Dyadische Planungsintervention nach Prostatektomie

Background

Prostate cancer is one of the most prevalent forms of cancer in men. One treatment for localized prostate cancer is radical prostatectomy. Patients and partners have to deal with stressors associated with the diagnosis, the surgery and its consequences (e.g. incontinence). Dyadic planning prepares for the coping process with illness consequences in order to enhance self-regulation and reduce anxiety. Dyadic planning means generating plans together with a partner specifying when, where and how the target person wants to initiate a health behavior.

Patients and methods

In this longitudinal randomized controlled trial (RCT) 112 prostatectomy patients and their spouses were invited to participate in a dyadic planning intervention. Participants were randomly allocated to a dyadic pelvic floor exercise (pfe) planning group or one of three control groups (i.e., individual pfe planning, dyadic or individual nutrition planning). Patients and partners received questionnaires at baseline, 2 weeks and 6 months after surgery.

Results

Patients in the dyadic pfe planning group reported higher dyadic pfe planning 2 weeks after surgery than patients in the nutrition planning groups. No such differential effects were found in partners. Additionally, there were no group differences in patient reports on anxiety 6 months after surgery, whereas partners in the dyadic pfe planning group reported lower anxiety levels compared to partners in the individual pfe planning group. Self-reported pfe planning did not, however, mediate the effects of the intervention on partners?? anxiety.

Conclusion

Economical dyadic planning interventions may not only support change of health-relevant behaviour in target persons but also emotional adjustment of their partners.     

Personality,motivational, and social cognition predictors of leisure-time physical activity

ObjectiveThe purpose of the present study was to investigate associations between personality traits of extraversion and neuroticism, autonomous motivation, and the Theory of Planned Behavior (TPB) constructs and leisure-time physical activity. The study examined whether autonomous motivation and the TPB constructs mediate the association between personality traits and physical activity, and whether personality traits moderate the relationship of autonomous motivation and the TPB constructs with physical activity.MethodsMiddle-aged women (N = 441) completed self-report measures of personality traits, autonomous motivation, attitudes, subjective norms, perceived behavioral control (PBC) and intention. Moderate-to-vigorous leisure-time physical activity (MVPA) was measured using accelerometers approximately seven weeks later. Participants’ past accelerometer-based MVPA was available from four years earlier.ResultsOnly autonomous motivation and past MVPA directly predicted MVPA. Neuroticism and past MVPA were indirectly related with MVPA through autonomous motivation. No support for a moderator role of personality traits was found.ConclusionsCurrent data suggest that autonomous motivation and past experience are prominent determinants of accelerometer-based leisure-time MVPA, but not beliefs and intentions.     

Factors associated with adherence to the muscle-strengthening activity guideline among adolescents

PurposeWe aimed to explore associations between guideline-concordant muscle-strengthening activity (MSA) and demographic, biological, psychosocial, and behavioral factors among Australian adolescents.MethodsWe used baseline data from the ‘Resistance Training for Teens’ cluster randomized controlled trial (collected April–June 2015). Adolescents (n = 602, mean age = 14.1 ± 0.5 years, 50% female) from 16 schools in New South Wales, Australia self-reported their sex, primary language spoken at home, postal code (for socioeconomic status), resistance training (RT) self-efficacy, motivation for RT, perceived strength, moderate-to-vigorous physical activity (MVPA), screen-time, and sleep. Participants also completed tests of height, weight, cardiorespiratory and muscular fitness, flexibility, and RT skills. MSA was self-reported and participants were dichotomized as ‘meeting’ (3–7 days) or ‘not meeting’ (0–2 days) the MSA guideline. Binary logistic regression with odds ratios (OR) was used to determine associations with adolescents' MSA.ResultsAnalyses for each variable group explained a small-to-moderate proportion of the variance in MSA. Sex, muscular fitness, RT self-efficacy, perceived strength, and total MVPA emerged as statistically significant factors. However, only RT self-efficacy (OR = 2.48 [1.37 to 4.50]) and total MVPA (OR = 1.48 [1.22 to 1.79]) were associated with guideline-concordant MSA in the full model, which explained 52% of the variance.ConclusionsOur study adds to the limited understanding of adolescents' MSA behavior. RT self-efficacy and total MVPA were independently associated with guideline-concordant MSA among Australian adolescents. The findings have implications for the design and delivery of future interventions targeting adolescents’ MSA behavior.     

