The antecedents and outcomes of dyadic coping in close personal relationships: a systematic review and narrative synthesis

Background and objectives: Theories of dyadic coping and empirical literature have intermittently and inconsistently highlighted antecedents and outcomes of dyadic coping. The purpose of this review was to systematically identify the antecedents and outcomes of dyadic coping in close personal relationships.

Design: A PRISMA-guided systematic review and narrative synthesis.

Methods: Literature searches were conducted using CINAHL, PubMed, PsycINFO, and citation pearl growing to identify studies that were relevant to the aim of the review. The search strategy and exclusion criteria led to a final sample of 46 studies that each highlighted antecedents and outcomes of dyadic coping among married couples. Each study was critically appraised and analyzed using narrative synthesis.

Results: The narrative synthesis highlighted five antecedents (learning, gender, relationship characteristics, relationship role, and cultural influences) and two outcomes (relationship functioning and personal health) of dyadic coping.

Conclusion: The review exposes inconsistencies in the conceptualization of dyadic coping, highlights a range of antecedents that influence dyadic coping, and suggests that dyadic coping can have positive benefits for relationship functioning and personal health. The findings have implications for future research and practice (e.g. when working with couples to improve relationship functioning).     

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.     

Psychological intervention with couples coping with breast cancer: A systematic review

Objective: Information about psychological intervention with couples coping with breast cancer is not well-disseminated. This can be explained, at least in part, by the absence of knowledge about the efficacy of this kind of intervention. The aim of the present systematic review is to identify and describe psychological interventions for couples coping with breast cancer and evaluate their efficacy.

Design: Studies identified by a searching multiple literature databases related to health and psychology between 1975 and 2013. Rigorous inclusion and exclusion criteria were utilised.

Results: Of 129 abstracts, 13 were extracted for further analysis and a final ten studies were deemed eligible for inclusion. Data were extracted from each study regarding study sample characteristics, design, results and methodological limitations. The results obtained were mixed in regard to efficacy, although the overwhelming majority of studies (eight studies) found benefits for both women and their partners in some dimensions, such as quality of life, psychological distress, relationship functioning and physical symptoms associated with cancer.

Conclusion: Psychological interventions for couples coping with breast cancer appear to be effective for both women and their partners. However, further studies are needed to evaluate the efficacy of couple-based interventions and, to identify for whom and how they are more effective.     

Dyadic coping in Latino couples: validity of the Spanish version of the Dyadic Coping Inventory

Abstract

This study seeks to validate the Spanish version of the Dyadic Coping Inventory (DCI) in a Latino population with data from 113 heterosexual couples. Results for both partners confirm the factorial structure for the Spanish version (Subscales: Stress Communication, Emotion- and Problem-Focused Supportive, Delegated, and Negative Dyadic Coping, Emotion- and Problem-Focused Common Dyadic Coping, and Evaluation of Dyadic Coping; Aggregated Scales: Dyadic Coping by Oneself and by Partner) and support the discriminant validity of its subscales and the concurrent, and criterion validity of the subscales and aggregated scales. These results do not only indicate that the Spanish version of the DCI can be used reliably as a measure of coping in Spanish-speaking Latino couples, but they also suggest that this group relies on dyadic coping frequently and that this type of coping is associated with positive relationship functioning and individual coping. Limitations and implications are discussed.     

Coparenting Negotiation During the Transition to Parenthood: A Qualitative Study of Couples’ Experiences as New Parents

Abstract

Coparenting – how couples relate to one another in their joint roles as parents – is predictive of a wide variety of family and child outcomes. The current study used a qualitative, phenomenological approach to understand how couples negotiate the coparenting relationship during the transition to parenthood. The principal researcher interviewed 16 men and women of eight heterosexual, dual-earning, new parent couples. Themes emerged which were both conducive to successful coparenting and inhibitive of successful coparenting. Gender distinctions emerged between men and woman in their experiences of coparenting negotiation. Clinical implications of the themes are discussed.     

