A Communal Coping Intervention for Couples Managing Chronic Illness: Proof-of-Concept Study.

IF 1.9 Q2 FAMILY STUDIES Couple and Family Psychology-Research and Practice Pub Date : 2024-09-01 Epub Date: 2022-09-22 DOI:10.1037/cfp0000234
Melissa Zajdel, Vicki S Helgeson
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Abstract

Introduction: Communal coping is an interpersonal coping strategy defined as the appraisal of a problem as shared and collaboration to manage it. Despite evidence establishing links of communal coping to health, few interventions have involved communal coping. This study seeks to establish proof of concept that an intervention rooted in communal coping theory can impact couple members' communal coping and intermediary outcomes.

Methods: Couples (n = 40) in which one person has type 2 diabetes were randomly assigned to intervention versus control in a parallel randomized trial with 1:1 allocation. The intervention consisted of a single session focused on discussion of shared stressors, communal coping education, and collaborative implementation intentions followed by 7 days of text message reinforcement. Couples were interviewed in-person, received the intervention or active control, and completed 7 daily questionnaires. Communal coping and intermediary outcomes associated with communal coping were assessed daily. Feasibility and acceptability were also assessed.

Results: The intervention increased reports of both patient and partner shared appraisal and collaboration and impacted some intermediary outcomes of communal coping. Compared to control, intervention participants reported greater perceived partner responsiveness, patient support receipt, and partner confidence in patient illness self-efficacy.

Discussion: This study provides initial proof of concept that an intervention based on communal coping theory can increase couples' communal coping-both shared appraisal and collaboration. Additionally, the intervention was able to impact some intermediary outcomes that may be linked to downstream health outcomes for both patients and partners.

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针对慢性病夫妇的共同应对干预:概念验证研究
简介共同应对是一种人际应对策略,其定义是将问题视为共同问题,并通过合作加以解决。尽管有证据表明共同应对与健康有关,但很少有干预措施涉及共同应对。本研究试图证明,以共同应对理论为基础的干预措施能够影响夫妻双方的共同应对和中间结果:方法:在1:1分配的平行随机试验中,将一方患有2型糖尿病的夫妇(n = 40)随机分配到干预组和对照组。干预包括一次会议,重点讨论共同的压力源、共同应对教育和合作实施意向,随后进行为期 7 天的短信强化。夫妻双方均接受了面谈、干预或积极对照,并填写了 7 份每日问卷。每天对共同应对和与共同应对相关的中间结果进行评估。此外,还对可行性和可接受性进行了评估:结果:干预增加了患者和伴侣对共同评价和合作的报告,并影响了一些共同应对的中间结果。与对照组相比,干预参与者报告了更高的伴侣响应度、患者支持度和伴侣对患者疾病自我效能的信心:本研究初步证明了基于共同应对理论的干预可以提高夫妻共同应对能力--包括共同评估和协作。此外,该干预措施还能够影响一些中间结果,这些结果可能与患者和伴侣的下游健康结果相关联。
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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
35
期刊介绍: Couple and Family Psychology: Research and Practice ® (CFP) is a scholarly journal publishing peer-reviewed papers representing the science and practice of family psychology. CFP is the official publication of APA Division 43 (Society for Couple and Family Psychology) and is intended to be a forum for scholarly dialogue regarding the most important emerging issues in the field, a primary outlet for research particularly as it impacts practice and for papers regarding education, public policy, and the identity of the profession of family psychology. As the official journal for the Society, CFP will provide a home for the members of the division and those in other fields interested in the most cutting edge issues in family psychology. Unlike other journals in the field, CFP is focused specifically on family psychology as a specialty practice, unique scientific domain, and critical element of psychological knowledge. CFP will seek and publish scholarly manuscripts that make a contribution to the knowledge base of family psychology specifically, and the science and practice of working with individuals, couples and families from a family systems perspective in general.
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