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Item Effects of Communication-Debilitating Illnesses and Injuries On Close Relationships: A Relational Maintenance Perspective(2007-12) Bute, Jennifer J.; Donovan-Kicken, Erin; Martins, NicoleA communication-debilitating illness or injury (CDI) presents significant challenges for patients as well as for friends and family. In a qualitative study of the effects of a CDI on close relationships, 28 individuals with loved ones who had experienced a CDI were interviewed. Participants described adjustments in communication with the patient and explained what it is like to experience a relationship with a CDI patient. Themes that emerged transcended the type of illness and relationship. Recommendations are made for further research that focuses on patients' relationships with a variety of social network members, beyond primary caregivers.