Cooperation or Tension? Dyadic Coping in Cystic Fibrosis

Following a rise in the life expectancy of cystic fibrosis (CF) patients, many adults with CF form couple relationships. Yet, dyadic coping has not been previously examined in people with CF. This study examined how adults with CF and their partners cope as a couple with the illness, and what meanings each partner and the couple as a unit attribute to the experience. Seventeen adult CF patients and their partners participated in separate semi‐structured in‐depth interviews. Two main patterns of dyadic coping with CF were identified as follows: cooperation and tension. For couples in cooperation, the marital relationship served as a resource for adaptive coping. These couples were characterized by similarities in their perception of the place of CF in their lives and of their roles in the marital relationship. Couples in tension described the couple relationship as strained by difficulty of accepting the disease, proliferation of negative emotions, and a sense of burden and loneliness in the process of coping. Findings point to the importance of mutual empathy, clear and accepted division of roles between the partners, and open communication for facilitating coping as a couple.     

Heteronormative Relationship Education for Same‐Gender Couples

In recent years, same‐gender group‐based relationship education has emerged as a viable intervention to prevent relationship distress among same‐gender couples. However, many of these programs are conducted in metropolitan areas and lack the ability to reach rural populations. The current study sought to investigate whether two wide‐reaching web‐based heteronormative relationship education programs could positively impact same‐gender relationships. In a sample of 49 same‐gender couples, heteronormative relationship education had small (Cohen's d = 0.16–0.39) but reliably positive effects on key areas of relationship functioning and perceived stress relative to a waitlist control group. Additionally, when same‐gender couples were matched with different‐gender individuals with similar baseline characteristics, no reliable differences between the two groups emerged even though the program effects were sometimes half as large for same‐gender couples. Finally, same‐gender participants were as satisfied with the program as the matched different‐gender individuals. Though the results of the present study indicate that heteronormative relationship education can be helpful for same‐gender couples, additional tailoring should be undertaken to ensure that same‐gender couples experience as much benefit as possible. Estimates from the current study could be used in future studies to detect what might be small‐sized differences.     

Holding it together: Coping with vicarious trauma in sport

ObjectivesVicarious trauma refers to the negative effects that may be experienced after witnessing trauma (such as actual or threatened injury) in others. This study aims to examine vicarious trauma in sports coaches by drawing on the experiences of two trampoline coaches who have witnessed a serious athletic injury. In particular, this study focuses on how these coaches have responded to and coped with this traumatic event.DesignThe study draws on data from thematic, semi-structured, life history interviews that focus on the occurrence of one particular sports accident witnessed by both coaches.MethodMultiple interviews were conducted in which participants were invited to recall the accident, their own responses to the accident, and the coping strategies employed. Interviews were analyzed using a holistic-content analysis in which thematic similarities and differences between the narratives emerged.ResultsThere were three main themes that emerged, these were the need to make meaning following trauma, re-experiencing trauma, and acceptance and avoidance coping. Participants demonstrated the individual nature of coping with trauma. While one participant avoided the trauma by minimizing the events, blocking her emotions and giving support to others; the second participant showed acceptance of the trauma, was highly emotional, and received support from others.ConclusionsThis study demonstrates the difficulties that may be faced by coaches following vicarious trauma. Although each coach presents different experiences and coping strategies they provide some indications of the level and type of support that may be required after witnessing athletic injury.     

Trajectories of perceived superiority across the transition to marriage

ABSTRACT

Perceived superiority, the tendency to regard one’s own relationship as better than other people’s relationships, is a key relationship maintenance mechanism. Little is known about whether and how it changes during the transition to marriage, a pivotal moment in most couples’ life cycle. In a longitudinal study following 97 couples for three waves across the transition, men presented stable perceived superiority, whereas women presented a curvilinear change in superiority perceptions, with a substantial increase in perceived superiority between T1 and T2 and a significantly reduced change between T2 and T3. In addition, trajectories differed according to partners’ commitment level. More committed and less committed partners both showed a curvilinear change in perceived superiority, though following different patterns. Results point to the functional value of perceived superiority, which emerges as a strategy aimed at sustaining partners through the challenges deriving from the transition to marriage.     

