@article{35f60545e69d46bf833cd06508c0dba6,
title = "The Association of Dyadic Symptom Appraisal With Physical and Mental Health Over Time in Care Dyads Living With Lung Cancer",
abstract = "The study examined the association between changes in dyadic symptom appraisal with changes in physical and mental health of 109 family care dyads living with lung cancer over 12 months. Multilevel modeling was used to analyze both aggregate and time-varying associations of dyadic symptom appraisal with dyadic health. Patients had significantly worse physical health compared with their care partner; care partners had significantly worse mental health compared with patients. In general, greater incongruent symptom appraisals were significantly associated with worse physical health for both patients and care partners. Importantly, increases in magnitude of incongruence regarding the patient{\textquoteright}s pain interference were significantly associated with declines in patient physical health over time. Direction of the incongruence was associated with mental health. Findings highlight the need for both a longitudinal and dyadic perspective of symptom appraisal to move toward theoretically driven interventions that will optimize the health of both patients and their care partners.",
keywords = "caregivers, dyadic health, dyspnea, pain",
author = "Lyons, {Karen S.} and Christopher Lee",
note = "Funding Information: https://orcid.org/0000-0001-9349-6057 Lyons Karen S. PhD, FGSA 1 Lee Christopher S. PhD, RN, FAHA, FAAN, FHFSA 1 1 Boston College, Chestnut Hill, USA Karen S. Lyons, Associate Professor, William F. Connell School of Nursing, Boston College, Maloney Hall, 231, 140 Commonwealth Ave., Chestnut Hill, MA 02467, USA. Email: karen.lyons@bc.edu 12 2019 1074840719889967 {\textcopyright} The Author(s) 2019 2019 SAGE Publications The study examined the association between changes in dyadic symptom appraisal with changes in physical and mental health of 109 family care dyads living with lung cancer over 12 months. Multilevel modeling was used to analyze both aggregate and time-varying associations of dyadic symptom appraisal with dyadic health. Patients had significantly worse physical health compared with their care partner; care partners had significantly worse mental health compared with patients. In general, greater incongruent symptom appraisals were significantly associated with worse physical health for both patients and care partners. Importantly, increases in magnitude of incongruence regarding the patient{\textquoteright}s pain interference were significantly associated with declines in patient physical health over time. Direction of the incongruence was associated with mental health. Findings highlight the need for both a longitudinal and dyadic perspective of symptom appraisal to move toward theoretically driven interventions that will optimize the health of both patients and their care partners. dyadic health caregivers pain dyspnea American Cancer Society https://doi.org/10.13039/100000048 RSGPB-07-171-01-CPPB edited-state corrected-proof typesetter ts1 Declaration of Conflicting Interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by the American Cancer Society (RSGPB-07-171-01-CPPB). ORCID iD Karen S. Lyons https://orcid.org/0000-0001-9349-6057 Publisher Copyright: {\textcopyright} The Author(s) 2019.",
year = "2020",
month = feb,
day = "1",
doi = "10.1177/1074840719889967",
language = "English (US)",
volume = "26",
pages = "15--25",
journal = "Journal of Family Nursing",
issn = "1074-8407",
publisher = "SAGE Publications Inc.",
number = "1",
}