Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer
Purpose While spouses play a vital role in the care of cancer patients, caregiving exerts a physical and psychological toll. Caregiving burden may not only compromise spouses’ quality of life but also the quality of care and support they are able to provide. Consequently, spousal caregiving burden m...
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| Veröffentlicht in: | Supportive care in cancer 2013-09, Vol.21 (9), p.2371-2379 |
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| creator | Milbury, Kathrin Badr, Hoda Fossella, Frank Pisters, Katherine M. Carmack, Cindy L. |
| description | Purpose
While spouses play a vital role in the care of cancer patients, caregiving exerts a physical and psychological toll. Caregiving burden may not only compromise spouses’ quality of life but also the quality of care and support they are able to provide. Consequently, spousal caregiving burden may also negatively impact patients’ psychological adjustment. However, the effect of caregiving burden on patients’ psychological distress is unknown. Thus, this 6-month longitudinal study examined the associations between caregiving burden and distress in both lung cancer patients and their spouses.
Methods
Patients and their spouses individually completed questionnaires within 1 month of treatment initiation (baseline) and at 3- and 6-month follow-up. Distress was measured with the Brief Symptom Inventory and caregiving burden with the Caregiver Reaction Assessment.
Results
Multilevel modeling of data from 158 couples revealed that baseline spouses’ reports of caregiving-related health problems were significantly associated with 3-month (
p
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| doi_str_mv | 10.1007/s00520-013-1795-6 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4428561</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A344703781</galeid><sourcerecordid>A344703781</sourcerecordid><originalsourceid>FETCH-LOGICAL-c576t-4038828cd4e6de0b6ca3bcbdbba5079ab1d314dc845b7c22c350ba621cbf4273</originalsourceid><addsrcrecordid>eNqNUk1v1DAQjRCILoUfwAVF4sIlxd9OLkirCgrSSlx6t_wxSV1l7WAnrfrvcbptWRBIyIcZzbz3Zjx6VfUWozOMkPyYEeIENQjTBsuON-JZtcGM0kZS2j2vNqhjuGGU85PqVc7XCGEpOXlZnRDKmeBUbqplF8Pg58X5oMda5xyt17OPIdcG5luAUFudYPA3kGqzJFcKOrh6KiAI832ep7hkqJ3Pc4Kca184cZlGyCVOPgz1rZ-v6nEpmdXBQnpdvej1mOHNQzytLr98vjz_2uy-X3w73-4ay6WYG4Zo25LWOgbCATLCamqsccZojmSnDXYUM2dbxo20hFjKkdGCYGt6RiQ9rT4dZKfF7MHZsnDSo5qS3-t0p6L26vdO8FdqiDeKMdJygYvAhweBFH8skGe199nCOOoA5c8KMyxEx0m3znr_B_Q6Lqkc9R7FuZAdwr9Qgx5B-dDHMteuompLGZOIynZFnf0FVZ6DvbcxQO9LfctlUe4oEf9LOJ6ADwSbYs4J-qejYKRWb6mDt1TZWa3eUuuQd8fXfGI8mqkAyAGQSysMkI5O8E_Vn2t42xE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1415567901</pqid></control><display><type>article</type><title>Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Milbury, Kathrin ; Badr, Hoda ; Fossella, Frank ; Pisters, Katherine M. ; Carmack, Cindy L.</creator><creatorcontrib>Milbury, Kathrin ; Badr, Hoda ; Fossella, Frank ; Pisters, Katherine M. ; Carmack, Cindy L.</creatorcontrib><description>Purpose
While spouses play a vital role in the care of cancer patients, caregiving exerts a physical and psychological toll. Caregiving burden may not only compromise spouses’ quality of life but also the quality of care and support they are able to provide. Consequently, spousal caregiving burden may also negatively impact patients’ psychological adjustment. However, the effect of caregiving burden on patients’ psychological distress is unknown. Thus, this 6-month longitudinal study examined the associations between caregiving burden and distress in both lung cancer patients and their spouses.
Methods
Patients and their spouses individually completed questionnaires within 1 month of treatment initiation (baseline) and at 3- and 6-month follow-up. Distress was measured with the Brief Symptom Inventory and caregiving burden with the Caregiver Reaction Assessment.
Results
Multilevel modeling of data from 158 couples revealed that baseline spouses’ reports of caregiving-related health problems were significantly associated with 3-month (
p
< 0.001) and 6-month (
p
= 0.01) follow-up distress in both patients and spouses even when controlling for baseline distress and dyadic adjustment. Furthermore, there was evidence that baseline spouses’ reports of schedule disruption (
p
= 0.05) predicted 3-month patients’ distress and baseline spouses’ reports of financial strain (
p
< 0.05) and lack of support (
p
< 0.10) predicted their own distress at 6 month.
