Optimism and family resilience in cancer patient-partner dyads: A prospective study
Published:
Απρ 24, 2026
Keywords:
cancer, couple, optimism, family resilience, well-being
Abstract
Cancer often affects both patients and their partners. This prospective study aims to examine the role of optimism and family resilience in well-being and relationship quality in a sample of oncology patients and their partners. This longitudinal study included 96 cancer patients (N=48, M=56.56 years) and their partners (N=48, M=55.66 years). Data were collected using self-report scales measuring demographic characteristics, optimism (GrLOT-R), family resilience (WFRQ), well-being (PERMA Profiler), and relationship quality (QMI). The Actor-Partner Interdependence Model (APIM) was applied using the APIM_SEM web application to analyze dyadic relationships. In most cases, optimism and family resilience in both patients and their partners were positively associated with individual well-being and relationship quality. Patient family resilience was positively correlated with their partner’s well-being, whereas a negative relationship was observed between partner family resilience and patient well-being. Optimism had no dyadic effect on well-being or relationship quality. These findings highlight that family resilience, especially, contributes positively to well-being and relationship quality at both individual and interpersonal levels, even amid critical life events such as cancer. Future research could further explore the role of optimism, the role of partners, gender roles, or illness representations to clarify the observed differences between patients and their partners.
Article Details
- How to Cite
-
Vasilopoulou, M., Pezirkianidis, C., Zouli, E., Floraki, T., Karademas, E. C., & Kounenou , K. (2026). Optimism and family resilience in cancer patient-partner dyads: A prospective study. Psychology: The Journal of the Hellenic Psychological Society, 31(1), 320–341. https://doi.org/10.12681/psy_hps.45330
- Section
- SPECIAL SECTION
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The journal PSYCHOLOGY adopts a Platinum open-access policy. Submission, processing or publication costs are waived by the Hellenic Psychological Society. Papers published in the journal PSYCHOLOGY are licensed under a 'Creative Commons Attribution-ShareAlike 4.0 International' licence. The authors reserve the copyright of their work and grant the journal the right of its first publication. Third-party licensees are allowed to use the published paper immediately after publication as they wish, provided they retain the defined by the license copyright formalities, regarding the reference to its author(s) and its initial publication in the journal PSYCHOLOGY. Moreover, any adjusted work should be shared under the same reuse rights, so with the same CC license.
Downloads
Download data is not yet available.
References
Aivalioti, I., & Pezirkianidis, C. (2020). The role of family resilience on parental well-being and resilience levels. Psychology, 11(11), 1705-1728. https://doi.org/10.4236/psych.2020.1111108
Allison, P. J., Guichard, C., Fung, K., & Gilain, L. (2003). Dispositional optimism predicts survival status 1 year after diagnosis in head and neck cancer patients. Journal of Clinical Oncology, 21(3), 543–548. https://doi.org/10.1200/JCO.2003.10.205
Anjos, A. P., Ward-Griffin, C., & Leipert, B. (2012). Understanding gendered expectations and exemptions experienced by male double-duty caregivers: A qualitative secondary analysis. Canadian Journal of Nursing Research, 44(3), 104–123. https://doi.org/10.1177/0733464816641391
Applebaum, A. J., Stein, E. M., Lord-Bessen, J., Pessin, H., Rosenfeld, B., & Breitbart, W. (2014). Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho-oncology, 23(3), 299–306. https://doi.org/10.1002/pon.3418
Atienza, A. A., Stephens, M. A. P., & Townsend, A. L. (2002). Dispositional optimism, role-specific stress, and the well-being of adult daughter caregivers. Research on Aging, 24(2), 193–217. https://doi.org/10.1177/0164027502242003
Badr, H., Carmack, C. L., Kashy, D. A., Cristofanilli, M., & Revenson, T. A. (2010). Dyadic coping in metastatic breast cancer. Health Psychology, 29(2), 169–180. https://doi.org/10.1037/a0018165
Bao, Y., Li, L., Guan, Y., Wang, W., Liu, Y., Wang, P., & Wang, Y. (2017). Prevalence and associated positive psychological variables of anxiety and depression among patients with central nervous system tumors. Journal of Neuro-Oncology, 134(2), 305–313. https://doi.org/10.1007/s11060-017-2538-7
Bodenmann, G. (2005). Dyadic coping. In T. A. Revenson, K. Kayser, & G. Bodenmann (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp. 33–49). American Psychological Association. https://doi.org/10.1037/11031-002
Bodschwinna, D., Ernst, J., Mehnert-Herkerauf, A., Gündel, H., Weissflog, G., & Hönig, K. (2021). Dyadic coping and social support: Various types of support in hematooncological patients and their spouses. Associations with psychological distress. Psycho-Oncology, 30(7), 1041–1050. https://doi.org/10.1002/pon.5631
Brivio, E., Guiddi, P., Scotto, L., Giudice, A. V., Pettini, G., Busacchio, D., Didier, F., Mazzocco, K., & Pravettoni, G. (2021). Patients living with breast cancer during the coronavirus pandemic: The role of family resilience, coping flexibility, and locus of control on affective responses. Frontiers in Psychology, 11, 567230. https://doi.org/10.3389/fpsyg.2020.567230
Butler, J., & Kern, M. L. (2016). The PERMA-Profiler: A brief multidimensional measure of flourishing. International Journal of Wellbeing, 6(3), 1–48. https://doi.org/10.5502/ijw.v6i3.526
Butner-Kozimor, L. M., & Savla, J. (2021). Couples facing skin cancer in old age: A dyadic investigation of partner support and quality of life. The International Journal of Aging and Human Development, 93(2), 746–766. https://doi.org/10.1177/0091415020957476
Butow, P. N., Price, M. A., Bell, M. L., Webb, P. M., DeFazio, A., & the Life Study Investigators. (2014). Caring for women with ovarian cancer in the last year of life: A longitudinal study of caregiver quality of life, distress, and unmet needs. Gynecologic Oncology, 132(3), 690–697. https://doi.org/10.1016/j.ygyno.2014.01.002
Carver, C. S., & Scheier, M. F. (1998). On the self-regulation of behavior. Cambridge University Press.
