A Dyadic Perspective on Coping and its Effects on Relationship Quality and Psychological Distress in Couples Living with Chronic Pain: A Longitudinal Study

Abstract Objective Dyadic coping is a process of coping within couples that is intended not only to support the patient with chronic pain but also to maintain equilibrium in the relationship. This study aims to investigate the effect of patient-perceived and spouse-reported dyadic coping on both the patient and their partner’s relationship quality and anxiety, stress, and depression over time. Methods One hundred thirty-nine couples, with one partner experiencing chronic pain, participated in this study. Spanning three measurements over six months, couples reported on their anxiety, stress, depression, relationship quality, and dyadic coping. Results Patient-perceived supportive dyadic coping was positively associated with both partners’ relationship quality but was negatively associated with spouses’ stress over time. Patient-perceived negative dyadic coping was negatively associated with both partners’ relationship quality and positively associated with patients’ depression and spouses’ depression and stress over time. Spouse-reported supportive dyadic coping showed a positive association with their own relationship quality and a negative association with spouses’ depression at baseline and patients’ depression at three-month follow-up. Spouse-reported negative dyadic coping was negatively associated with their relationship quality at baseline and positively associated with their partner’s anxiety and stress at six-month and three-month follow-up, respectively. Similar inference was observed from the findings of growth curve model. Conclusions As compared with spouse report, patient perception of dyadic coping is a better predictor of both partners’ relationship quality and psychological outcomes over time. Both partners may benefit from early psychosocial intervention to improve their dyadic coping, relationship quality, and psychological outcomes.

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325 - Relationship quality in dementia: Preliminary longitudinal analyses of the EU-JPND Actifcare cohort study

International Psychogeriatrics ◽

10.1017/s1041610220002252 ◽

2020 ◽

Vol 32 (S1) ◽

pp. 83-83

Author(s):

Maria J. Marques ◽

Bob Woods ◽

Eva Y.L. Tan ◽

Marjolein de Vugt ◽

Frans Verhey ◽

...

Keyword(s):

Social Support ◽

Cohort Study ◽

Relationship Quality ◽

Sense Of Coherence ◽

Unmet Needs ◽

Neuropsychiatric Symptoms ◽

Longitudinal Analyses ◽

Family Carers ◽

Over Time

INTRODUCTIONRelationship quality (RQ) in dyads of persons with dementia and their family carers is important both as a clinical outcome and as a determinant of health and quality of life. In previous work we studied RQ using baseline data of a large-scale European longitudinal study on timely access to and use of community formal services in dementia (EU-JPND Acticare). We concluded that neuropsychiatric symptoms and carer stress contributed to discrepancies in RQ ratings within the dyad, which were less favourable when reported by family carers. This and other associations (e.g. between carer-rated RQ and sense of coherence) were cautiously interpreted, in the context of a cross-sectional analysis.OBJECTIVESTo analyse how carer-reported RQ varies over time and to examine its most important influencing factors.METHODSWe present preliminary longitudinal analyses from the Actifcare cohort study of 451 community-dwelling persons with dementia and their primary carers in eight European countries (12-month follow-up). Comprehensive assessments included the Positive Affect Index (PAI) to assess RQ, persons with dementia’s neuropsychiatric symptoms, persons with dementia and carers’ unmet needs, carers’ anxiety and depression, social support, sense of coherence and stress.RESULTSCarers’ mean PAI scores decreased over the 12 -month period. The person with dementia neuropsychiatric symptoms and unmet needs, and carers’ perceived social support were significant predictors of carers’ RQ change.DISCUSSION AND CONCLUSIONWe analysed carer-reported RQ variation over time and predictors in a large European sample of persons with dementia and their family carers. As expected, RQ decreased over the oneyear follow-up period as the disease progressed. Its main predictors in this sample (neuropsychiatric symptoms and the person’s unmet needs, together with carers’ social support) can all influence the impact that caregiving has on the carer and on how time and energy-consuming caregiving is. The role of increased clinical symptoms (also affecting communication difficulties), together with carers’ exhaustion, must be equated. Overall, these results may help us to tailor interventions addressing RQ and potentially improve dementia outcomes.

