Psychological detachment and savoring in adaptation to cancer caregiving

Hou, Wai Kai; Lau, Kam Man; Ng, Sin Man; Lee, Tatia Mei Chun; Cheung, Hester Yui Shan; Shum, Tracy Chui Yu; Cheng, Ashley

doi:10.1002/pon.4019

Cited by 23 publications

(30 citation statements)

References 35 publications

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“…The current study adds to the existing body of knowledge by exhibiting the positive psychological pathways of perceived capability of savouring the moment in life adversities. Recent studies have identified the benefit of perceived capability of savouring the moment in adaptation to cancer, but the studies focused on distress including physical symptoms, anxiety and depressive symptoms, or caregiving burden (Hou et al, ). Perceived capability of savouring the moment might be a reactive process of attending to and being fully engaged in positive experiences.…”

Section: Discussionmentioning

confidence: 99%

“…Likewise and conversely, family caregivers who perceived higher ability of savouring the moment might signal to their patients that the caregiving was manageable and providing care has not been particularly burdensome. Caregiving burden has been inversely associated with life satisfaction across studies (Hou et al, ; Jeong et al, ; Lee et al, ). Therefore, higher perceived capability of savouring the moment of caregivers predicted higher life satisfaction of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Individual changes in positive and negative affect were not associated with synchronised capitalising, suggesting the importance of taking into account both patients' and spouses' savouring in predicting positive adjustment outcomes. More importantly, recent evidence showed that perceived capability of savouring the moment moderated the positive association between physical symptom distress and depressive symptoms among cancer patients (Hou et al, 2017) and was associated with lower anxiety and depressive symptoms and caregiving burden among caregivers (Hou et al, 2016). What could be added to this preliminary literature is investigation of the possible interdependence of the association between perceived capability of savouring the moment and psychological well-being within patientcaregiver dyads.…”

Section: Perceived Capability Of Savouringmentioning

confidence: 99%

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Savouring and psychological well‐being in family dyads coping with cancer: An actor–partner interdependence model

et al. 2019

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Previous studies have investigated interdependence of the associations between predictors and negative psychological outcomes in dyads of cancer patients and family caregivers. This study examined the dyadic effects of perceived capability of savouring the moment on psychological well‐being. A total of 152 dyads of cancer patients and caregivers reported their perceived capability of savouring the moment (Savoring Beliefs Inventory), state positive affect (Chinese Affect Scale) and life satisfaction (Satisfaction With Life Scale) within 6 months following diagnosis. Actor–Partner Interdependence Model (APIM) demonstrated that patients’ and caregivers’ savouring the moment was positively associated with their own positive affect and life satisfaction (actor effects: βs = 0.309–0.603, 95% CIs = 0.171–0.502, 0.446–0.703, ps < 0.001). Patients’ savouring the moment was positively associated with caregivers’ positive affect (β = 0.158, 95% CI = 0.018, 0.299, p = 0.028), whereas caregivers’ savouring the moment was positively associated with patients’ life satisfaction (β = 0.158, 95% CI = 0.026, 0.289, p = 0.020). Partner effects between caregivers’ savouring the moment and patients’ positive affect and between patients’ savouring the moment and caregivers’ life satisfaction were not significant. The findings suggest the role of savouring in psychological well‐being within patient–caregiver dyads, highlighting the importance of investigating positive psychological pathways in their joint adaptation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Perceived Capability Of Savouringmentioning

confidence: 99%

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Savouring and psychological well‐being in family dyads coping with cancer: An actor–partner interdependence model

et al. 2019

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“…Coping research is predominantly quantitative, based on measures of anxiety, stress or depression as markers of negative coping, quantifying the relationship between coping and health and wellbeing, and focused on the experience of those in earlier disease stages[12, 29, 30, 44–51]. Whilst such research is important in identifying the importance of coping, and its interrelationship as a concept with aspects of wellbeing, it does not provide a rich understanding of the reasons, processes or types of strategies that people use to deal with advanced cancer[31].…”

