Cancer and quality of life in spousal dyads: spillover in couples with and without cancer-related health problems

Litzelman, Kristin; Green, Paige; Yabroff, K. Robin

doi:10.1007/s00520-015-2840-4

Cited by 63 publications

(81 citation statements)

References 37 publications

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“…This indicates that each person’s responses affected the other. Similar findings were reported in a large population-based study that examined the association between cancer patients’ and their partners’ quality of life (55). Our findings are consistent with Social Cognitive Theory, which posits that the social environment (e.g., important people in individual’s lives) can influence how individuals cope with the stress of cancer (27).…”

Section: Discussionsupporting

confidence: 87%

The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time

et al. 2015

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Background The challenges of advanced cancer have health implications for patients and their family caregivers from diagnosis through end-of-life. The nature of the patient/caregiver experience suggests that their mental and physical health may be interdependent, but limited empirical evidence exists. Purpose This study used Social Cognitive Theory as a framework to investigate individual and interpersonal influences on patients’ and their family caregivers’ mental health, physical health, and self-efficacy as individuals to manage the challenges of advanced disease over time. Methods Patients and caregivers (484 patient-caregiver dyads) completed surveys at baseline, 3 months and 6 months. Longitudinal dyadic analysis techniques were used to examine (i) the influence that patients and caregivers had on their own mental health, physical health, and self-efficacy (actor effects) and (ii) the influence that they had on each other’s health outcomes (partner effects). We also examined the influence of self-efficacy on mental and physical health over time. Results Consistent with our hypotheses, each person’s mental health, physical health, and self-efficacy had significant effects on their own outcomes over time (actor effects). Patients and caregivers influenced one another’s mental and physical health (partner effects), but not their self-efficacy. In addition, patients and caregivers with higher self-efficacy had better mental health, and their partners had better physical health. Conclusions Patient and caregiver mental and physical health were interdependent. Each person’s cancer-related self-efficacy influenced their own mental and physical health. However, a person’s self-efficacy did not influence the other person’s self-efficacy.

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Section: Discussionsupporting

confidence: 87%

The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time

et al. 2015

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“…16 Caregiving-related health problems cause further distress within the patient-caregiver dyad 17 and caregiver depression is likely to have a direct influence on patient outcomes. 18–24 For instance, a patient's fear of recurrence at 3 months post-diagnosis is predictive of a caregiver’s increased distressed over time. 25 …”

Section: Family Caregiving and Communicationmentioning

confidence: 99%

Understanding Family Caregiver Communication to Provide Family-Centered Cancer Care

Wittenberg¹,

Buller²,

Ferrell³

et al. 2017

Seminars in Oncology Nursing

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Objectives To describe a family caregiver communication typology and demonstrate identifiable communication challenges among four caregiver types: Manager, Carrier, Partner, and Lone. Data Sources Case studies based on interviews with oncology family caregivers. Conclusion Each caregiver type demonstrates unique communication challenges that can be identified. Recognition of a specific caregiver type will help nurses to adapt their own communication to provide tailored support. Implications for Nursing Practice Family-centered cancer care requires attention to the communication challenges faced by family caregivers. Understanding the challenges among four family caregiver communication types will enable nurses to better address caregiver burden and family conflict.

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“…Caregivers' own symptom experience warrants attention because their physical and mental health has implications for their own wellbeing [14] and their ability to provide care [15,16]. As the prevalence of chronic diseases such as diabetes, heart disease, and arthritis increases with age [17], cancer caregivers, who tend to be older [18], are likely to also be managing symptoms related to their own health conditions.…”

mentioning

confidence: 99%

The influence of dyadic symptom distress on threat appraisals and self-efficacy in advanced cancer and caregiving

Ellis

Janevic

Kershaw³

et al. 2016

Support Care Cancer

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Purpose Physical and psychological symptoms experienced by patients with advanced cancer influence their wellbeing; how patient and family caregivers' symptom distress influence each other's wellbeing is less understood. This study examined the influence of patient and caregiver symptom distress on their threat appraisals and self-efficacy to cope with cancer. Methods We conducted secondary analysis of baseline data from an RCT that enrolled patients with advanced cancer and their family caregivers (N=484 dyads). Structural equation modeling and the actor-partner interdependence mediation model (APIMeM) were used to examine two models: threat appraisals as a mediator of the relationship between symptom distress and individual and family-related self-efficacy; and, self-efficacy (individual and family dimensions) as mediators of the relationship between symptom distress and threat appraisals. Results Data suggest the self-efficacy mediation model was the preferred model. More patient and caregiver symptom distress was directly associated with their own lower self-efficacy and more threatening appraisals. Patient and caregiver individual self-efficacy also mediated the relationship between their own symptom distress and threat appraisals. There were also significant interdependent effects. More patient symptom distress was associated with less caregiver family-related self-efficacy; and, more caregiver symptom distress was directly associated with more threatening patient appraisals. Conclusions Patient and caregiver symptom distress influenced their own, and in some cases each other's, cognitive appraisals. Limitations of this study include the use of cross-sectional data and assessments of individually-focused (vs. family-focused) threat appraisals. These findings highlight the need to consider the management of patient and caregiver symptoms during advanced cancer.

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Cancer and quality of life in spousal dyads: spillover in couples with and without cancer-related health problems

Cited by 63 publications

References 37 publications

The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time

The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time

Understanding Family Caregiver Communication to Provide Family-Centered Cancer Care

The influence of dyadic symptom distress on threat appraisals and self-efficacy in advanced cancer and caregiving

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