Patterns and predictors of symptom incongruence in older couples coping with prostate cancer

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Kerri M Winters-StoneTomasz M Beer

Abstract

Prostate cancer survivors (PCSs) may experience persistent symptoms following treatment. If PCSs and spouses differ in their perceptions of symptoms, that incongruence may cause mismanagement of symptoms and reduced relationship quality. The purpose of this study was to examine symptom incongruence and identify the PCS and spouse characteristics associated with symptom incongruence in older couples coping with prostate cancer. Participants in the study were older PCSs (>60 years) and their spouses (N=59 couples). Symptom incongruence was determined by comparing patient and spouse independent ratings of the severity of his cancer-related symptoms. Predictor variables included PCS age, time since diagnosis, PCS comorbidity, PCS and spouse depressive symptoms, and spouse caregiving strain. PCS and spouse ratings of his symptom severity and the amount of incongruence over his symptoms varied significantly across couples. Overall, couples rated a moderate level of PCS symptom severity, but PCSs and their spouses significantly differed in their perceptions of PCS symptom severity with spouses rating severity higher (t=-2.66, df=51, p<0.01). PCS younger age and high spouse caregiver strain accounted for 29 % of incongruence in percept...Continue Reading

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Citations

Apr 22, 2014·Journal of Pain and Symptom Management·Karen S LyonsAline G Sayer
Feb 12, 2015·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lyndsey M MillerJill A Bennett
Dec 21, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·John L OliffeLarry S Goldenberg
Mar 11, 2019·British Journal of Health Psychology·Sharon L ManneShannon Myers Virtue
Feb 23, 2020·Journal of Racial and Ethnic Health Disparities·Kyle B ZunigaStacey A Kenfield
Jan 23, 2018·Journal of Family Nursing·Karen S Lyons, Christopher S Lee

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