ArticleCancer nursing
The Dyadic Effects of Family Cohesion and Communication on Health-Related Quality of Life: The Moderating Role of Sex.
Article in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 25 citations in OpenAlex.
- The Role of Family Care on the Quality of Life of Patients With Permanent Enterostomies: A Chain-Mediated Effect of Inner Strength and Patient Activation.Scandinavian journal of caring sciences · 2026Article
- Relationship between family functioning and psychological distress among young and middle-aged patients with stroke: a moderated mediation model.Scientific reports · 2025Article
- Development and preliminary validation of a health-related family quality of life instrument.Health care for women international · 2024Article
- Communication on familial suicide: development of the Family Communication on Suicide Questionnaire.European journal of psychotraumatology · 2024Article
- Distinct dyadic quality of life profiles among patient-caregiver dyads with advanced lung cancer: a latent profile analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- A cross-sectional study: family communication, anxiety, and depression in adolescents: the mediating role of family violence and problematic internet use.BMC public health · 2023Article
- Couple communication quality and family resilience among Chinese gynecologic cancer patients and their spouses: a dyadic study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Effect of family cohesion on symptom distress during hematopoietic stem cell transplantation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Family Cohesion and Stress Consequences Among Chinese College Students During COVID-19 Pandemic: A Moderated Mediation Model.Frontiers in public health · 2021Article
- The Health related Quality of Life of Puerto Ricans during Cancer Treatments; A Pilot Study.Puerto Rico health sciences journal · 2018Article
- Family Relationships, Resilience, and Quality of Life in People Living with HIV and Their Family Members: An Actor-Partner Interdependence Mediation Model.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundSpouses' ability to care for survivors can be particularly challenging because patients and spouses are interdependent and mutually influence one another. Family functioning such as family cohesion and communication may play a primary role in improving the health-related quality of life (HRQOL) of couples, given that cancer can influence family dynamics.
objectiveThe aims of this study were to investigate the mediating effect of family communication on the relationship between family cohesion and HRQOL and examine the moderating effect of sex on this relationship among cancer survivor-spouse dyads.
methodsA total of 91 cancer survivors with a diagnosis of breast, colorectal, or prostate cancer and their spouses were recruited from the University Hospital Registry in Cleveland, Ohio. The dyadic data were analyzed using structural equation modeling with the actor-partner interdependence mediation model.
resultsFindings demonstrated that the spouses' own perceived family communication mediated the associations between their own family cohesion and physical HRQOL and between the survivors' family cohesion and physical HRQOL. The spouse actor effects between family communication and HRQOL significantly differed by sex.
conclusionsEnhancing family cohesion and communication within the family can improve the spouses' HRQOL. Findings regarding sex differences serve as a rationale for gender-based approaches to improving HRQOL in survivorship care in the family context. IMPLICATIONS FOR PRACTICE: Couple- and/or family-based interventions should be designed to enhance family cohesion and improve family communication skills for effective adjustments within couples and families. Supportive care within the family context can be promoted to address the diverse challenges of survivorship care.
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