Differences in physical, emotional, and social adjustment of intimate, family, and nonfamily patient-partner dyads based on a breast cancer intervention study.

Deborah Witt Sherman, Judith Haber, Carol Noll Hoskins, Wendy C. Budin, Greg Maislin, Jacqui Cater, Frances Cartwright-Alcarese, Christina Beyer McSherry, Renee Feurbach, Mildred Ortu Kowalski, Mary Rosedale

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalOncology Nursing Forum
Volume36
Issue number4
DOIs
StatePublished - Jul 2009

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Social Adjustment
Breast Neoplasms
Risk Adjustment
Social Environment
Emotional Adjustment
Community Hospital
Chi-Square Distribution
Social Support
Randomized Controlled Trials
Psychology

ASJC Scopus subject areas

  • Oncology(nursing)

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Differences in physical, emotional, and social adjustment of intimate, family, and nonfamily patient-partner dyads based on a breast cancer intervention study. / Sherman, Deborah Witt; Haber, Judith; Hoskins, Carol Noll; Budin, Wendy C.; Maislin, Greg; Cater, Jacqui; Cartwright-Alcarese, Frances; McSherry, Christina Beyer; Feurbach, Renee; Kowalski, Mildred Ortu; Rosedale, Mary.

In: Oncology Nursing Forum, Vol. 36, No. 4, 07.2009.

Research output: Contribution to journalArticle

Sherman, DW, Haber, J, Hoskins, CN, Budin, WC, Maislin, G, Cater, J, Cartwright-Alcarese, F, McSherry, CB, Feurbach, R, Kowalski, MO & Rosedale, M 2009, 'Differences in physical, emotional, and social adjustment of intimate, family, and nonfamily patient-partner dyads based on a breast cancer intervention study.', Oncology Nursing Forum, vol. 36, no. 4. https://doi.org/10.1188/09.ONF.E185-E197
Sherman, Deborah Witt ; Haber, Judith ; Hoskins, Carol Noll ; Budin, Wendy C. ; Maislin, Greg ; Cater, Jacqui ; Cartwright-Alcarese, Frances ; McSherry, Christina Beyer ; Feurbach, Renee ; Kowalski, Mildred Ortu ; Rosedale, Mary. / Differences in physical, emotional, and social adjustment of intimate, family, and nonfamily patient-partner dyads based on a breast cancer intervention study. In: Oncology Nursing Forum. 2009 ; Vol. 36, No. 4.
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abstract = "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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AU - Hoskins, Carol Noll

AU - Budin, Wendy C.

AU - Maislin, Greg

AU - Cater, Jacqui

AU - Cartwright-Alcarese, Frances

AU - McSherry, Christina Beyer

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AU - Kowalski, Mildred Ortu

AU - Rosedale, Mary

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