Carver, C. S., & Scheier, M. F. (2001). Optimism, pessimism, and self-regulation. In E. C. Chang (Ed.), Optimism & pessimism: Implications for theory, research, and practice (pp. 31–51). American Psychological Association. https://doi.org/10.1037/10385-002
Carver, C. S., & Scheier, M. F. (2014). Dispositional optimism. Trends in Cognitive Sciences, 18(6), 293–299. https://doi.org/10.1016/j.tics.2014.02.003.
Carver, C. S., Scheier, M. F., & Segerstrom, S. C. (2010). Optimism. Clinical psychology review, 30(7), 879–889. https://doi.org/10.1016/j.cpr.2010.01.006.
Castro, R. F., Araújo, S., Marques, A., Ferreira, D., Rocha, H., Aguiar, S., Pieramico, S., Quinta-Gomes, A., Tavares, I. M., Nobre, P. J., & Carvalho, J. (2023). Mapping the contributions of dyadic approaches to couples' psychosocial adaptation to prostate cancer: a scoping review. Sexual medicine reviews, 12(1), 35–47. https://doi.org/10.1093/sxmrev/qead044
Cerezo, M. V., Álvarez-Olmo, A., & Rueda, P. (2022). General health and resilience of breast cancer patients: The mediator role of affective well-being. International Journal of Environmental Research and Public Health, 19(9), 5398. https://doi.org/10.3390/ijerph19095398
Chen, J. J., Wang, Q. L., Li, H. P., Zhang, T., Zhang, S. S., & Zhou, M. K. (2021). Family resilience, perceived social support, and individual resilience in cancer couples: Analysis using the actor-partner interdependence mediation model. European journal of oncology nursing: the official journal of European Oncology Nursing Society, 52, 101932. https://doi.org/10.1016/j.ejon.2021.101932
Chen, M., Cao, Q., Luo, X., Li, J., & Li, J. (2021). A literature review of the relationship between dyadic coping and dyadic outcomes in cancer couples. European Journal of Oncology Nursing, 54, 102035. https://doi.org/10.1016/j.ejon.2021.102035
Chen, X., Xu, X., Wang, T., Qiu, C., & Li, M. (2023). Couple communication quality and family resilience among Chinese gynecologic cancer patients and their spouses: A dyadic study. Supportive Care in Cancer, 31(5), 271. https://doi.org/10.1007/s00520-023-07641-2
Chin, J. C., Chen, Y. Y., & Yang, P. S. (2025). Couples' experiences of spousal caregiving for women with breast cancer: a frame analysis. BMC nursing, 24(1), 761. https://doi.org/10.1186/s12912-025-03339-8
Chopik, W. J., Kim, E. S., & Smith, J. (2018). An examination of dyadic changes in optimism and physical health over time. Health Psychology, 37(1), 42–52. https://doi.org/10.1037/hea0000549
Chung, M. L., Bakas, T., Plue, L., & Williams, L. S. (2016). Effects of self-esteem, optimism, and perceived control on depressive symptoms in stroke survivor–spouse dyads. Journal of Cardiovascular Nursing, 31(2), E8–E16. https://doi.org/10.1097/JCN.0000000000000222
Chung, M. L., Miller, J. L., Lee, S. J., Son, Y. J., Cha, G., & King, R. B. (2022). Linkage of optimism with depressive symptoms among stroke survivor–caregiver dyads at 2 years post-stroke: Dyadic mediation approach. Journal of Cardiovascular Nursing, 38(1), 35–44. https://doi.org/10.1097/JCN.0000000000000835
Cihan, H., & Aydogan, D. (2020). Relational resilience as a protective factor in marital adjustment of couples with cancer: A dyadic model. Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 33(3), 281–288. https://doi.org/10.14744/DAJPNS.2020.00036
