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Dyadic coping and mental health in couples: A systematic review

2023/10/04 by Selina A. Landolt, Katharina Weitkamp, Michelle Roth +2 · 1 citation
Medicine · Psychology · #Attachment and Relationship Dynamics #Child and Adolescent Psychosocial and Emotional Development #Maternal Mental Health During Pregnancy and Postpartum

paper · pdf · doi:10.1016/j.cpr.2023.102344

openalex publication_date 2023/10/04 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04

Abstract

Globally, one out of three people suffer from a mental health issue during their lifetime. In romantic relationships, impaired mental health does not only affect the individual but also their partner and therefore needs to be coped with dyadically. In this systematic review, we summarize research examining dyadic coping (DC) in the context of mental health and individual and relational outcomes. We searched for peer-reviewed articles published between January 1990 and April 2023 on PsycInfo, Medline, and PSYNDEX on DC and mental health within romantic relationships. A total of 60 qualitative, quantitative, and intervention studies met the inclusion criteria, reporting on 16,394 individuals and 4,945 dyads. To synthesize the studies, we used a narrative synthesis approach. Overall, stress expression and positive DC yielded beneficial individual and relational outcomes, whereas, for negative DC, the opposite was true. Results differed between mental health clusters and context played an important role (e.g., symptom severity, life phase). Due to the great diversity of studies and variables, further research should focus on understudied mental health clusters (e.g., anxiety disorders). Clinicians are advised to view mental health issues as a dyadic rather than an individual phenomenon ("we-disease") and develop tailored couple-centered interventions.

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