Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients

Bibliographic Details
Main Author:	Schuler, Tammy A.
Language:	English
Published:	The Ohio State University / OhioLINK 2011
Subjects:	Behavioral Psychology Behavioral Sciences Behaviorial Sciences Clinical Psychology Families and Family Life Psychobiology Psychology Psychotherapy Social Research cancer disease outcomes psychological distress biobehavioral marital marital distress marital quality marital conflict breast cancer advanced cancer recurrent cancer marital therapy
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=osu1306854906

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-osu13068549062021-08-03T06:02:58Z Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients Schuler, Tammy A. Behavioral Psychology Behavioral Sciences Behaviorial Sciences Clinical Psychology Families and Family Life Psychobiology Psychology Psychotherapy Social Research cancer disease outcomes psychological distress biobehavioral marital marital distress marital quality marital conflict breast cancer advanced cancer recurrent cancer marital therapy Advanced and recurrent breast cancer patients experience negative biobehavioral sequelae following diagnosis. Poor marital quality has also been shown to worsen biobehavioral trajectories in earlier-stage cancer patients (e.g., Yang & Schuler, 2009; Schuler et al., under review). However, the contribution of poor marital quality among advanced or recurrent cancer patients coping with a health crisis remains unclear. This study tested the longitudinal covariation between poor marital quality and psychological distress, individual differences, health behaviors, endocrine and immune functioning, and physical health in advanced and recurrent breast cancer patients (N=98). Mixed-effects modeling compared trajectories for women in distressed marriages (n=23) to those in non-distressed marriages (n=75) at diagnosis and across a 12-month follow-up. Compared with patients in a non-distressed marriage, those in a distressed marriage showed significantly greater baseline total mood disturbance (p<.001) and differential rate of mood disturbance change across follow-up (p=.018). Immune differences were also present, with the Distressed group showing significantly higher Con A at baseline relative to the Non-Distressed group (p=.052), which persisted across 12-month follow-up. Clinical relevance and recommendations are described. 2011-07-28 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1306854906 http://rave.ohiolink.edu/etdc/view?acc_num=osu1306854906 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection	NDLTD
language	English
sources	NDLTD
topic	Behavioral Psychology Behavioral Sciences Behaviorial Sciences Clinical Psychology Families and Family Life Psychobiology Psychology Psychotherapy Social Research cancer disease outcomes psychological distress biobehavioral marital marital distress marital quality marital conflict breast cancer advanced cancer recurrent cancer marital therapy
spellingShingle	Behavioral Psychology Behavioral Sciences Behaviorial Sciences Clinical Psychology Families and Family Life Psychobiology Psychology Psychotherapy Social Research cancer disease outcomes psychological distress biobehavioral marital marital distress marital quality marital conflict breast cancer advanced cancer recurrent cancer marital therapy Schuler, Tammy A. Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients
author	Schuler, Tammy A.
author_facet	Schuler, Tammy A.
author_sort	Schuler, Tammy A.
title	Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients
title_short	Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients
title_full	Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients
title_fullStr	Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients
title_full_unstemmed	Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients
title_sort	marital quality affects biobehavioral outcomes in advanced and recurrent breast cancer patients
publisher	The Ohio State University / OhioLINK
publishDate	2011
url	http://rave.ohiolink.edu/etdc/view?acc_num=osu1306854906
work_keys_str_mv	AT schulertammya maritalqualityaffectsbiobehavioraloutcomesinadvancedandrecurrentbreastcancerpatients
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Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients

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