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Fenech AL, Perndorfer C, Soriano EC, Otto AK, Brownlee HA, Morreale M, Siegel SD, Laurenceau JP. Daily partner responsiveness and everyday sleep outcomes in breast cancer survivors and their partners. Support Care Cancer 2022; 30:7561-7568. [PMID: 35676343 DOI: 10.1007/s00520-022-07195-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 05/30/2022] [Indexed: 11/25/2022]
Abstract
PURPOSE Breast cancer (BC) survivors and their intimate partners face several adverse consequences from the cancer experience, including sleep disturbance, which is a common side effect of BC and its treatment. Sleep has been conceptualized and examined as an individual phenomenon despite most adults sharing a bed/room with a partner. Limited research has examined the associations between daily relationship processes and sleep in couples coping with cancer. Using an intensive longitudinal design, the present study examined the daily, within-person links between attempted and perceived partner responsiveness and subjective sleep. METHODS Immediately following adjuvant treatment, 72 early-stage BC survivors and their intimate partners (144 paired individuals) reported on daily attempted and perceived partner responsiveness each evening and subjective sleep each morning for 21 consecutive days. RESULTS Survivor and partner reports of partner responsiveness were associated with their own subjective sleep, such that greater attempted and perceived partner responsiveness were associated with improvements in one's own subjective sleep. Effects of one participant's partner responsiveness on their partner's sleep were not observed. CONCLUSIONS Findings suggest that among couples coping with early-stage BC, increased partner responsiveness is associated with subsequent improvements in subjective sleep. IMPLICATIONS FOR CANCER SURVIVORS Sleep disturbance is a serious concern for BC survivors and their intimate partners. Future research should assess intimacy processes as a potential method to improve BC survivor and partner sleep.
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Affiliation(s)
- Alyssa L Fenech
- Department of Psychological & Brain Sciences, University of Delaware, 108 Wolf Hall, Newark, DE, 19716-2577, USA.
| | - Christine Perndorfer
- Department of Psychological & Brain Sciences, University of Delaware, 108 Wolf Hall, Newark, DE, 19716-2577, USA
| | - Emily C Soriano
- Department of Psychological & Brain Sciences, University of Delaware, 108 Wolf Hall, Newark, DE, 19716-2577, USA
| | - Amy K Otto
- Department of Public Health Sciences, University of Miami, Miami, FL, USA
- Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA
| | - Hannah A Brownlee
- Department of Psychological & Brain Sciences, University of Delaware, 108 Wolf Hall, Newark, DE, 19716-2577, USA
| | - Michael Morreale
- Department of Psychological & Brain Sciences, University of Delaware, 108 Wolf Hall, Newark, DE, 19716-2577, USA
| | - Scott D Siegel
- Helen F. Graham Cancer Center & Research Institute, Christiana Care Health System, Newark, DE, USA
| | - Jean-Philippe Laurenceau
- Department of Psychological & Brain Sciences, University of Delaware, 108 Wolf Hall, Newark, DE, 19716-2577, USA.
- Helen F. Graham Cancer Center & Research Institute, Christiana Care Health System, Newark, DE, USA.
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Wiesel I, Shahar B, Goldman RN, Bar-Kalifa E. Accuracy and Bias in Vulnerability Perceptions of Partners Undergoing Emotion-Focused Therapy for Couples. FAMILY PROCESS 2021; 60:377-392. [PMID: 32815554 DOI: 10.1111/famp.12587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The primary mechanism of change in emotion-focused couples therapy (EFT-C) is described as one partner accessing and expressing vulnerability, with the other partner responding affiliatively, with compassion, acceptance, validation, and support. These interactions are assumed to restructure the negative, rigid interactional cycle that usually brings couples to therapy and helps build a positive emotional bond. The primary aim of this study was to test whether for this process to occur, partners need to accurately perceive their spouse's experiences of vulnerability during therapy. Specifically, it examined the factors (i.e., tracking accuracy, assumed-similarity bias, and directional bias) shaping partners' perceptions of their spouse's vulnerability and whether accurate perceptions predict positive session outcomes during EFT-C. Data from 36 couples who took part in the York Emotional Injury Project were analyzed. Following each session, clients reported their own experience of vulnerability as well as their perceptions of their partners' vulnerability. Session outcome was defined as the extent to which clients reported resolution. Using a multilevel Truth and Bias model, the results indicated that partners accurately perceived changes in their spouses' expressions of vulnerability (i.e., significant tracking accuracy). Interestingly, partners' perceptions were also tied to their own expressions of vulnerability (i.e., significant assumed-similarity bias) and tended to underestimate the level of their partners' vulnerability expressions (i.e., significant negative mean-level bias). Using a multilevel Response Surface Analysis, we found that accuracy regarding partners' vulnerability was associated with higher levels of resolution.