Coach autonomy support predicts autonomous motivation and daily moderate-to-vigorous physical activity and sedentary time in youth sport participants

ObjectiveGuided by self-determination theory (Deci & Ryan, 1987), this study tested a trans-contextual model linking perceptions of the social environment created by the youth sport coach to levels of autonomous and controlled motivation, and objectively measured daily moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) in young football players.DesignThe study employed a cross-sectional design, assessing physical activity using accelerometers.Method105 male youth sport footballers (M age = 12.79 ± 1.85 years) wore a GT3X accelerometer for 7 days. Measures of height and weight were recorded. Participants completed a multi-section questionnaire assessing perceptions of autonomy support and controlling coaching behaviours, and motivation toward their participation in sport and physically active games.ResultsPath analysis supported a model in which players’ perceptions of coach-provided autonomy support positively predicted autonomous motivation for sport engagement. In turn, autonomous motivation was positively associated with MVPA, and negatively related to ST (min/day). Controlling coach behaviours were positively linked to controlled motivation. However, controlled motivation for sport and physically active games was unrelated to daily MVPA and ST. Perceptions of coach-provided autonomy support had a significant positive indirect effect on daily MVPA, and a significant negative indirect effect on daily ST.ConclusionsResults suggest that autonomy supportive coach behaviours are related to daily physical activity patterns in young male footballers. Theory-based interventions that aim to encourage autonomy supportive coaching, and subsequently foster autonomous reasons for sport engagement, may enhance the potential of youth sport for increasing daily MVPA and reducing ST among children and adolescents active in this setting     

From enjoyment to physical activity or from physical activity to enjoyment? Longitudinal associations in parent–child dyads

Abstract

Background: This longitudinal dyadic study used cross-lagged analyses to examine reciprocal patterns of associations between physical activity (PA) enjoyment and moderate-to-vigorous PA (MVPA) among children and their parents.

Methods: At Time 1 (T1) 879 parent–child dyads provided their data. The follow-up (Time 2, T2) took place 7–8-months later. MVPA and PA enjoyment scales were filled out separately by parents and children at T1 and T2.

Findings: Child PA enjoyment (T1) predicted a higher level of child MVPA (T2), parental PA enjoyment (T1) explained a higher level of parental MVPA (T2), and parental MVPA (T1) predicted a higher level of parental PA enjoyment (T2). Furthermore, child PA enjoyment (T1) predicted a higher level of parental PA enjoyment (T2).

Conclusions: Child PA enjoyment was the key variable predicting child and parental outcomes. In particular, it explained child MVPA, but also PA enjoyment among parents.     

Longitudinal relations between psychological distress and moderate-to-vigorous physical activity: A latent change score approach

ObjectivesThe effect of physical inactivity on mental health risk is well established; however, less is known about about how psychological distress might deter participation in physical activity. Guided by advancements in the treatment of longitudinal data, the aim of this study was to examine patterns and predictors of change in moderate-to-vigorous physical activity (MVPA) and psychological distress (e.g., feeling nervous, worthless).Design methodAustralian adults (4944 females, M_age = 34.63 years ±5.34; 4322 males, M_age = 37.51 years ±6.14) provided baseline data as part of the Longitudinal Study of Australian Children (LSAC) and were followed for measurements every two years for 10 years.ResultsLatent change score analyses revealed support for a reciprocal effects model, whereby change in MVPA and psychological distress occurred as a function of individuals’ prior levels of, and/or prior change in these variables.ConclusionsThis investigation is the first to document that changes in MVPA and psychological distress are coupled temporally. Notably, we observed that individuals’ distress levels at a given time point predicted subsequent change on both MVPA and distress; a finding which provides novel and important insight into how adults’ activity levels and psychological distress fluctuate relative to one another.     

