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For both patients and spouses, multilevel modeling analyses using SAS Proc Mixed showed significant negative associations for all five maintenance strategies with psychological distress (ps >.001). Significant positive associations were also found for positivity, network, and tasks with marital functioning for patients and spouses (ps >.001). However, patients were significantly more likely than their spouses to report greater marital functioning when they also reported greater openness (F(1,72)=5.92, p=.02) and assurances electronics (F(1,72) = 8.0, p=.005), highlighting the potential value of relationship-oriented discussions as a shared coping strategy for couples facing electronics lung cancer. These results underscore the importance electronics of examining the patterns of association of relationship maintenance strategies with both individual psychological and marital functioning. 
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