Predictive model of psychological distress in family caregivers of patients with cancer: a cross-sectional study
Purpose To examine a predictive theoretical model of psychological distress based on the following variables reflected on family caregivers of patients with cancer: the unmet supportive care needs, subjective caregiving burden, social support, and the positive aspects of caregiving. Methods A cross-...
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| Veröffentlicht in: | Supportive care in cancer 2021-09, Vol.29 (9), p.5091-5101 |
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| creator | Lv, Xiao-qing Liu, Jing-jing Feng, Yuan Li, Shu-wen Qiu, Huan Hong, Jing-fang |
| description | Purpose
To examine a predictive theoretical model of psychological distress based on the following variables reflected on family caregivers of patients with cancer: the unmet supportive care needs, subjective caregiving burden, social support, and the positive aspects of caregiving.
Methods
A cross-sectional descriptive study was conducted on a sample of 484 dyads of patients and their family caregivers. The caregivers completed structured questionnaires designed to measure psychological distress, unmet supportive care needs, subjective caregiving burden, positive aspects of caregiving, and social support. Patients’ demographic variables and medical data were collected from a medical record review. We used a structural equation modeling to test the predictive theoretical model.
Results
Path analysis results partially supported the proposed model with satisfactory fit indices. Specifically, family caregivers with an increasing number of unmet needs or a heavier caregiving burden were more likely to have more severe psychological distress. Bootstrapping results supported that the caregiving burden and social support were significant mediators. Greater unmet supportive care needs predicted higher psychological distress through increasing caregiving burden. Stronger social support predicted lower psychological distress through decreasing caregiving burden. Positive aspects of caregiving predicted lower caregiving burden through the increasing perceived social support, which in turn eliminated psychological distress.
Conclusions
Unmet supportive care needs could cause psychological distress through increasing caregiving burden. The positive aspects of caregiving reduced caregiving burden through increasing social support, which subsequently alleviated psychological distress. Interventions that aim to satisfy supportive care needs, to reduce caregiving burden, and to strengthen social support ties may boost the mental health of family caregivers. |
| doi_str_mv | 10.1007/s00520-021-06022-1 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2491064138</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A669317331</galeid><sourcerecordid>A669317331</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-696450785d27af15167da051787f2fa5228a6c1d6922a3da925e69cca2ef011e3</originalsourceid><addsrcrecordid>eNp9kUGLFDEQhYMo7uzqH_AgAS9eek0lnaTjbVl0FRb0oOcQk8pslu7OmPSszL83M7O6KCI5FKS-96iqR8gLYOfAmH5TGZOcdYxDxxTjvINHZAW9EJ0WwjwmK2Z66Hoh5Qk5rfWWMdBa8qfkRAhpBi3kimw-FwzJL-kO6ZQDjjRHuqk7f5PHvE7ejTSkuhSslaaZRjelcUe9K7huklIPuFsSzkulP9Jy03qzx_KWOupLrrWr2Nzz3Izqsg27Z-RJdGPF5_f1jHx9_-7L5Yfu-tPVx8uL6873PV86ZVQvmR5k4NpFkKB0cEyCHnTk0UnOB6c8BGU4dyI4wyUq473jGBkAijPy-ui7Kfn7Futip1Q9jqObMW-r5b0BpnoQQ0Nf_YXe5m1pEzdKSqHA9EI_UGs3ok1zzEtxfm9qL5QyAtrRoVHn_6DaCzgln2eMqf3_IeBHweFaBaPdlDS5srPA7D5me4zZtpjtIWa7F728n3j7bcLwW_Ir1waII1Bba15jeVjpP7Y_ASc0sTE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2553619437</pqid></control><display><type>article</type><title>Predictive model of psychological distress in family caregivers of patients with cancer: a cross-sectional study</title><source>Springer Nature - Complete Springer Journals</source><source>Sociological Abstracts</source><creator>Lv, Xiao-qing ; Liu, Jing-jing ; Feng, Yuan ; Li, Shu-wen ; Qiu, Huan ; Hong, Jing-fang</creator><creatorcontrib>Lv, Xiao-qing ; Liu, Jing-jing ; Feng, Yuan ; Li, Shu-wen ; Qiu, Huan ; Hong, Jing-fang</creatorcontrib><description>Purpose
To examine a predictive theoretical model of psychological distress based on the following variables reflected on family caregivers of patients with cancer: the unmet supportive care needs, subjective caregiving burden, social support, and the positive aspects of caregiving.
Methods
A cross-sectional descriptive study was conducted on a sample of 484 dyads of patients and their family caregivers. The caregivers completed structured questionnaires designed to measure psychological distress, unmet supportive care needs, subjective caregiving burden, positive aspects of caregiving, and social support. Patients’ demographic variables and medical data were collected from a medical record review. We used a structural equation modeling to test the predictive theoretical model.
