{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T15:28:08Z","timestamp":1776871688767,"version":"3.51.2"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer survivors and their caregivers can experience interdependent symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The objective of this research was to determine if participation in a telephone delivered interpersonal counseling intervention, compared to an educational intervention, increases observed dyadic interdependence in depression, anxiety, and other symptoms in cancer survivors and their informal caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A dyadic sample of survivors in treatment for solid tumor cancers and their caregivers participated in a 17\u2010week sequential multiple assignment trial of symptom management interventions. Participants completed weekly measures of depression, anxiety, and other symptoms. Initially, all survivors and caregivers received a Symptom Management and Survivorship Handbook (SMSH) intervention. Survivors who still had unresolved depression or anxiety symptoms after 4\u00a0weeks were randomized with their caregivers to continue with SMSH alone or add a telephone interpersonal counseling (TIPC) intervention for the next 8\u00a0weeks (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a087). For this sample, the lagged\u2010dependent Actor\u2010Partner Interdependence Model was used to estimate longitudinal actor and partner effects for each of the three symptom measures. Interaction terms representing intervention condition (SMSH vs. SMSH\u00a0+\u00a0TIPC) were entered into the models to determine if intervention moderated the observed actor or partner effects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The caregiver\u2192survivor partner effect for anxiety was significantly stronger in the SMSH\u00a0+\u00a0TIP arm compared to the SMSH alone arm. No other moderation effects were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participating in the interpersonal counseling intervention as an addition to an educational intervention delivered to both members of a survivor\u2010caregiver dyad does not appear to affect dyadic interdependence in symptoms other than anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70250","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T04:49:52Z","timestamp":1754369392000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of an Interpersonal Counseling Intervention on Interdependence of Symptoms in Cancer Survivor\u2010Informal Caregiver Dyads"],"prefix":"10.1002","volume":"34","author":[{"given":"Chris","family":"Segrin","sequence":"first","affiliation":[{"name":"Department of Communication University of Arizona  Tucson Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2403-9562","authenticated-orcid":false,"given":"Terry A.","family":"Badger","sequence":"additional","affiliation":[{"name":"Advanced Nursing Practice and Science Division University of Arizona College of Nursing  Tucson Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Cunicelli","sequence":"additional","affiliation":[{"name":"University of Arizona Mel and Enid Zuckerman College of Public Health  Tucson Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alla","family":"Sikorskii","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Michigan State University College of Osteopathic Medicine  East Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3331"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000943"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010019\u201005121\u20104"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010023\u201007741\u20103"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaz052"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13750"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010008\u20100044\u20103"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010023\u201008304\u20102"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.543"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13103472"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529\u2010022\u201010132\u20103"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep14030161"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2019.1626395"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010018\u20104556\u20108"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/55252"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2024.102565"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCO.0000000000000835"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010024\u201008734\u20106"},{"key":"e_1_2_8_20_1","volume-title":"The Guide to Interpersonal Psychotherapy: Updated and Expanded Edition","author":"Weissman M. 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