The communal coping model argues that people cope with stress in the context of their relationships and that coping responses are both cognitive and behavioral in nature. However, the cognitive dimension of the model (appraisal) has not been explicated in extant research. The purpose of this study is to fill that gap by conceptualizing the appraisal dimension of communal coping in the context of families managing one member's type 2 diabetes. Analysis of interviews with individuals with type 2 diabetes and their family members (N=28) revealed that appraisal consists of problem ownership and perceived problem influence and that appraisals are influenced by knowledge of the disease and changing health status. Theoretical and practical implications are discussed.

Weight bias is prevalent for people in large bodies who are trying to conceive, pregnant, or postpartum. Using the theory of memorable messages as a framework, we explored the sources, valence, and content of messages that fat individuals (N = 237) recalled about their bodies before pregnancy through the postpartum stage. The most common source of memorable messages was healthcare providers, and most (77.2%) messages were negatively valenced. Thematic analysis revealed four overarching themes (fat mothers are bad mothers, denial of competent treatment, weight-normative commentary on fat bodies, and weight-inclusive counter-narratives). Our findings illuminate the significance of patient-practitioner communication across the pregnancy trajectory and highlight how counter-narratives can disrupt negative messages about fat pregnancy.

The transition from deployment to reintegration can be stressful for returning military personnel and at-home partners, and support plays a key role in their ability to transition effectively. We draw on relational turbulence theory to advance predictions about how parameters of the relationship between returning service members and at-home partners predict their perceptions of their partner’s support during the post-deployment transition. We surveyed 235 individuals (117 returning service members, 118 at-home partners) who had experienced the transition within the past 6 months. Findings consistent with the theory indicated that relational turbulence partially mediated the negative associations that relational uncertainty and interference from a partner shared with partner support. Partner uncertainty was a direct negative predictor of partner support as well. We consider how these results extend theory, research, and practice.

Stigma is pervasive and debilitating for people living with diabetes, carrying emotional, physiological, and social influences. Although researchers have investigated the sources and consequences of diabetes stigma, little is known about the lived experience of stigma. In this study, we used grounded theory methods to analyze data from 22 online diabetes forums. Results revealed that blaming and shaming was a core experience for people with diabetes, manifesting in feeling isolated, coping with weight, centering diabetes, and internalizing myths and misinformation. Posters disrupted their blame and shame by educating themselves and others and seeking mental health treatment. Results of the study have implications for research on diabetes stigma and practical value for mitigating the consequences of stigma.

The impact of type 2 diabetes (T2D) is far reaching, influencing the lives of both patients and their families. The communal coping model argues that people cope with stress in the context of their relationships, including family relationships, and that coping responses are both cognitive and behavioral in nature. According to the model, communal coping exists along two continuous dimensions: (a) appraisal, which assesses whether people’s cognitions are individual or shared, and (b) action, which pertains to whether people engage in sole or joint behavior to diminish the negative effects of their stress. Theoretically, the dimensions of communal coping cross to create four distinct types of coping. However, this typology has not been statistically tested in existing research, so one goal of this study was to test the typology. A second goal was to assess how the dimensions and types of communal coping are related to family cohesion and individual T2D outcomes. In partial support of the communal coping model, three types of coping emerged, and overall, coping together was beneficial for patient outcomes.

How individuals in romantic partnerships cope with health challenges either separately or together has a profound impact on their individual and relational well-being. The goal of this investigation was to test the logic of the recently extended Theoretical Model of Communal Coping (TMCC) by assessing how the two dimensions of communal coping, shared appraisal and joint action, are related to individual and relational well-being. Dyadic survey data from 100 romantic couples were analyzed using the Actor-Partner Interdependence Model. Results support the TMCC’s assertion that shared appraisal and joint action are distinct facets of communal coping and extend the model by highlighting how different partners’ experiences with communal coping may be.