24-11-2022
Emotional processes in partners’ quality of life at various stages of breast cancer pathway: a longitudinal study
Auteurs: Anne-Sophie Baudry, Laurence Vanlemmens, Anne Congard, Aurélie Untas, Carine Segura-Djezzar, Claudia Lefeuvre-Plesse, Florence Coussy, Séverine Guiu, Jean-Sébastien Frenel, Baptiste Sauterey, Sonya Yakimova, Véronique Christophe
Gepubliceerd in: Quality of Life Research | Uitgave 4/2023
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Abstract
Introduction
Several studies have shown that emotional competence (EC) impacts cancer adjustment via anxiety and depression symptoms. The objective was to test this model for the quality of life (QoL) of partners: first, the direct effect of partners’ EC on their QoL, anxiety and depression symptoms after cancer diagnosis (T1), after chemotherapy (T2) and after radiotherapy (T3); Second, the indirect effects of partners’ EC at T1 on their QoL at T2 and T3 through anxiety and depression symptoms.
Methods
192 partners of women with breast cancer completed a questionnaire at T1, T2 and T3 to assess their EC (PEC), anxiety and depression symptoms (HADS) and QoL (Partner-YW-BCI). Partial correlations and regression analyses were performed to test direct and indirect effects of EC on issues.
Results
EC at T1 predicted fewer anxiety and depression symptoms at each time and all dimensions of QoL, except for career management and financial difficulties. EC showed different significant indirect effects (i.e. via anxiety or depression symptoms) on all sub-dimensions of QoL, except for financial difficulties, according to the step of care pathway (T2 and T3). Anxiety and depression played a different role in the psychological processes that influence QoL.
Conclusion
Findings confirm the importance of taking emotional processes into account in the adjustment of partners, especially regarding their QoL and the support they may provide to patients. It, thus, seems important to integrate EC in future health models and psychosocial interventions focused on partners or caregivers.