Social correlates of mental health in gastrointestinal cancer patients and their family caregivers: Exploring the role of loneliness

Secinti, Ekin; Rand, Kevin L.; Johns, Shelley A.; O’Neil, Bert H.; Helft, Paul R.; Shahda, Safi; Jalal, Shadia I.; Mosher, Catherine E.

doi:10.1007/s00520-018-4467-8

Cited by 20 publications

(23 citation statements)

References 43 publications

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“…Few studies assess the dyadic nature of social support perceived by the patient and caregiver on health‐related outcomes. A study of gastrointestinal cancer patients and caregivers found that one's emotional support alleviates loneliness, leading to better mental health outcomes; however, no interrelationships between patients' and caregivers' emotional support and outcomes were found . A study of caregivers and patients with advanced breast, colorectal, lung, or prostate cancer, found that one's social support was positively associated with their own exercise and diet and interrelationships varied over time; specifically, caregiver social support at baseline was associated with patient exercise and diet at 3 months, but patient social support at 3 months was only associated with caregiver diet at 6 months post intervention.…”

Section: Introductionmentioning

confidence: 99%

“…A study of gastrointestinal cancer patients and caregivers found that one's emotional support alleviates loneliness, leading to better mental health outcomes; however, no interrelationships between patients' and caregivers' emotional support and outcomes were found. 6 A study 7 of caregivers and patients with advanced breast, colorectal, lung, or prostate cancer, found that one's social support was positively associated with their own exercise and diet and interrelationships varied over time; specifically, caregiver social support at baseline was associated with patient exercise and diet at 3 months, but patient social support at 3 months was only associated with caregiver diet at 6 months post intervention. In a study 8 of distress and coping among cancer patients and caregivers, perceived social support was found to be positively associated with hope for their future while the interrelationship showed a negative association.…”

Section: Introductionmentioning

confidence: 99%

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Dyadic associations between perceived social support and cancer patient and caregiver health: An actor‐partner interdependence modeling approach

et al. 2019

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Objective: Social support may have a positive impact on health outcomes for patients and caregivers, but the extent to which social support and health outcomes are interrelated for both is unknown. We examine the dyadic interrelationships between social support and health among cancer patients and their caregivers. Methods: Lung and colorectal cancer (CRC) patient and caregiver dyadic data were obtained from the Cancer Care Outcomes Research and Surveillance Consortium. Patients and caregivers self-reported sociodemographic, social support, and caregiving characteristics at 5-(n=218 lung; n=222 CRC) or 12-months post-diagnosis (n=198 lung; n=290 CRC). Structural equation modeling was used to examine actor-partner interdependence models (APIM) of lung and CRC dyads at 5- and 12-months post-diagnosis. Results: At 5-months post-diagnosis, no interdependence between patient and caregiver social support was detected for CRC or lung dyads (all p>0.05). At 12-months post-diagnosis, no interdependence was detected for CRC dyads (all p>0.70); lung dyads showed complete interdependence, indicating patient social support is associated with better caregiver self-reported health (β=0.15, p<0.001), and caregiver social support is associated with better patient self-reported health (β=0.18, p<0.001). Conclusion: Social support has positive impact on patient and caregiver perceived health across the cancer trajectory, and these effects may differ by cancer site and time. Future research and translational efforts are needed to identify effective ways to bolster both patient and caregiver social support and to determine critical moments for intervention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dyadic associations between perceived social support and cancer patient and caregiver health: An actor‐partner interdependence modeling approach

et al. 2019

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“…The mentioned facilitators and barriers for prognostic acceptance are well‐known resources or stressors in the context of malignant diseases like cancer 27–39 . Perhaps, patients were not able to clearly differentiate between factors affecting coping with the disease in general and factors impacting prognostic acceptance.…”

Section: Discussionmentioning

confidence: 99%

“…This is corroborated by the finding that loneliness is associated with poor mental health. 38 The feeling of causing problems and pain to loved ones, described as the phenomenon of a self-perceived burden to others, is associated with psychological distress in cancer patients. 39 These types of emotional suffering, tied to the social realm, may impede an accepting attitude toward the prognosis.…”