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
Dankoski, M. E., & Pais, S. (2007). What’s love got to do with it? Couples, illness, and MFT. Journal of Couple & Relationship Therapy, 6(1–2), 31–43. https://doi.org/10.1300/J398v06n01_04
Díaz, A., Ponsoda, J. M., & Belén, A. (2020). Optimism as a key to improving mental health in family caregivers of people living with Alzheimer’s disease. Aging & Mental Health, 24(10), 1662–1670. https://doi.org/10.1080/13607863.2020.1715342
Dimitraki, G., & Karademas, E. C. (2014). The association of type 2 diabetes patient and spouse illness representations with their well-being: A dyadic approach. International Journal of Behavioral Medicine, 21(2), 230–239. https://doi.org/10.1007/s12529-013-9298-2
Ding, Z., Yu, D., Li, H., & Ding, Y. (2021). Effects of marital status on overall and cancer-specific survival in laryngeal cancer patients: a population-based study. Scientific reports, 11(1), 723. https://doi.org/10.1038/s41598-020-80698-z
Donison, V., Toledano, N., Sigal, A., McGilton, K. S., Alibhai, S. M. H., & Puts, M. (2022). Care provided by older adult caregivers to a spouse in active cancer treatment: a scoping review. Supportive care in cancer, 30(11), 8679–8688. https://doi.org/10.1007/s00520-022-07176-2
Drabe, N., Wittmann, L., Zwahlen, D., Büchi, S., & Jenewein, J. (2013). Changes in close relationships between cancer patients and their partners. Psycho-oncology, 22(6), 1344–1352. https://doi.org/10.1002/pon.3144
Duncan, J., Garrison, M., Killian, T., Moon, Z., & Way, K. (2021). Family resilience: Variations by individual psychological and health resources, social capital, and sociodemographic characteristics. The Family Journal, 30(3), 376–383. https://doi.org/10.1177/10664807211016483
Efklides, A., & Moraitou, D. (Eds.). (2013). A positive psychology perspective on quality of life (Vol. 51). Springer. https://doi.org/00.1007/978-94-007-4963-4
Farrell, A. K., Simpson, J. A., & Overall, N. C. (2017). Effects of relationship functioning on the biological experience of stress and physical health. Current Opinion in Psychology, 13, 49–53. https://doi.org/10.1016/j.copsyc.2016.04.004
Fasano, J., Shao, T., Huang, H. H., Kessler, A. J., Kolodka, O. P., & Shapiro, C. L. (2020). Optimism and coping: Do they influence health outcomes in women with breast cancer? A systematic review and meta-analysis. Breast Cancer Research and Treatment, 183(3), 495–501. https://doi.org/10.1007/s10549-020-05802-1
Feng, L., Yang, Y. J., Du, J., Yu, Y. J., & Diao, J. D. (2020). Marital status and survival of patients with colorectal signet ring cell carcinoma: a population-based study. Scientific reports, 10(1), 17881. https://doi.org/10.1038/s41598-020-74720-7
Fischer, I. C., Cripe, L. D., & Rand, K. L. (2018). Predicting symptoms of anxiety and depression in patients living with advanced cancer: the differential roles of hope and optimism. Supportive care in cancer, 26(10), 3471–3477. https://doi.org/10.1007/s00520-018-4215-0
Giannousi, Z., Thomadakis, C., Karademas, E. C., & Paschali, A. (2023). The dyadic regulation approach of coping and illness representations in female cancer patients and their partners. Frontiers in psychology, 14, 1194900. https://doi.org/10.3389/fpsyg.2023.1194900.