Conclusion
Caregiving burden is problematic for both patients and spouses. Couples in which spouses report caregiving-related health problems may be at particular high risk of long-term elevated distress. Targets of future couple-focused interventions such as self-care and use of social support are discussed.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-013-1795-6</identifier><identifier>PMID: 23546537</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adaptation, Psychological ; Adult ; Affective Symptoms - psychology ; Aged ; Aged, 80 and over ; Analysis ; Cancer patients ; Cancer research ; Care and treatment ; Caregivers ; Caregivers - psychology ; Communication ; Cost of Illness ; Couples ; Emotional disorders ; Female ; Follow-Up Studies ; Humans ; Husband-wife relations ; Longitudinal Studies ; Lung cancer ; Lung Neoplasms - psychology ; Lung Neoplasms - therapy ; Male ; Married people ; Medical care quality ; Medical research ; Medical schools ; Medicine & Public Health ; Middle Aged ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Patient care ; Rehabilitation Medicine ; Social Support ; Spouses - psychology ; Stress (Psychology) ; Stress, Psychological - psychology ; Surveys ; Surveys and Questionnaires</subject><ispartof>Supportive care in cancer, 2013-09, Vol.21 (9), p.2371-2379</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>COPYRIGHT 2013 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-4038828cd4e6de0b6ca3bcbdbba5079ab1d314dc845b7c22c350ba621cbf4273</citedby><cites>FETCH-LOGICAL-c576t-4038828cd4e6de0b6ca3bcbdbba5079ab1d314dc845b7c22c350ba621cbf4273</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/s00520-013-1795-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-013-1795-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23546537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Milbury, Kathrin</creatorcontrib><creatorcontrib>Badr, Hoda</creatorcontrib><creatorcontrib>Fossella, Frank</creatorcontrib><creatorcontrib>Pisters, Katherine M.</creatorcontrib><creatorcontrib>Carmack, Cindy L.</creatorcontrib><title>Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
While spouses play a vital role in the care of cancer patients, caregiving exerts a physical and psychological toll. Caregiving burden may not only compromise spouses’ quality of life but also the quality of care and support they are able to provide. Consequently, spousal caregiving burden may also negatively impact patients’ psychological adjustment. However, the effect of caregiving burden on patients’ psychological distress is unknown. Thus, this 6-month longitudinal study examined the associations between caregiving burden and distress in both lung cancer patients and their spouses.
Methods
Patients and their spouses individually completed questionnaires within 1 month of treatment initiation (baseline) and at 3- and 6-month follow-up. Distress was measured with the Brief Symptom Inventory and caregiving burden with the Caregiver Reaction Assessment.
Results
Multilevel modeling of data from 158 couples revealed that baseline spouses’ reports of caregiving-related health problems were significantly associated with 3-month (
p
< 0.001) and 6-month (
p
= 0.01) follow-up distress in both patients and spouses even when controlling for baseline distress and dyadic adjustment. Furthermore, there was evidence that baseline spouses’ reports of schedule disruption (
p
= 0.05) predicted 3-month patients’ distress and baseline spouses’ reports of financial strain (
p
< 0.05) and lack of support (
p
< 0.10) predicted their own distress at 6 month.
Conclusion
Caregiving burden is problematic for both patients and spouses. Couples in which spouses report caregiving-related health problems may be at particular high risk of long-term elevated distress. Targets of future couple-focused interventions such as self-care and use of social support are discussed.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Affective Symptoms - psychology</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Cancer patients</subject><subject>Cancer research</subject><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Communication</subject><subject>Cost of Illness</subject><subject>Couples</subject><subject>Emotional disorders</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Husband-wife relations</subject><subject>Longitudinal Studies</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - psychology</subject><subject>Lung Neoplasms - therapy</subject><subject>Male</subject><subject>Married people</subject><subject>Medical care quality</subject><subject>Medical research</subject><subject>Medical schools</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Patient care</subject><subject>Rehabilitation Medicine</subject><subject>Social Support</subject><subject>Spouses - psychology</subject><subject>Stress (Psychology)</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNUk1v1DAQjRCILoUfwAVF4sIlxd9OLkirCgrSSlx6t_wxSV1l7WAnrfrvcbptWRBIyIcZzbz3Zjx6VfUWozOMkPyYEeIENQjTBsuON-JZtcGM0kZS2j2vNqhjuGGU85PqVc7XCGEpOXlZnRDKmeBUbqplF8Pg58X5oMda5xyt17OPIdcG5luAUFudYPA3kGqzJFcKOrh6KiAI832ep7hkqJ3Pc4Kca184cZlGyCVOPgz1rZ-v6nEpmdXBQnpdvej1mOHNQzytLr98vjz_2uy-X3w73-4ay6WYG4Zo25LWOgbCATLCamqsccZojmSnDXYUM2dbxo20hFjKkdGCYGt6RiQ9rT4dZKfF7MHZsnDSo5qS3-t0p6L26vdO8FdqiDeKMdJygYvAhweBFH8skGe199nCOOoA5c8KMyxEx0m3znr_B_Q6Lqkc9R7FuZAdwr9Qgx5B-dDHMteuompLGZOIynZFnf0FVZ6DvbcxQO9LfctlUe4oEf9LOJ6ADwSbYs4J-qejYKRWb6mDt1TZWa3eUuuQd8fXfGI8mqkAyAGQSysMkI5O8E_Vn2t42xE</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Milbury, Kathrin</creator><creator>Badr, Hoda</creator><creator>Fossella, Frank</creator><creator>Pisters, Katherine M.