Working memory,sustained attention,and physical activity: An intraindividual study

ObjectiveExperimental studies show small to moderate effects of both acute and regular physical activity on executive functions, these being strongly associated with academic performance at school. In order to understand the naturally occurring associations between primary school-aged children’s working memory, self-reported sustained attention, and physical activity, 35 children (M_age = 9.8 years, range = 7.6–11.4 years old) in Years 3–6 of primary school took part in a two-week long intraindividual study.MethodsParticipants wore an accelerometer wristband throughout the study, and carried out a working memory task (digit recall) and completed a sustained attention measure each morning and afternoon, giving 517 time-points nested in 4–10 school-days (M_obs = 15.8 situations, n_obs = 4–18).ResultsUsing multilevel structural equation models (MSEM), we found that working memory was stable across time (within-person b = 0.29) and trait-like (ICCs = 0.58). Across situations, state-working memory was higher later in the calendar week. Acute moderate to vigorous physical activity (MVPA) was not associated with state-working memory, but exertion of a higher level of MVPA than usual the previous day was associated with lower state-working memory the following day. Trait-sustained attention (across the two weeks) predicted higher trait-working memory and older students outperformed younger students.ConclusionsImplications for timing and intensity of students’ physical activity in educational settings is discussed.     

The psychosocial predictors of long-term distress in partners of patients with acute coronary syndrome

Objective: Partners of acute coronary syndrome (ACS) patients are at risk of experiencing long-term distress and the purpose of this study was to identify its predictors.

Design: Using an observational design, 80 partners of ACS patients completed validated questionnaires at three time points. The predictor variables, marital satisfaction and optimism were assessed three weeks after patient hospital discharge (T1). The outcomes, depressive symptoms and physical health status (from a quality of life scale) were measured 6 (T2) and 12 (T3) months post-discharge, and scores were combined to indicate the long-term response.

Main outcome measures: Depressive symptoms and physical health status.

Results: Partner depressive symptoms increased and physical health status deteriorated over the months following the patients’ ACS. After controlling for demographics, clinical severity of ACS and T1 levels of the outcome variable, partners’ long-term depressive symptoms were predicted by poor marital satisfaction and low optimism at T1, and poor physical health status was predicted by low T1 optimism.

Conclusion: Psychosocial factors are predictors of long-term distress for ACS partners. Partners in an unhappy marriage or with low optimism after ACS are at an increased risk of depression and low physical health status, and should be the target of additional support.     

A cluster randomized trial to evaluate need-supportive teaching in physical education on physical activity of sixth-grade girls: A mixed method study

ObjectiveThe purpose of this study was to evaluate the efficacy of need-supportive teaching in physical education on girls' daily moderate-to-vigorous physical activity using a mixed method evaluation.Methods507 sixth-grade girls aged 9–14 years of 33 single-sex physical education classes participated in the cluster randomized control trial. During the 16-week intervention period, trained teachers conducted enhanced physical education lessons which were designed based on self-determination theory. In a randomized process, independent researchers using a computer-based algorithm allocated classes to the trial groups (IG n = 19 classes, CG n = 14). These lessons were subject to repeated systematic observations. The students' perceptions of basic psychological need support and satisfaction in physical education were measured using repeated self-report questionnaires. Students' daily moderate-to-vigorous physical activity (MVPA) was assessed by accelerometry. Semi-structured interviews provided a deeper understanding of how purposively sampled focus groups perceived teacher behavior in physical education. After a separate analysis of qualitative and quantitative data, results were merged to investigate the intervention's efficacy and treatment fidelity.FindingsThroughout the school year, the girls' MVPA levels decreased in both groups. Girls who reported their complete physical activity data had a lower body mass index than girls who reported no, or only one or two sets of physical activity data. Results of mixed measures converge on the finding that the teachers in the intervention group provided slightly stronger need support than the control teachers, however, intervention components were not delivered consistently. Therefore, a significant intervention effect on daily MVPA could not be quantified. Autonomy satisfaction significantly predicted MVPA.ConclusionQualitative insights of teaching behavior in PE underlined the importance of need support and revealed structural barriers, which compromised the implementation quality.Trial registrationEthics Committee of the Technical University of Munich 155/16S; Bavarian Ministry of Education IV.8-BO6106/52/12.FundingGerman Research Foundation grant DE2680/3-1.     