Hasson-Ohayon, I., Goldzweig, G., Braun, M., & Hagedoorn, M. (2022). Beyond "being open about it": A systematic review on cancer related communication within couples. Clinical psychology review, 96, 102176. https://doi.org/10.1016/j.cpr.2022.102176
Heintzelman, S. J., & King, L. A. (2014). Life is pretty meaningful. American Psychologist, 69(6), 561–574. https://doi.org/10.1037/a0035049
Helgeson, V. S., Jakubiak, B., Van Vleet, M., & Zajdel, M. (2018). Communal coping and adjustment to chronic illness: Theory update and evidence. Personality and Social Psychology Review, 22(2), 170–195. https://doi.org/10.1177/1088868317735767
Holt-Lunstad, J., Birmingham, W., & Jones, B. Q. (2008). Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health. Annals of Behavioral Medicine, 35(2), 239–244. https://doi.org/10.1007/s12160-008-9018-y
Holt-Lunstad, J., Robles, T. F., & Sbarra, D. A. (2017). Advancing social connection as a public health priority in the United States. American Psychologist, 72(6), 517–530. https://doi.org/10.1037/amp0000103
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: a meta-analytic review. PLoS medicine, 7(7), e1000316. https://doi.org/10.1007/978-1-4684-5122-1_4
Hu, K., Liu, Q., Laszlo, K. D., Wei, D., Yang, F., Fall, K., et al. (2023). Risk of psychiatric disorders among spouses of patients with cancer in Denmark and Sweden. JAMA Network Open, 6(1), e2249560. https://doi.org/10.1001/jamanetworkopen.2022.49560
Hu, X., Wang, W., Wang, Y., & Liu, K. (2021). Fear of cancer recurrence in patients with multiple myeloma: Prevalence and predictors based on a family model analysis. Psycho-Oncology, 30(2), 176–184. https://doi.org/10.1002/pon.5562
Janicki, D. L., Kamarck, T. W., Shiffman, S., Sutton-Tyrrell, K., & Gwaltney, C. J. (2005). Frequency of spousal interaction and 3-year progression of carotid artery intima medial thickness: the pittsburgh healthy heart project. Psychosomatic Medicine, 67(6), 889-896. https://doi.org/10.1097/01.psy.0000188476.87869.88
Jokela, M., Hakulinen, C., Singh-Manoux, A., & Kivimäki, M. (2014). Personality change associated with chronic diseases: Pooled analysis of four prospective cohort studies. Psychological Medicine, 44(12), 2629–2640. https://doi.org/10.1017/S003329171300291X
Karademas, E. C. (2022). A new perspective on dyadic regulation in chronic illness: The dyadic regulation-connectivity model. Health Psychology Review, 16(1), 1–21. https://doi.org/10.1080/17437199.2021.1874471
Karademas, E. C. (2014). The psychological well-being of couples experiencing a chronic illness: A matter of personal and partner illness cognitions and the role of marital quality. Journal of Health Psychology, 19(11), 1347–1357. https://doi.org/10.1177/1359105313481071
Karademas, E. C., Ktistaki, G., Dimitraki, G., Papastefanakis, E., Mastorodemos, V., Repa, A., & Simos, P. (2017). Patient and partner dispositional optimism as a long-term predictor of illness representations in autoimmune diseases. Journal of Health Psychology, 22(13), 1691–1700. https://doi.org/10.1177/1359105316637587
Karademas, E. C., & Thomadakis, C. (2020). Dispositional optimism in cardiac patients and their spouses: Dyadic relations to well-being and positive affect. Psychology: The Journal of the Hellenic Psychological Society, 25(1), 151–163. https://doi.org/10.12681/psy_hps.23067
Kayser, K., Watson, L. E., & Andrade, J. T. (2007). Cancer as a “we-disease”: Examining the process of coping from a relational perspective. Families, Systems, & Health, 25(4), 404–418. https://doi.org/10.1037/1091-7527.25.4.404
Ke, J., Lin, J., Lin, X., Chen, W. T., & Huang, F. (2023). Dyadic effects of family resilience on quality of life in patients with lung cancer and spousal caregivers: The mediating role of dyadic coping. European Journal of Oncology Nursing, 66, 102400. https://doi.org/10.1016/j.ejon.2023.102400
Kenny, D. A. (1996). Models of non-independence in dyadic research. Journal of Social and Personal Relationships, 13(2), 279–294. https://doi.org/10.1177/0265407596132007
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Analyzing mixed independent variables: The actor–partner interdependence model. In Analyzing dyadic data (pp. 144–184). Guilford Press.
