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Erschienen in: Supportive Care in Cancer 2/2013

01.02.2013 | Original Article

Distressed family caregivers of lung cancer patients: an examination of psychosocial and practical challenges

verfasst von: Catherine E. Mosher, Heather A. Jaynes, Nasser Hanna, Jamie S. Ostroff

Erschienen in: Supportive Care in Cancer | Ausgabe 2/2013

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Abstract

Purpose

Lung cancer and its treatment impose many demands on family caregivers, which may increase their risk for distress. However, little research has documented aspects of the caregiving experience that are especially challenging for distressed caregivers of lung cancer patients. This study aimed to explore caregivers’ key challenges in coping with their family member’s lung cancer.

Methods

Single, semi-structured qualitative interviews were conducted with 21 distressed family caregivers of lung cancer patients.

Results

Caregivers described three key challenges in coping with their family member’s lung cancer. The most common challenge, identified by 38 % of caregivers, was a profound sense of uncertainty regarding the future as they attempted to understand the patient’s prognosis and potential for functional decline. Another key challenge, identified by 33 % of caregivers, involved time-consuming efforts to manage the patient’s emotional reactions to the illness. Other caregivers (14 %) characterized practical tasks, such as coordinating the patient’s medical care, as their greatest challenge.

Conclusions

Results suggest that clinical efforts are needed to assist distressed caregivers in providing practical and emotional support to the patient and attending to their own emotional needs.
Literatur
1.
Zurück zum Zitat Given BA, Given CW, Kozachik S (2001) Family support in advanced cancer. CA Cancer J Clin 51:213–231PubMedCrossRef Given BA, Given CW, Kozachik S (2001) Family support in advanced cancer. CA Cancer J Clin 51:213–231PubMedCrossRef
2.
3.
Zurück zum Zitat Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Spruijt RJ, van den Bos GA (1998) Cancer and caregiving: the impact on the caregiver’s health. Psychooncology 7:3–13PubMedCrossRef Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Spruijt RJ, van den Bos GA (1998) Cancer and caregiving: the impact on the caregiver’s health. Psychooncology 7:3–13PubMedCrossRef
4.
Zurück zum Zitat Stajduhar K, Funk L, Toye C, Grande G, Aoun S, Todd C (2010) Part 1: home-based family caregiving at the end of life: a comprehensive review of published quantitative research (1998–2008). Palliat Med 24:573–593PubMedCrossRef Stajduhar K, Funk L, Toye C, Grande G, Aoun S, Todd C (2010) Part 1: home-based family caregiving at the end of life: a comprehensive review of published quantitative research (1998–2008). Palliat Med 24:573–593PubMedCrossRef
5.
Zurück zum Zitat Gaugler JE, Hanna N, Linder J, Given CW, Tolbert V, Kataria R, Regine WF (2005) Cancer caregiving and subjective stress: a multi-site, multi-dimensional analysis. Psychooncology 14:771–785PubMedCrossRef Gaugler JE, Hanna N, Linder J, Given CW, Tolbert V, Kataria R, Regine WF (2005) Cancer caregiving and subjective stress: a multi-site, multi-dimensional analysis. Psychooncology 14:771–785PubMedCrossRef
6.
Zurück zum Zitat van Ryn M, Sanders S, Kahn K, van Houtven C, Griffin JM, Martin M, Atienza AA, Phelan S, Finstad D, Rowland J (2011) Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue? Psychooncology 20:44–52PubMedCrossRef van Ryn M, Sanders S, Kahn K, van Houtven C, Griffin JM, Martin M, Atienza AA, Phelan S, Finstad D, Rowland J (2011) Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue? Psychooncology 20:44–52PubMedCrossRef
7.
Zurück zum Zitat Siegel K, Karus DG, Raveis VH, Christ GH, Mesagno FP (1996) Depressive distress among the spouses of terminally ill cancer patients. Cancer Pract 4:25–30PubMed Siegel K, Karus DG, Raveis VH, Christ GH, Mesagno FP (1996) Depressive distress among the spouses of terminally ill cancer patients. Cancer Pract 4:25–30PubMed
8.
Zurück zum Zitat Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G (2007) Hidden morbidity in cancer: spouse caregivers. J Clin Oncol 25:4829–4834PubMedCrossRef Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G (2007) Hidden morbidity in cancer: spouse caregivers. J Clin Oncol 25:4829–4834PubMedCrossRef