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Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time

Pain Research and Management ◽

10.1155/2018/9305126 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Rie Ishikawa ◽

Masako Iseki ◽

Rie Koga ◽

Eiichi Inada

Keyword(s):

Neuropathic Pain ◽

Herpes Zoster ◽

Pain Intensity ◽

Visual Analog Scale ◽

Analog Scale ◽

Paindetect Questionnaire ◽

Relationship Of ◽

The Relationship ◽

Over Time

Postherpetic itch (PHI), or herpes zoster itch, is an intractable and poorly understood disease. We targeted 94 herpes zoster patients to investigate their pain and itch intensities at three separate stages of the condition (acute, subacute, and chronic). We used painDETECT questionnaire (PDQ) scores to investigate the correlation between PHI and neuropathic pain. Seventy-six patients were able to complete follow-up surveys. The prevalence of PHI was 47/76 (62%), 28/76 (37%), and 34/76 (45%) at the acute, subacute, and chronic stages, respectively. PHI manifestation times and patterns varied. We investigated the relationship of PHI with neuropathic pain using the visual analog scale (VAS), which is a measure of pain intensity, and the PDQ, which is a questionnaire used to evaluate the elements of neuropathic pain. The VAS and PDQ scores did not differ significantly between PHI-positive and PHI-negative patients. A large neuropathic component was not found for herpes zoster itch, suggesting that neuropathic pain treatments may not able to adequately control the itch. Accordingly, we suggest that a more PHI-focused therapy is required to address this condition.

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Lost in a Dream

Sleep Disorders ◽

10.1093/med/9780190671099.003.0020 ◽

2019 ◽

pp. 381-396

Author(s):

Carlos L. Rodriguez ◽

Babak Tousi

Keyword(s):

Motor Neurons ◽

Neurodegenerative Disorders ◽

Dementia With Lewy Bodies ◽

Neurodegenerative Disorder ◽

Lewy Bodies ◽

Behavior Disorder ◽

Sleep Behavior ◽

The Relationship ◽

Over Time

Rapid-eye-movement sleep behavior disorder (RBD) is a parasomnia that is closely associated with neurodegenerative disorders. RBD is usually caused by neurodegeneration within the brainstem that disables the system responsible for immobilizing skeletal muscles during REM sleep and thus permits motor neurons to activate these muscles during dreaming. The underlying source of the brainstem neurodegeneration spreads over time to other central nervous system regions until it has sufficiently evolved to permit clinical recognition of the underlying neurodegenerative disorder. Longitudinal follow-up of patients with RBD has demonstrated that most patients subsequently develop some neurodegenerative disorder years later, particularly the synucleinopathies. We review the relationship between RBD and dementia with Lewy bodies, which is one of the synucleinopathies. The management of RBD is reviewed with discussion of the relevant considerations in patients with dementia with Lewy bodies.

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Abstract 17200: Plasma BNP Declines in the First Two Years After Transplant and is Elevated at the Time of Treated Rejection

Circulation ◽

10.1161/circ.138.suppl_1.17200 ◽

2018 ◽

Vol 138 (Suppl_1) ◽

Author(s):

Tom J Valikodath ◽

Neal Jorgensen ◽

Erin Albers ◽

Borah Hong ◽

Joshua Friedland-Little ◽

...

