Are Disagreements in Caregiver and Patient Assessment of Patient Health Associated with Increased Caregiver Burden in Caregivers of Older Adults with Cancer?

Hsu, Tina; Loscalzo, Matthew; Ramani, Rupal; Forman, Stephen J.; Popplewell, Leslie; Clark, Karen; Katheria, Vani; Strowbridge, Rex; Rinehart, Redmond; Smith, Dan; Matthews, Keith; Dillehunt, Jeff; Feng, Tao; Smith, David; Sun, Can‐Lan; Hurria, Arti

doi:10.1634/theoncologist.2017-0085

Cited by 33 publications

(27 citation statements)

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“…30 Our descriptive results are similar to previous studies. 7,31,32 Hsu et al 33 found that in 100 patients aged 65 years and older (70% with advanced cancer) and their caregivers, caregivers were mostly female (73%) and spouses (68%); 79% lived with the patient. Jones et al 32 found that in 76 caregivers of older patients with cancer, 19.1% and 23.6% reported moderate or greater anxiety and depression, respectively.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life of Caregivers of Older Patients with Advanced Cancer

Kehoe

Duberstein

et al. 2019

J American Geriatrics Society

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OBJECTIVES To evaluate the relationships between aging‐related domains captured by geriatric assessment (GA) for older patients with advanced cancer and caregivers’ emotional health and quality of life (QOL). DESIGN In this cross sectional study of baseline data from a nationwide investigation of older patients and their caregivers, patients completed a GA that included validated tests to evaluate eight domains of health (eg, function, cognition). SETTING Thirty‐one community oncology practices throughout the United States. PARTICIPANTS Enrolled patients were aged 70 and older, had one or more GA domain impaired, and had an incurable solid tumor malignancy or lymphoma. Each could choose one caregiver to enroll. MEASUREMENTS Caregivers completed the Generalized Anxiety Disorder‐7, Distress Thermometer, Patient Health Questionnaire‐2 (depression), and Short Form Health Survey‐12 (SF‐12 for QOL). Separate multivariate linear or logistic regression models were used to examine the association of the number and type of patient GA impairments with caregiver outcomes, controlling for patient and caregiver covariates. RESULTS A total of 541 patients were enrolled, 414 with a caregiver. Almost half (43.5%) of the caregivers screened positive for distress, 24.4% for anxiety, and 18.9% for depression. Higher numbers of patient GA domain impairments were associated with caregiver depression (adjusted odds ratio [aOR] = 1.29; P < .001], caregiver physical health on SF‐12 (regression coefficient [β] = −1.24; P < .001), and overall caregiver QOL (β = −1.14; P < .01). Impaired patient function was associated with lower caregiver QOL (β = −4.11; P < .001). Impaired patient nutrition was associated with caregiver depression (aOR = 2.08; P < .01). Lower caregiver age, caregiver comorbidity, and patient distress were also associated with worse caregiver outcomes. CONCLUSION Patient GA impairments were associated with poorer emotional health and lower QOL of caregivers. J Am Geriatr Soc 67:969–977, 2019.

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Section: Discussionmentioning

confidence: 99%

Quality of Life of Caregivers of Older Patients with Advanced Cancer

Kehoe

Duberstein

et al. 2019

J American Geriatrics Society

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“…A higher carer burden was also associated with patient’s physical and psychological symptom burden. The causes of caregiver burden are complicated, but the literature reports a stronger association between burden and patient’s physical care needs, social networks and information needs than symptoms 29 30. There has been no previous reported association between Zarit burden score and symptoms reported on the MSAS-SF.…”

Section: Discussionmentioning

confidence: 99%

Alcohol and drug use disorders in patients with cancer and caregivers: effects on caregiver burden

