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Calibrating Independence Goals and Partner Support: Couples Adjust to Functional Limitations after Tumor Surgery

  • When patients recover from disease-related functional limitations, support received from partners may not always match patients' changing independence goals. The lines of defense (LoD) model proposes a hierarchy of independence goals (LoDs), ranging from minimising discomfort by disengagement (lowest LoD) to protection of self-reliance (highest LoD). Prostate cancer patients' LoDs were examined as moderators of the association between partner support and patients' and partners' affect during patients' recovery from postsurgical functional limitations. MethodsData from 169 couples were assessed four times within 7months following patients' surgery. Patients reported on post-surgery functional limitations (i.e. incontinence), LoDs, affect, and received partner support. Partners reported on affect and support provided to patients. ResultsIn patients endorsing lower LoDs, more received support was associated with less negative affect. Also, not endorsing high LoDs while receiving strong partner support was related to patients' lowerWhen patients recover from disease-related functional limitations, support received from partners may not always match patients' changing independence goals. The lines of defense (LoD) model proposes a hierarchy of independence goals (LoDs), ranging from minimising discomfort by disengagement (lowest LoD) to protection of self-reliance (highest LoD). Prostate cancer patients' LoDs were examined as moderators of the association between partner support and patients' and partners' affect during patients' recovery from postsurgical functional limitations. MethodsData from 169 couples were assessed four times within 7months following patients' surgery. Patients reported on post-surgery functional limitations (i.e. incontinence), LoDs, affect, and received partner support. Partners reported on affect and support provided to patients. ResultsIn patients endorsing lower LoDs, more received support was associated with less negative affect. Also, not endorsing high LoDs while receiving strong partner support was related to patients' lower negative and higher positive affect. Partners' support provision to patients tended to be associated with increases in partners' negative affect when patients had endorsed higher LoDs and with increases in positive affect when patients had endorsed lower LoDs. Matching patients' independence goals or LoDs with partners' support may be beneficial for patients' and partners' affect.show moreshow less

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Metadaten
Author:Nina Knoll, Amelie U. Wiedemann, Mark Schrader, Juliane FelberGND, Silke Burkert, Isolde Daig, Jutta Heckhausen
DOI:https://doi.org/10.1111/aphw.12043
ISSN:1758-0846 (print)
ISSN:1758-0854 (online)
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=25820331
Parent Title (English):Applied psychology : Health and well-being
Publisher:Wiley-Blackwell
Place of publication:Hoboken
Document Type:Article
Language:English
Year of first Publication:2015
Year of Completion:2015
Release Date:2017/03/27
Tag:couples; independence goals; lines of defense; prostate cancer; social support
Volume:7
Issue:2
Pagenumber:21
First Page:167
Last Page:187
Funder:Deutsche Forschungsgemeinschaft [DFG KN 937/3-1]
Organizational units:Humanwissenschaftliche Fakultät / Institut für Psychologie
Peer Review:Referiert