Money matters: an analysis of advanced cancer couples’ communication about financial concerns

Xu, Jiayun; Ellington, Lee; Heyman, Richard E.; Vadaparampil, Susan T.; Reblin, Maija

doi:10.1007/s00520-019-05045-z

Cited by 5 publications

(1 citation statement)

References 35 publications

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“…Financial burden may be higher for caregivers in high intensity caregiving situations 35 . Despite bearing employment and financial consequences related to caregiving, 34 cancer caregivers may be reluctant to discuss these concerns openly with health care providers, employers, or their social networks 37 . They may also not receive adequate support with financial screening, paid leave, adjusted work schedules, or monetary contributions from family and friends.…”

Section: Discussionmentioning

confidence: 99%

What contextual factors account for anxiety and depressed mood in hospice family caregivers?

et al. 2021

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Objective End‐of‐life caregiving is associated with poorer mental health compared with other caregiving. The objective of this study was to examine the association between contextual characteristics and appraisal factors on family caregivers' mental health and well‐being. Methods Family hospice caregivers were recruited across four states using a non‐probabilistic sampling approach. This study analyzed contextual (demographic, caregiving, economic) and appraisal factors (Medical Outcomes Study Social Support Survey, Zarit Burden Interview) on caregivers' anxiety and depression (Hospital Anxiety and Depression scale, and positive affect and well‐being (Positive Affect and Well‐being Scale). Hierarchical linear regression models were generated in SPSS version 24. Results Data from 102 family caregivers were analyzed. On average, participants were 58.93 years of age (SD = 14.24), mostly female (72.55%), spouses/partners (51.96%), and non‐Hispanic White (78.43%). Most (75.49%) described their financial situation as comfortable or more than adequate. Younger age (B = −0.11, 95% CI = −0.18 to −0.05) and increased caregiving burden (B = 0.18, 95% CI = 0.09 to 0.27) were associated with increased anxiety, while lower perceived financial adequacy (B = −1.19, 95% CI = −2.07 to −0.32), lower social support (B = −0.04, 95% CI = −0.06 to −0.01), and increased caregiving burden (B = 0.15, 95% CI = 0.08–0.22) were associated with worsened depression. Greater social support (B = 0.10, 95% CI = 0.05–0.14) and lower caregiving burden (B = −0.19, 95% CI = −0.32 to −0.07) were associated with greater positive affect and well‐being. Conclusions Findings suggest significant impact of contextual factors on mental health and well‐being, and support the need for holistic assessment of hospice caregivers' wellbeing and programs and policies providing social services and economic support to caregivers.

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Section: Discussionmentioning

confidence: 99%

What contextual factors account for anxiety and depressed mood in hospice family caregivers?

et al. 2021

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Financial distress and its associated burden in couples coping with an advanced cancer

Kroll

Kim

Cho

et al. 2022

Support Care Cancer

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As the economic burden and nancial distress (FD) resulting from cancer care are increasingly recognized, FD remains inadequately understood from the perspective of patients and their spousal caregiver, the relational context where most nancial and treatment decisions are navigated. Therefore, we assessed FD in both patients with advanced cancer and their spouses to identify symptom and QOL correlates. We additionally examined if illness communication moderated the association between FD and QOL. MethodsPatients undergoing treatment for stage III/IV lung cancer or grade III/IV primary brain tumor and their spouses completed measures of their own FD, QOL, symptoms, perception of their spouse's symptoms, and overall illness communication. ResultsPatients (62.7%) and spouses (64.7%) endorsed FD; however, spouses rated FD with greater relative severity. For both, FD was associated with greater anxiety, depression, and poorer physical QOL. For patients, FD was additionally associated with poorer mental QOL. Spousal caregivers accurately perceived patient FD, yet patients underreported spouse's FD by a clinically meaningful difference. A 3way interaction (FD X role X illness communication) revealed (b = .40, p = .041) that illness communication moderated the association between FD and physical QOL for spouses only. ConclusionIn the advanced cancer setting, FD is prevalent in both patients and their caregivers and associated with psychological distress and poor physical QOL. Results suggest that optimal FD interventions should include patients and spouses. As illness communication appears to buffer the negative association of FD with physical QOL, studies targeting illness communication de cits in couples facing advanced disease are warranted.

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Striving to Thrive: A Qualitative Study on Fostering a Relational Perspective Through Narrative Therapy in Couples Facing Cancer

Rajaei

Brimhall

Jensen

et al. 2020

The American Journal of Family Therapy

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Money matters: an analysis of advanced cancer couples’ communication about financial concerns

Cited by 5 publications

References 35 publications

What contextual factors account for anxiety and depressed mood in hospice family caregivers?

What contextual factors account for anxiety and depressed mood in hospice family caregivers?

Financial distress and its associated burden in couples coping with an advanced cancer

Striving to Thrive: A Qualitative Study on Fostering a Relational Perspective Through Narrative Therapy in Couples Facing Cancer

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