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Dyadic coping after cancer diagnosis - a longitudinal cluster analysis.
Anne-Kathrin Köditz1, Anja Mehnert-Theuerkauf2, Ute Goerling3
1Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Leipzig, Germany, Comprehensive Cancer Center Central Germany (CCCG). anne-kathrin.koeditz@medizin.uni-leipzig.de.
Acta Oncologica (Stockholm, Sweden)
|March 18, 2025
Summary
Dyadic coping trajectories in cancer patients reveal distinct patterns, with stable high coping being most common. Factors like employment and anxiety influence coping behavior changes over time.
Area of Science:
- Psycho-oncology
- Health Psychology
- Cancer Survivorship
Background:
- Dyadic coping (DC) influences health outcomes, but its trajectory post-cancer diagnosis is understudied.
- Understanding DC changes is crucial for supporting cancer patients and their partners.
Purpose of the Study:
- To explore longitudinal dyadic coping (DC) trajectories in cancer patients.
- To characterize and predict these trajectories based on medical, psychological, and sociodemographic factors.
Main Methods:
- Prospective, multicenter study of 418 cancer patients with primary solid tumors.
- Assessed DC using the Dyadic Coping Inventory (DCI) at four time points post-diagnosis.
- Identified DC trajectories using feature-based clustering and predicted them with multinomial logistic regression.
Main Results:
- Identified three distinct DC trajectories: stable high (33.5%), increasing (34.7%), and decreasing (31.8%).
- Stable high coping was associated with being male, employed, having prostate cancer, and being childless.
- Lack of employment, having children, and generalized anxiety predicted worsening coping behavior.
Conclusions:
- This study provides novel insights into early dyadic coping trajectories following cancer diagnosis.
- Identifying predictors of coping changes is vital for optimizing psycho-oncological support and couple-based disease management.
- Understanding sociodemographic and psychological factors can help tailor interventions to maintain positive couple coping.
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