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How do CRC couples share burden and distress?

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In 200 patient–spouse dyads, self-perceived and caregiver burden linked both partners’ anxiety/depression and mediated paths from dyadic coping.

Source

The impact of self-perceived burden, caregiver burden, and dyadic coping on negative emotions in colorectal cancer patient-spousal caregiver dyads: a dyadic analysis

Chen X, Wang Z, Zhou J, et al. · Frontiers in psychology · 2023

doi.org/10.3389/fpsyg.2023.1238924Read the full paper ↗28 citationscc by

What they did

Surveyed 200 colorectal cancer patient–spousal caregiver dyads on self-perceived burden (patients), caregiver burden (spouses), dyadic coping, anxiety, and depression; analyzed with Pearson correlations and actor–partner interdependence mediation models.

What they found

Burdens associated with both partners’ anxiety/depression. Patients’ dyadic coping linked to both burdens; caregivers’ dyadic coping linked mainly to patients’ coping and depression. Self-perceived burden showed actor–partner mediation; caregiver burden showed partner-only mediation between coping and anxiety/depression.

The limits

What it doesn't show

Cross-sectional dyadic data cannot prove causal direction; findings are from one Chinese hospital window and may not generalize to non-spousal caregivers.

Key terms

Self-perceived burden
Patient’s sense of being a burden to others.
Caregiver burden
Strain reported by the spousal caregiver.
Dyadic coping
How partners jointly manage stress as a unit.
Actor–partner interdependence
Model estimating own (actor) and partner effects in dyads.
Mediation
Indirect path from coping to emotions through burden.
Colorectal cancer dyad
Patient plus spousal caregiver analyzed as a paired unit.

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Number of dyads surveyed:

Common questions

How many dyads?

200 patient–spouse pairs.

What mediated coping → anxiety/depression?

Self-perceived burden (actor–partner) and caregiver burden (partner).

Design window?

August to December 2022.

Practical implication?

Target burdens while supporting healthy dyadic coping.

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