Marital satisfaction is an important indicator of adaptation in patients with cancer; however, its relationship to medium-to-long-term health-related outcomes is less well understood. Married women (N = 152) at least six months post-mastectomy were surveyed to determine whether marital satisfaction predicted non-weight-related body image distress (BID), pain impact, and mood, or whether the directionality of this association operated in reverse. Structural equation modeling indicated that the model predicting medium-to-long-term health-related outcomes from satisfaction better fit the data and that time influences mood.
Al Ghazal, S.K., Fallowfield, L., & Blamey, R.W. (2000). Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. European Journal of Cancer, 36, 1938-1943.
2.
Arbuckle, J.L. (2005). AMOS 6.0 programming and reference guide. Spring House, PAAMOS Development Corporation.
3.
Bair, M.J., Robinson, R.L., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity: A literature review. Archives of Internal Medicine, 163, 2433-2445.
4.
Beck, A.T., & Beamesderfer, A. (1974). Assessment of depression: The depression inventory. Modern Problems of Pharmacopsychiatry , 7, 151-169.
5.
Bentler, P.M. (2007). On tests and indices for evaluating structural models. Personality and Individual Differences, 42, 825-829.
6.
Boothby, J.L., Thorn, B.E., Overduin, L.Y., & Ward, L.C. (2004). Catastrophizing and perceived partner responses to pain. Pain, 109, 500-506.
7.
Brown, T.A., Cash, T.F., & Mikulka, P.J. (1990). Attitudinal body-image assessment: Factor analysis of the Body-Self Relations Questionnaire. Journal of Personality Assessment, 55, 135-144.
8.
Cameron, L.D., Booth, R.J., Schlatter, M., Ziginskas, D., Harman, J.E., & Benson, S.R. (2005). Cognitive and affective determinants of decisions to attend a group psychosocial support program for women with breast cancer . Psychosomatic Medicine, 67, 584-589.
9.
Carver, C.S., Pozo-Kaderman, C., Price, A.A., Noriega, V., Harris, S.D., Derhagopian, R.P. et al. (1998). Concern about aspects of body image and adjustment to early stage breast cancer. Psychosomatic Medicine , 60, 168-174.
10.
Carver, C.S., Smith, R.G., Petronis, V.M., & Antoni, M.H. (2005). Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes . Psychooncology, 15, 749-758.
11.
Chibnall, J.T., & Tait, R.C. (1994). The Pain Disability Index: Factor structure and normative data. Archives of Physical Medicine Rehabilitation , 75, 1082-1086.
12.
Dersh, J., Polatin, P.B., & Gatchel, R.J. (2002). Chronic pain and psychopathology: Research findings and theoretical considerations. Psychosomatic Medicine, 64, 773-786.
13.
Dropkin, M.J. (1989). Coping with disfigurement and dysfunction after head and neck cancer surgery: A conceptual framework. Seminars in Oncology Nursing, 5, 213-219.
14.
Duric, V., & McCarson, K.E. (2006). Persistent pain produces stress-like alterations in hippocampal neurogenesis and gene expression. Journal of Pain, 7, 544-555.
15.
Ferrell, B.R., Grant, M., Funk, B., Garcia, N., Otis-Green, S., & Schaffner, M.L. (1996). Quality of life in breast cancer. Cancer Practice, 4, 331-340.
16.
Figueiredo, M.I., Cullen, J., Hwang, Y.T., Rowland, J.H., & Mandelblatt, J.S. (2004). Breast cancer treatment in older women: Does getting what you want improve your long-term body image and mental health? Journal of Clinical Oncology, 22, 4002-4009.
17.
Figueiredo, M.I., Fries, E., & Ingram, K.M. (2004). The role of disclosure patterns and unsupportive social interactions in the well-being of breast cancer patients. Psychooncology, 13, 96-105.
18.
Fishbain, D.A., Cutler, R., Rosomoff, H.L., & Rosomoff, R.S. (1997). Chronic pain-associated depression: Antecedent or consequence of chronic pain? A review. Clinical Journal of Pain, 13, 116-137.
19.
Fobair, P., Stewart, S.L., Chang, S., D'Onofrio, C., Banks, P.J., & Bloom, J.R. (2005). Body image and sexual problems in young women with breast cancer. Psychooncology, 15, 579-594.
20.
Frazier, P.A., Tix, A.P., & Barnett, C.L. (2003). The relational context of social support: Relationship satisfaction moderates the relations between enacted support and distress . Personality and Social Psychology Bulletin, 29, 1133-1146.
21.
Ganz, P.A., Coscarelli, A., Fred, C., Kahn, B., Polinsky, M.L., & Petersen, L. (1996). Breast cancer survivors: Psychosocial concerns and quality of life. Breast Cancer Research and Treatment , 38, 183-199.
22.
Giesecke, T., Gracely, R.H., Williams, D.A., Geisser, M.E., Petzke, F.W., & Clauw, D.J. (2005). The relationship between depression, clinical pain, and experimental pain in a chronic pain cohort. Arthritis and Rheumatism, 52, 1577-1584.
23.
