nach oben

Journal of Behavioral Medicine

Erschienen in:

01.08.2013

Couples coping with multiple sclerosis: a dyadic perspective on the roles of mindfulness and acceptance

verfasst von: Kenneth I. Pakenham, Christina Samios

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

This study investigated the roles of mindfulness and acceptance on adjustment in couples coping with multiple sclerosis (MS) by examining the effects of an individual’s mindfulness and acceptance on their own adjustment (actor effects) and the effects of their partner’s mindfulness and acceptance on their adjustment (partner effects) using the Actor-Partner Interdependence Model. The study was a cross-sectional standard dyadic design that collected data from couples coping with MS. Sixty-nine couples completed measures of mindfulness, acceptance and adjustment (depression, anxiety, life satisfaction, positive affect and relationship satisfaction). As hypothesised there were actor effects of mindfulness and acceptance on better adjustment, however, the beneficial actor effects of mindfulness were only evident on depression and anxiety. The actor effects of both mindfulness and acceptance on relationship satisfaction were moderated by MS status. Regarding partner effects, there was support for the beneficial impact of acceptance on partner relationship satisfaction. In addition, the partner effect of acceptance moderated the actor effect of acceptance on depression, such that the actor effect on lower depression was weaker when the partner reported high acceptance. Findings support the roles of mindfulness and acceptance in shaping individual and dyadic adjustment in couples coping with chronic illness.

Ackerman, R. A., Ledermann, T., & Kenny, D. A. (2010). Using dyadic analysis in health psychology. The European Health Psychologist, 12, 18–20.

Badr, H. (2004). Coping in marital dyads: A contextual perspective on the role of gender and health. Personal Relationships, 11, 197–211.CrossRef

Badr, H., & Taylor, C. L. C. (2008). Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer. Health Psychology, 27, 616–627.PubMedCrossRef

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.PubMedCrossRef

Barnes, S., Brown, K. W., Krusemark, E., Campbell, W. K., & Rogge, R. D. (2007). The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. Journal of Marital and Family Therapy, 33, 482–500.PubMedCrossRef

Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057–1067.PubMedCrossRef

Bradburn, N. M. (1969). The structure of psychological well-being. Oxford: Aldine.

Bränström, R., Kvillemo, P., Brandberg, Y., & Moskowitz, J. T. (2010). Self-report mindfulness as a mediator of psychological wellbeing in a stress reduction intervention for cancer patients: a randomised study. Annals of Behavioral Medicine, 39, 151–161.PubMedCrossRef

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological wellbeing. Journal of Personality and Social Psychology, 84, 822–848.PubMedCrossRef

Brown, K. W., & Ryan, R. M. (2004). Perils and promise in defining and measuring mindfulness: observations from experience. Clinical Psychology: Science and Practice, 11, 242–248.CrossRef

Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18, 211–237.CrossRef

Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2004). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29, 448–474.PubMedCrossRef

Carmack Taylor, C. L., Badr, H., Lee, J. H., Fossella, F., Pisters, K., Gritz, E. R., et al. (2008). Lung cancer patients and their spouses: Psychological and relationship functioning within 1 month of treatment initiation. Annals of Behavioral medicine, 36, 129–140.PubMedCrossRef

Carson, J. W., Carson, K. M., Gil, K. M., & Baucom, D. H. (2004). Mindfulness-based relationship enhancement. Behavior Therapy, 35, 471–494.CrossRef

Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29, 560–572.PubMedCrossRef

Chung, M. L., Moser, D. K., Lennie, T. A., & Rayens, M. K. (2009). The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor–Partner Interdependence Model. Journal of Psychosomatic Research, 67, 29–35.PubMedCrossRef

Chwastiak, L., Ehde, D. M., Gibbons, L. E., Sullivan, M., Bowen, J. D., & Kraft, G. H. (2002). Depressive symptoms and severity of illness in multiple sclerosis: Epidemiologic study of a large community sample. American Journal of Psychiatry, 159, 1862–1868.PubMedCrossRef

Coffey, K. A., Hartman, M., & Fredrickson, B. L. (2010). Deconstructing mindfulness and constructing mental health: understanding mindfulness and its mechanisms of action. Mindfulness, 1, 235–253.CrossRef

Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.

