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Affect and psychological well-being in spouses of cancer patients: the mediating role of meaning in life and self-efficacy

100%

Krok D., Gerymski R.

Family Forum

2021

vol. 11

267-286

The examination of the psychological functioning of cancer patients’ spouses implies that affect and personal resources play an important role in their psychological well-being. This is a consequence of the severe stress caused by the medical conditions of a spouse and of responsibilities related to caregiving. This study aimed to examine the role of affect and purpose-oriented personal resources (meaning in life and self-efficacy) in shaping psychological well-being in the spouses of cancer patients. The participants were 214 spouses of gastrointestinal patients who were either undergoing medical treatment in hospital units or attending scheduled clinic appointments at outpatient medical clinics. The Positive and Negative Affect Schedule (PANAS-X), Psychological Well-Being Scale (PWB), Meaning in Life Questionnaire (MLQ), and General Self-Efficacy Scale (GSES) were used. The results indicated that positive affect was positively correlated with meaning in life, self-efficacy, and psychological well-being. In contrast, negative affect was negatively correlated with positive affect, meaning in life, self-efficacy, and psychological well-being. The mediation analyses demonstrated that meaning in life and self-efficacy were mediators between positive and negative affect and psychological well-being. The mediating function of meaning in life and self-efficacy revealed the significant role of personal resources based on purpose and self-motivation in the relationship between affect and psychological well-being. Positive and negative affect can influence motivational processes that enable patients and their families to constructively deal with challenging and illness-related situations. Caregivers and medical staff could take into account the important role of purpose-oriented resources as they affect the functioning of both patients and their families.

Resilience and self-efficacy as supportive resources in accepting a spouse’s cancer. Coping strategies as parallel mediators

67%

Krok D., Moroń M., Telka E.

Family Forum

2023

vol. 13

65-84

Związki między prężnością psychiczną, poczuciem własnej skuteczności i strategiami radzenia sobie odgrywają ważną rolę w procesie akceptacji choroby u pacjentów onkologicznych przez ich małżonków. Niniejsze badanie ma na celu sprawdzenie, czy strategie radzenia sobie działają jako równoległe mediatory między prężnością, poczuciem własnej skuteczności i akceptacją choroby partnera przez współmałżonka. Przebadano dwieście trzydzieści dwie osoby: 106 kobiet (M = 55,36, SD = 14,13) i 126 mężczyzn (M = 62,15, SD = 11,55). Ich wiek wahał się od 24 do 85 lat (M = 59,06, SD = 13,20). Wykorzystano kwestionariusze mierzące prężność, poczucie własnej skuteczności, radzenie sobie i akceptację choroby. W celu zbadania efektów mediacji zastosowano analizy korelacyjne i mediacyjne. Wyniki wykazały, że prężność i poczucie własnej skuteczności były pozytywnie skorelowane zarówno z ogólnym wynikiem akceptacji choroby, jak i jej trzema wymiarami (satysfakcja z życia, pogodzenie się z chorobą i dystansowanie się od choroby) u małżonków pacjentów onkologicznych. Co więcej, strategie radzenia sobie były pozytywnie powiązane z akceptacją choroby. Główny wynik ujawnił, że radzenie sobie skoncentrowane na problemie i radzenie sobie skoncentrowane na znaczeniu służyły jako równoległe mediatory w związku między prężnością i poczuciem własnej skuteczności a akceptacją choroby. Sugeruje to, że sposób, w jaki małżonkowie radzą sobie ze stresem spowodowanym chorobą nowotworową partnera, determinuje wykorzystanie zasobów wspierających w akceptacji choroby partnera.

Associations between resilience, self-efficacy, and coping strategies play an important role in the process of accepting the disease in cancer patients by their spouses. This study aims to examine whether coping strategies act as parallel mediators between resilience, self-efficacy, and the acceptance of the partner's illness by the spouse. Two hundred and thirty-two people were examined: 106 women (M = 55.36, SD = 14.13) and 126 men (M = 62.15, SD = 11.55). Their ages ranged from 24 to 85 years (M = 59.06, SD = 13.20). Questionnaires measuring resilience, self-efficacy, coping, and illness acceptance were utilized. Correlational and mediational analyses were employed to examine the mediation effects. The findings demonstrated that resilience and self-efficacy were positively correlated with both the overall score of illness acceptance and its three dimensions (satisfaction with life, reconciliation with the disease, and self-distancing from the disease) in spouses of cancer patients. Furthermore, coping strategies were positively associated with illness acceptance. The main result revealed that problem-focused coping and meaning-focused coping served as parallel mediators in the relationship between resilience and self-efficacy with illness acceptance. This suggests that the way in which spouses cope with the stress caused by their partners' cancer determines the utilization of supportive resources in accepting the partner's illness.

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2 Family Forum

2 Krok D.

1 Gerymski R.

1 Moroń M.

1 Telka E.

1 2023

1 2022

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Affect and psychological well-being in spouses of cancer patients: the mediating role of meaning in life and self-efficacy

Resilience and self-efficacy as supportive resources in accepting a spouse’s cancer. Coping strategies as parallel mediators