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The effect of an attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase
- Source :
- Psycho-oncology, 27(3), 922-928. Wiley, Psycho-Oncology, Nicolaisen, A, Hagedoorn, M, Hansen, D G, Flyger, H, Christensen, R D, Rottmann, N, Lunn, P B, Terp, H, Søe, K L & Johansen, C 2018, ' The effect of an attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase : A randomised controlled trial ', Psycho-Oncology, vol. 27, no. 3, pp. 922-928 . https://doi.org/10.1002/pon.4613, Nicolaisen, A, Hagedoorn, M, Hansen, D G, Flyger, H L, Christensen, R, Rottmann, N, Lunn, P B, Terp, H, Soee, K & Johansen, C 2018, ' The effect of an attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase : A randomised controlled trial ', Psycho-Oncology, vol. 27, no. 3, pp. 922-928 . https://doi.org/10.1002/pon.4613
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- OBJECTIVE: Patients and partners both cope individually and as a dyad with challenges related to a breast cancer diagnosis. The objective of this study was to evaluate the effect of a psychological attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase.METHODS: A randomised controlled trial including 198 recently diagnosed breast cancer patients and their partners. Couples were randomised to the Hand in Hand (HiH) intervention in addition to usual care or to usual care only. Self-report assessments were conducted for both patients and partners at baseline, postintervention (5 months), and follow-up (10 months), assessing cancer-related distress, symptoms of anxiety and depression, and dyadic adjustment. Patients' cancer-related distress was the primary outcome.RESULTS: Cancer-related distress decreased over time in both patients and partners, but the intervention did not significantly affect this decrease at postintervention (P = .08) or follow-up (P = .71). A significant positive effect was found on dyadic adjustment at follow-up for both patients (P = .04) and partners (P = .02).CONCLUSIONS: There was no significant effect of the HiH intervention cancer-related distress. The results suggest that most couples can cope with cancer-related distress in the context of usual care. However, the positive effect on dyadic adjustment implies that the HiH intervention benefitted both patients and partners. Future studies should investigate how to integrate a couple focus in usual cancer care to improve dyadic coping in the early treatment phase.
- Subjects :
- Male
EARLY-STAGE BREAST
PSYCHOSOCIAL INTERVENTIONS
law.invention
Couples Therapy
0302 clinical medicine
Randomized controlled trial
THERAPEUTIC ALLIANCE
law
Outcome Assessment, Health Care
030212 general & internal medicine
Depression (differential diagnoses)
PSYCHOLOGICAL DISTRESS
SCALE
Aged, 80 and over
couples
WOMEN
Couples Therapy/methods
Middle Aged
Psychiatry and Mental health
Distress
Oncology
030220 oncology & carcinogenesis
Papers
Anxiety
Female
medicine.symptom
CAREGIVERS
Adult
Paper
medicine.medical_specialty
Experimental and Cognitive Psychology
Context (language use)
Breast Neoplasms
ADJUSTMENT
03 medical and health sciences
Outcome Assessment (Health Care)
Breast cancer
breast cancer
Intervention (counseling)
medicine
Humans
Interpersonal Relations
Breast Neoplasms/psychology
Spouses
attachment
METAANALYSIS
Aged
business.industry
Cancer
distress
dyadic coping
medicine.disease
Object Attachment
Stress, Psychological/therapy
Physical therapy
Spouses/psychology
TRAJECTORIES
business
Stress, Psychological
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 10579249
- Volume :
- 27
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Psycho-oncology
- Accession number :
- edsair.doi.dedup.....354cf770173902b04e68f2f5b0cd8f21