{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T12:53:00Z","timestamp":1782823980401,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T00:00:00Z","timestamp":1545955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01\u2010CA\u2010114\u2010561"],"award-info":[{"award-number":["R01\u2010CA\u2010114\u2010561"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to test the short\u2010term efficacy of a brief, fully manualized marital communication and interpersonal support intervention for couples facing recently diagnosed breast cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 322 women diagnosed within 6\u00a0months with stages 0 to III breast cancer and their 322 spouse caregivers were enrolled. Spouses in the experimental group received five 30\u2010 to 60\u2010minute intervention sessions at 2\u2010week intervals by master's\u2010prepared patient educators; controls received the booklet, \u201cWhat's Happening to the Woman I Love?\u201d Outcomes were assessed at 3, 6, and 9\u00a0months using the linear mixed models within an intent\u2010to\u2010treat analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with controls, at 3\u00a0months, spouse caregivers significantly improved on standardized measures of depressed mood, anxiety, cancer\u2010related marital communication, interpersonal support, and self\u2010care. All differences except depressed mood and anxiety were sustained at 9\u00a0months. Wives significantly improved at 3\u00a0months on marital communication and positive appraisal of spouses' interpersonal support; gains remained significant at 9\u00a0months. Compared with controls on chemotherapy, wives in the experimental group additionally improved on depressed mood and tended to improve on anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A brief, fully manualized intervention delivered directly to spouse caregivers early in the course of their wives' medical treatment improves caregivers' self\u2010care and behavioral\u2010emotional adjustment and wives' positive view of their spouses' support and communication. The brevity and manualized structure of the intervention argue strongly for its scalability, use in cost\u2010sensitive settings, and its potential dissemination through e\u2010health channels.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4966","type":"journal-article","created":{"date-parts":[[2018,12,14]],"date-time":"2018-12-14T01:04:37Z","timestamp":1544749477000},"page":"430-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["<scp>Helping Her Heal<\/scp>: Randomized clinical trial to enhance dyadic outcomes in couples"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8288-4983","authenticated-orcid":false,"given":"Frances Marcus","family":"Lewis","sequence":"first","affiliation":[{"name":"School of Nursing University of Washington  Seattle Washington USA"},{"name":"Division of Public Health Sciences and Clinical Research Divisions Fred Hutchinson Cancer Research Center  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