Webber

Davies

Leach

et al. 2020

BMJ Support Palliat Care

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BackgroundThe estimated prevalence of alcohol use disorders in patients with advanced cancer is reported as 4%–38%. There are limited data regarding alcohol and drug use disorders in caregivers of patients with cancer and the effects on other issues.AimTo establish the prevalence of alcohol and drug use disorders in a large cohort of patients with advanced cancer and their caregivers.To evaluate the relationship between alcohol and drug use disorders and patient symptoms and caregiver burden.DesignThe patient with cancer and caregiver completed the Alcohol Use Disorders Identification Tool, CAGE questionnaire and Drug Abuse Screening Test. The patient completed the Memorial Symptom Assessment Scale–Short Form, and the caregiver completed the Zarit Burden Questionnaire.Statistical analysis compared cases and non-cases of alcohol and drug use disorders with symptom and burden score.Setting/participantsPatients with cancer, and their caregivers, were recruited from 11 UK sites, 6 hospices and 5 hospitals.ResultsFive hundred and seven patients and their caregivers were recruited. Twenty-seven patients (5%) and 44 caregivers (9%) screened positively for alcohol use disorders on the Alcohol Use Disorders Identification Tool. Thirty patients (6%), and 16 caregivers (3%), screened positively for drug abuse problems on the Drug Abuse Screening Test.There was a significantly higher carer burden score in caregivers screening positively for alcohol and drug abuse problems.ConclusionsThe prevalence of alcohol use disorders in patients with cancer and caregivers was lower than reported in previous studies. Caregiver burden scores were significantly higher in carers screening positively for alcohol and drug use disorders.Trial registration numberTrial registered National Institute for Health Research Clinical Research Network Portfolio (CPMS ID 30723) IRAS ID 198753.

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“…Stronger correlation was found using the Hamilton Anxiety and Depression Rating Scales (HARS, HDRS), MOS-Physical Function, CSI and Zarit Caregiver Burden Interview (ZBI). Hsu et al (29) and Hu et al (30) reported higher correlations between anxiety and caregiving stress (r = 0.774, p < 0.001), depression and caregiving stress (r = 0.718, p < 0.001), and physical dysfunction and caregiving stress (p < 0.05) in family caregivers of adult patients with cancer and stroke. Understanding the direct impact of caregivers' health on the levels of caregiving stress is another important result.…”

Section: Discussionmentioning

confidence: 95%

Relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer: implications for nursing practice

Saimaldaher

Wazqar

2019

Scandinavian Caring Sciences

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Relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer: implications for nursing practice Aim: This study was conducted to investigate the relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer at a University Teaching Hospital in Jeddah city, Saudi Arabia. Methods: A cross-sectional correlational study was carried out with a convenience sample of 160 family caregivers of adult patients with cancer. Data were collected using a selfadministered questionnaire including the Modified Caregiver Strain Index, the DUKE Health Profile and sociodemographic items. The data were analysed using the Statistical Package for the Social Sciences (SPSS). Descriptive and inferential statistics and correlations were performed. Results: Participants experienced a certain level of caregiving stress (M = 9.01, SD = 5.645). Many factors were found to be correlated to higher caregiving stress in this study. Caregiving stress showed significant moderate negative correlations with mental and physical health (p < 0.01). Statistically significant differences were found between age, gender, nationality, education, monthly income, and caregiving stress or DUKE Health Profile scores (p < 0.05). Conclusions: Caregiving stress affects family caregivers' mental and physical health. Such stress can disrupt the caregiving performance of family caregivers. Discovering the causes of caregiving stress among the family caregivers of adult patients with cancer may help to determine the main elements affecting patient care and can assist oncology nurses in providing support and services to caregivers. Educational strategies/intervention programs in the hospitals may be required to reduce caregiving stress levels and improve the health and well-being of family caregivers of adult patients with cancer.

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Are Disagreements in Caregiver and Patient Assessment of Patient Health Associated with Increased Caregiver Burden in Caregivers of Older Adults with Cancer?

Cited by 33 publications

References 47 publications

Quality of Life of Caregivers of Older Patients with Advanced Cancer

Quality of Life of Caregivers of Older Patients with Advanced Cancer

Alcohol and drug use disorders in patients with cancer and caregivers: effects on caregiver burden

Relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer: implications for nursing practice

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