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Grant Details

Grant Number: 5R03CA137975-02 Interpret this number
Primary Investigator: Mehl, Matthias
Organization: University Of Arizona
Project Title: The Daily Interactions of Couples Coping with Breast Cancer: with Whom, About Wha
Fiscal Year: 2010
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Abstract

DESCRIPTION (provided by applicant): This study tests the potentials of a novel momentary assessment method, called the Electronically Activated Recorder (EAR), for studying real-world communication processes in couples coping with breast cancer. The EAR is an unobtrusive observation sampling method that operates by periodically recording snippets of ambient sounds from participants' immediate environments. In proposing a naturalistic observation approach to studying real-world coping, the application responds to concerns in the field that too much of what is known about coping is derived from questionnaires. In implementing this approach within a couple-centered, dyadic research paradigm, it builds on recent theoretical and methodological advances in the field of relationship- focused coping. Forty breast cancer patients and their partners will wear the EAR over one weekend during active treatment. The patients' and the partners' psychological adjustment will be assessed during the initial study session and at a two-month follow-up. Within Aim 1 we will map the topography of the couples' daily interactions through examining with whom and about what breast cancer patients and their partners talk in their natural daily social encounters. For this, the recorded EAR sound bites will be coded for with whom participants talked (i.e. their partner vs. a friend or family member) and content analyzed for the topics of their interactions (broad coding of 'about cancer' versus 'about other topic' plus inductive computerized content analysis of specific conversational themes). The findings will inform current social network models of coping with cancer. Aim 2 extends Aim 1 and examines how individual differences in the types and content of breast cancer patients' and their partners' interactions are related to their adjustment to the situation. Based on predictions from disclosure theory and relationship maintenance theory we predict that both aspects of cancer- related and non-cancer related conversations will predict couples' psychological adjustment. We further argue that the importance of routine relationship-maintenance interactions (relative to direct, illness-focused interactions) has been underestimated in prior coping research. Together, this study seeks to enhance mental health researchers' and practitioners' understanding of the role that couple's real-world communications play in the context of coping with cancer. Its findings will provide important input for the development of effective couple-focused, coping and communication-enhancing cancer support interventions. PUBLIC HEALTH RELEVANCE: Being diagnosed with cancer is a highly stressful life event that often has critical mental health consequences for the patient as well as for the partner who is living with the patient. This research uses a novel naturalistic observation method, a digital voice recorder that periodically samples snippets of ambient sounds, to examine to whom and about what couples coping with breast cancer talk in their real-world conversations during the time of adjuvant treatment. It further examines how differences in what patients and partners talk about are related to their psychological adjustment to the disease. Knowing with whom and about what couples naturally talk in their daily interactions and how patients and partners use their daily conversations for coping with the cancer experience is crucial for developing effective coping and communication-enhancing psychosocial cancer support interventions and for identifying couples who experience the greatest need for such interventions.

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Publications

Cancer conversations in context: naturalistic observation of couples coping with breast cancer.
Authors: Robbins ML, López AM, Weihs KL, Mehl MR
Source: J Fam Psychol, 2014 Jun;28(3), p. 380-90.
EPub date: 2014 Apr 14.
PMID: 24730380
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Linguistic indicators of patient, couple, and family adjustment following breast cancer.
Authors: Robbins ML, Mehl MR, Smith HL, Weihs KL
Source: Psychooncology, 2013 Jul;22(7), p. 1501-8.
EPub date: 2012 Aug 13.
PMID: 22887054
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Naturalistic observation of health-relevant social processes: the electronically activated recorder methodology in psychosomatics.
Authors: Mehl MR, Robbins ML, Deters FG
Source: Psychosom Med, 2012 May;74(4), p. 410-7.
PMID: 22582338
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Naturalistically observed swearing, emotional support, and depressive symptoms in women coping with illness.
Authors: Robbins ML, Focella ES, Kasle S, López AM, Weihs KL, Mehl MR
Source: Health Psychol, 2011 Nov;30(6), p. 789-92.
EPub date: 2011 May 16.
PMID: 21574707
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Naturalistically observed sighing and depression in rheumatoid arthritis patients: a preliminary study.
Authors: Robbins ML, Mehl MR, Holleran SE, Kasle S
Source: Health Psychol, 2011 Jan;30(1), p. 129-33.
PMID: 21299301
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Sounds like a Narcissist: Behavioral Manifestations of Narcissism in Everyday Life.
Authors: Holtzman NS, Vazire S, Mehl MR
Source: J Res Pers, 2010 Aug 1;44(4), p. 478-484.
PMID: 20711512
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Eavesdropping on happiness: well-being is related to having less small talk and more substantive conversations.
Authors: Mehl MR, Vazire S, Holleran SE, Clark CS
Source: Psychol Sci, 2010 Apr;21(4), p. 539-41.
EPub date: 2010 Feb 18.
PMID: 20424097
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