Manifestations of anxiety and coping strategies in patients with metastatic lung cancer and their family caregivers: a qualitative study

Interdependence of physical and psychological morbidity among patients with cancer and family caregivers: Review of the literature

“…While Sterba et al 47 found that caregivers' physical morbidity was worse in those whose patients who had more severe symptoms, Paek et al 10 found the inverse. Kotronoulas et al 36 found patients' and caregivers' adverse sleep outcomes to be interdependent, as did Hendriksen et al 33 who identified accompanying physical tension. Two 5,39 of the three longitudinal studies in this category found that patients' worse initial physical health predicted physical health decline in their caregivers over time, yet the remaining longitudinal study 31 found no association.…”

“…Nineteen studies (82.6%) examined associations between patients' and caregivers' psychological morbidity 5,30‐35,37‐41,43‐48,50 ; 15 of those (78.9%) found statistical significance 5,30,34,35,37‐41,43‐48 . Studies supported direct associations between patient and caregiver depression, 35,38,40,41,44 anxiety, 33,35,38,40,48 distress, 34,43 and overall mental health 5,38,39,46,47 . In addition, caregivers' stress was associated with patients' anxiety, 45 and caregivers' overall mental health was associated with patients' distress 37 .…”

“…Four studies 37‐40 (17.4%) included patients with various cancer types, whereas 19 (82.6%) studies narrowed their sample by recruiting patients with either a specific cancer type 5,10,30‐36,41,43‐47,49,50 or in one case, a few specific types 42 . There were 12 cross‐sectional observational, 5,10,30,32,34,35,39‐42,44‐46,48 6 longitudinal, 5,31,36,39,43,49 2 mixed methods, 30,47 2 qualitative, 33,40 and 1 retrospective study 50 . Fifteen studies (65.2%) were conducted in the United States, 5,10,30,32‐34,39‐47 while 8 (34.8%) were international.…”

“…Twelve studies 5,10,31,33,35‐37,39,40,44,46,47 (52.2%) examined associations between patients' and caregivers' physical morbidity. Seven 5,10,31,35,36,39,47 (58.3%) found those associations to be statistically significant, and one qualitative study identified interdependent physical morbidity as a major theme 33 . While Sterba et al 47 found that caregivers' physical morbidity was worse in those whose patients who had more severe symptoms, Paek et al 10 found the inverse.…”

“…Sample sizes ranged from 6 30,40 to 910 39 dyads. Four studies [37][38][39][40] were 12 cross-sectional observational, 5,10,30,32,34,35,[39][40][41][42][44][45][46]48 6 longitudinal, 5,31,36,39,43,49 2 mixed methods, 30,47 2 qualitative, 33,40 and 1 retrospective study. 50 Fifteen studies (65.2%) were conducted in the United States, 5,10,30,32-34,39-47 while 8 (34.8%) were international.…”