Cook, W. L., & Kenny, D. A. (2005). The APIM: A model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29, 101–109.CrossRef

Coyne, J. C., & Smith, D. A. (1991). Couples coping with a myocardial infarction: A contextual perspective on wives’ distress. Journal of Personality and Social Psychology, 61, 404–412.PubMedCrossRef

Dennison, L., Moss-Morris, R., Silber, E., Galea, I., & Chalder, T. (2010). Cognitive and behavioural correlates of different domains of psychological adjustment in early-stage multiple sclerosis. Journal of Psychosomatic Medicine, 69, 353–361.CrossRef

Gregg, J. A., Callaghan, G. M., Hayes, S. C., & Glenn-Lawson, J. L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 7, 336–343.CrossRef

Grossman, P., Kappos, L., Gensicke, H., D’Souza, M., Mohr, D. C., Penner, I. K., et al. (2010). MS quality of life, depression, and fatigue improve after mindfulness training. Neurology, 75, 1141–1149.PubMedCrossRef

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25.PubMedCrossRef

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.

Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553–578.

Hohol, M. J., Orav, E. J., & Weiner, H. L. (1995). Disease steps in multiple sclerosis: A simple approach to evaluation disease progression. Neurology, 45, 251–255.PubMedCrossRef

Janssens, A. C. J. W., Buljevac, D., Van Doorn, P. A., Van de Meche, F. G. A., Polman, C. H., Passchier, J., et al. (2006). Predictors of anxiety and distress following diagnosis of multiple sclerosis: A two year longitudinal study. Multiple Sclerosis, 12, 794–801.PubMedCrossRef

Janssens, A. C. J. W., van Doorn, P. A., de Boer, J. B., van de Meche, F. G. A., Passchier, J., & Hintzen, R. Q. (2003). Impact of recently diagnosed multiple sclerosis on quality of life, anxiety, depression and distress of patients and partners. Acta Neurologica Scandinavica, 108, 389–395.PubMedCrossRef

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.PubMedCrossRef

Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M. J., & Cropley, T. G. (1998). Influence of a mindfulness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis under-going phototherapy *UVB) and photochemotherapy (PUVA). Psychosomatic Medicine, 60, 625–632.PubMed

Kaplan, K. H., Goldenberg, D. L., & Galvin-Nadeau, M. (1993). The impact of a meditation-based stress reduction program on fibromyalgia. General Hospital Psychiatry, 15, 284–289.PubMedCrossRef

Kashy, D.A., & Donnellan, M. B. Conceptual and methodological issues in the analysis of data from dyads and groups. In K. Deaux & M. Snyder (Eds.), The Oxford handbook of personality and social psychology. New York: Oxford University Press (in press).

Kashy, D. A., & Kenny, D. A. (2000). The analysis of data from dyads and groups. In H. T. Reis & C. M. Judd (Eds.), Handbook of research methods in social psychology (pp. 451–477). New York, Cambridge.

Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York: Guilford Press.

Kim, Y., Wellisch, D. K., & Spillers, R. L. (2008). Effects of psychological distress on quality of life of adult daughters and their mothers with cancer. Psycho-Oncology, 17, 1129–1136.PubMedCrossRef

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation of Australia.

Lundgren, T., Dahl, J., Yardi, N., & Melin, L. (2008). Acceptance and commitment therapy and yoga for drug-refractory epilepsy: A randomised controlled trial. Epilepsy and Behaviour, 13, 102–108.CrossRef

Malec, J. F., Machulda, M. M., & Moessner, A. M. (1997). Differing problem perceptions of staff, survivors, and significant others after brain injury. Journal of Head Trauma Rehabilitation, 12, 1–13.CrossRef

Manne, S. L., & Zautra, A. J. (1989). Spouse criticism and support: Their association with coping and psychological adjustment among women with rheumatoid arthritis. Journal of Personality and Social Psychology, 56, 608–617.PubMedCrossRef

Matthews, B., & Rice-Oxley, M. (2001). Multiple sclerosis: The facts (4th ed.). New York: Oxford University Press.