Kiecolt-Glaser, J. K., Renna, M. E., Shrout, M. R., & Madison, A. A. (2020). Stress reactivity: What pushes us higher, faster, and longer and why it matters. Current Directions in Psychological Science, 29(5), 492–498. https://doi.org/10.1177/0963721420936780
Kim, E. S., Chopik, W. J., & Smith, J. (2014). Are people healthier if their partners are more optimistic? The dyadic effect of optimism on health among older adults. Journal of psychosomatic research, 76(6), 447–453. https://doi.org/10.1016/j.jpsychores.2014.03.104
Kim, E. S., Hagan, K. A., Grodstein, F., DeMeo, D. L., De Vivo, I., & Kubzansky, L. D. (2017). Optimism and cause-specific mortality: A prospective cohort study. American Journal of Epidemiology, 185(1), 21–29. https://doi.org/10.1093/aje/kww182
Kim, H., Park, C. H. K., Kim, Y., & Joo, Y. (2021). Correlates of Psychological Distress in Patients With Cancer at a Psycho-oncology Clinic. Journal of the Academy of Consultation-Liaison Psychiatry, 62(6), 595–605. https://doi.org/10.1016/j.jaclp.2021.05.007
Kim, M., & Ahn, S. (2022). Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea? A cross-sectional study. Korean Journal of Women Health Nursing, 28(3), 197–209. https://doi.org/10.4069/kjwhn.202
Kim, Y., & Baek, W. (2022). Caring experiences of family caregivers of patients with pancreatic cancer: an integrative literature review. Supportive care in cancer, 30(5), 3691–3700. https://doi.org/10.1007/s00520-021-06793-7
Kim, Y., Baker, F., & Spillers, R. L. (2007). Cancer caregivers’ quality of life: Effects of gender, relationship, and appraisal. Journal of Pain and Symptom Management, 34(3), 294–304. https://doi.org/10.1016/j.jpainsymman.2006.11.012
Kroll, J. L., Kim, S., Cho, D., Weathers, S. P., Chen, A. B., Smith, G., Bruera, E., & Milbury, K. (2022). Financial distress and its associated burden in couples coping with an advanced cancer. Supportive care in cancer, 30(5), 4485–4495. https://doi.org/10.1007/s00520-021-06758-w
Leuchtmann, L., & Bodenmann, G. (2017). Interpersonal view on physical illnesses and mental disorders: A systemic-transactional understanding of disorders. Swiss Archives of Neurology, Psychiatry and Psychotherapy, 168(6), 170–174. https://doi.org/10.4414/sanp.2017.00506
Leventhal, H., Phillips, L. A., & Burns, E. (2016). The Common-Sense Model of self-regulation (CSM): A dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39(6), 935–946. https://doi.org/10.1007/s10865-016-9782-7
Li, Q., & Loke, A. Y. (2014). A literature review on the mutual impact of the spousal caregiver–cancer patient dyads: “Communication,” “reciprocal influence,” and “caregiver–patient congruence.” European Journal of Oncology Nursing, 18(1), 58–65. https://doi.org/10.1016/j.ejon.2013.09.003
Li, Y., Qiao, Y., Luan, X., Li, S., & Wang, K. (2019). Family resilience and psychological well-being among Chinese breast cancer survivors and their caregivers. European journal of cancer care, 28(2), e12984. https://doi.org/10.1111/ecc.12984
Li, Y., Wang, K., Yin, Y., Li, Y., & Li, S. (2018). Relationships between family resilience, breast cancer survivors’ individual resilience, and caregiver burden: A cross-sectional study. International Journal of Nursing Studies, 88, 79–84. https://doi.org/10.1016/j.ijnurstu.2018.08.004
Lilleheie, I., Debesay, J., Bye, A., & Bergland, A. (2021). The tension between carrying a burden and feeling like a burden: a qualitative study of informal caregivers' and care recipients' experiences after patient discharge from hospital. International journal of qualitative studies on health and well-being, 16(1), 1855751. https://doi.org/10.1080/17482631.2020.1855751
Lin, Q., Dong, F., Xue, Y., Yu, Q., Ren, J., & Zeng, L. (2022). Predictors of posttraumatic growth of the family members of neurosurgical intensive care unit patients: A cross-sectional study. Intensive and Critical Care Nursing, 68, 103134. https://doi.org/10.1016/j.iccn.2021.103134
Litzelman, K., Kent, E. E., & Rowland, J. H. (2016). Social factors in informal cancer caregivers: the interrelationships among social stressors, relationship quality, and family functioning in the CanCORS data set. Cancer, 122, 278–286. https://doi.org/10.1002/cncr.29741
Liu, Y., Li, Y., Chen, L., Li, Y., Qian, Y., & Yu, L. (2018). Relationships between family resilience and posttraumatic growth in breast cancer survivors and caregiver burden. Psycho-Oncology, 27(4), 1284–1290. https://doi.org/10.1002/pon.4687
Lyrakos, G. N., Damigos, D., Mavreas, V., Georgia, K., & Dimoliatis, I. D. Κ. (2010). A translation and validation study of the Life Orientation Test Revised in the Greek speaking population of nurses among three hospitals in Athens and Ioannina. Social Indicators Research, 95(1), 129–142. https://doi.org/10.1007/s11205-009-9453-6
Ma, Q., Yan, Z., Chang, L., Zhang, Q., & Li, Y. (2021). Family resilience and subjective responses to caregiving for children with epilepsy. Epilepsy & Behavior, 125, 108417. https://doi.org/10.1016/j.yebeh.2021.108417
Mbozi, P., Ratcliff, C., & Roberts, D. (2020). Challenges facing women caring for a spouse having cancer treatment: A critical literature review. Open Journal of Nursing, 10(1), 34–46. https://doi.org/10.4236/ojn.2020.101003
McCubbin, H. I. (1996). Family Index of Regenerativity and Adaptation-Military (FIRA-M). In H. I. McCubbin, A. I. Thompson, & M. A. McCubbin (Eds.), Family assessment: Resiliency, coping and adaptation - Inventories for research and practice (pp. 843-864). University of Wisconsin.
