- Cancer survivorship and care
- Attachment and Relationship Dynamics
- Family Support in Illness
- Diabetes Management and Research
- Cancer-related cognitive impairment studies
- Artificial Intelligence in Healthcare
- Circadian rhythm and melatonin
- Health disparities and outcomes
- Psychological Well-being and Life Satisfaction
- Patient-Provider Communication in Healthcare
- COVID-19 and healthcare impacts
- Cardiac Health and Mental Health
- Pancreatic function and diabetes
- Nutritional Studies and Diet
- Death Anxiety and Social Exclusion
- Work-Family Balance Challenges
- Maternal Mental Health During Pregnancy and Postpartum
- Media Influence and Health
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Health, psychology, and well-being
- Diabetes Management and Education
- Diabetes and associated disorders
- Palliative Care and End-of-Life Issues
- Maternal and Perinatal Health Interventions
VA Boston Healthcare System
2023
Philadelphia VA Medical Center
2023
University of Delaware
2018-2022
Lehigh University
2014-2015
Patient and spouse/partner mutual self-disclosure is central for maintaining intimacy cognitive processing when transitioning to life after cancer. Protective buffering inhibits defined as efforts protect one's partner from upset burden by hiding or denying cancer-related concerns. Intimacy fear of cancer recurrence (FCR) are important determinants individual couple adaptation following Links between protective have not been examined in the context daily life, links with FCR studied. We...
Fear of cancer recurrence (FCR) is a top concern breast (BC) survivors and their spouses. FCR often occurs within an interpersonal context, yet there has been little research on relationship processes that may influence in patients It was hypothesized the inhibition disclosure cancer-related concerns, thoughts, feelings because perceived partner disinterest or avoidance (termed social constraints) would predict greater BC spouses both globally context everyday life.Two studies, 1...
Background: The COVID-19 pandemic caused significant disruptions in cancer care, and preliminary research suggests that these are associated with increased levels of psychosocial distress among survivors. purpose this study was to offer a descriptive report the functioning, perceived risk fear progression, impact experiences unique, high-risk patient cohort: breast survivors whose treatment delayed and/or changed due pandemic. Methods: This cross-sectional included 50 women dual carcinoma...
Abstract Background Withholding cancer-related concerns from one’s partner (protective buffering) and feeling that is inaccessible or unresponsive to such disclosure (social constraints) are two interpersonal interaction patterns separately have been linked poorer adjustment cancer. Purpose Guided by the Social-Cognitive Processing Model, we examined joint effects of social constraints protective buffering on fear cancer recurrence (FCR) in survivors spouses. Social were hypothesized emerge...
Abstract Background Fear of cancer recurrence (FCR) and sleep disturbance are common in survivors. Yet, little research has examined their relationship, even less is known about what links may exist between these variables among the intimate partners Purpose This study examines relationship FCR breast survivors partners. Using daily data collected at two distinct periods early survivorship—the completion adjuvant treatment first post-treatment mammogram—higher survivor partner was...
Objectives: Fear of cancer recurrence (FCR) is a top concern breast (BC) survivors and their spouses, yet little known about responses to FCR triggers in daily life. We examined whether biologically based individual difference—threat sensitivity—predicted couples facing the first post-diagnosis mammogram (MMG). hypothesized that threat sensitivity would predict greater reactivity before MMG higher peak on day, controlling for global anxiety. also explored link between recovery after...
With the increasing availability of wearable devices, continuous monitoring individuals' physiological and behavioral patterns has become significantly more accessible. Access to these about statuses offers an unprecedented opportunity for studying complex diseases health conditions such as type 2 diabetes (T2D). T2D is a widely common chronic disease that its roots progression are not fully understood. Predicting can inform timely effective interventions prevent or manage disease. In this...
Abstract Background Depression is known to limit physical activity (PA) among individuals with chronic obstructive pulmonary disease (COPD). However, whether and how depression influences the effectiveness of PA interventions unknown. Purpose The study examined association between baseline symptoms change in daily step count group assignment a web-based, pedometer-mediated intervention moderated count. Methods Secondary analysis included two cohorts U.S. Veterans COPD (n = 212; 97% male;...
Abstract Objective The core of fear cancer recurrence (FCR)—a top concern couples after successful breast (BC) treatment—is death. Daily relationship processes may be instrumental in regulating FCR as triggers existential distress are encountered. We tested the hypothesis that daily capitalization, process sharing good news ( capitalization attempts) to a partner perceived responsive responsiveness) , buffers patient and spouse they confront first mammogram post‐diagnosis. Methods...
Spouses often attempt to influence patients' diabetes self-care. Spousal has been linked beneficial health outcomes in some studies, but negative others.We aimed clarify the conditions under which spousal impedes glycemic control patients with type 2 diabetes. was hypothesized associate poorer among high distress and low relationship quality.Patients their spouses (N = 63 couples) completed self-report measures before initiated a 7-day period of continuous glucose monitoring. Mean level...
This study examined the dynamic, real-time associations between partner involvement in diabetes self-care and continuous glucose monitor (CGM) metrics adults with type 2 diabetes.
Prenatal stress increases risk for postpartum depression. While social support availability may attenuate this risk, little research has examined receipt during pregnancy, which been linked to increased distress in other domains. This study assesses the implications of motherhood-related and motherhood-unrelated daily pregnancy tests whether negative responsiveness predicts depression risk.Thirty-one pregnant women were recruited from community a 3-wave (beginning at approximately 26 weeks...
Abstract Objective Although fear of cancer recurrence (FCR) has been conceptualized as a multidimensional construct with emotional and cognitive components, little work distinguished or assessed both components. Further, most existing research not included intimate partners patients, although they also experience FCR. This study aimed to (1) determine whether FCR is better singular at the within‐person level over time (2) model corresponding trajectories in patients their partners. Methods...