Prevalence of and Factors Associated with Marital Distress among Hematopoietic Cell Transplantation Survivors: Results from a Large Cross-Sectional Study.
Prevalence of and Factors Associated with Marital Distress among Hematopoietic Cell Transplantation Survivors: Results from a Large Cross-Sectional Study.
复制标题
DOI：
10.1016/j.jtct.2022.03.008
复制
发表时间：
2022-06
影响因子：
3.2
通讯作者：
Lee, Stephanie J.
中科院分区：
文献类型：
--
作者：
Langer, Shelby L.;Yi, Jean C.;Syrjala, Karen L.;Schoemans, Helene;Mukherjee, Ahona;Lee, Stephanie J.
Medical and psychological sequelae of hematopoietic cell transplantation (HCT) are well-established. Less is known regarding impacts on intimate relationships. We sought to describe the prevalence of relationship distress among married HCT survivors, and to identify factors associated with relationship distress. The study was cross-sectional. HCT survivors treated at an NCI-designated cancer center completed a survey that included measures of psychological and relationship distress (Revised Dyadic Adjustment Scale, RDAS), demographic, and medical factors. 1047 respondents reported being married and completed the RDAS. Sample characteristics were mean age 58 (range 22–83), mean years post-HCT 12.3 (range <1–43), 42% female, and 89% non-Hispanic white. RDAS total adjustment scores were comparable to published community sample values. 19% of respondents were classified as relationship-distressed. Three factors were associated with greater odds of relationship distress: cancer and treatment distress (OR = 1.59, CI = 1.09, 2.31); depression (OR = 1.44, CI = 1.17, 1.76), and time post-transplant (OR = 1.03, CI = 1.01, 1.04). These findings were qualified by gender-stratified analyses. Depression was associated with relationship distress among females; the other two variables were associated with relationship distress among males. Results paint an overall picture of positive long-term marital functioning among HCT survivors, with a subset reporting relationship distress. Screening is warranted to identify survivors at risk for relationship distress and to inform targeted intervention.
登录
查看更多内容
影响因子：
1.4
作者：
Crane, DR;Middleton, KC;Bean, RA
通讯作者：
Bean, RA
影响因子：
2.2
作者：
BUSBY, DM;CHRISTENSEN, C;LARSON, JH
通讯作者：
LARSON, JH
影响因子：
4.3
作者：
Banerjee, Rahul;Yi, Jean C.;Syrjala, Karen L.
通讯作者：
Syrjala, Karen L.
影响因子：
4.3
作者：
Bevans, Margaret;El-Jawahri, Areej;Syrjala, Karen L.
通讯作者：
Syrjala, Karen L.
影响因子：
4.3
作者：
Armenian, Saro H.;Chemaitilly, Wassim;Battiwalla, Minoo
通讯作者：
Battiwalla, Minoo