TY - JOUR
T1 - An electronic diary study of the effects of patient avoidance and partner social constraints on patient momentary affect in metastatic breast cancer
AU - Badr, Hoda
AU - Pasipanodya, Elizabeth C.
AU - Laurenceau, Jean Philippe
N1 - Funding Information:
Acknowledgments This research was supported by a multidisciplinary award from the U.S. Army Medical Research and Materiel Command W81XWH-0401-0425 (Hoda Badr, PhD, Principal Investigator). The authors thank Leslie Schart and Krystal Davis who assisted with data collection. We would also like to acknowledge the assistance of Drs. Massimo Cristofanilli, Daniel Booser, Aman Buzdar, Francisco Esteva, Ana Gonzalez-Angulo, Marjorie Greene, Nuhad Ibrahim, Lajos Pusztai, Edgardo Rivera, Vicente Valero, and Ronald Walters for allowing access to their patients for this study.
PY - 2013/4
Y1 - 2013/4
N2 - Background: Metastatic breast cancer patients experience significance distress. Although talking with close others about cancer-related concerns may help to alleviate distress, patients often avoid such discussions, and their partners can engage in social constraints that may limit subsequent patient disclosures and exacerbate distress. Purpose: We examined how partner constraints unfold, how they influence patient affect, and whether they exacerbate patient avoidance of cancer-related disclosures. Methods: Fifty-four patients and 48 of their partners completed electronic diary assessments for 14 days. Results: Partners' social constraints carried over from one day to the next, but patients' avoidance of discussing cancer-related concerns did not. When partners engaged in more social constraints one day, patients reported greater negative affect the following day (p < 0.05). Conclusion: Findings suggest a temporal link between partner constraints and patient momentary affect. Helping partners to become aware of their constraining behaviors and teaching them skills to overcome this may facilitate patient adjustment to metastatic breast cancer.
AB - Background: Metastatic breast cancer patients experience significance distress. Although talking with close others about cancer-related concerns may help to alleviate distress, patients often avoid such discussions, and their partners can engage in social constraints that may limit subsequent patient disclosures and exacerbate distress. Purpose: We examined how partner constraints unfold, how they influence patient affect, and whether they exacerbate patient avoidance of cancer-related disclosures. Methods: Fifty-four patients and 48 of their partners completed electronic diary assessments for 14 days. Results: Partners' social constraints carried over from one day to the next, but patients' avoidance of discussing cancer-related concerns did not. When partners engaged in more social constraints one day, patients reported greater negative affect the following day (p < 0.05). Conclusion: Findings suggest a temporal link between partner constraints and patient momentary affect. Helping partners to become aware of their constraining behaviors and teaching them skills to overcome this may facilitate patient adjustment to metastatic breast cancer.
KW - Couples
KW - Distress
KW - Electronic diary
KW - Metastatic breast cancer
KW - Social cognitive processing model
KW - Social constraints
UR - https://www.scopus.com/pages/publications/84879415326
U2 - 10.1007/s12160-012-9436-8
DO - 10.1007/s12160-012-9436-8
M3 - Article
C2 - 23150234
AN - SCOPUS:84879415326
SN - 0883-6612
VL - 45
SP - 192
EP - 202
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 2
ER -