ContextColon cancer is the 3rd most common cancer in the world. The diagnosis leads the patient and his relatives into a process of mourning for their health and previous life. The literature highlights the impact of the disease on couples. Cancer can either alter or strengthen the relationship. The disease will directly or indirectly affect both partners. Such impact starts with the diagnosis and lasts long after treatments. No study has analyzed both emotional and sexual interactions between partners throughout the (...) illness so far.ObjectiveThis research aims to identify and describe whether congruence within couples tends to improve emotional and sexual adjustment.MethodThirteen couples took part in this research by answering a set of questionnaires investigating, in particular, dyadic coping strategies, marital and sexual satisfaction. Non-parametric analyses were performed on the quantitative data.ResultsEmotional satisfaction is good among the couples in our study. There are important similarities in partners’ emotional adjustment. Patients who are most satisfied with their couple typically have a partner who is also satisfied. This was an expected result based on the literature. Overall, sexual satisfaction is described as average, which is either related to a low frequency of sexual intercourse, or a gap between the ideal and actual frequency of intercourse. In terms of dyadic coping, similarities within couples tend to improve emotional and sexual adjustment. Couples in which communication about stress between the patient and their partner is congruent tend to report good marital satisfaction. We found the same results for delegated coping of both the patient and the partner, and for negative coping of the partner. Sexual adjustment is linked to a similar perception within the couple of a common dyadic coping.ConclusionEmotional and sexual adjustment is largely linked to the quality of the partner’s support. The congruence of couple support strategies has been identified as an important factor in emotional satisfaction. In addition, the more couples implement joint stress management, the better their sexual satisfaction. (shrink)

La cohabitation avec la dialyse à domicile, ce lieu privé habituellement préservé de la maladie, invite à des questionnements sur la dynamique du couple au regard du nouveau rôle de soignant endossé par le conjoint et de celui de patient assigné au conjoint malade. Les auteurs, psychologues cliniciennes, interrogent ici les motivations conscientes et inconscientes qui conduisent à cette décision commune et leurs retentissements sur la dynamique du couple. Différentes configurations relationnelles observées dans notre clinique seront abordées. L’article, cas clinique (...) à l’appui, montre l’intérêt d’un groupe thérapeutique avec malades et conjoints pour mettre à jour les enjeux, au niveau de la relation de couple, d’une prise en charge à domicile. (shrink)