Cancer-related effects on relationships, long-term psychological status and relationship satisfaction in couples whose child was treated for leukemia: A PETALE study

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Federal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Diseases” Negative psychological status is acknowledged as one of risk of development of cardiovascular pathology. However, predictive value of type D personality (psychosocial distress) in different cultures and the countries are not fully understood. Purpose: Study aim was to investigate the association of type D personality and quality of life (QoL) with the development of cardiovascular complication in patients in five years after coronary artery bypass grafting (CABG). Materials and Methods: Evaluation of psychological status and combined risk of nonfatal (strokes, nonfatal myocardial infarctions, repeat procedures of revascularization and hospitalization due to relapse or progression of angina pectoris) and fatal (general and cardiovascular mortality) cases before and in five years after CABG. Patients with chronic ischemic heart disease (n = 602, 112 (18.5%) females and 490 (81.5%) males, mean age = 57.7 ± 7.3 years.) who had had CABG were included in the study. Who were formed in two groups: patients with the presence of type D (n= 134) and patients without type D (n = 468). The study of the psychological status was carried out using questionnaire DS-14. Analysis of long-term results were assessed using the Kaplan–Meier method. Data was collected by a SF-36 questionnaire, comprising of 36 questions divided in 8 domains. The score was designated as 0 to 100; with the higher score being indicative of a better QoL. Results: Frequency of fatal cases in both groups amounted 8.3% and 8.1% (p = 0.145), in turn nonfatal end-points in group with type D amounted 31.8%, and 15.9% in group without type D (p = 0.044) in during the 5 years. Presence of type D personality at initial examination increased 3.21 times combined risk of nonfatal and fatal cases (OR 3.21, 95% CI 2.02-6.14, p = 0.002). In long term period there were no differences in survival between groups type D and without type D (95.5% vs. 96.8%), There were differences in groups type D and without type D in nonfatal events (strokes, nonfatal myocardial infarctions, secondary endpoint: repeat procedures of revascularization and hospitalization due to relapse or progression of angina pectoris) (respectively, 97.1% vs 88.0%, (p = 0.341). Findings showed that 75% of subjects reported well QoL, while the mean score regarding QoL in patients with type D personality, were higher than in patients without type D in all health related dimensions. Based on t-test difference, the of QoL in in patients with type D and in patients without type D for physical health (p < 0.015), mental limitation (p < 0.043), somatic pain (p < 0.022) and mental health (p < 0.041) was observed. Conclusion: Type D patients had a greater risk for nonfatal cardiac events and lower QoL indicators, compared with non Type D patients. Accumulated proofs indicate that in detection of patients at risk of development of stress induced cardiac complications after CABG it is reasonable to use approach which involves consideration of personality type.

Download Full-text

COPD Clinical Control: predictors and long-term follow-up of the CHAIN cohort

Respiratory Research ◽

10.1186/s12931-021-01633-y ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Myriam Calle Rubio ◽

◽

Juan Luis Rodriguez Hermosa ◽

Juan P. de Torres ◽

José María Marín ◽

...

Keyword(s):

Triple Therapy ◽

Clinical Status ◽

Airflow Limitation ◽

Psychological Status ◽

Prognostic Information ◽

Clinical Control ◽

All Cause Mortality ◽

Long Term Follow Up

Abstract Background Control in COPD is a dynamic concept that can reflect changes in patients’ clinical status that may have prognostic implications, but there is no information about changes in control status and its long-term consequences. Methods We classified 798 patients with COPD from the CHAIN cohort as controlled/uncontrolled at baseline and over 5 years. We describe the changes in control status in patients over long-term follow-up and analyze the factors that were associated with longitudinal control patterns and related survival using the Cox hazard analysis. Results 134 patients (16.8%) were considered persistently controlled, 248 (31.1%) persistently uncontrolled and 416 (52.1%) changed control status during follow-up. The variables significantly associated with persistent control were not requiring triple therapy at baseline and having a better quality of life. Annual changes in outcomes (health status, psychological status, airflow limitation) did not differ in patients, regardless of clinical control status. All-cause mortality was lower in persistently controlled patients (5.5% versus 19.1%, p = 0.001). The hazard ratio for all-cause mortality was 2.274 (95% CI 1.394–3.708; p = 0.001). Regarding pharmacological treatment, triple inhaled therapy was the most common option in persistently uncontrolled patients (72.2%). Patients with persistent disease control more frequently used bronchodilators for monotherapy (53%) at recruitment, although by the end of the follow-up period, 20% had scaled up their treatment, with triple therapy being the most frequent therapeutic pattern. Conclusions The evaluation of COPD control status provides relevant prognostic information on survival. There is important variability in clinical control status and only a small proportion of the patients had persistently good control. Changes in the treatment pattern may be relevant in the longitudinal pattern of COPD clinical control. Further studies in other populations should validate our results. Trial registration: Clinical Trials.gov: identifier NCT01122758.