Hagedoorn, M., Kuijer, R.G., Buunk, B.P., DeJong, G.M., Wobbes, T., & Sanderman, R. (2000). Marital satisfaction in patients with cancer: Does support from intimate partners benefit those who need it the most? Health Psychology, 19, 274-282.
24.
Harcourt, D.M., Rumsey, N.J., Ambler, N.R., Cawthorn, S.J., Reid, C.D., Maddox, P.R. et al. (2003). The psychological effect of mastectomy with or without breast reconstruction: A prospective, multicenter study. Plastic and Reconstructive Surgery, 111, 1060-1068.
25.
Hartl, K., Janni, W., Kastner, R., Sommer, H., Strobl, B., Rack, B. et al. (2003). Impact of medical and demographic factors on long-term quality of life and body image of breast cancer patients. Annals of Oncology, 14, 1064-1071.
26.
Hu, L., & Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55.
27.
Keefe, F.J., Rumble, M.E., Scipio, C.D., Giordano, L.A., & Perri, L.M. (2004). Psychological aspects of persistent pain: Current state of the science. Journal of Pain, 5, 195-211.
28.
Kline, R.B. (2005). Principles and practice of structural equation modeling, 2nd edn. New York: Guilford Press.
29.
Kroner, K., Knudsen, U.B., Lundby, L., & Hvid, H. (1992). Long-term phantom breast syndrome after mastectomy . Clinical Journal of Pain, 8, 346-350.
30.
Kudel, I., Edwards, R., Kozachik, S., Block, B., Argawal, S., Heinberg, L. et al. (2007). Predictors and consequences of multiple persistent post-mastectomy pains. Journal of Pain Symptom Management, 34, 619-627.
31.
Macdonald, L., Bruce, J., Scott, N.W., Smith, W.C., & Chambers, W.A. (2005). Long-term follow-up of breast cancer survivors with post-mastectomy pain syndrome. British Journal of Cancer, 92, 225-230.
32.
Manne, S.L., Taylor, K.L., Dougherty, J., & Kemeny, N. (1997). Supportive and negative responses in the partner relationship: Their association with psychological adjustment among individuals with cancer. Journal of Behavioral Medicine, 20, 101-125.
33.
Marteau, T.M., & Bekker, H. (1992). The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology, 31, 301-306.
34.
McCracken, L.M. (2005). Social context and acceptance of chronic pain: The role of solicitous and punishing responses. Pain, 113, 155-159.
35.
Morris, T., Greer, H.S., & White, P. (1977). Psychological and social adjustment to mastectomy: A two-year follow-up study. Cancer, 40, 2381-2387.
36.
Newell, R. (2000). Body image and disfigurement care. London: Routledge.
37.
Nicholson, R.M., Leinster, S., & Sassoon, E.M. (2007). A comparison of the cosmetic and psychological outcome of breast reconstruction, breast conserving surgery and mastectomy without reconstruction. Breast, 16, 396-410.
38.
Nissen, M.J., Swenson, K.K., Ritz, L.J., Farrell, J.B., Sladek, M.L., & Lally, R.M. (2001). Quality of life after breast carcinoma surgery: A comparison of three surgical procedures. Cancer, 91, 1238-1246.
39.
Ozalp, G., Sarioglu, R., Tuncel, G., Aslan, K., & Kadiogullari, N. (2003). Preoperative emotional states in patients with breast cancer and postoperative pain. Acta Anaesthesiologica Scandinavica, 47, 26-29.
40.
Perkins, F.M., & Kehlet, H. (2000). Chronic pain as an outcome of surgery: A review of predictive factors. Anesthesiology, 93, 1123-1133.
41.
Petronis, V.M., Carver, C.S., Antoni, M.H., & Weiss, S. (2003). Investment in body image and psychosocial well-being among women treated for early stage breast cancer: Partial replication and extension. Psychology & Health, 18, 1-13.
42.
Shimozuma, K., Ganz, P.A., Petersen, L., & Hirji, K. (1999). Quality of life in the first year after breast cancer surgery: Rehabilitation needs and patterns of recovery. Breast Cancer Research and Treatment, 56, 45-57.
Thoma, A., Sprague, S., Veltri, K., Duku, E., & Furlong, W. (2005). Methodology and measurement properties of health-related quality of life instruments: A prospective study of patients undergoing breast reduction surgery. Health and Quality of Life Outcomes, 3, 44.
45.
Weitzner, M.A., Meyers, C.A., Stuebing, K.K., & Saleeba, A.K. (1997). Relationship between quality of life and mood in long-term survivors of breast cancer treated with mastectomy. Supportive Care in Cancer, 5, 241-248.
46.
White, C.A. (2000). Body image dimensions and cancer: A heuristic cognitive behavioural model. PsychoOncology, 9, 183-192.
47.
Wimberly, S.R., Carver, C.S., Laurenceau, J.P., Harris, S.D., & Antoni, M.H. (2005). Perceived partner reactions to diagnosis and treatment of breast cancer: Impact on psychosocial and psychosexual adjustment. Journal of Consulting and Clinical Psychology, 73, 300-311.
48.
Zaza, C., & Baine, N. (2002). Cancer pain and psychosocial factors: A critical review of the literature. Journal of Pain and Symptom Management , 24, 526-542.
