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Kudel I, Edwards R, Raja S, Haythornthwaite J, Heinberg LJ. The association of perceived partner-related social support with self-reported outcomes in women post-mastectomy. Journal of Health Psychology. 2008 Nov 1; 13(8):1030-9.
Marital satisfaction is an important indicator of adaptation in patients with cancer; however, its relationship to medium-to-long-term health-related outcomes is less well understood. Married women (N = 152) at least six months post-mastectomy were surveyed to determine whether marital satisfaction predicted non-weight-related body image distress (BID), pain impact, and mood, or whether the directionality of this association operated in reverse. Structural equation modeling indicated that the model predicting medium-to-long-term health-related outcomes from satisfaction better fit the data and that time influences mood.