Download Full-text

A clinical course of a patient with anorexia nervosa receiving surgery for superior mesenteric artery syndrome

Journal of Eating Disorders ◽

10.1186/s40337-021-00436-2 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Ken Kurisu ◽

Yukari Yamanaka ◽

Tadahiro Yamazaki ◽

Ryo Yoneda ◽

Makoto Otani ◽

...

Keyword(s):

Weight Loss ◽

Body Weight ◽

Anorexia Nervosa ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Rare Complication ◽

Nutrition Therapy ◽

Psychological Status ◽

Sma Syndrome

Abstract Background Superior mesenteric artery (SMA) syndrome is a well-known but relatively rare complication of anorexia nervosa. Although several reports have proposed surgery for SMA syndrome associated with anorexia nervosa, these have shown poor outcomes or did not reveal the long-term weight course. Thus, the long-term effectiveness of surgery for SMA syndrome in such cases remains unclear. This case report describes a patient with anorexia nervosa who underwent surgery for SMA syndrome. Case presentation An 18-year-old woman presented with anorexia nervosa when she was 16 years old. She also presented with SMA syndrome, which seemed to be caused by weight loss due to the eating disorder. Nutrition therapy initially improved her body weight, but she ceased treatment. She reported that symptoms related to SMA syndrome had led to her weight loss and desired to undergo surgery. Laparoscopic duodenojejunostomy was performed, but her body weight did not improve after the surgery. The patient eventually received conservative nutritional treatment along with psychological approaches, which led to an improvement in her body weight. Conclusions The case implies that surgery for SMA syndrome in patients with anorexia nervosa is ineffective for long-term weight recovery and that conservative treatment can sufficiently improve body weight; this is consistent with the lack of evidence on the topic and reports on potential complications of surgery. Due to difficulties in assessing psychological status, consultation with specialists on eating disorders is necessary for treating patients with severely low body weight.

Download Full-text

The Impact of Personality Disorders on Longitudinal Change in Relationship Satisfaction in Long-Term Married Couples

Journal of Personality Disorders ◽

10.1521/pedi_2019_33_392 ◽

2020 ◽

Vol 34 (4) ◽

pp. 439-458 ◽

Cited By ~ 1

Author(s):

Susan C. South ◽

Michael J. Boudreaux ◽

Thomas F. Oltmanns

Keyword(s):

Marital Satisfaction ◽

Relationship Satisfaction ◽

Personality Disorders ◽

Married Couples ◽

Structured Interview ◽

Individual Variability ◽

Self Report ◽

Longitudinal Change ◽

The Impact

Personality disorders (PDs) are significantly, negatively related to marital satisfaction. We examine how maladaptive personality is related to change in marital satisfaction over time utilizing data from the St. Louis Personality and Aging Network (SPAN), a longitudinal, community-based study of personality and health in older adults. Participants were assessed at baseline for PD (self-report, informant-report, and structured interview); self- and spouse-reported relationship satisfaction assessed at baseline and five follow-ups was analyzed with latent growth curve modeling. Higher levels of PD at baseline were associated with lower self and spouse relationship satisfaction at baseline. On average, satisfaction did not change significantly over the study period, but there was significant individual variability. Higher levels of schizoid PD were protective of declines in partner's perception of satisfaction. Findings suggest that partners in long-term married unions may have adapted to the presence of their own or their spouse's level of personality pathology.