Momentary affective response to bouts of moderate-to-vigorous physical activity predicts changes in physical activity and sedentary behavior during behavioral weight loss

BackgroundAffective responses are posited to be key predictors of the uptake and maintenance of health behaviors. However, few studies have examined how individuals’ affective response to physical activity, as well as the degree to which their affect response changes, may predict changes in physical activity and sedentary time during behavioral weight loss treatment.PurposeThe current study examined how baseline momentary affective response (i.e., stress and anxiety) to moderate-to-vigorous physical activity (MVPA) and the degree of pre--post intervention change in this response predicted change in daily sedentary, light, and MVPA time during a three-month internet-based weight loss program.MethodsWomen with overweight/obesity (final N = 37) completed 14-day ecological momentary assessment (EMA) protocols with objective measurement of physical activity (i.e., bout-related MVPA time) before and after the intervention.ResultsWomen who had more reinforcing responses to MVPA (i.e., greater reductions in anxiety and stress response following MVPA bouts) at baseline had greater increases in overall MVPA at the end of the intervention. Those who had greater anxiety reductions after MVPA bouts at baseline also evidenced less sedentary time at the end of the intervention. Changes in affective responses across the intervention were not related to changes in physical activity levels.ConclusionsFindings suggest initial levels of affective reinforcement from MVPA bouts predict future change in MVPA and sedentary time during behavioral weight loss. Future work is needed to examine the utility of more precisely targeting affective responses to physical activity to optimize intervention approaches.     

Does social support predict smoking abstinence in dual-smoker couples? Evidence from a dyadic approach

Background and Objectives: Romantic partners have a significant influence on their health behaviors. Evidence for the effectiveness of social support for smoking abstinence, however, is mixed and the role of social support for smoking abstinence in dual-smoker couples is understudied.

Design: 77 dual-smoker couples were assessed 30 days after a joint quit attempt using a dyadic approach.

Methods: Received and provided support, self-reported and objectively measured smoking abstinence were assessed from both partners. Actor and partner effects of received and provided support on self-reported and objectively measured smoking abstinence and their difference for men and women were investigated with the Actor–Partner Interdependence Model using multilevel modeling.

Results: A significant actor effect emerged: Higher reports of received emotional support were related to an increased likelihood of objective smoking abstinence for men and women alike. For men only, partner effects of women’s received emotional and instrumental support emerged (p?<?.10): Higher reports of women’s support receipt were associated with an increased likelihood of men’s self-reported abstinence.

Conclusion: Received emotional support seems to play a key role in dual-smoker couple’s abstinence, whereas provided support does not seem to make a difference in successful quitting in dual-smoker couples.     

Does parental support moderate the effect of children's motivation and self-efficacy on physical activity and sedentary behaviour?

Objectives1) To test whether parental support moderates the direct effects of children's motivation and self-efficacy on objectively measured moderate-vigorous physical activity (MVPA) and sedentary time. 2) To explore differences in the relationships between boys and girls.DesignCross-sectional observational study.MethodData were collected from 430 9–11 year old UK children and their parents; parents self-reported on the support they provided to their children to be active (through providing transport, encouragement, watching, or taking part with their child), and children self-reported their motivation and self-efficacy towards exercise. MVPA and sedentary time were measured using accelerometers.ResultsBoth parent- and child-level factors were largely positively associated with children's MVPA and negatively related to sedentary time. There was no evidence of a moderation effect of parental support on MVPA or sedentary time in boys. Parental provision of transport moderated the effect of girls' motivation on week-day MVPA; more motivated girls were less active when transport was provided. Transport and exercising with one's child moderated the effect of motivation and self-efficacy on girls' sedentary time at weekends; more motivated girls, and those with higher self-efficacy were less sedentary when parents provided more frequent transportation or took part in physical activity with them.ConclusionsThe results largely supported a model of the independent effects of parent and child determinants for moderate-to-vigorous physical activity, but there was evidence that some types of parent support can moderate sedentary time in girls. Further research is needed to explore the causal pathways between the observed cross-sectional results.     

Changing fit and fat bias using an implicit retraining task

Objective: To change implicit and explicit bias so that active obese people are regarded as more fit and normal weight sedentary people as less fit.

Design: Study one created a questionnaire that measured perceptions of active obese persons and sedentary normal weight persons on fitness-related items. Study two used a modified visual probe task to retrain perceptions regarding active obese persons and sedentary normal weight persons.

Main outcome measures: Self-reported explicit bias was measured with a questionnaire and implicit bias was measured with response times collected during a visual probe task.