Keyword(s):

Heart Failure ◽

Natriuretic Peptide ◽

Ventricular Dysfunction ◽

Multivariable Analysis ◽

Wall Stress ◽

Ventricular Wall ◽

The Relationship ◽

Pediatric Recipients ◽

Over Time

Introduction: Plasma B-type natriuretic peptide (BNP) is a biomarker used to diagnose and monitor ventricular dysfunction and heart failure. However, the response of the allograft to produce BNP from ventricular wall stress and inflammation may be different, particularly in an understudied population such as pediatric recipients. Hypothesis: BNP levels decrease over time after transplant as the allograft recovers; but BNP will be higher during rejection. Methods: Enrolled all heart recipients from January 2007 to December 2016. Rejection surveillance included serial echocardiography, annual biopsy, and BNP q 1-3 months. Rejection is defined as requiring augmentation of immunosuppression from biopsy grade ≥ 2R or ≥ pAMR2 or from clinical diagnosis. Results: Among 114 patients studied, 60% were male with age at transplant 5.8 ± SD 6.5 yrs. Follow-up was 3.7 ± 2.7 yrs and 37 patients (32%) experienced 75 episodes of rejection. A total of 8358 BNP samples were obtained. BNP decreased linearly after transplant leveling off after 2 years (Fig 1). BNP was 671 ± 1115 (n=75) at rejection vs. 187 ± 423 pg/mL (n=501) without rejection confirmed by biopsy. By multivariable analysis, Ln BNP was associated with rejection (RR 1.56; 95% CI 1.35-1.80). Figure 2 shows the relationship between change in BNP and risk of rejection. Multivariable longitudinal Cox proportional model incorporating BNPs leading to 1 st rejection showed Ln BNP to be associated with rejection (HR 2.22; 95% CI 1.53-3.23, p<0.001). Conclusion: BNP continues to decrease in the 1 st 2 years after transplant. At rejection, BNP is elevated, and this test can be further developed to screen for rejection.

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Is self-esteem a resource for the parental couple? A longitudinal study on the quality of the romantic and coparental relationships

Journal of Social and Personal Relationships ◽

10.1177/0265407519838349 ◽

2019 ◽

Vol 36 (11-12) ◽

pp. 3773-3795

Author(s):

Nahema El Ghaziri ◽

Joëlle Darwiche ◽

Jean-Philippe Antonietti

Keyword(s):

Relationship Quality ◽

Well Being ◽

Self Esteem ◽

The Self ◽

Family Unit ◽

The Family ◽

Parental Couple ◽

The Relationship ◽

Over Time

The aim of this study is to investigate the longitudinal influence of self-esteem on romantic and coparental relationship quality. The data were drawn from the German Family Panel, pairfam. Parents ( n couples = 2,364) were assessed three times over 4 years. The results indicated that romantic and coparental quality decreased over time, while self-esteem remained stable. The self-esteem of both parents predicted initial romantic and coparental quality. Additionally, mothers’ self-esteem reduced the decline in romantic quality. Finally, romantic quality mediated the relationship between parents’ self-esteem and coparental quality. These results suggest that self-esteem might be a resource for the parental couple and even for the family unit, as romantic and coparental quality are key elements for the well-being of both parent and child.

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The Dynamics of Paid and Unpaid Activities Among People Aged 50–69 in Denmark, France, Italy, and England

Research on Aging ◽

10.1177/0164027516654521 ◽

2016 ◽

Vol 39 (9) ◽

pp. 1013-1038 ◽

Cited By ~ 9

Author(s):

Giorgio Di Gessa ◽

Emily Grundy

Keyword(s):

Longitudinal Data ◽

Longitudinal Analyses ◽

Paid Work ◽

Current Policy ◽

Cross Sectional ◽

Negatively Associated ◽

Working Lives ◽

Productive Activities ◽

The Relationship

In the context of the current policy emphasis on extending working lives, we investigate whether the relationship between participation in paid work, other formal, and informal activities among people aged 50–69 is complementary or competitive. We also investigate differences in associations between countries using comparable longitudinal data from Denmark, France, Italy, and England. We find positive associations between informal and formal engagement in cross-sectional and longitudinal analyses. Paid work was negatively associated with formal and informal engagement, and respondents who stopped working were more likely to be engaged in formal (Denmark and France) and informal activities (England and Italy) at follow-up than respondents who continued working. However, the strongest predictor of formal and informal engagement at follow-up was baseline engagement. In the context of policy aims to extend working lives and broaden older people’s participation in other productive activities, new balances between work and other forms of engagement are still to be found.