McGregor, B. A., Bowen, D. J., Ankerst, D. P., Andersen, M. R., Yasui, Y., & McTiernan, A. (2004). Optimism, perceived risk of breast cancer, and cancer worry among a community-based sample of women. Health Psychology, 23(4), 339–344. https://doi.org/10.1037/0278-6133.23.4.339
Μπούκα, Χ. (2016). Οι ψυχομετρικές ιδιότητες του ερωτηματολογίου της οικογενειακής ανθεκτικότητας της Froma Walsh στον ελληνικό πληθυσμό [Διπλωματική εργασία, Πάντειο Πανεπιστήμιο]. Πάνδημος Πάντειες Δημόσιες Δημοσιεύσεις. http://pandemos.panteion.gr/index.php?op=record&lang=el&pid=iid:17476
Nakaya, N., Sone, T., Nakaya, K., Tomata, Y., Hozawa, A., & Tsuji, I. (2017). Psychological Distress among Individuals Whose Partners Have Cancer. The Tohoku journal of experimental medicine, 243(1), 27–33. https://doi.org/10.1620/tjem.243.27
Norton, R. (1983). Measuring marital quality: A critical look at the dependent variable. Journal of Marriage and the Family, 45(1), 141–151. https://doi.org/10.2307/351302
Öcal, E., Demirtaş, Z., Atalay, B. I., Önsüz, M. F., Işıkli, B., Metintaş, S., & Yenilmez, Ç. (2022). Relationship between mental disorders and optimism in a community-based sample of adults. Behavioral Sciences, 12(3), 52. https://doi.org/10.3390/bs12030052
Oldenkamp, M., Hagedoorn, M., Slaets, J., Stolk, R., Wittek, R., & Smidt, N. (2016). Subjective burden among spousal and adult-child informal caregivers of older adults: results from a longitudinal cohort study. BMC geriatrics, 16(1), 208. https://doi.org/10.1186/s12877-016-0387-y
Orth, U. (2013). How large are actor and partner effects of personality on relationship satisfaction? The importance of controlling for shared method variance. Personality and Social Psychology Bulletin, 39(10), 1359–1372. https://doi.org/10.1177/0146167213492429
Otto, A. K., Ketcher, D., Reblin, M., & Terrill, A. L. (2022). Positive psychology approaches to interventions for cancer dyads: A scoping review. International Journal of Environmental Research and Public Health, 19(20), 13561. https://doi.org/10.3390/ijerph192013561
Otto, A. K., Laurenceau, J. P., Siegel, S. D., & Belcher, A. J. (2015). Capitalizing on everyday positive events uniquely predicts daily intimacy and well-being in couples coping with breast cancer. Journal of Family Psychology, 29(1), 69–79. https://doi.org/10.1037/fam0000042
Pezirkianidis, C., & Stalikas, A. (2020). INTRODUCTION-latest developments in positive psychology: The case of Greece. Psychology: The Journal of the Hellenic Psychological Society, 25(1), 01-19. https://doi.org/10.12681/psy_hps.25328
Pezirkianidis, C., Stalikas, A., Lakioti, A., & Yotsidi, V. (2019). Validating a multidimensional measure of wellbeing in Greece: Translation, factor structure, and measurement invariance of the PERMA profiler. Current Psychology, 38, 18–30. https://doi.org/10.1007/s12144-018-0110-1
Pitichat, T., Reichard, R. J., Kea-Edwards, A., Middleton, E., & Norman, S. M. (2018). Psychological capital for leader development. Journal of Leadership & Organizational Studies, 25(1), 47–62. https://doi.org/10.1177/1548051817719232
Qiu, X., Mao, J., Wang, C., Yang, X., & Li, Q. (2024). Family resilience and its influencing factors in patients with cancer and their family members: A systematic review. Journal of Clinical Nursing. Advance online publication. https://doi.org/10.1111/jocn.17485
Rand, K. L., Martin, A. D., & Shea, A. M. (2011). Hope, but not optimism, predicts academic performance of law students beyond previous academic achievement. Journal of Research in Personality, 45(6), 683–686. https://doi.org/10.1016/j.jrp.2011.08.004
Rasmussen, H. N., O’Byrne, K. K., Vandamente, M., & Cole, B. P. (2017). Hope and physical health. In M. W. Gallagher & S. Lobes (Eds.), The oxford handbook of hope (pp. 159–168). Oxford University Press
Rasmussen, H. N., Wrosch, C., Scheier, M. F., & Carver, C. S. (2006). Self-regulation processes and health: the importance of optimism and goal adjustment. Journal of personality, 74(6), 1721–1747. https://doi.org/10.1111/j.1467-6494.2006.00426.x
Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. (2014). Marital quality and health: a meta-analytic review. Psychological bulletin, 140(1), 140–187. https://doi.org/10.1037/a0031859
Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/jss.v048.i02
Rottmann, N., Hansen, D. G., Larsen, P. V., Nicolaisen, A., Flyger, H., Johansen, C., & Hagedoorn, M. (2015). Dyadic coping within couples dealing with breast cancer: A longitudinal, population-based study. Health Psychology, 34(5), 486–495. https://doi.org/10.1037/hea0000181
Routledge, C., & FioRito, T. A. (2021). Why meaning in life matters for societal flourishing. Frontiers in Psychology, 11, 601899. https://doi.org/10.3389/fpsyg.2020.601899
Ruiz-Marín, C. M., Molina-Barea, R., Slim, M., & Calandre, E. P. (2021). Marital adjustment in patients with cancer: Association with psychological distress, quality of life, and sleep problems. International Journal of Environmental Research and Public Health, 18(13), 7089. https://doi.org/10.3390/ijerph18137089
Ryan, L. H., Wan, W. H., & Smith, J. (2014). Spousal social support and strain: impacts on health in older couples. Journal of Behavioral Medicine, 37(6), 1108-1117. https://doi.org/10.1007/s10865-014-9561-x
Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4(3), 219–247. https://doi.org/10.1037/0278-6133.4.3.219
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063–1078. https://doi.org/10.1037/0022-3514.67.6.1063
Scheier, M. F., Carver, C. S., & Bridges, M. W. (2001). Optimism, pessimism, and psychological well-being. In E. C. Chang (Ed.), Optimism & pessimism: Implications for theory, research, and practice (pp. 189–216). American Psychological Association. https://doi.org/10.1037/10385-009.
Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16(2), 201–228. https://doi.org/10.1007/BF01173489
Schou, I., Ekeberg, Ø., Sandvik, L., & Ruland, C. M. (2005). Stability in optimism–pessimism in relation to bad news: A study of women with breast cancer. Journal of Personality Assessment, 84(2), 148–154. https://doi.org/10.1207/s15327752jpa8402_07
Seligman, M. E. P. (2011). Flourish: A visionary new understanding of happiness and well-being. Atria Paperback.
Shao, M., Yang, H., Du, R., Zhang, M., Zhu, J., Zhang, H., Ma, B., Chen, C., & Wang, T. (2023). Family resilience in cancer treatment and key influencing factors: A systematic review. European Journal of Oncology Nursing, 66, 102403. https://doi.org/10.1016/j.ejon.2023.102403
Shin, J. Y., Steger, M. F., Shin, D. W., Kim, S. Y., Yang, H. K., Cho, J., Jeong, A., Park, K., Kweon, S. S., & Park, J. H. (2019). Patient–family communication mediates the relation between family hardiness and caregiver positivity: Exploring the moderating role of caregiver depression and anxiety. Journal of Psychosocial Oncology, 37(5), 557–572. https://doi.org/10.1080/07347332.2019.1566808
Shrout, M. R. (2021). The health consequences of stress in couples: A review and new integrated dyadic biobehavioral stress model. Brain, Behavior, & Immunity - Health, 16, 100328. https://doi.org/10.1016/j.bbih.2021.100328
Slatcher, R. B., & Selçuk, E. (2017). A social psychological perspective on the links between close relationships and health. Current Directions in Psychological Science, 26(1), 16–21. https://doi.org/10.1177/0963721416667444
Srivastava, S., McGonigal, K. M., Richards, J. M., Butler, E. A., & Gross, J. J. (2006). Optimism in close relationships: How seeing things in a positive light makes them so. Journal of Personality and Social Psychology, 91(1), 143–153. https://doi.org/10.1037/0022-3514.91.1.143
Staff, H. R., Didymus, F. F., & Backhouse, S. H. (2017). The antecedents and outcomes of dyadic coping in close personal relationships: A systematic review and narrative synthesis. Anxiety, Stress, & Coping, 30(5), 498–520. https://doi.org/10.1080/10615806.2017.1329931
Σταλίκας, Α., Ρούσση, Π., & Τριλίβα, Σ. (2002). Τα ψυχομετρικά εργαλεία στην Ελλάδα : Mια συλλογή και παρουσίαση των ερωτηματολογίων δοκιμασιών και καταλόγων καταγραφής χαρακτηριστικών στον ελληνικό χώρο. Ελληνικά Γράμματα.
