Relationships between family resilience and posttraumatic growth in breast cancer survivors and caregiver burden

Liu, Ye; Li, Yuli; Chen, Li-jun; Li, Yurong; Qi, Weiye; Li, Yu

doi:10.1002/pon.4668

Cited by 59 publications

(55 citation statements)

References 32 publications

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“…In this study, most of the caregivers were married (76) comparable with other studies (Chindaprasirt et al, 2014;Garlo et al, 2010;Goldstein et al, 2004;Liu et al, 2018;Lukhmana et al, 2015;Seibl-Leven et al, 2018). Married caregivers were less burdened than others (comprising unmarried, widower, and divorced).…”

Section: Discussionsupporting

confidence: 85%

Psychosocial Burden Among Informal Caregivers of Adult Cancer Patients Attending a Tertiary Care Cancer Center in Coastal South India

et al. 2019

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Cancer is the most dreaded and chronic disease with its treatment lasting almost lifelong with an uncertainty of cure. This not only adversely affects the quality of life among patients but also poses a psychosocial burden among family members, especially caregivers of the patient. This study was conducted with the objectives to assess the psychosocial burden on caregivers of cancer patients and to find out the association of various sociodemographic characteristics with the level of burden among caregivers. Caregivers of 205 cancer patients were interviewed. Information on sociodemographic characteristics of caregivers, cancer details of patients, and psychosocial burden among caregivers was collected using Zarit Burden Interview (ZBI) scale. Descriptive statistics were used to analyze the baseline data. Chi-square test was done to find out the association of burden with various sociodemographic and disease variables. A p-value of <0.05 was taken as statistically significant. The median (interquartile range) ZBI was 20 (10, 34). Fifty percent of the caregivers had no or minimal burden and only 2% had severe burden. Age of the caregiver was a significant determinant of their psychosocial burden.

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Section: Discussionsupporting

confidence: 85%

Psychosocial Burden Among Informal Caregivers of Adult Cancer Patients Attending a Tertiary Care Cancer Center in Coastal South India

et al. 2019

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“…Additionally, family resilience was positively associated with the survivors' QOL. Though a newly published study has shown family resilience was positively related to PTG (Liu et al, ), no published studies have linked family resilience and PTG to QOL among survivors of breast cancer. Studies have shown that positive family functioning or families’ flexibility in their responses to changes can lead to a better QOL or positive changes in members' mental health (Nam, Kim, DeVylder, & Song, ; Shao‐hua, Jing‐fang, Xue‐feng, & Zhi‐hua, ).…”

Section: Discussionmentioning

confidence: 99%

“…The patients had post-operative chemotherapy and/or radiotherapy for more than one month after surgery to treat their breast cancer. This is part of our cross-sectional study on breast cancer patients and their principal caregivers, more details about the participants and procedure please see our previous article (Liu et al, 2018). Informed consent was obtained from all individual participants included in the study.…”

Section: Participants and Proceduresmentioning

confidence: 99%

“…In a study of family caregivers of older adults and those with dementia, family resilience had a significant negative association with caregiver burden (Jang & Yi, ). To our knowledge, a newly published study has shown family resilience was positively related to PTG and negatively related to caregiver burden among the principal caregivers of survivors of breast cancer in China (Liu et al, ). However, no published studies have simultaneously explained relationships among breast cancer survivors' family resilience, PTG, QOL and their principal caregivers' caregiver burden.…”

Section: Introductionmentioning

confidence: 98%

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Family resilience and psychological well-being among Chinese breast cancer survivors and their caregivers

et al. 2019

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Walsh's family resilience theory indicated that families could foster resilient outcomes among their members when they are facing changes or crises. However, little is known about family resilience and psychological well‐being among Chinese breast cancer survivors and their caregivers. Therefore, this study aimed to examine the direct and indirect relationships between family resilience, breast cancer survivors' post‐traumatic growth (PTG), quality of life (QOL), and their principal caregivers' caregiver burden. A total of 108 breast cancer survivors/principal caregivers pairs completed a cross‐sectional questionnaire survey in a comprehensive cancer of a public hospital in Shandong Province, China. The structural equation modelling (SEM) results showed that family resilience had direct and indirect effects on QOL and caregiver burden, and it was positively related to the PTG of the survivors. The survivors' PTG was positively related to their QOL, and their QOL was negatively associated with caregiver burden. Therefore, a better understanding of how family resilience contributes to PTG and QOL of the survivors and caregiver burden could help clinicians tailor interventions to enhance interventions aimed at improving both survivors' and caregivers' well‐being.

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“…In comparison, few studies were conducted to promote communication between patients with advanced cancer and their family members. The majority of such studies are limited to breast cancer, prostate cancer and other gender-specific diseases (Greeff & Thiel, 2012;Lim, 2014;Liu et al, 2018).…”

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confidence: 99%

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

et al. 2020

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Objective To develop a communication prompt based on dignity therapy to facilitate effective conversations between patients with haematologic neoplasms and their family caregivers and to improve the programme and preliminarily explore the benefits and challenges of family participatory dignity therapy (FPDT). Methods A mixed‐methods approach was applied to develop and revise the programme. The FPDT was developed and validated using the Delphi survey, and its further improvement was explored with a simple one‐group pre‐ and post‐trial and semi‐structured in‐depth interviews. Results Most of the FPDT items were endorsed by experts and patient–family dyads. The Content Validity Index was 93.6% in the first round of the Delphi survey and 100% in the second round. The “hope level,” “spiritual well‐being” and “general health” scores of pre‐ and post‐testing increased from 33.60 ± 4.30 to 37.70 ± 5.10 (t = 3.99, p = .003); from 30.30 ± 3.65 to 38.80 ± 7.29(t = 4.13, p = .003); and from 41.67 ± 8.78 to 53.33 ± 8.05 (t = 3.50, p = .007) respectively. The qualitative data also indicated that the project was meaningful and well received. Conclusions We showed that FPDT was a valuable and feasible means of improving communication between patients with haematologic neoplasms and their family caregivers in China by raising the hope level and spiritual well‐being and promoting general health.

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Relationships between family resilience and posttraumatic growth in breast cancer survivors and caregiver burden

Abstract: Family resilience impacts PTG of breast cancer survivors and caregiver burden. Our findings indicated the necessity of interventions to facilitate family resilience, promote PTG among breast cancer survivors, and decrease family members' caregiver burden.

Cited by 59 publications

References 32 publications

Psychosocial Burden Among Informal Caregivers of Adult Cancer Patients Attending a Tertiary Care Cancer Center in Coastal South India

Psychosocial Burden Among Informal Caregivers of Adult Cancer Patients Attending a Tertiary Care Cancer Center in Coastal South India

Family resilience and psychological well-being among Chinese breast cancer survivors and their caregivers

The development of a family participatory dignity therapy programme for patients with haematologic neoplasms and their family caregivers in China: A feasibility study

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