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Why does library holding format really matter for book impact assessment?: Modelling the relationship between citations and altmetrics with print and electronic holdings

Scientometrics ◽

10.1007/s11192-021-04239-9 ◽

2021 ◽

Author(s):

Ashraf Maleki

Keyword(s):

Impact Assessment ◽

Regression Models ◽

Weak Correlation ◽

Follow Up Study ◽

The Past ◽

Google Books ◽

The Relationship ◽

Statistical Results ◽

Over Time

AbstractScholarly books are important outputs in some fields and their many publishing formats seem to introduce opportunities to scrutinize their impact. As there is a growing interest in the publisher-enforced massive collection of ebooks in libraries in the past decade, this study examined how this influences the relationship that library print holdings (LPH), library electronic holdings (LEH) and total library holdings (TLH) have with other metrics. As a follow up study to a previous research on OCLC library holdings, the relationship between library holdings and twelve other metrics including Scopus Citations, Google Books (GB) Citations, Goodreads engagements, and Altmetric indicators were examined for 119,794 Scopus-indexed book titles across 26 fields. Present study confirms the weak correlation levels observed between TLH and other indicators in previous studies and contributes additional evidence that print holdings can moderately reflect research, educational and online impact of books consistently more efficient than eholdings and total holdings across fields and over time, except for Mendeley for which eholdings slightly prevailed. Regression models indicated that along with other dimensions, Google Books Citations frequently best explained LPH (in 14 out of 26 fields), whereas Goodreads User counts were weak, but the best predictor of both LEH and TLH (in 15 fields out of 26), suggesting significant association of eholdings with online uptake of books. Overall, findings suggest that inclusion of eholdings overrides the more impactful counts of print holdings in Total Library Holdings metric and therefore undermines the statistical results, whilst print holdings has both statistically and theoretically promising underlying assumptions for prediction of impact of books and shows greater promise than the general Library Holding metric for book impact assessment. Thus, there is a need for a distinction between print and electronic holding counts to be made, otherwise total library holding data need to be interpreted with caution.

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Phrenic to musculocutaneous nerve transfer for traumatic brachial plexus injuries: analyzing respiratory effects on elbow flexion control

Journal of Neurosurgery ◽

10.3171/2018.4.jns173248 ◽

2019 ◽

Vol 131 (1) ◽

pp. 165-174 ◽

Cited By ~ 5

Author(s):

Mariano Socolovsky ◽

Martijn Malessy ◽

Gonzalo Bonilla ◽

Gilda Di Masi ◽

María Eugenia Conti ◽

...

Keyword(s):