Stas, L., Kenny, D. A., Mayer, A., & Loeys, T. (2018). Giving dyadic data analysis away: A user-friendly app for actor–partner interdependence models. Personal Relationships, 25(1), 103–119. https://doi.org/10.1111/pere.12230
Symister, P., & Friend, R. (2003). The influence of social support and problematic support on optimism and depression in chronic illness: A prospective study evaluating self-esteem as a mediator. Health Psychology, 22(2), 123–129. https://doi.org/10.1037/0278-6133.22.2.123
Tao, L., Hu, X., Fu, L., Zhang, X., & Chen, H. (2023). Effects of family beliefs and family strength on individual resilience and quality of life among young breast cancer survivors: A cross-sectional study. Journal of Clinical Nursing, 32(11–12), 2616–2626. https://doi.org/10.1111/jocn.16367
Ussher, J. M., Sandoval, M., Perz, J., Wong, W. T., & Butow, P. (2013). The gendered construction and experience of difficulties and rewards in cancer care. Qualitative Health Research, 23(7), 900–915. https://doi.org/10.1177/1049732313483217
Vahia, I. V., Thompson, W. K., Depp, C. A., Allison, M., & Jeste, D. V. (2012). Developing a dimensional model for successful cognitive and emotional aging. International Psychogeriatrics, 24(4), 515–523. https://doi.org/10.1017/S1041610211002055
Valente, M., Chirico, I., Ottoboni, G., & Chattat, R. (2021). Relationship dynamics among couples dealing with breast cancer: A systematic review. International Journal of Environmental Research and Public Health, 18(14), 7288. https://doi.org/10.3390/ijerph18147288
Vollmann, M., Antoniw, K., Hartung, F. M., & Renner, B. (2011). Social support as mediator of the stress buffering effect of optimism: The importance of differentiating the recipients’ and providers’ perspective. European Journal of Personality, 25(2), 146–154. https://doi.org/10.1002/per.801
Walsh, F. (1998). Strengthening family resilience. Guilford Press.
Walsh, F. (2012). Successful aging and family resilience. In B. Haslip & G. Smith (Eds.), Emerging perspectives on resilience in adulthood and later life (Annual Review of Gerontology and Geriatrics, 32, pp. 153–172). Springer Publishing Company. https://doi.org/10.1891/0198-8794.32.153
Walsh, F. (2015). Strengthening family resilience (2nd ed.). Guilford Publications.
Wang, H., Yue, H., Ren, M., & Feng, D. (2021). Dyadic effects of family functioning and resilience on quality of life in advanced lung cancer patients and caregivers: An actor–partner interdependence mediation model. European Journal of Oncology Nursing, 52, 101963. https://doi.org/10.1016/j.ejon.2021.101963
Williams, P. G., Wasserman, M. S., & Lotto, A. J. (2003). Individual differences in self-assessed health: An information-processing investigation of health and illness cognition. Health Psychology, 22(1), 3–11. https://doi.org/10.1037/0278-6133.22.1.3
Yan, Z., Zhang, Q., Chang, L., Liu, Y., & Li, Y. (2021). Dyadic effects of family resilience on post-traumatic stress symptoms among breast cancer patients and their primary family caregivers: A cross-sectional study. European Journal of Oncology Nursing, 53, 101998. https://doi.org/10.1016/j.ejon.2021.101998
Yang, Y., He, F., Li, D., Zhao, Y., Wang, Y., Zhang, H., Qiao, C., Cui, Y., Lin, L., & Guan, H. (2024). Effect of family resilience on subjective well-being in patients with advanced cancer: the chain mediating role of perceived social support and psychological resilience. Frontiers in psychology, 14, 1222792. https://doi.org/10.3389/fpsyg.2023.1222792
Zahedi, H., Alizadeh-Dibazari, Z., Mirghafourvand, M., Sahebihagh, M. H., & Hosseinzadeh, M. (2024). The effectiveness of couple-based interventions on the marital outcomes of women with genital and breast cancer and their partners: A systematic review and meta-analysis. BMC Cancer, 24(1), 391. https://doi.org/10.1186/s12885-024-12166-1
Zhang, Y., & Bennett, M. R. (2024). Insights into informal caregivers' well-being: A longitudinal analysis of care intensity, care location, and care relationship. The Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 79(2), gbad166. https://doi.org/10.1093/geronb/gbad166
Zhao, X., Tong, S., & Yang, Y. (2022). The correlation between quality of life and positive psychological resources in cancer patients: A meta-analysis. Frontiers in Psychology, 13, 883157. https://doi.org/10.3389/fpsyg.2022.883157
Zhou, J., Chen, X., Wang, Z., & Li, Q. (2023). Couple-based communication interventions for cancer patient–spousal caregiver dyads' psychosocial adaptation to cancer: A systematic review. Healthcare, 11(2), 236. https://doi.org/10.3390/healthcare11020236
