zhangyi Ding
Yarong Fan
Gaoxiang Zhong
Xinmiao Zhang
Xichen Li
Yan Qiao
Huixia Cui
A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory
Frontiers in Public Health
dyadic coping
family adaptation
benefit finding
family stress coping theory
actor-partner
title A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory
title_full A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory
title_fullStr A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory
title_full_unstemmed A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory
title_short A dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory
title_sort dyadic analysis of family adaptation among breast cancer patients and their spouses based on the framework of family stress coping theory
topic dyadic coping
family adaptation
benefit finding
family stress coping theory
actor-partner
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1453830/full
work_keys_str_mv AT zhangyiding adyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT yarongfan adyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT gaoxiangzhong adyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT xinmiaozhang adyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT xichenli adyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT yanqiao adyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT huixiacui adyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT zhangyiding dyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT yarongfan dyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT gaoxiangzhong dyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT xinmiaozhang dyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT xichenli dyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT yanqiao dyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory
AT huixiacui dyadicanalysisoffamilyadaptationamongbreastcancerpatientsandtheirspousesbasedontheframeworkoffamilystresscopingtheory