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Affiliation(s)
- Ido Wiesel
- Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Ben Shahar
- The Hebrew University, Jerusalem, Israel
| | - Rhonda N Goldman
- The Chicago School of Professional Psychology at The Chicago School, Chicago, IL, USA
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Marini CM, Wilson SJ, Tate AM, Martire LM, Franks MM. Short- and Long-term Effects of Support Visibility on Support Providers' Negative Affect. J Gerontol B Psychol Sci Soc Sci 2021; 76:461-470. [PMID: 31665470 DOI: 10.1093/geronb/gbz114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Seminal research with spouses of chronic pain patients indicates that providing patients with instrumental support can be either costly or beneficial for spouses' well-being. Drawing from the invisible support literature, this study evaluated the extent to which patients' recognition of spouses' support moderated daily and long-term associations between spouses' support provision and negative affect. METHOD Data came from a sample of spouses (N = 145) of knee osteoarthritis (OA) patients, and the patients themselves. Participants completed a baseline interview, 22 days of daily diaries, and two follow-up interviews 6 and 18 months after baseline. Multilevel models were estimated to test study hypotheses. RESULTS As expected, support visibility moderated daily and long-term associations between spouses' instrumental support provision and negative affect. Spouses reported elevated levels of negative affect in response to providing patients with extra care and attention, but only when their support was not recognized (i.e., reported) by patients. DISCUSSION Findings from the current study pinpoint support visibility as a protective factor that may mitigate negative short- and long-term effects of spousal instrumental support provision on spouses' negative affect. Promoting patients' awareness of their spouses' support may offset negative emotional consequences of caregiving in the context of chronic health stressors.
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Affiliation(s)
- Christina M Marini
- Department of Psychology, Gordon F. Derner School of Psychology, Adelphi University, Garden City, NY
| | | | - Ashley M Tate
- Human Development and Family Studies, Penn State University, University Park, PA
| | - Lynn M Martire
- Human Development and Family Studies, Penn State University, University Park, PA
| | - Melissa M Franks
- Human Development and Family Studies, Purdue University, West Lafayette, IN
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Jiang Y, Lin X, Hinshaw SP, Chi P, Wu Q. Actor-Partner Interdependence of Compassion toward Others with Qualities of Marital Relationship and Parent-Child Relationships in Chinese Families. FAMILY PROCESS 2020; 59:740-755. [PMID: 30963566 DOI: 10.1111/famp.12436] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Considering the nature of compassion and cultural and times characteristics of Chinese families, individuals' general dispositional compassion toward others may have potential benefits for relationship qualities in Chinese families. In this study, we explored how men's and women's compassion related to their own (actor effects) and the partners' (partner effects) marital relationship and parent-child relationships, respectively, using the Actor-Partner Interdependent Model. Participants were from a cross-sectional sample of 534 Chinese heterosexual married couples (females' mean age = 37.20, SD = 4.28; males' mean age = 40.29, SD = 5.39) whose biological children were pupils (mean age = 9.28, SD = 1.11). Results revealed that: (a) within marital relationships, couple members' actor effects and partner effects were found both significant; but (b) within parent-child relationships, couple members' actor effects were significant, whereas only mothers' partner effect of compassion on father-child relationship was significant. These findings support the benefits of couple members' individual compassion with respect to family relationship quality in contemporary China. Limitations, implications, and future directions are discussed.
