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Title: Marital adjustment in the context of female breast cancer: A systematic review
Authors: Brandão, Tânia
Pedro, Juliana
Nunes, Nuno
Martins, Mariana V.
Costa, Maria E.
Matos, Paula M.
Keywords: breast cancer
couple intervention
marital adjustment
systematic review
Issue Date: 2017
Citation: BrandãoT, Pedro J, Nunes N, MartinsMV, Costa ME, Matos PM. Marital adjustment in the context offemale breast cancer: A systematic review. Psycho‐Oncology.2017;26:2019–2029.
Abstract: Objective: Breast cancer (BC) diagnosis and subsequent treatments present significant challenges and distress for both patients and their partners. This can lead to difficulties in marital relationships and, consequently, decreases in marital adjustment and psychosocial adaptation to BC for both partners. Our objective was to systematically review studies assessing marital adjustment in the context of female BC to understand which factors are associated with marital adjustment in both patients and partners, and characterize the measures employed to assess marital adjustment within these studies. Methods: This systematic review was conducted in accordance with PRISMA guidelines. English, peer-reviewed articles exploring factors associated with marital adjustment in the context of female BC were considered for inclusion. Results: Fourteen studies were included. Results evidenced that psychosocial variables play an important role on marital adjustment. Specifically, open and constructive communication, more social support, and supportive dyadic coping were found to be associated with higher levels of marital adjustment. Other variables such as self-efficacy, sexual functioning, and psychological adjustment were also positively associated with marital adjustment. Conclusions: Most studies evidenced an association between psychosocial variables and marital adjustment for both women and their partners. Some important dimensions such as communication patterns, coping strategies, and social support dynamics were identified as potential targets for psychological interventions. Some variables, however, were explored only in a few studies which limit our conclusions. Future studies should explore the role these variables and other relational and emotional variables play in promoting marital adjustment after BC.
Peer Reviewed: yes
metadata.dc.identifier.doi: 10.1002/pon.4432
Appears in Collections:CIP - Artigos/Papers

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