TY - JOUR
T1 - Differences in physical, emotional, and social adjustment of intimate, family, and nonfamily patient-partner dyads based on a breast cancer intervention study.
AU - Sherman, Deborah Witt
AU - Haber, Judith
AU - Hoskins, Carol Noll
AU - Budin, Wendy C.
AU - Maislin, Greg
AU - Cater, Jacqui
AU - Cartwright-Alcarese, Frances
AU - McSherry, Christina Beyer
AU - Feurbach, Renee
AU - Kowalski, Mildred Ortu
AU - Rosedale, Mary
PY - 2009/7
Y1 - 2009/7
N2 - PURPOSE/OBJECTIVES: To assess the degree to which postsurgical adjustment in patients with breast cancer and their partners depends on the nature of the patient-partner dyad relationship. DESIGN: Secondary data analysis from a randomized controlled trial. SETTING: Three cancer centers and one suburban community hospital in New York. SAMPLE: 205 patient-partner dyads (112 intimate-partner, 58 family-member, and 35 nonfamily-member dyads). METHODS: Mann-Whitney nonparametric comparisons and chi-square tests were used to assess dyad types on continuous and categorical variables, and a mixed model for repeated measures compared postsurgical adjustment among dyad types. MAIN RESEARCH VARIABLES: Type of patient-partner dyads and physical, emotional, and social adjustment. FINDINGS: Patients in intimate-partner dyads were younger, had greater incomes, and discovered the lump by routine mammogram as compared to family- or nonfamily-member dyads. No significant differences were observed in patients' physical or emotional adjustment. Patients with intimate partners had greater difficulty in their social and domestic environments. Partners in intimate-partner dyads had lower scores on psychological well-being, more problems in social and domestic adjustment, and less social support to promote social adjustment. CONCLUSIONS: Women with breast cancer experience successful physical and emotional adjustment whether they have intimate-partner, family-member, or nonfamily-member partners. Intimate partners are at greater risk for emotional and social adjustment issues. IMPLICATIONS FOR NURSING: When designing interventions, consideration must be given to the type of patient-partner dyad involved.
AB - PURPOSE/OBJECTIVES: To assess the degree to which postsurgical adjustment in patients with breast cancer and their partners depends on the nature of the patient-partner dyad relationship. DESIGN: Secondary data analysis from a randomized controlled trial. SETTING: Three cancer centers and one suburban community hospital in New York. SAMPLE: 205 patient-partner dyads (112 intimate-partner, 58 family-member, and 35 nonfamily-member dyads). METHODS: Mann-Whitney nonparametric comparisons and chi-square tests were used to assess dyad types on continuous and categorical variables, and a mixed model for repeated measures compared postsurgical adjustment among dyad types. MAIN RESEARCH VARIABLES: Type of patient-partner dyads and physical, emotional, and social adjustment. FINDINGS: Patients in intimate-partner dyads were younger, had greater incomes, and discovered the lump by routine mammogram as compared to family- or nonfamily-member dyads. No significant differences were observed in patients' physical or emotional adjustment. Patients with intimate partners had greater difficulty in their social and domestic environments. Partners in intimate-partner dyads had lower scores on psychological well-being, more problems in social and domestic adjustment, and less social support to promote social adjustment. CONCLUSIONS: Women with breast cancer experience successful physical and emotional adjustment whether they have intimate-partner, family-member, or nonfamily-member partners. Intimate partners are at greater risk for emotional and social adjustment issues. IMPLICATIONS FOR NURSING: When designing interventions, consideration must be given to the type of patient-partner dyad involved.
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U2 - 10.1188/09.ONF.E185-E197
DO - 10.1188/09.ONF.E185-E197
M3 - Article
C2 - 19581222
AN - SCOPUS:70349561238
SN - 0190-535X
VL - 36
SP - E185-197
JO - Oncology nursing forum
JF - Oncology nursing forum
IS - 4
ER -