In a cross-sectional study, 36 breast cancer patients and their husban
ds provided information about how each recalled coping with stress dur
ing a course of radiation therapy. Both spouses also were asked to rep
ort on one another's coping efforts and to provide information about t
heir own current psychological adjustment and marital satisfaction. Th
e results indicated that wives engaged in more extensive and varied co
ping efforts than their husbands did and that the coping strategies wh
ich husbands and wives used were largely independent. Consistent with
numerous other studies, self-reported coping related to one's own outc
omes. The authors also found significant crossover associations betwee
n the coping reports of one spouse and the other spouse's outcomes: hu
sbands' outcomes were somewhat more strongly correlated with their wiv
es' reports of their own coping than vice versa. A similar pattern of
findings emerged for the coping data provided by one spouse about the
other. These data suggest that to understand more fully the link betwe
en cancer and psychosocial adjustment after treatment, researchers sho
uld consider the coping of spouses as well as patients.