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Communication Efficacy and Couples’ Cancer Management: Applying a Dyadic Appraisal Model
Journal article   Peer reviewed

Communication Efficacy and Couples’ Cancer Management: Applying a Dyadic Appraisal Model

Kate Magsamen-Conrad, Maria G Checton, Maria K Venetis and Kathryn Greene
Communication monographs, Vol.82(2), pp.179-200
06/01/2015
DOI: 10.1080/03637751.2014.971415
PMCID: PMC4430110
PMID: 25983382
url
http://doi.org/10.1080/03637751.2014.971415View
Open Access

Abstract

The purpose of the present study was to apply Berg and Upchurch’s (2007) developmental-conceptual model to understand better how couples cope with cancer. Specifically, we hypothesized a dyadic appraisal model in which proximal factors (relational quality), dyadic appraisal (prognosis uncertainty), and dyadic coping (communication efficacy) predicted adjustment (cancer management). The study was cross-sectional and included 83 dyads in which one partner had been diagnosed with and/or treated for cancer. For both patients and partners, multilevel analyses using the actor-partner interdependence model (APIM) indicated that proximal contextual factors predicted dyadic appraisal and dyadic coping. Dyadic appraisal predicted dyadic coping, which then predicted dyadic adjustment. Patients’ confidence in their ability to talk about the cancer predicted their own cancer management. Partners’ confidence predicted their own and the patient’s ability to cope with cancer, which then predicted patients’ perceptions of their general health. Implications and future research are discussed.
Chronic Illness Efficacy Couples Dyadic Coping Cancer Communication

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