Abstract
The process of stem cell transplantation (SCT) is both intra and inter dependent; like patients, spousal caregivers (CGs) are affected by the experience. Few empirical investigations have focused on the needs of CGs or dyadic differences over the course of adaptation-the foci of the present study. SCT recipients and spousal CGs (n = 131 dyads) completed the Profile of Mood States (POMS) and the Dyadic Adjustment Scale at three time points: pre-transplant, 6 months post-transplant and 1 year post-transplant. A separate, non-medical group completed the POMS as a normative sample. CGs reported higher levels of depression and anxiety as compared to patients and non-medical norms. With respect to marital satisfaction, couples were matched in their perceptions of the relationship prior to transplantation but grew mismatched over time. Six months and 1 year post-transplant, CGs reported lower levels of marital satisfaction relative to their patient counterparts. Counter to prediction, change in CG marital satisfaction (from pre-transplant to 1 year post-transplant) was predicted only by CG gender, not patient physical, nor psychosocial characteristics. Findings offer implications for person-specific and relationship-protective interventions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 239-253 |
| Number of pages | 15 |
| Journal | Psycho-Oncology |
| Volume | 12 |
| Issue number | 3 |
| DOIs | |
| State | Published - Apr 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Oncology
- Psychology(all)
- Social Sciences (miscellaneous)
Cite this
Caregiver and patient marital satisfaction and affect following hematopoietic stem cell transplantation : A prospective, longitudinal investigation. / Langer, Shelby; Abrams, Janet; Syrjala, Karen.
In: Psycho-Oncology, Vol. 12, No. 3, 04.2003, p. 239-253.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Caregiver and patient marital satisfaction and affect following hematopoietic stem cell transplantation
T2 - A prospective, longitudinal investigation
AU - Langer, Shelby
AU - Abrams, Janet
AU - Syrjala, Karen
PY - 2003/4
Y1 - 2003/4
N2 - The process of stem cell transplantation (SCT) is both intra and inter dependent; like patients, spousal caregivers (CGs) are affected by the experience. Few empirical investigations have focused on the needs of CGs or dyadic differences over the course of adaptation-the foci of the present study. SCT recipients and spousal CGs (n = 131 dyads) completed the Profile of Mood States (POMS) and the Dyadic Adjustment Scale at three time points: pre-transplant, 6 months post-transplant and 1 year post-transplant. A separate, non-medical group completed the POMS as a normative sample. CGs reported higher levels of depression and anxiety as compared to patients and non-medical norms. With respect to marital satisfaction, couples were matched in their perceptions of the relationship prior to transplantation but grew mismatched over time. Six months and 1 year post-transplant, CGs reported lower levels of marital satisfaction relative to their patient counterparts. Counter to prediction, change in CG marital satisfaction (from pre-transplant to 1 year post-transplant) was predicted only by CG gender, not patient physical, nor psychosocial characteristics. Findings offer implications for person-specific and relationship-protective interventions.
AB - The process of stem cell transplantation (SCT) is both intra and inter dependent; like patients, spousal caregivers (CGs) are affected by the experience. Few empirical investigations have focused on the needs of CGs or dyadic differences over the course of adaptation-the foci of the present study. SCT recipients and spousal CGs (n = 131 dyads) completed the Profile of Mood States (POMS) and the Dyadic Adjustment Scale at three time points: pre-transplant, 6 months post-transplant and 1 year post-transplant. A separate, non-medical group completed the POMS as a normative sample. CGs reported higher levels of depression and anxiety as compared to patients and non-medical norms. With respect to marital satisfaction, couples were matched in their perceptions of the relationship prior to transplantation but grew mismatched over time. Six months and 1 year post-transplant, CGs reported lower levels of marital satisfaction relative to their patient counterparts. Counter to prediction, change in CG marital satisfaction (from pre-transplant to 1 year post-transplant) was predicted only by CG gender, not patient physical, nor psychosocial characteristics. Findings offer implications for person-specific and relationship-protective interventions.
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U2 - 10.1002/pon.633
DO - 10.1002/pon.633
M3 - Article
C2 - 12673808
AN - SCOPUS:0037393926
VL - 12
SP - 239
EP - 253
JO - Psycho-Oncology
JF - Psycho-Oncology
SN - 1057-9249
IS - 3
ER -