| This study comprises two parts and includes qualititative interviews with lung cancer patients and spouses of lung cancer patients and a longitudinal assessment of the psychological and relationship functioning of lung cancer patients and spouses. The specific aims are to: (1) determine the prevalence of distressed patients, spouses and spousal relationships in lung cancer over time; (2) determine whether the prevalence of distressed spousal relationships is higher in relationships where the patient, spouse, or both smoke following diagnosis; (3) characterize the associations among patient psychological functioning, spouse psychological functioning, relationship functioning, and caregiver burden from diagnosis to 6 months following diagnosis; (4) determine baseline predictors of caregiver burden at 3 and 6 months following diagnosis; and (5) conduct qualitative interviews with lung cancer patients and spouses of lung cancer patients and to use this information to refine an existing measure of relationship communication related to lung cancer, its treatment, and health behaviors. |