Caregiver burden, mutuality, and family resilience in colorectal cancer caring: A mediating model analysis

This study investigates the interaction between caregiver burden, mutuality, and family resilience in colorectal cancer management, and determines whether mutuality affects the effect of caregiver burden on family resilience. In this cross-sectional study, 295 family caregivers of colorectal cancer...

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Veröffentlicht in:European journal of oncology nursing : the official journal of European Oncology Nursing Society 2024-02, Vol.68, p.102480-102480, Article 102480
Hauptverfasser: Shao, Mengwei, Wang, Xin, Zhang, Menghan, Ding, Yangqing, Ma, Bin, Yang, Yi, Yu, Lulu, Chen, Changying, Wang, Tao
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container_title European journal of oncology nursing : the official journal of European Oncology Nursing Society
container_volume 68
creator Shao, Mengwei
Wang, Xin
Zhang, Menghan
Ding, Yangqing
Ma, Bin
Yang, Yi
Yu, Lulu
Chen, Changying
Wang, Tao
description This study investigates the interaction between caregiver burden, mutuality, and family resilience in colorectal cancer management, and determines whether mutuality affects the effect of caregiver burden on family resilience. In this cross-sectional study, 295 family caregivers of colorectal cancer patients from two major public hospitals (Henan Province, China) were analyzed. Caregiver burden, mutuality, and family resilience were assessed through Chinese versions of the Zarit Burden Interview (ZBI-C), the mutuality Scale (MS-C), and the Family Resilience Questionnaire (FaREQ-C). The structural equation model and multiple mediating effect test were applied to explore the interaction between caregiver burden, mutuality, and family resilience. Total and subscale scores of caregiver burden were negatively correlated with both mutuality (r = -0.54 to -0.32, P 
doi_str_mv 10.1016/j.ejon.2023.102480
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In this cross-sectional study, 295 family caregivers of colorectal cancer patients from two major public hospitals (Henan Province, China) were analyzed. Caregiver burden, mutuality, and family resilience were assessed through Chinese versions of the Zarit Burden Interview (ZBI-C), the mutuality Scale (MS-C), and the Family Resilience Questionnaire (FaREQ-C). The structural equation model and multiple mediating effect test were applied to explore the interaction between caregiver burden, mutuality, and family resilience. Total and subscale scores of caregiver burden were negatively correlated with both mutuality (r = -0.54 to -0.32, P &lt; 0.01) and family resilience (r = -0.60 to -0.26, P &lt; 0.01). Family resilience and its four dimensions were positively correlated with mutuality (r = 0.17 to 0.51, P &lt; 0.01). Mutuality served as a partial mediator between caregiver burden and family resilience. Caregiver burden had an indirect effect on family resilience through mutuality (β = -0.157, 95%CI: -0.316, -0.046, P = 0.009). This study examined the interaction between caregiver burden, mutuality, and family resilience for colorectal cancer caring and confirmed the mediating role of mutuality in caregiver burden and family resilience. Therefore, we suggested that clinicians should develop strategies to improve the relationship between patients and caregivers so that both parties can actively manage stress and trauma experiences for improved colorectal cancer management. •Mutuality between individuals may have an impact on their mental health.•Mutuality partially mediated the interaction between caregiver burden and family resilience.•Caregiver burden and mutuality as risk factors and protective factors for family resilience, respectively.</description><identifier>ISSN: 1462-3889</identifier><identifier>EISSN: 1532-2122</identifier><identifier>DOI: 10.1016/j.ejon.2023.102480</identifier><identifier>PMID: 38101244</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adaptation, Psychological ; Caregiver Burden ; Caregivers ; Colorectal cancer ; Colorectal Neoplasms - therapy ; Cross-Sectional Studies ; Family Health ; Family resilience ; Humans ; Mutuality ; Resilience, Psychological</subject><ispartof>European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2024-02, Vol.68, p.102480-102480, Article 102480</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023 The Authors. 