Section: Barriers For Prognostic Acceptancementioning

confidence: 99%

Perspectives of patients with multiple myeloma on accepting their prognosis—A qualitative interview study

et al. 2020

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Objective Prognostic awareness is essential for making treatment decisions in malignant diseases. Being confronted with a poor prognosis, however, can affect patients' mental health. Therefore, it is important to study coping in the context of malignant diseases. Acceptance is an adaptive coping strategy associated with less psychological distress. This study sought to explore the facilitators and barriers for prognostic acceptance in a sample in which both hope and uncertainty regarding prognosis are pronounced: multiple myeloma patients. Methods In a German university hospital, 20 multiple myeloma patients participated in semistructured interviews. Following thematic content analysis by Kuckartz, the interview transcripts were coded for facilitators and barriers for prognostic acceptance. Additionally, patients completed questionnaires on prognostic awareness and sociodemographic characteristics. Results Patients described the following facilitators for prognostic acceptance: social support, positive thinking, focusing on the Here and Now, proactive confrontation, having little to no symptoms, and being there for others. The indicated barriers were distressing physical symptoms and restricted functioning, social distress, and additional distress from other areas of life. Conclusions Patients reported a variety of factors—related to the social realm, symptom burden, and specific attitudes—that help or hinder them in accepting their prognosis. Oncologists and psycho‐oncologists may support prognostic acceptance by encouraging patients to both actively deal with realistic information as well as enjoy pleasant and meaningful moments in the present during which the disease and its prognosis recedes into the background.

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“…In the context of grave threats to their physical and mental health (Stefana, Youngstrom, Hopwood, & Dakanalis, 2020;Vigo et al, 2020), people living with cancer had to cope with several stressors including fear of SARS-CoV-2 infection, inadequate supplies, scarcity of information, nancial loss, stigma, and constrained freedom (Brooks et al, 2020). Thus, the psychological impact of mass quarantine in the context of a pandemic, in terms of stress, anxiety, depression, and poor sleep quality (Casagrande, Favieri, Tambelli, & Forte, 2020;, as well as isolation-related loneliness (Brooks et al, 2020;Hawryluck et al, 2004), could be even worse for cancer patients, who need emotional support from others to alleviate their feelings of loneliness and maintain mental health (Adams et al, 2016;Secinti et al, 2019). Although the restrictive measures have been essential to reduce the outbreak of the virus, they may have severe psychosocial consequences in people living with cancer.…”

Section: Introductionmentioning

confidence: 99%

Living with cancer in the COVID-19 pandemic: An Italian survey on self-isolation at home

Biagioli

Albanesi

Belloni

et al. 2020

Preprint

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Objective: To investigate the perception of self-isolation at home in patients with cancer during the lockdown period because of the COVID-19 outbreak in Italy.Methods: A cross-sectional descriptive study was conducted through an online survey from March 29th to May 3rd, 2020. Perception of self-isolation was assessed in patients with cancer during quarantine at home using the ISOLA scale, after evaluation of its psychometric properties. Content analysis was used to analyse two open-ended questions.Results: Participants were 195 adult patients with cancer (female = 76%; mean age = 50.3 ± 11.2; haematological malignancy = 51.3%). They reported moderate isolation-related suffering (M = 2.64 ± 0.81), problems in the relationship with others (M = 3.31 ± 1.13), and difficulties in the relationship with oneself (M = 3.14 ± 1.06). Patients who experienced significantly more social problems were the older ones, with lower education, and living without minor children. Overall, four main categories emerged from the qualitative content analysis: 1) Lack of freedom and social life, 2) Uncertainty and worries, 3) Feeling supported, and 4) Dealing with isolation.Conclusion: Living with cancer in the COVID-19 pandemic was often perceived as an isolating experience, primarily in terms of detachment from loved ones.

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Social correlates of mental health in gastrointestinal cancer patients and their family caregivers: Exploring the role of loneliness

Cited by 20 publications

References 43 publications

Dyadic associations between perceived social support and cancer patient and caregiver health: An actor‐partner interdependence modeling approach

Dyadic associations between perceived social support and cancer patient and caregiver health: An actor‐partner interdependence modeling approach

Perspectives of patients with multiple myeloma on accepting their prognosis—A qualitative interview study

Living with cancer in the COVID-19 pandemic: An Italian survey on self-isolation at home

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