Muscle Strength ◽

Elbow Flexion ◽

Emg Activity ◽

Deep Breathing ◽

Normal Breathing ◽

Elbow Function ◽

The Mean ◽

The Relationship ◽

Over Time

OBJECTIVEIn this study, the authors sought to identify the relationship between breathing and elbow flexion in patients with a traumatic brachial plexus injury (TBPI) who undergo a phrenic nerve (PN) transfer to restore biceps flexion. More specifically, the authors studied whether biceps strength and the maximal range of active elbow flexion differ between full inspiration and expiration, and whether electromyography (EMG) activity in the biceps differs between forced maximum breathing during muscular rest, normal breathing during rest, and at maximal biceps contraction. All these variables were studied in a cohort with different intervals of follow-up, as the authors sought to determine if the relationship between breathing movements and elbow flexion changes over time.METHODSThe British Medical Research Council muscle-strength grading system and a dynamometer were used to measure biceps strength, which was measured 1) during a maximal inspiratory effort, 2) during respiratory repose, and 3) after a maximal expiratory effort. The maximum range of elbow flexion was measured 1) after maximal inspiration, 2) during normal breathing, and 3) after maximal expiration. Postoperative EMG testing was performed 1) during normal breathing with the arm at rest, 2) during sustained maximal inspiration with the arm at rest, and 3) during maximal voluntary biceps contraction. Within-group (paired) comparisons, and both correlation and regression analyses were performed.RESULTSTwenty-one patients fit the study inclusion criteria. The mean interval from trauma to surgery was 5.5 months, and the mean duration of follow-up 2.6 years (range 10 months to 9.6 years). Mean biceps strength was 0.21 after maximal expiration versus 0.29 after maximal inspiration, a difference of 0.08 (t = 4.97, p < 0.001). Similarly, there was almost a 21° difference in maximum elbow flexion, from 88.8° after expiration to 109.5° during maximal inspiration (t = 5.05, p < 0.001). Involuntary elbow flexion movement during breathing was present in 18/21 patients (86%) and averaged almost 20°. Measuring involuntary EMG activity in the biceps during rest and contraction, there were statistically significant direct correlations between readings taken during normal and deep breathing, which were moderate (r = 0.66, p < 0.001) and extremely strong (r = 0.94, p < 0.001), respectively. Involuntary activity also differed significantly between normal and deep breathing (2.14 vs 3.14, t = 4.58, p < 0.001). The degrees of involuntary flexion were significantly greater within the first 2.6 years of follow-up than later.CONCLUSIONSThese results suggest that the impact of breathing on elbow function is considerable after PN transfer for elbow function reconstruction following a TBPI, both clinically and electromyographically, but also that there may be some waning of this influence over time, perhaps secondary to brain plasticity. In the study cohort, this waning impacted elbow range of motion more than biceps muscle strength and EMG recordings.

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Twelve-year follow-up of chronic pain in twins: Changes in environmental and genetic influence over time

European Journal of Pain ◽

10.1002/ejp.1233 ◽

2018 ◽

Vol 22 (8) ◽

pp. 1439-1447 ◽

Cited By ~ 7

Author(s):

A. Burri ◽

S. Ogata ◽

D. Rice ◽

F. M. K. Williams

Keyword(s):

Chronic Pain ◽

Genetic Influence ◽

Over Time

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Image, performance, attitudes, trust, and loyalty in financial services

International Journal of Bank Marketing ◽

10.1108/ijbm-06-2017-0118 ◽

2018 ◽

Vol 36 (4) ◽

pp. 744-763 ◽

Cited By ~ 1

Author(s):

Mehdi Akhgari ◽

Edward R. Bruning ◽

Jesse Finlay ◽

Nealia S. Bruning

Keyword(s):

Executive Compensation ◽

Relationship Quality ◽

Financial Services ◽

Structural Equation ◽

Positive Association ◽

Equation Modeling ◽

Negative Effects ◽

Content Type ◽

Quasi Experimental ◽

The Relationship

PurposeThe purpose of this paper is twofold: first, to determine the extent to which hedonic and utilitarian attitudes and loyalty are influenced by perceived financial performance (PFP) and executive compensation plan image (ECPI) in financial services; second, the authors evaluate relationships among hedonic and utilitarian attitudes, trust, and loyalty.Design/methodology/approachUsing a quasi-experimental design in Study 1 the authors test the relationship between antecedents (PFP and ECPI) and relational elements (attitudes, trust, and loyalty) to address the first objective. To accomplish the second objective, the authors employ structural equation modeling in Study 2 to test the relationship among hedonic and utilitarian attitudes, trust, and loyalty.FindingsStudy 1 confirms that PFP and ECPI positively impact both hedonic and utilitarian attitudes but do not directly affect loyalty. Study 2 demonstrates a positive association between utilitarian attitudes and trust, although the hedonic attitudes-trust relationship is negative. Hedonic attitudes are also significantly related to utilitarian attitudes. Finally, trust mediates the relationship between attitudes and loyalty.Practical implicationsBuilding customer trust is an important correlate of loyalty, and emphasizing an attribute-based aspect of perceived financial service generates greater trust compared to enhancing a non-attribute aspect (i.e. minimizing negative effects on image of executive compensation plans).Originality/valueThe authors link attitude research to service/relationship quality research and discover that attitudes are indirectly related to loyalty through increases in trust. The findings suggest that perceived image and performance of financial services are important to relationship quality when applied to financial services.

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