McCartney Chalk, H. (2007). Mind over matter: Cognitive-behavioral determinants of emotional distress in multiple sclerosis patients. Psychology Health and Medicine, 12, 556–566.CrossRef

McCracken, L. M. (1998). Learning to live with pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74, 21–27.PubMedCrossRef

McCracken, I. M., & Eccleston, C. (2003). Coping or acceptance: What to do about chronic pain? Pain, 105, 197–204.PubMedCrossRef

Mills, N., & Allen, J. (2000). Mindfulness of movement as a coping strategy in multiple sclerosis: A pilot study. General Hospital Psychiatry, 22, 425–431.PubMedCrossRef

Nicholl, C. R., Lincoln, N. B., Francis, V. M., & Stephan, T. F. (2001). Assessment of emotional problems in people with multiple sclerosis. Clinical Rehabilitation, 15, 657–668.PubMedCrossRef

Pakenham, K. I. (1998). Couple coping and adjustment to MS in care receiver-carer dyads. Family Relations, 47, 269–277.CrossRef

Pakenham, K. I. (2001). Coping with multiple sclerosis: Development of a measure. Psychology, Health & Medicine, 6, 411–428.

Pakenham, K. I. (2006). Investigation of the coping antecedents to positive outcomes and distress in multiple sclerosis (MS). Psychology and Health, 21, 633–649.CrossRef

Pakenham, K. I. (2007). Making sense of multiple sclerosis. Rehabilitation Psychology, 52, 380–389.CrossRef

Pakenham, K. I. (2008a). Making sense of illness or disability: The nature of sense making in multiple sclerosis (MS). Journal of Health Psychology, 13, 93–105.PubMedCrossRef

Pakenham, K. I. (2008b). Making sense of caregiving for persons with multiple sclerosis (MS): The dimensional structure of sense making and relations with positive and negative adjustment. International Journal of Behavioral Medicine, 15, 241–252.PubMedCrossRef

Pakenham, K. I. (2008c). The nature of sense making in caregiving for persons with multiple sclerosis (MS). Disability and Rehabilitation, 30, 1263–1273.PubMedCrossRef

Pakenham, K. I., & Cox, S. (2008). Development of the benefit finding in multiple sclerosis (MS) caregiving scale: A longitudinal study of relations between benefit finding and adjustment. British Journal of Health Psychology, 13, 583–602.PubMedCrossRef

Pakenham, K. I., & Cox, S. (2009). The dimensional structure of benefit finding in multiple sclerosis (MS) and relations with positive and negative adjustment: A longitudinal study. Psychology and Health, 24, 373–393.PubMedCrossRef

Pakenham, K. I., Dadds, R. M., & Terry, D. J. (1995). Carers’ burden and adjustment to HIV. AIDS Care, 7, 189–203.PubMedCrossRef

Pakenham, K. I., & Fleming, M. (2011). Relations between acceptance of multiple sclerosis and positive and negative adjustment. Psychology and Health, 26, 1292–1309.PubMedCrossRef

Patten, S. B., Beck, C. A., Williams, J. V., Barbui, C., & Metz, L. M. (2003). Major depression in multiple sclerosis: A population-based perspective. Neurology, 61, 1524–1527.PubMedCrossRef

Pavot, W., & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assessment, 5, 164–172.CrossRef

Perrone, K. M., Gordon, P. A., & Tschopp, M. K. (2006). Caregiver marital satisfaction when a spouse has multiple sclerosis. Journal of Applied Rehabilitation Counselling, 37, 26–32.