Download Full-text

Long-Term Prediction of Relationship Satisfaction and Stability by Stress, Coping, Communication, and Well-Being

Journal of Divorce & Remarriage ◽

10.1080/10502556.2014.931767 ◽

2014 ◽

Vol 55 (6) ◽

pp. 485-501 ◽

Cited By ~ 15

Author(s):

Mireille Ruffieux ◽

Fridtjof W. Nussbeck ◽

Guy Bodenmann

Keyword(s):

Relationship Satisfaction ◽

Well Being ◽

Stress Coping ◽

Term Prediction ◽

Long Term Prediction

Download Full-text

Temporal dynamics of couples’ communication behaviors in conflict discussions: A longitudinal analysis

Journal of Social and Personal Relationships ◽

10.1177/0265407518806582 ◽

2018 ◽

Vol 36 (9) ◽

pp. 2937-2960 ◽

Cited By ~ 2

Author(s):

Lorena Leuchtmann ◽

Anne Milek ◽

Katharina Bernecker ◽

Fridtjof W. Nussbeck ◽

Sabine Backes ◽

...

Keyword(s):

Relationship Satisfaction ◽

Self Efficacy ◽

Temporal Dynamics ◽

Efficacy Beliefs ◽

Self Report ◽

Communication Behaviors ◽

Positive Communication ◽

Conflict Communication ◽

Negative Communication

Negative and positive conflict communication predicts long-term relationship satisfaction. However, some studies show harmful effects and others show beneficial effects of negative conflict communication on long-term relationship satisfaction. One reason for the heterogeneous results might be that most studies focused on aggregated behaviors across a conflict interaction but neglected the temporal dynamics within such an interaction. This study examined whether individual initial levels and temporal trajectories of negative and positive communications predict long-term relationship satisfaction, and whether self-efficacy beliefs about clarity of other’s feelings (CoF) alter initial levels and temporal trajectories of negative and positive communications. Negative and positive communications were measured based on sequentially coded conflict discussions of 365 couples; self-efficacy beliefs about CoF and relationship satisfaction were measured by self-report questionnaires at baseline and at four annual follow-up assessments. Results revealed that women’s initial positive communication predicted higher intercepts of both partners’ relationship satisfaction, and stronger decreases in women’s negative communication predicted a higher intercept of relationship satisfaction in women. Additionally, less steep decreases in women’s trajectories of negative communication predicted greater maintenance in women’s relationship satisfaction over time. Additionally, men’s self-efficacy beliefs about CoF predicted decreases in men’s negative communication, increases in women’s negative communication, and higher initial levels of women’s positive communication. The current study highlights the relevance of dynamic aspects of partners’ communication behaviors.

Download Full-text

Who gets mad and who feels bad? Mate value discrepancies predict anger and shame in response to transgressions in romantic relationships

Journal of Social and Personal Relationships ◽

10.1177/0265407518808092 ◽

2018 ◽

Vol 36 (10) ◽

pp. 2963-2982 ◽

Cited By ~ 1

Author(s):

Cari D. Goetz ◽

Nestor M. Maria

Keyword(s):

Romantic Relationships ◽

Relationship Satisfaction ◽

Emotional Responses ◽

Mate Preferences ◽

Mate Value ◽

Committed Relationships ◽

Relational Transgressions ◽

Medium Level ◽

Theories Of Emotions

Mate value discrepancies (MVDs) predict multiple outcomes in romantic relationships, including relationship satisfaction, jealousy, and forgiveness. We tested the hypotheses that MVDs would predict anger and shame in response to both medium and strong transgressions within romantic relationships. Participants in long-term committed relationships read scenarios describing relational transgressions and rated how much anger and shame they would feel if they were either the victim or the perpetrator of the transgressions in their current relationship. We found partial support for our hypotheses. Victims of medium-level transgressions were angrier the more alternative potential mates there were that were closer to their ideal mate preferences than their current partner. Perpetrators of strong transgressions felt more shame the higher in mate value their partner was compared to them. Results suggest that different MVDs may predict different outcomes in relationships and highlight the importance of using functional theories of emotions to predict individual differences in emotional responses.

Download Full-text