Lung function,sociodemographic characteristics,and psychological reaction to transplant associated with chronic stress among lung recipients

Abstract

Patterns of coping, defined as complex sets of coping strategies, were identified in a group of surgical patients awaiting surgery. The patterns were labelled as asthenic, problem-oriented, active and avoidant. The four patterns consisted of different combinations of eight forms of coping, measured by the Ways of Coping Questionnaire. The obtained results show that—compared to the coping strategies analysed separately—those coping patterns were poorer predictors of the emotional outcome. Patients assigned to groups representing particular coping patterns showed different levels of anxiety measured at the beginning of hospitalization; however, no differences or changes in emotions were observed after a one-week lapse. More relationships were found between the coping strategies and measures of negative emotions (anxiety and anger) and their changes.     

Caregiving styles and anxiety among couples: coping versus not coping with cardiac illness

Background and Objectives: partners’ caregiving efforts are not always beneficial to both recipient and provider. Bowlby’s conceptualization of caregiving style as a stable predisposition may clarify such caregiving effects. The relationship between caregiving style (compulsive and sensitive) and anxiety among couples coping with cardiac illness and a matching control group not coping with cardiac illness were assessed. We hypothesized that one’s compulsive caregiving would associate positively, and one’s sensitive caregiving would associate negatively, with one’s and one’s partner’s anxiety across contexts (cardiac and non-cardiac) and gender. Design: A comparative design of 131 couples with a diagnosis of husbands’ acute cardiac syndrome and 68 matched couples in the community was applied. Methods: The Adult Caregiving Questionnaire and the Brief Symptoms Inventory were administered. Results: Structural equation modeling revealed that one’s compulsive caregiving was positively associated with one’s anxiety, across most contexts. Multi-group analyses revealed that the associations between one’s compulsive caregiving and one’s partner’s anxiety levels differed depending on gender and context. Conclusions: The distress which emerges in an individual who takes on a caregiving role and in his/her partner seems to result not only from the demands of the concrete caregiving situation but also from one’s and one’s partner’s developmental history.     

Stress with parents and peers: how adolescents from 18 nations cope with relationship stress

Background and Objectives: We investigated how adolescents from five regions around the world perceived and coped with parent- and peer-related stress. Design: The study comprised N = 4957 adolescents (mean age of 15.2 years) from 18 countries. Methods: The study used self-report measures for stress perception and coping style. Results: Across countries, adolescents perceived parent-related stress to be considerably greater than peer-related stress. They coped less actively with parent-related stress than with peer-related stress. Significant differences emerged with respect to geographic region and key demographic indicators. Adolescents from Eastern European and Western countries had generally quite low levels of stress. Adolescents from Southern Europe exhibited the highest stress levels and the greatest coping activity in dealing with stress in both domains, whereas adolescents from Southern Emerging and Asian countries reported high levels of parent-related stress and dealt much less actively with parent-related stress than with peer-related stress. Conclusions: Adolescents from all countries were remarkably competent in dealing with relationship stressors. Cultural and regional differences have a stronger effect on stress perception and coping style than gender.     

Coping and care-related stress in parents of a child with autism spectrum disorder

Background and Objectives: Parenting a child with Autism Spectrum Disorder (ASD) is challenging and can result in elevated levels of parenting stress. This study investigated the relationship between parent-ratings of their child’s ASD symptoms and two conceptually different measures of parenting stress: One specific to the ASD context and the other a general stress measure applicable to the broader caregiving context. Additionally, the influence of coping style on the relationship between child’s ASD symptoms and parenting stress was investigated.

Design and Methods: Using an internet survey, parents (N?=?178) caring for a child with ASD reported on coping strategies, completed two measures of parenting stress, and assessed their child’s ASD symptoms.

Results: Parenting stress increased with severity of the child’s ASD symptoms, but the strength of this relationship depended on whether a general or disorder-specific measure of parenting stress was used. Regression analyses indicated that some coping strategies moderated the impact of ASD symptom severity on the parent’s care-related stress, but moderation depended on how stress was conceptualized.

Conclusion: This study reinforces the importance of identifying the coping strategies of parents of children with developmental disorders, and highlights the consequences of using different conceptual approaches to measure parenting stress.     

The Experience of Foster Care and Long-Term Attachment

Abstract

There are almost half a million children currently in foster care in the United States. The purpose of this paper is to study the linkage between foster care alumni and long-term attachment. In this qualitative study, six foster care alumni were interviewed. Nine themes emerged: trauma, stolen childhood, relationship style, trust issues, anxieties, current parenting concerns, broken system, coping strategies, and implications for counseling. The results of this study indicate that there are attachment implications for foster care alumni and that the experience of being in foster care was generally perceived as negative.     