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Affiliation(s)
- Yongqiang Jiang
- Institute of Developmental Psychology, School of Psychology, Beijing Normal University, Beijing, China
| | - Xiuyun Lin
- Institute of Developmental Psychology, School of Psychology, Beijing Normal University, Beijing, China
| | | | - Peilian Chi
- Department of Psychology, University of Macau, Taipa, Macau SAR, China
| | - Qinglu Wu
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China
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Warth M, Stoffel M, Winter F, Jarczok MN, Aguilar-Raab C, Ditzen B. Instructed Partnership Appreciation in Depression: Effects on Mood, Momentary Relationship Satisfaction, and Psychobiological Arousal. Front Psychiatry 2020; 11:701. [PMID: 32848903 PMCID: PMC7409945 DOI: 10.3389/fpsyt.2020.00701] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 07/03/2020] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Depressive disorders are associated with attentional bias and social anhedonia. There is evidence supporting the hypothesis that depressed individuals participate less in potentially rewarding social situations and exhibit alterations in stress reactivity. With the present study, we aimed at investigating the affective and psychobiological response of couples with a depressed (female) partner in an instructed partnership appreciation task (PAT) that included positive and appreciative communication. METHODS In a quasi-experimental repeated-measures design, depressive couples (DCs)-i.e., the female partner being diagnosed with a depressive disorder-were compared to non-depressive couples (NDCs). Study outcomes were the PAT-induced changes in state mood, momentary relationship satisfaction, salivary cortisol, and salivary alpha-amylase. Additionally, we assessed psychometric baseline data on depression, relationship quality, social support, and chronic stress. Data was analyzed using multilevel modeling. RESULTS A total of 184 individuals from N = 47 DCs and N = 45 NDCs were included. DCs were characterized by higher depressiveness, lower relationship quality, less actually received social support from the partner, and higher chronic stress than NDCs. Manipulation checks led to the additional exclusion of two couples. Regarding mood, depressed women showed lower baseline scores and no significant differences in mood increase compared to non-depressed women (p = 0.107). Increases in relationship satisfaction were significantly stronger in the depressed group (p = 0.035). In addition, we found a significantly stronger cortisol increase in depressed women, but only if relationship duration was taken into account as a moderating factor (p = 0.022). No significant group differences were found for women's amylase trajectories or for sex-dependent interaction effects on the couple level (all p > 0.05). CONCLUSIONS Instructed engagement in positive couple interaction may require high effort and increased psychobiological arousal, but may finally result in emotional and social benefits in depressed women. While these findings encourage speculations about the therapeutic application of instructed partnership appreciation, more research is needed on the effectiveness of such interventions and on the moderating role of relationship duration in depression and couple functioning.
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Affiliation(s)
- Marco Warth
- Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany.,Ruprecht-Karls University Heidelberg, Heidelberg, Germany
| | - Martin Stoffel
- Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany.,Ruprecht-Karls University Heidelberg, Heidelberg, Germany
| | - Friederike Winter
- Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany.,Ruprecht-Karls University Heidelberg, Heidelberg, Germany
| | - Marc N Jarczok
- Department for Psychosomatic Medicine and Psychotherapy, University Medical Center Ulm, Ulm, Germany
| | - Corina Aguilar-Raab
- Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany.,Ruprecht-Karls University Heidelberg, Heidelberg, Germany
| | - Beate Ditzen
- Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany.,Ruprecht-Karls University Heidelberg, Heidelberg, Germany
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Mizrahi M, Reis HT, Maniaci MR, Birnbaum GE. When insecurity dampens desire: Attachment anxiety in men amplifies the decline in sexual desire during the early years of romantic relationships. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2019. [DOI: 10.1002/ejsp.2567] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Moran Mizrahi
- University of Rochester Rochester New‐York USA
- Department of Behavioral Sciences Ariel University Center of Samaria Ariel Israel
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Peters BJ, Reis HT, Gable SL. Making the good even better: A review and theoretical model of interpersonal capitalization. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2018. [DOI: 10.1111/spc3.12407] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Inagaki TK. Neural mechanisms of the link between giving social support and health. Ann N Y Acad Sci 2018; 1428:33-50. [DOI: 10.1111/nyas.13703] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 02/22/2018] [Accepted: 03/08/2018] [Indexed: 12/11/2022]
Affiliation(s)
- Tristen K. Inagaki
- Department of Psychology; University of Pittsburgh; Pittsburgh Pennsylvania
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To “See” Is to Feel Grateful? A Quasi-Signal Detection Analysis of Romantic Partners’ Sacrifices. SOCIAL PSYCHOLOGICAL AND PERSONALITY SCIENCE 2018. [DOI: 10.1177/1948550618757599] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Although gratitude plays a central role in the quality of relationships, little is known about how gratitude emerges, such as in response to partners’ sacrifices. Do people need to accurately see these acts to feel grateful? In two daily experience studies of romantic couples (total N = 426), we used a quasi-signal detection paradigm to examine the prevalence and consequences of (in)accurately “seeing” and missing partners’ sacrifices. Findings consistently showed that sacrifices are equally likely to be missed as they are to be accurately detected, and about half of the time people “see” a sacrifice when the partner declares none. Importantly, “seeing” partners’ sacrifices—accurately or inaccurately—is crucial for boosting gratitude. In contrast, missed sacrifices fail to elicit gratitude, and the lack of appreciation negatively colors the partner’s satisfaction with the relationship when having sacrificed. Thus, these findings illustrate the power that perception holds in romantic couples’ daily lives.
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