Peterson, B. D., Eifert, G. H., Feingold, T., & Davidson, S. (2009). Using acceptance and commitment therapy to treat distressed couples: a case study with two couples. Cognitive and Behavioral Practice, 16, 430–442.CrossRef

Pruitt, I. T., & McCollum, E. E. (2010). Voices of experienced meditators: The impact of meditation practice on intimate relationships. Contemporary Family Therapy: An International Journal, 32, 135–154.CrossRef

Rao, S. M., Huber, S. J., & Bornstein, R. A. (1992). Emotional changes with multiple sclerosis and Parkinson’s disease. Journal of Consulting and Clinical Psychology, 60, 369–378.PubMedCrossRef

Saavedra, M. C., Chapman, K. E., & Rogge, R. D. (2010). Clarifying links between attachment and relationship quality: Hostile conflict and mindfulness as moderators. Journal of Family Psychology, 24, 380–390.PubMedCrossRef

Sawyer, J. A., & Semple, R. J. (2010). Mindful parenting: A call for research. Journal of Child and Family Studies, 19, 145–151.CrossRef

Schiaffino, K. M., Shawaryn, M. A., & Blum, D. (1998). Examining illness representations on psychological adjustment to chronic illness. Health Psychology, 17, 262–268.PubMedCrossRef

Sharpley, C. F., & Rogers, H. J. (1984). Preliminary validation of the abbreviated Spanier Dyadic Adjustment Scale: Some psychometric data regarding a screening test of marital adjustment. Educational and Psychological Measurement, 44, 1045–1049.CrossRef

Sheppard, S. C., Forsyth, J. P., Hickling, E. J., & Bianchi, J. (2010). A novel application of ACT to psychosocial problems associated with multiple sclerosis: Results from a half-day workshop intervention. International Journal of MS Care, 12, 200–206.CrossRef

Stuifbergen, A., Becker, H., Blozis, S., Beal, C., & Park, I. (2008). Conceptualization and development of the acceptance of chronic health conditions scale. Issues in Mental Health Nursing, 29, 101–114.PubMedCrossRef

Wachs, K., & Cordova, J. V. (2007). Mindful relating: Exploring mindfulness and emotion repertoires in intimate relationships. Journal of Marital and Family Therapy, 33, 464–481.PubMedCrossRef

Walsh, J. J., Balint, M. G., Smolira, D. R., Fredericksen, L. K., & Madsen, S. (2009). Predicting individual differences in mindfulness: The role of trait anxiety, attachment anxiety and attentional control. Personality and Individual Differences, 46, 94–99.CrossRef

Westin, V., Hayes, S. C., & Andersson, G. (2008). Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behaviour Research and Therapy, 46, 1259–1265.PubMedCrossRef

World Health Organisation. (2004). Atlas: Country resources for neurological disorders 2004. Retrieved from http://whqlibdoc.who.int/publications/2004/9241562838.pdf

Titel: Couples coping with multiple sclerosis: a dyadic perspective on the roles of mindfulness and acceptance
verfasst von: Kenneth I. Pakenham
Christina Samios
Publikationsdatum: 01.08.2013
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 4/2013
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9434-0

Neu im Fachgebiet Psychiatrie

18.04.2024 | Arterielle Hypertonie | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Couples coping with multiple sclerosis: a dyadic perspective on the roles of mindfulness and acceptance

Abstract

Neu im Fachgebiet Psychiatrie

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Delir kann Demenz begünstigen

Zunahme von Geschlechtsinkongruenz und -dysphorie registriert

Vitiligo: Prävalenz steigt und viele Erkrankte werden spät behandelt

Update Psychiatrie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2013

Attention to pain and fear of pain in patients with chronic pain

A history of comorbid depression and anxiety predicts new onset of heart disease

Perceived social support interacts with prenatal depression to predict birth outcomes

Socioeconomic status and stress in Mexican–American women: a multi-method perspective

Placebo by proxy: the effect of parents’ beliefs on therapy for children’s temper tantrums

Matching intra-procedural information with coping style reduces psychophysiological arousal in women undergoing colposcopy

Neu im Fachgebiet Psychiatrie

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Delir kann Demenz begünstigen

Zunahme von Geschlechtsinkongruenz und -dysphorie registriert

Vitiligo: Prävalenz steigt und viele Erkrankte werden spät behandelt

Update Psychiatrie