South Asian American Daughter–Father Relationships in the Aftermath of Maternal Loss

ABSTRACT

In this transcendental phenomenological study, we interviewed five South Asian American daughter–father dyads regarding their experiences of coping and resiliency in the aftermath of maternal/spousal loss. Mothers play a crucial role in immigrant families as they serve not only as caregivers, but also as the main people who facilitate the transmission of culture. An untimely death of mothers in immigrant families can lead to confusion of roles within the family subsystems. Three main themes emerged for daughters from the interviews: (a) re-grieving, (b) coping/resiliency, and (c) daughter’s relationship with father following maternal loss. Three themes also emerged from the interviews with the fathers: (a) lack of traditional sources of familial support, (b) coping/resiliency, and (c) relationship with daughter following spousal loss. We utilized dyadic analysis to examine the dynamics of the daughter–father relationship. Overall, in the aftermath of maternal loss, the families experienced significant reorganization in its structure and reassignment of roles. For many of the daughters, cultural norms of patriarchy and traditional gender roles explained their pattern of assuming more responsibility in the household after the death of their mothers. Findings also showed how the intersection of gender, culture, and immigration status contributed to the process of complicated grief following maternal loss and the struggles experienced with reorganization of familial roles, rules, and expectations for South Asian American daughters and their fathers. Results from this study have implications for future research and clinical practice.     

Family and Couples Therapy in a Time of War

SUMMARY

In this article the issue of professional responsibility of couples and family therapists is raised with regard to the war in the Persian Gulf. Implications are discussed for families and couples coping with the stress of war and its aftermath.     

Destiny or Illusion

ABSTRACT

The potential influence of problematic family-of-origin patterns varies in degree and significance among pre-marital couples. Having witnessed the effects of family conflict or irresponsible parental behavior during their formative years as children, either or both partners become dispirited and feel trapped in a perceived intergenerational process destined to fail. This paper discusses clinical intervention with couples who are considering first time marriage and who report fear regarding the infiltration and eventual emergence of dysfunctional family-of-origin patterns within their own relationship. A three phase treatment program that involves disclosing fears of destiny, the promotion of skepticism, and relationship maintenance is outlined, discussed, and augmented by case vignettes.     

When Times Get Tough: Savoring and Relationship Satisfaction in Couples Coping with a Stressful Life Event

Background and Objectives: When couples face a stressful life event, this can adversely impact relationship satisfaction. Because savoring positive experiences is thought to enhance intimate relationships and there is evidence that savoring buffers the negative effects of stress at the intrapersonal level, this study examined savoring as an interpersonal resource for couples who experienced a stressful life event.

Methods: One hundred and twenty-eight opposite-sex couples completed measures of impact of event, savoring, positive affect, and relationship satisfaction.

Results: Results from actor-partner interdependence models found that: (1) For couple members who reported a relatively low impact of event, their own savoring was positively predicted by their partner’s impact of event; (2) For women, their own savoring the moment predicted their own and their partner’s greater relationship satisfaction; (3) The relationship between one’s own impact of event and relationship satisfaction was buffered by one’s partner’s savoring the moment; and (4) The relationship between one’s own savoring and relationship satisfaction was mediated by one’s own positive affect.

Conclusions: The findings support the study of savoring as an interpersonal resource in times of stress and have implications for couples-based interventions.     

The role of action and coping planning in the relationship between intention and physical activity: A moderated mediation analysis

Objective: Using a moderated mediation model, the present study investigated whether the mediation of intention into physical activity (PA) behaviour via action planning depends on the level of coping planning.

Method: A four-month prospective study was conducted among 157 French adults, who were recruited through a web-based survey. They were administrated measures of behavioural intention and sociodemographic variables at baseline and action and coping planning and PA four months later.

Results: Action planning partially mediated the contribution of intention on PA level. However, this indirect effect was conditional on the level of coping planning, insofar as action planning acted as a mediator of the intention–PA relationship only for individuals with high level of coping planning.

Conclusion: The results highlight the complexity of the relationship between intention and behaviour and provide evidence for the distinct role of both forms of planning.