Section: Discussionmentioning

confidence: 99%

Coping Well with Advanced Cancer: A Serial Qualitative Interview Study with Patients and Family Carers

et al. 2017

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ObjectivesTo understand successful strategies used by people to cope well when living with advanced cancer; to explore how professionals can support effective coping strategies; to understand how to support development of effective coping strategies for patients and family carers.DesignQualitative serial (4–12 week intervals) interview study with people with advanced cancer and their informal carers followed by focus groups. The iterative design had a novel focus on positive coping strategies. Interview analysis focused on patients and carers as individuals and pairs, exploring multiple dimensions of their coping experiences. Focus group analysis explored strategies for intervention development.Participants26 people with advanced (stage 3–4) breast, prostate, lung or colorectal cancer, or in receipt of palliative care, and 24 paired nominated informal/family carers.SettingParticipants recruited through outpatient clinics at two tertiary cancer centres in Merseyside and Manchester, UK, between June 2012 and July 2013.Results45 patient and 41 carer interviews were conducted plus 4 focus groups (16 participants). People with advanced cancer and their informal/family carers develop coping strategies which enable effective management of psychological wellbeing. People draw from pre-diagnosis coping strategies, but these develop through responding to the experience of living with advanced cancer. Strategies include being realistic, indulgence, support, and learning from others, which enabled participants to regain a sense of wellbeing after emotional challenge. Learning from peers emerged as particularly important in promoting psychological wellbeing through the development of effective ‘everyday’, non-clinical coping strategies.ConclusionsOur findings challenge current models of providing psychological support for those with advanced cancer which focus on professional intervention. It is important to recognise, enable and support peoples’ own resources and coping strategies. Peer support may have potential, and could be a patient-centred, cost effective way of managing the needs of a growing population of those living with advanced cancer.

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“…Notwithstanding the above limitations, this study together with some recent ones (Hou et al, 2016(Hou et al, , 2017 point to feasible directions for dyadic psychosocial education among cancer patients and caregivers. They could be instructed on skills of seeking, providing and acknowledging timely support for each other with reference to differential exposure to cancer stress (Northouse, Katapodi, Song, Zhang, & Mood, 2010).…”

Section: Study Limitationsmentioning

confidence: 83%

Do concordances of social support and relationship quality predict psychological distress and well-being of cancer patients and caregivers?

Hou

Lau

Shum³

et al. 2018

Eur J Cancer Care

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This study examined concordances of cancer patients' received and caregivers' provided support and dyadic relationship quality, and their predictive utility in prospective psychological distress and well-being. A total of 83 Chinese cancer patient-caregiver dyads were recruited in two government-funded hospitals in Hong Kong. Participants reported received (patient)/provided (caregiver) emotional and instrumental support and dyadic relationship quality within 6 months after diagnosis (T1), and anxiety and depressive symptoms, positive affect and life satisfaction at both T1 and 6-month follow-up (T2). We hypothesised that concordances at T1 would predict lower psychological distress and higher psychological well-being among both patients and caregivers at T2. Concordances were indicated by Gwet's AC scores (possible range = -1.00 to 1.00) and as follows: emotional support: M = 0.92, SD = 0.12, range = 0.25-1.00; instrumental support: M = 0.92, SD = 0.16, range = 0.08-1.00; and relationship quality: M = 0.63, SD = 0.27, range = -0.31 to 1.00. Hierarchical multiple regressions revealed that T1 concordances of perceived emotional and instrumental support and dyadic relationship quality positively predicted T2 anxiety symptoms [F(9, 74) = 6.725, ∆R = .031, p < .001)] and state positive affect [F(9, 74) = 3.436, ∆R = .042, p = .001)], whereas inversely predicted T2 depressive symptoms [F(9, 74) = 4.189, ∆R = .042, p < .01)]. Significant associations were found only among caregivers, but not patients.

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Psychological detachment and savoring in adaptation to cancer caregiving

Cited by 23 publications

References 35 publications

Savouring and psychological well‐being in family dyads coping with cancer: An actor–partner interdependence model

Savouring and psychological well‐being in family dyads coping with cancer: An actor–partner interdependence model

Coping Well with Advanced Cancer: A Serial Qualitative Interview Study with Patients and Family Carers

Do concordances of social support and relationship quality predict psychological distress and well-being of cancer patients and caregivers?

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