Results: The questionnaire reliably measured ‘fitness and fatness’ perceptions. In study two, pairing images of active obese persons with positive activity-related words resulted in active obese persons being explicitly rated more fit; pairing images of normal weight sedentary persons with negative words associated with sedentary lifestyles increased endorsement of normal weight people as unfit. There were no changes in implicit bias.

Conclusions: Bias regarding how body weight is thought of relative to fitness can be altered by pairing images of obese persons being active with words such as ‘health’ and ‘fit’. This is evidence that representations of persons of all body weight should be used when promoting physical activity.     

Coping rarely takes place in a social vacuum: Exploring antecedents and outcomes of dyadic coping in coach-athlete relationships

ObjectivesDespite widespread acceptance that coping is an interpersonal phenomenon, sport psychology research has focused largely on athletes' and coaches’ ways of coping individually. The aim of this study was to qualitatively explore coping from an interpersonal perspective (i.e., dyadic coping) in coach-athlete relationships.Methodology and methodsAntecedents and outcomes of dyadic coping were discussed with five coach-athlete dyads. We conducted individual interviews with athletes and coaches and then one interview with each coach-athlete dyad. Interviews were analyzed using dyadic analysis and composite vignettes were created to present the data. Methodological rigor was enhanced by focusing on credibility, resonance, rich rigor, significant contribution, and meaningful coherence.ResultsFive themes were identified. These represented the essence of dyadic coping (theme: the essence of dyadic coping), antecedents of dyadic coping (themes: lock and key fit, friendship and trust, communication of the stressor), and outcomes of dyadic coping (theme: protection and support). The first theme captures coaches' and athletes’ understanding of dyadic coping. The antecedent themes represent the factors that were necessary for dyadic coping to occur. Protection and support relates to the positive nurturing environment that was discussed as an outcome of dyadic coping.ConclusionThe results extend published research by exploring antecedents and outcomes of dyadic coping in sport. The findings highlight that dyadic coping was prevalent in coach-athlete relationships when various antecedents (lock and key fit, friendship and trust, communication of the stressor) existed. Protection and support were pertinent outcomes of dyadic coping that contributed to personal and relationship growth.     

The way I make you feel: How relatedness and compassionate goals promote partner’s relationship satisfaction

Research has investigated the role of three basic psychological needs as proposed by Self-Determination Theory – autonomy, competence, and relatedness – in explaining relationship satisfaction. Research has also explored how relatedness specifically increases prosocial motivations in the individual but has not focused on the role of relatedness in shaping partners’ relationship functioning over time. This research takes a dyadic perspective that proposes that relatedness fulfillment fosters compassionate goals, which in turn predict increases in partner’s satisfaction. Forty-five heterosexual dating couples were asked about their relatedness need fulfillment, compassionate goals, and relationship satisfaction. Relationship satisfaction was assessed again four weeks later. Results showed that one’s own relatedness fulfillment, but not one’s partner’s relatedness fulfillment at Time 1 uniquely predicts partner’s increased satisfaction at Time 2, and that this is mediated by one’s own higher compassionate goals. These findings highlight the dyadic importance of having one’s needs met in promoting relationship functioning over time.     

Effects of a single bout of moderate-to-vigorous physical activity on executive functions in children with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis

ObjectivesThe aim of this study was to systematically review the literature investigating the acute effects of moderate-to-vigorous physical activity (MVPA) on executive functions (EFs) in children with attention-deficit/hyperactivity disorder (ADHD) and perform a meta-analysis of the effects of MVPA on task components that require lower and higher EF demand in this population.MethodsThe systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Six electronic databases, i.e., PubMed, Scopus, Web of Science, Embase, SPORTDiscus, and Education Resources Information Center (ERIC), were searched for eligible studies. Random-effects weights were used to pool the effect sizes. Publication bias was assessed by Egger’s regression test and Rosenthal’s fail-safe N. This study is registered on PROSPERO, number CRD42020184082.ResultsThe electronic database search yielded 12 studies, which met the inclusion criteria, comprising a total of 375 participants. Eleven studies with data from 275 participants were included in the meta-analysis to examine the acute effects of MVPA on tasks with lower and higher EF demand. A single bout of MVPA had a small positive effect on tasks with lower (n = 10, g = 0.32, 95% CI = 0.123–0.517) and higher (n = 10, g = 0.25, 95% CI = 0.13–0.371) EF demand. No publication bias was found.ConclusionsA single bout of MVPA may have a general facilitative effect on cognition, indicating that acute MVPA may be a transient nonpharmacological adjunctive treatment for childhood ADHD.     

