Cancer patients can experience a wide range of psychological difficulties. Social support, particularly support provided by spouses, can play a critical role in helping a person cope successfully with the ongoing demands of cancer. However, recent criticisms of the social support literature have argued that understanding how support operates is important. Global theories of the relationship between support and psychological outcomes have been investigated (e.g., support as a stress buffer), with little attention given to the psychological factors that influence the type of support people prefer, the psychological factors that influence the type of support people provide, and how support interactions operate to influence well-being. The primary goal of the proposed research is to closely examine support-related interactions of cancer patients and their partners. Specifically, this study will address three issues. First, the psychological characteristics of support providers (spouses) and recipients (cancer patients) that determine what type of support is provided and preferred will be investigated. Second, the study will investigate whether a match between psychological characteristics of partners in support-related interactions predicts the psychological adjustment of the support recipient. Third, the direct and indirect effects of support upon psychological distress and well-being will be examined using a longitudinal design. The study will have a longitudinal design. Patients with either breast or gastrointestinal cancer and their healthy partners will participate in the study. Patients and partners will be recruited into the study when the patient begins outpatient chemotherapy treatment. Three times of assessment will be included, with the. third assessment scheduled six months following the initial assessment. Clinical implications of this study include identification of appropriate targets for interventions to improve the mental health of cancer patients: Is it beneficial to include spouses in psychological interventions? Should interventions encourage spouses of patients to """"""""agree"""""""" with the patient's preferences for support and provide this support, or should interventions encourage spouses to provide support which encourages independence? The study will also advance our theoretical understanding of social support.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
5R29CA057379-02
Application #
3460538
Study Section
Behavioral Medicine Study Section (BEM)
Project Start
1992-07-15
Project End
1997-06-30
Budget Start
1993-07-01
Budget End
1994-06-30
Support Year
2
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Sloan-Kettering Institute for Cancer Research
Department
Type
DUNS #
064931884
City
New York
State
NY
Country
United States
Zip Code
10065
Fang, Carolyn Y; Miller, Suzanne M; Mills, Megan et al. (2003) The effects of avoidance on cytotoxic/suppressor T cells in women with cervical lesions. Psychooncology 12:590-8
Manne, S; Schnoll, R (2001) Measuring cancer patients' psychological distress and well-being: a factor analytic assessment of the Mental Health Inventory. Psychol Assess 13:99-109
Manne, S; Glassman, M; Du Hamel, K (2001) Intrusion, avoidance, and psychological distress among individuals with cancer. Psychosom Med 63:658-67
Manne, S; Schnoll, R (2001) Measuring supportive and unsupportive responses during cancer treatment: a factor analytic assessment of the partner responses to cancer inventory. J Behav Med 24:297-321
Fang, C Y; Manne, S L; Pape, S J (2001) Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients' spouses. Health Psychol 20:452-7
Manne, S; Glassman, M (2000) Perceived control, coping efficacy, and avoidance coping as mediators between spouses' unsupportive behaviors and cancer patients' psychological distress. Health Psychol 19:155-64
Manne, S; DuHamel, K; Redd, W H (2000) Association of psychological vulnerability factors to post-traumatic stress symptomatology in mothers of pediatric cancer survivors. Psychooncology 9:372-84
Manne, S L (1999) Intrusive thoughts and psychological distress among cancer patients: the role of spouse avoidance and criticism. J Consult Clin Psychol 67:539-46
Manne, S L; Alfieri, T; Taylor, K L et al. (1999) Spousal negative responses to cancer patients: the role of social restriction, spouse mood, and relationship satisfaction. J Consult Clin Psychol 67:352-61
Manne, S L; Du Hamel, K; Gallelli, K et al. (1998) Posttraumatic stress disorder among mothers of pediatric cancer survivors: diagnosis, comorbidity, and utility of the PTSD checklist as a screening instrument. J Pediatr Psychol 23:357-66

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