</creator><creator>Carmack, Cindy L.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><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>0-V</scope><scope>3V.</scope><scope>7RV</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>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>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130901</creationdate><title>Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer</title><author>Milbury, Kathrin ; Badr, Hoda ; Fossella, Frank ; Pisters, Katherine M. ; Carmack, Cindy L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c576t-4038828cd4e6de0b6ca3bcbdbba5079ab1d314dc845b7c22c350ba621cbf4273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Affective Symptoms - psychology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Cancer patients</topic><topic>Cancer research</topic><topic>Care and treatment</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Communication</topic><topic>Cost of Illness</topic><topic>Couples</topic><topic>Emotional disorders</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Husband-wife relations</topic><topic>Longitudinal Studies</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - psychology</topic><topic>Lung Neoplasms - therapy</topic><topic>Male</topic><topic>Married people</topic><topic>Medical care quality</topic><topic>Medical research</topic><topic>Medical schools</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Patient care</topic><topic>Rehabilitation Medicine</topic><topic>Social Support</topic><topic>Spouses - psychology</topic><topic>Stress (Psychology)</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Milbury, Kathrin</creatorcontrib><creatorcontrib>Badr, Hoda</creatorcontrib><creatorcontrib>Fossella, Frank</creatorcontrib><creatorcontrib>Pisters, Katherine M.</creatorcontrib><creatorcontrib>Carmack, Cindy L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>PHMC-Proquest健康医学期刊库</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)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</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 (ProQuest)</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</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 Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Milbury, Kathrin</au><au>Badr, Hoda</au><au>Fossella, Frank</au><au>Pisters, Katherine M.</au><au>Carmack, Cindy L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>21</volume><issue>9</issue><spage>2371</spage><epage>2379</epage><pages>2371-2379</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
While spouses play a vital role in the care of cancer patients, caregiving exerts a physical and psychological toll. Caregiving burden may not only compromise spouses’ quality of life but also the quality of care and support they are able to provide. Consequently, spousal caregiving burden may also negatively impact patients’ psychological adjustment. However, the effect of caregiving burden on patients’ psychological distress is unknown. Thus, this 6-month longitudinal study examined the associations between caregiving burden and distress in both lung cancer patients and their spouses.
Methods
Patients and their spouses individually completed questionnaires within 1 month of treatment initiation (baseline) and at 3- and 6-month follow-up. Distress was measured with the Brief Symptom Inventory and caregiving burden with the Caregiver Reaction Assessment.
Results
Multilevel modeling of data from 158 couples revealed that baseline spouses’ reports of caregiving-related health problems were significantly associated with 3-month (
p
< 0.001) and 6-month (
p
= 0.01) follow-up distress in both patients and spouses even when controlling for baseline distress and dyadic adjustment. Furthermore, there was evidence that baseline spouses’ reports of schedule disruption (
p
= 0.05) predicted 3-month patients’ distress and baseline spouses’ reports of financial strain (
p
< 0.05) and lack of support (
p
< 0.10) predicted their own distress at 6 month.
Conclusion
Caregiving burden is problematic for both patients and spouses. Couples in which spouses report caregiving-related health problems may be at particular high risk of long-term elevated distress. Targets of future couple-focused interventions such as self-care and use of social support are discussed.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23546537</pmid><doi>10.1007/s00520-013-1795-6</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Supportive care in cancer, 2013-09, Vol.21 (9), p.2371-2379 |
| issn | 0941-4355 1433-7339 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adaptation, Psychological Adult Affective Symptoms - psychology Aged Aged, 80 and over Analysis Cancer patients Cancer research Care and treatment Caregivers Caregivers - psychology Communication Cost of Illness Couples Emotional disorders Female Follow-Up Studies Humans Husband-wife relations Longitudinal Studies Lung cancer Lung Neoplasms - psychology Lung Neoplasms - therapy Male Married people Medical care quality Medical research Medical schools Medicine & Public Health Middle Aged Nursing Nursing Research Oncology Original Article Pain Medicine Patient care Rehabilitation Medicine Social Support Spouses - psychology Stress (Psychology) Stress, Psychological - psychology Surveys Surveys and Questionnaires |
| title | Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer |
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