Results
Path analysis results partially supported the proposed model with satisfactory fit indices. Specifically, family caregivers with an increasing number of unmet needs or a heavier caregiving burden were more likely to have more severe psychological distress. Bootstrapping results supported that the caregiving burden and social support were significant mediators. Greater unmet supportive care needs predicted higher psychological distress through increasing caregiving burden. Stronger social support predicted lower psychological distress through decreasing caregiving burden. Positive aspects of caregiving predicted lower caregiving burden through the increasing perceived social support, which in turn eliminated psychological distress.
Conclusions
Unmet supportive care needs could cause psychological distress through increasing caregiving burden. The positive aspects of caregiving reduced caregiving burden through increasing social support, which subsequently alleviated psychological distress. Interventions that aim to satisfy supportive care needs, to reduce caregiving burden, and to strengthen social support ties may boost the mental health of family caregivers.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-021-06022-1</identifier><identifier>PMID: 33598735</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer ; Cancer patients ; Caregiver burden ; Caregivers ; Caregiving ; Cross-sectional studies ; Families & family life ; Health risks ; Medical records ; Medicine ; Medicine & Public Health ; Mental health ; Needs ; Nursing ; Nursing Research ; Oncology ; Oncology, Experimental ; Original Article ; Pain Medicine ; Patients ; Predictions ; Psychological distress ; Psychological theories ; Rehabilitation Medicine ; Social support ; Social workers ; Stress ; Stress (Psychology) ; Structural equation modeling ; Variables</subject><ispartof>Supportive care in cancer, 2021-09, Vol.29 (9), p.5091-5101</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-696450785d27af15167da051787f2fa5228a6c1d6922a3da925e69cca2ef011e3</citedby><cites>FETCH-LOGICAL-c442t-696450785d27af15167da051787f2fa5228a6c1d6922a3da925e69cca2ef011e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-021-06022-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-021-06022-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33598735$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lv, Xiao-qing</creatorcontrib><creatorcontrib>Liu, Jing-jing</creatorcontrib><creatorcontrib>Feng, Yuan</creatorcontrib><creatorcontrib>Li, Shu-wen</creatorcontrib><creatorcontrib>Qiu, Huan</creatorcontrib><creatorcontrib>Hong, Jing-fang</creatorcontrib><title>Predictive model of psychological distress in family caregivers of patients with cancer: a cross-sectional study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
To examine a predictive theoretical model of psychological distress based on the following variables reflected on family caregivers of patients with cancer: the unmet supportive care needs, subjective caregiving burden, social support, and the positive aspects of caregiving.
Methods
A cross-sectional descriptive study was conducted on a sample of 484 dyads of patients and their family caregivers. The caregivers completed structured questionnaires designed to measure psychological distress, unmet supportive care needs, subjective caregiving burden, positive aspects of caregiving, and social support. Patients’ demographic variables and medical data were collected from a medical record review. We used a structural equation modeling to test the predictive theoretical model.
Results
Path analysis results partially supported the proposed model with satisfactory fit indices. Specifically, family caregivers with an increasing number of unmet needs or a heavier caregiving burden were more likely to have more severe psychological distress. Bootstrapping results supported that the caregiving burden and social support were significant mediators. Greater unmet supportive care needs predicted higher psychological distress through increasing caregiving burden. Stronger social support predicted lower psychological distress through decreasing caregiving burden. Positive aspects of caregiving predicted lower caregiving burden through the increasing perceived social support, which in turn eliminated psychological distress.
Conclusions
Unmet supportive care needs could cause psychological distress through increasing caregiving burden. The positive aspects of caregiving reduced caregiving burden through increasing social support, which subsequently alleviated psychological distress. Interventions that aim to satisfy supportive care needs, to reduce caregiving burden, and to strengthen social support ties may boost the mental health of family caregivers.</description><subject>Cancer</subject><subject>Cancer patients</subject><subject>Caregiver burden</subject><subject>Caregivers</subject><subject>Caregiving</subject><subject>Cross-sectional studies</subject><subject>Families & family life</subject><subject>Health risks</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Needs</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Predictions</subject><subject>Psychological distress</subject><subject>Psychological theories</subject><subject>Rehabilitation Medicine</subject><subject>Social support</subject><subject>Social workers</subject><subject>Stress</subject><subject>Stress (Psychology)</subject><subject>Structural equation