The Predictive Value of Dyadic Coping in the Explanation of PTSD Symptoms and Subjective Well-Being of Work Accident Victims

Objective: Work accidents may be considered dyadic stressors in so far as they not only affect the worker, but also the couple’s relationship. Dyadic coping, as the process by which couples manage the stress experienced by each partner, can strengthen individual health and well-being as well as couple relationship functioning. Accidents at work have progressively been studied from a perspective that focuses on their negative effects on PTSS, anxiety, and depression. However, to a large extent, the dyadic coping processes and results following a work accident are still to be identified and clarified. In this study, we examined the predictive value of dyadic coping in the explanation of PTSS and subjective well-being of work accident victims. Method: This study comprised a sample of 62 individuals involved in work accidents within the last 24 months (61.3% males) and their partners (N = 124; M = 46.25 years, SD = 11.18). All participants responded to the Dyadic Coping Inventory and the work accident victims also answered the PTSD Checklist – Civilian (PCL-C) and the Mental Health Continuum – Short Form (MHC-SF). Two hierarchical multiple regression analyses were performed using two different variable set models: Model 1 comprised the control variables gender and age, and Model 2 included the workers’ and the partners’ dyadic coping variables. Results: Results showed that dyadic coping reported by both workers and their respective partners (Model 2) was a significant predictor of workers’ PTSS (p < 0.01) and subjective well-being (p < 0.001), explaining 31.2% of the variance in PCL-C and 68.7% in MHC-SF results. More specifically, the partners’ supportive dyadic coping (by the self) and delegated dyadic coping (by the partner) were significant predictors of the workers’ lower PTSS and virtually all the dyadic copying strategies of both the workers’ and their partners’ were significant predictors of the workers’ higher subjective well-being. Conclusion: Dyadic coping of both the workers and their partners predicts the workers’ PTSS and subjective well-being. These findings point to the need to work with couples who have experienced a work accident, with a view to improving the workers’ mental health outcomes.

[1]  P. Krebs,et al.  A systematic review and meta‐analysis of psychosocial interventions for couples coping with cancer , 2013, Psycho-oncology.

[2]  S. Manne,et al.  Intimacy and relationship processes in couples' psychosocial adaptation to cancer , 2008, Cancer.

[3]  T. Revenson,et al.  Couples Coping With Stress: Emerging Perspectives On Dyadic Coping , 2005 .

[4]  M. Olff Sex and gender differences in post-traumatic stress disorder: an update , 2017, European Journal of Psychotraumatology.

[5]  S. Gil,et al.  The effects of coping strategies on PTSD in victims of a terror attack and their spouses , 2012 .

[6]  S. Beach,et al.  Gender Differences in Observed and Perceived Stress and Coping in Couples with a Depressed Partner , 2016 .

[7]  G. Bodenmann A systemic-transactional conceptualization of stress and coping in couples , 1995 .

[8]  Alexandra Marques-Pinto,et al.  The retrospective experience of climate in the family-of-origin and dyadic coping in couple relationships: pathways to dyadic adjustment , 2017 .

[9]  G. Ahlström,et al.  Problems experienced during the first year of an acute traumatic hand injury - a prospective study. , 2004, Journal of clinical nursing.

[10]  P. Larsen,et al.  Dyadic coping within couples dealing with breast cancer: A longitudinal, population-based study. , 2015, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  N. Houédé,et al.  Dyadic effects of coping strategies on emotional state and quality of life in prostate cancer patients and their spouses , 2014, Psycho-oncology.

[12]  I. Narciso,et al.  Couple’s Relationship After the Death of a Child: A Systematic Review , 2016 .

[13]  M. Linden,et al.  Individual and Dyadic Coping Strategies in the Aftermath of a Traumatic Experience , 2005 .

[14]  Z. Steel,et al.  Personal wellbeing in posttraumatic stress disorder (PTSD): association with PTSD symptoms during and following treatment , 2018, BMC psychology.

[15]  Christian Haag Kristensen,et al.  Transtorno de estresse pós-traumático decorrente de acidente de trabalho: implicações psicológicas, socioeconômicas e jurídicas , 2012 .

[16]  J. Marôco,et al.  Psychometric Properties of the Mental Health Continuum-Short Form: A Study of Portuguese Speaking Children/Youths , 2016, Journal of Child and Family Studies.

[17]  T. Bradbury,et al.  Differences in Individual and Dyadic Coping Among Low and High Depressed, Partially Remitted, and Nondepressed Persons , 2004 .

[18]  J. de Vries,et al.  Dyadic coping and relationship functioning in couples coping with cancer: a systematic review. , 2015, British journal of health psychology.

[19]  Corey L. M. Keyes,et al.  Social well-being. , 1998 .

[20]  Sónia P. Gonçalves,et al.  Perturbação pós-stress traumático: características psicométricas da versão portuguesa da Posttraumatic Stress Disorder Checklist - Civilian Version (PCL-C) , 2012 .

[21]  Benjamin R. Karney,et al.  Families Under Stress: An Assessment of Data, Theory, and Research on Marriage and Divorce in the Military , 2007 .

[22]  G. Bodenmann Dyadic Coping and Its Significance for Marital Functioning. , 2005 .

[23]  A. Elklit,et al.  The combined effect of gender and age on post traumatic stress disorder: do men and women show differences in the lifespan distribution of the disorder? , 2010, Annals of general psychiatry.

[24]  J. Simpson,et al.  Standing on Shaky Ground? Dyadic and Longitudinal Associations Between Posttraumatic Stress and Relationship Quality Postearthquake , 2017, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[25]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[26]  G. Bodenmann Stress und Coping bei Paaren , 2000 .

[27]  L. Acitelli,et al.  Re-thinking dyadic coping in the context of chronic illness. , 2017, Current opinion in psychology.

[28]  M. Landolt,et al.  Dyadic Coping of Parents After the Death of a Child , 2015, Death studies.

[29]  J. Jenewein,et al.  Dyadic coping, quality of life, and psychological distress among chronic obstructive pulmonary disease patients and their partners , 2011, International journal of chronic obstructive pulmonary disease.

[30]  M. Delgado-Rodríguez,et al.  Systematic review and meta-analysis. , 2017, Medicina intensiva.

[31]  J. Moskowitz,et al.  Coping: pitfalls and promise. , 2004, Annual review of psychology.

[32]  S. Pihet,et al.  The relationship between dyadic coping and marital quality: a 2-year longitudinal study. , 2006, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[33]  E. Diener,et al.  Culture and Subjective Well-Being , 2013 .

[34]  Nathalie Meuwly,et al.  Two Conceptualizations of Dyadic Coping and Their Potential for Predicting Relationship Quality and Individual Well-Being A Comparison , 2011 .

[35]  Fridtjof W. Nussbeck,et al.  Psychometric Properties and Validity of the Dyadic Coping Inventory in Portuguese , 2013 .

[36]  H. Karlinsky,et al.  Posttraumatic Stress Disorder (PTSD) in the Workplace: A Descriptive Study of Workers Experiencing PTSD Resulting from Work Injury , 2003, Journal of Occupational Rehabilitation.

[37]  Andy Field,et al.  Discovering statistics using SPSS: and sex and drugs and rock 'n' roll, 3rd Edition , 2009 .