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In this cross-sectional study, 295 family caregivers of colorectal cancer patients from two major public hospitals (Henan Province, China) were analyzed. Caregiver burden, mutuality, and family resilience were assessed through Chinese versions of the Zarit Burden Interview (ZBI-C), the mutuality Scale (MS-C), and the Family Resilience Questionnaire (FaREQ-C). The structural equation model and multiple mediating effect test were applied to explore the interaction between caregiver burden, mutuality, and family resilience. Total and subscale scores of caregiver burden were negatively correlated with both mutuality (r = -0.54 to -0.32, P &lt; 0.01) and family resilience (r = -0.60 to -0.26, P &lt; 0.01). Family resilience and its four dimensions were positively correlated with mutuality (r = 0.17 to 0.51, P &lt; 0.01). Mutuality served as a partial mediator between caregiver burden and family resilience. Caregiver burden had an indirect effect on family resilience through mutuality (β = -0.157, 95%CI: -0.316, -0.046, P = 0.009). This study examined the interaction between caregiver burden, mutuality, and family resilience for colorectal cancer caring and confirmed the mediating role of mutuality in caregiver burden and family resilience. Therefore, we suggested that clinicians should develop strategies to improve the relationship between patients and caregivers so that both parties can actively manage stress and trauma experiences for improved colorectal cancer management. •Mutuality between individuals may have an impact on their mental health.•Mutuality partially mediated the interaction between caregiver burden and family resilience.•Caregiver burden and mutuality as risk factors and protective factors for family resilience, respectively.</description><subject>Adaptation, Psychological</subject><subject>Caregiver Burden</subject><subject>Caregivers</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - therapy</subject><subject>Cross-Sectional Studies</subject><subject>Family Health</subject><subject>Family resilience</subject><subject>Humans</subject><subject>Mutuality</subject><subject>Resilience, Psychological</subject><issn>1462-3889</issn><issn>1532-2122</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMo3l_AhWTpYjqmJ0kv4kYGbyC40XVI0lNJSVtNWmHe3oyjLl2dC__54HyEnOVsmbO8uOyW2I3DEhjwtABRsR1ymEsOGeQAu6kXBWS8quoDchRjxxireVntkwNeJQAIcUi6lQ745j4xUDOHBocF7edp1t5N6wXVQ0Nb3Tu_pgGj8w4Hi9QN1I5-DGgn7anVaRdSCW54u6I3tMfG6SkNtB8b9Ami_Tq6eEL2Wu0jnv7UY_J6d_uyesienu8fVzdPmRWMTVnFC81LI40skVlsRNnKXIiSacMZhxKrUre8Nro1lZQA0tTacisBi8ZYAfyYXGy572H8mDFOqnfRovd6wHGOCmoGdVFKIVIUtlEbxhgDtuo9uF6HtcqZ2jhWndo4VhvHaus4HZ3_8GeTfv07-ZWaAtfbAKYvPx0GFe23ucZtnKlmdP_xvwB9do3q</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>Shao, Mengwei</creator><creator>Wang, Xin</creator><creator>Zhang, Menghan</creator><creator>Ding, Yangqing</creator><creator>Ma, Bin</creator><creator>Yang, Yi</creator><creator>Yu, Lulu</creator><creator>Chen, Changying</creator><creator>Wang, Tao</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0000-4721-7547</orcidid><orcidid>https://orcid.org/0000-0003-2151-7351</orcidid><orcidid>https://orcid.org/0000-0002-9623-8800</orcidid></search><sort><creationdate>202402</creationdate><title>Caregiver burden, mutuality, and family resilience in colorectal cancer caring: A mediating model analysis</title><author>Shao, Mengwei ; 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In this cross-sectional study, 295 family caregivers of colorectal cancer patients from two major public hospitals (Henan Province, China) were analyzed. Caregiver burden, mutuality, and family resilience were assessed through Chinese versions of the Zarit Burden Interview (ZBI-C), the mutuality Scale (MS-C), and the Family Resilience Questionnaire (FaREQ-C). The structural equation model and multiple mediating effect test were applied to explore the interaction between caregiver burden, mutuality, and family resilience. Total and subscale scores of caregiver burden were negatively correlated with both mutuality (r = -0.54 to -0.32, P &lt; 0.01) and family resilience (r = -0.60 to -0.26, P &lt; 0.01). Family resilience and its four dimensions were positively correlated with mutuality (r = 0.17 to 0.51, P &lt; 0.01). Mutuality served as a partial mediator between caregiver burden and family resilience. Caregiver burden had an indirect effect on family resilience through mutuality (β = -0.157, 95%CI: -0.316, -0.046, P = 0.009). This study examined the interaction between caregiver burden, mutuality, and family resilience for colorectal cancer caring and confirmed the mediating role of mutuality in caregiver burden and family resilience. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adaptation, Psychological
Caregiver Burden
Caregivers
Colorectal cancer
Colorectal Neoplasms - therapy
Cross-Sectional Studies
Family Health
Family resilience
Humans
Mutuality
Resilience, Psychological
title Caregiver burden, mutuality, and family resilience in colorectal cancer caring: A mediating model analysis
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