Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses: A prospective, five-year longitudinal investigation
Shelby Langer, Jean C. Yi, Barry E. Storer, Karen L. Syrjala
Objective: To examine the trajectory of marital adjustment, satisfaction and dissolution among 121 hematopoietic stem cell transplant (HSCT) couples - as a function of role (patient or spouse) and gender. Methods: Prospective, longitudinal design. Participants completed the Dyadic Adjustment Scale at six time points: pre-transplant (4-7 days after beginning medical workup prior to starting transplant), 6 months post-transplant, and 1, 2, 3 and 5 years post-transplant. They also reported on marital status over time. Results: Participants ranged in age from 23-68 (52% female patients and 48% female spouses). Ninety-eight patients received an allogeneic transplant; 23 received an autologous transplant. Marital dissolution was uncommon (four divorces since the transplant among 55 participating 5-year survivors, 7%). Dyadic satisfaction was stable over time for both male and female patients and male spouses, but not for female spouses who reported reductions in satisfaction at all time points relative to baseline. Conclusion: Couples were by and large resilient. However, caregiver-specific gender differences indicate an increased risk for relationship maladjustment and dissatisfaction among female spouses and ultimately, female spouse/male patient couples.
https://doi.org/10.1002/pon.1542
Autografts
Hematopoietic stem cell transplant
Marital satisfaction
Langer, S., Yi, J. C., Storer, B. E., & Syrjala, K. L. (2010). Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses: A prospective, five-year longitudinal investigation. Psycho-Oncology, 19(2), 190-200. https://doi.org/10.1002/pon.1542
Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses : A prospective, five-year longitudinal investigation. / Langer, Shelby; Yi, Jean C.; Storer, Barry E.; Syrjala, Karen L.
In: Psycho-Oncology, Vol. 19, No. 2, 02.2010, p. 190-200.
Langer, S, Yi, JC, Storer, BE & Syrjala, KL 2010, 'Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses: A prospective, five-year longitudinal investigation', Psycho-Oncology, vol. 19, no. 2, pp. 190-200. https://doi.org/10.1002/pon.1542
Langer S, Yi JC, Storer BE, Syrjala KL. Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses: A prospective, five-year longitudinal investigation. Psycho-Oncology. 2010 Feb;19(2):190-200. https://doi.org/10.1002/pon.1542
Langer, Shelby ; Yi, Jean C. ; Storer, Barry E. ; Syrjala, Karen L. / Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses : A prospective, five-year longitudinal investigation. In: Psycho-Oncology. 2010 ; Vol. 19, No. 2. pp. 190-200.
@article{38e0e81d7f6e42e89ea850fb52298b57,
title = "Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses: A prospective, five-year longitudinal investigation",
abstract = "Objective: To examine the trajectory of marital adjustment, satisfaction and dissolution among 121 hematopoietic stem cell transplant (HSCT) couples - as a function of role (patient or spouse) and gender. Methods: Prospective, longitudinal design. Participants completed the Dyadic Adjustment Scale at six time points: pre-transplant (4-7 days after beginning medical workup prior to starting transplant), 6 months post-transplant, and 1, 2, 3 and 5 years post-transplant. They also reported on marital status over time. Results: Participants ranged in age from 23-68 (52{\%} female patients and 48{\%} female spouses). Ninety-eight patients received an allogeneic transplant; 23 received an autologous transplant. Marital dissolution was uncommon (four divorces since the transplant among 55 participating 5-year survivors, 7{\%}). Dyadic satisfaction was stable over time for both male and female patients and male spouses, but not for female spouses who reported reductions in satisfaction at all time points relative to baseline. Conclusion: Couples were by and large resilient. However, caregiver-specific gender differences indicate an increased risk for relationship maladjustment and dissatisfaction among female spouses and ultimately, female spouse/male patient couples.",
keywords = "Cancer, Caregiver, Gender, Hematopoietic stem cell transplant, Marital satisfaction, Oncology",
author = "Shelby Langer and Yi, {Jean C.} and Storer, {Barry E.} and Syrjala, {Karen L.}",
doi = "10.1002/pon.1542",
journal = "Psycho-Oncology",
publisher = "John Wiley and Sons Ltd",
T1 - Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses
T2 - A prospective, five-year longitudinal investigation
AU - Langer, Shelby
AU - Yi, Jean C.
AU - Storer, Barry E.
AU - Syrjala, Karen L.
N2 - Objective: To examine the trajectory of marital adjustment, satisfaction and dissolution among 121 hematopoietic stem cell transplant (HSCT) couples - as a function of role (patient or spouse) and gender. Methods: Prospective, longitudinal design. Participants completed the Dyadic Adjustment Scale at six time points: pre-transplant (4-7 days after beginning medical workup prior to starting transplant), 6 months post-transplant, and 1, 2, 3 and 5 years post-transplant. They also reported on marital status over time. Results: Participants ranged in age from 23-68 (52% female patients and 48% female spouses). Ninety-eight patients received an allogeneic transplant; 23 received an autologous transplant. Marital dissolution was uncommon (four divorces since the transplant among 55 participating 5-year survivors, 7%). Dyadic satisfaction was stable over time for both male and female patients and male spouses, but not for female spouses who reported reductions in satisfaction at all time points relative to baseline. Conclusion: Couples were by and large resilient. However, caregiver-specific gender differences indicate an increased risk for relationship maladjustment and dissatisfaction among female spouses and ultimately, female spouse/male patient couples.
AB - Objective: To examine the trajectory of marital adjustment, satisfaction and dissolution among 121 hematopoietic stem cell transplant (HSCT) couples - as a function of role (patient or spouse) and gender. Methods: Prospective, longitudinal design. Participants completed the Dyadic Adjustment Scale at six time points: pre-transplant (4-7 days after beginning medical workup prior to starting transplant), 6 months post-transplant, and 1, 2, 3 and 5 years post-transplant. They also reported on marital status over time. Results: Participants ranged in age from 23-68 (52% female patients and 48% female spouses). Ninety-eight patients received an allogeneic transplant; 23 received an autologous transplant. Marital dissolution was uncommon (four divorces since the transplant among 55 participating 5-year survivors, 7%). Dyadic satisfaction was stable over time for both male and female patients and male spouses, but not for female spouses who reported reductions in satisfaction at all time points relative to baseline. Conclusion: Couples were by and large resilient. However, caregiver-specific gender differences indicate an increased risk for relationship maladjustment and dissatisfaction among female spouses and ultimately, female spouse/male patient couples.
KW - Caregiver
KW - Gender
KW - Hematopoietic stem cell transplant
KW - Marital satisfaction
KW - Oncology
U2 - 10.1002/pon.1542
DO - 10.1002/pon.1542
JO - Psycho-Oncology
JF - Psycho-Oncology
10.1002/pon.1542