Psychological,social and physical environmental mediators of the SCORES intervention on physical activity among children living in low-income communities

ObjectivesThis study examined mediation effects of socio-ecological variables on accelerometer-determined physical activity among children in the Supporting Children's Outcomes using Rewards, Exercise and Skills (SCORES) intervention.DesignRandomized control trial mediation analysis.MethodsPrimary school children were randomly assigned the SCORES multi-component intervention or control group for the 12-month study. The outcome was accelerometer derived total moderate-to-vigorous physical activity (MVPA). Hypothesized mediators measured in children were physical activity enjoyment and perceived sport competence and social support. Hypothesized mediators measured in parents were family social support, access to physical activity facilities and equipment at home, and perceived access to physical activity opportunities in the local community. Mediation analyses were conducted using multi-level linear analysis in MPlus.ResultsThere were significant intervention effects for social support from teachers (A = 1.73, SE = 0.88, p = 0.048) and parental perceived access to physical opportunities in the local community (A = 2.69, SE = 1.12, p = 0.016). There were significant associations between changes in perceived sport competence (B = 0.48, SE = 0.36, p = 0.027), parental perceived access to physical activity opportunities in the local community (B = 0.60, SE = 0.26, p = 0.021), and changes in total MVPA. Parental perceived access to physical activity opportunities in the local community was found to have a significant mediating effect on total MVPA (AB = 1.61, 95% CI = 0.06 to 3.95, proportion 13%).ConclusionsParental perceived access to physical activity opportunities in the local community is a potential mechanism of behavior change for children and mediated the effect of the SCORES intervention on objectively measured physical activity.     

Profiles of dyadic adjustment for advanced prostate cancer to inform couple-based intervention

Objective: The purpose of the study is to describe from a relational perspective, partners’ psychological adjustment, coping and support needs for advanced prostate cancer.

Design: A mixed methods design was adopted, employing triangulation of qualitative and quantitative data, to produce dyadic profiles of adjustment for six couples recruited from the urology clinics of local hospitals in Tasmania, Australia.

Methods: Dyads completed a video-taped communication task, semi-structured interview and standardised self-report questionnaires.

Results: Themes identified were associated with the dyadic challenges of the disease experience (e.g. relationship intimacy, disease progression and carer burden). Couples with poor psychological adjustment profiles had both clinical and global locus of distress, treatment side-effects, carer burden and poor general health. Resilient couples demonstrated relationship closeness and adaptive cognitive and behavioural coping strategies. The themes informed the adaption of an effective program for couples coping with women’s cancers (CanCOPE, to create a program for couples facing advanced prostate cancer (ProCOPE-Adv).

Conclusion: Mixed method results inform the development of psychological therapy components for couples coping with advanced prostate cancer. The concomitance of co-morbid health problems may have implications for access and engagement for older adult populations in face-to-face intervention.     

Relationship quality of partners in heterosexual married, heterosexual cohabiting, and gay and lesbian relationships

The relationship quality of partners in 44 married, 35 heterosexual cohabiting, 50 gay, and 56 lesbian monogamous couples was studied. Each couple lived together and did not have children living with them. Relationship quality was dimensionalized as love for partner, liking of partner, and relationship satisfaction. Cohabiting partners had the lowest Love for Partner and Relationship Satisfaction scores. Differences were also found among partner types on: barriers to leaving the relationship, alternatives to the relationship, a belief that mindreading is expected in the relationship, masculinity, femininity, androgyny, dyadic attachment, shared decision making, and perceived social support from family. The four partner groups did not differ in psychological adjustment. For each type of partner, love for partner was related to many barriers to leaving the relationship and high dyadic attachment; liking of partner was related to few alternatives to the relationship, high dyadic attachment, and high shared decision making; and relationship satisfaction was related to many attractions, few alternatives, few beliefs regarding disagreement is destructive to the relationship, high dyadic attachment, and high shared decision making. Stepwise multiple regression procedures were used to identify the best set of predictors for each partner type. Results are discussed in the context of existing models of relationship quality.