modeling</subject><subject>Variables</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kUGLFDEQhYMo7uzqH_AgAS9eek0lnaTjbVl0FRb0oOcQk8pslu7OmPSszL83M7O6KCI5FKS-96iqR8gLYOfAmH5TGZOcdYxDxxTjvINHZAW9EJ0WwjwmK2Z66Hoh5Qk5rfWWMdBa8qfkRAhpBi3kimw-FwzJL-kO6ZQDjjRHuqk7f5PHvE7ejTSkuhSslaaZRjelcUe9K7huklIPuFsSzkulP9Jy03qzx_KWOupLrrWr2Nzz3Izqsg27Z-RJdGPF5_f1jHx9_-7L5Yfu-tPVx8uL6873PV86ZVQvmR5k4NpFkKB0cEyCHnTk0UnOB6c8BGU4dyI4wyUq473jGBkAijPy-ui7Kfn7Futip1Q9jqObMW-r5b0BpnoQQ0Nf_YXe5m1pEzdKSqHA9EI_UGs3ok1zzEtxfm9qL5QyAtrRoVHn_6DaCzgln2eMqf3_IeBHweFaBaPdlDS5srPA7D5me4zZtpjtIWa7F728n3j7bcLwW_Ir1waII1Bba15jeVjpP7Y_ASc0sTE</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Lv, Xiao-qing</creator><creator>Liu, Jing-jing</creator><creator>Feng, Yuan</creator><creator>Li, Shu-wen</creator><creator>Qiu, Huan</creator><creator>Hong, Jing-fang</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRQQA</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20210901</creationdate><title>Predictive model of psychological distress in family caregivers of patients with cancer: a cross-sectional study</title><author>Lv, Xiao-qing ; Liu, Jing-jing ; Feng, Yuan ; Li, Shu-wen ; Qiu, Huan ; Hong, Jing-fang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-696450785d27af15167da051787f2fa5228a6c1d6922a3da925e69cca2ef011e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cancer</topic><topic>Cancer patients</topic><topic>Caregiver burden</topic><topic>Caregivers</topic><topic>Caregiving</topic><topic>Cross-sectional studies</topic><topic>Families & family life</topic><topic>Health risks</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Needs</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>Predictions</topic><topic>Psychological distress</topic><topic>Psychological theories</topic><topic>Rehabilitation Medicine</topic><topic>Social support</topic><topic>Social workers</topic><topic>Stress</topic><topic>Stress (Psychology)</topic><topic>Structural equation modeling</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lv, Xiao-qing</creatorcontrib><creatorcontrib>Liu, Jing-jing</creatorcontrib><creatorcontrib>Feng, Yuan</creatorcontrib><creatorcontrib>Li, Shu-wen</creatorcontrib><creatorcontrib>Qiu, Huan</creatorcontrib><creatorcontrib>Hong, Jing-fang</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Social Services Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest Sociology & Social Sciences Collection</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lv, Xiao-qing</au><au>Liu, Jing-jing</au><au>Feng, Yuan</au><au>Li, Shu-wen</au><au>Qiu, Huan</au><au>Hong, Jing-fang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive model of psychological distress in family caregivers of patients with cancer: a cross-sectional study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>29</volume><issue>9</issue><spage>5091</spage><epage>5101</epage><pages>5091-5101</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
To examine a predictive theoretical model of psychological distress based on the following variables reflected on family caregivers of patients with cancer: the unmet supportive care needs, subjective caregiving burden, social support, and the positive aspects of caregiving.
Methods
A cross-sectional descriptive study was conducted on a sample of 484 dyads of patients and their family caregivers. The caregivers completed structured questionnaires designed to measure psychological distress, unmet supportive care needs, subjective caregiving burden, positive aspects of caregiving, and social support. Patients’ demographic variables and medical data were collected from a medical record review. We used a structural equation modeling to test the predictive theoretical model.
Results
Path analysis results partially supported the proposed model with satisfactory fit indices. Specifically, family caregivers with an increasing number of unmet needs or a heavier caregiving burden were more likely to have more severe psychological distress. Bootstrapping results supported that the caregiving burden and social support were significant mediators. Greater unmet supportive care needs predicted higher psychological distress through increasing caregiving burden. Stronger social support predicted lower psychological distress through decreasing caregiving burden. Positive aspects of caregiving predicted lower caregiving burden through the increasing perceived social support, which in turn eliminated psychological distress.
Conclusions
Unmet supportive care needs could cause psychological distress through increasing caregiving burden. The positive aspects of caregiving reduced caregiving burden through increasing social support, which subsequently alleviated psychological distress. Interventions that aim to satisfy supportive care needs, to reduce caregiving burden, and to strengthen social support ties may boost the mental health of family caregivers.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33598735</pmid><doi>10.1007/s00520-021-06022-1</doi><tpages>11</tpages></addata></record> |
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| ispartof | Supportive care in cancer, 2021-09, Vol.29 (9), p.5091-5101 |
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| source | Springer Nature - Complete Springer Journals; Sociological Abstracts |
| subjects | Cancer Cancer patients Caregiver burden Caregivers Caregiving Cross-sectional studies Families & family life Health risks Medical records Medicine Medicine & Public Health Mental health Needs Nursing Nursing Research Oncology Oncology, Experimental Original Article Pain Medicine Patients Predictions Psychological distress Psychological theories Rehabilitation Medicine Social support Social workers Stress Stress (Psychology) Structural equation modeling Variables |
| title | Predictive model of psychological distress in family caregivers of patients with cancer: a cross-sectional study |
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