9.
Zurück zum Zitat Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, Willan A, Viola R, Coristine M, Janz T, Glossop R (2004) Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. Can Med Assoc J 170:1795–1801CrossRef Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, Willan A, Viola R, Coristine M, Janz T, Glossop R (2004) Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. Can Med Assoc J 170:1795–1801CrossRef
10.
Zurück zum Zitat Carmack Taylor CL, Badr H, Lee JH, Fossella F, Pisters K, Gritz ER, Schover L (2008) Lung cancer patients and their spouses: psychological and relationship functioning within 1 month of treatment initiation. Ann Behav Med 36:129–140PubMedCrossRef Carmack Taylor CL, Badr H, Lee JH, Fossella F, Pisters K, Gritz ER, Schover L (2008) Lung cancer patients and their spouses: psychological and relationship functioning within 1 month of treatment initiation. Ann Behav Med 36:129–140PubMedCrossRef
11.
Zurück zum Zitat Kim Y, Duberstein PR, Sörensen S, Larson MR (2005) Levels of depressive symptoms in spouses of people with lung cancer: effects of personality, social support, and caregiving burden. Psychosomatics 46:123–130PubMedCrossRef Kim Y, Duberstein PR, Sörensen S, Larson MR (2005) Levels of depressive symptoms in spouses of people with lung cancer: effects of personality, social support, and caregiving burden. Psychosomatics 46:123–130PubMedCrossRef
12.
Zurück zum Zitat Spiro SG, Douse J, Read C, Janes S (2008) Complications of lung cancer treatment. Semin Respir Crit Care Med 29:302–317PubMedCrossRef Spiro SG, Douse J, Read C, Janes S (2008) Complications of lung cancer treatment. Semin Respir Crit Care Med 29:302–317PubMedCrossRef
13.
Zurück zum Zitat American Cancer Society (2012) Cancer facts and figures—2012. American Cancer Society, Atlanta American Cancer Society (2012) Cancer facts and figures—2012. American Cancer Society, Atlanta
14.
Zurück zum Zitat Lobchuk MM, Murdoch T, McClement SE, McPherson C (2008) A dyadic affair: who is to blame for causing and controlling the patient's lung cancer? Cancer Nurs 31:435–443PubMedCrossRef Lobchuk MM, Murdoch T, McClement SE, McPherson C (2008) A dyadic affair: who is to blame for causing and controlling the patient's lung cancer? Cancer Nurs 31:435–443PubMedCrossRef
15.
Zurück zum Zitat Persson C, Östlund U, Wennman-Larsen A, Wengström Y, Gustavsson P (2008) Health-related quality of life in significant others of patients dying from lung cancer. Palliat Med 22:239–247PubMedCrossRef Persson C, Östlund U, Wennman-Larsen A, Wengström Y, Gustavsson P (2008) Health-related quality of life in significant others of patients dying from lung cancer. Palliat Med 22:239–247PubMedCrossRef
16.
Zurück zum Zitat Badr H, Carmack Taylor CL (2008) Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer. Health Psychol 27:616–627PubMedCrossRef Badr H, Carmack Taylor CL (2008) Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer. Health Psychol 27:616–627PubMedCrossRef
17.
Zurück zum Zitat Badr H, Carmack Taylor CL (2006) Social constraints and spousal communication in lung cancer. Psychooncology 15:673–683PubMedCrossRef Badr H, Carmack Taylor CL (2006) Social constraints and spousal communication in lung cancer. Psychooncology 15:673–683PubMedCrossRef
18.
Zurück zum Zitat Murray SA, Kendall M, Boyd K, Grant L, Highet G, Sheikh A (2010) Archetypal trajectories of social, psychological, and spiritual wellbeing and distress in family care givers of patients with lung cancer: secondary analysis of serial qualitative interviews. BMJ 340:c2581PubMedCrossRef Murray SA, Kendall M, Boyd K, Grant L, Highet G, Sheikh A (2010) Archetypal trajectories of social, psychological, and spiritual wellbeing and distress in family care givers of patients with lung cancer: secondary analysis of serial qualitative interviews. BMJ 340:c2581PubMedCrossRef
19.
Zurück zum Zitat Murray SA, Kendall M, Boyd K, Worth A, Benton TF (2004) Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliat Med 18:39–45PubMedCrossRef Murray SA, Kendall M, Boyd K, Worth A, Benton TF (2004) Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliat Med 18:39–45PubMedCrossRef
20.
Zurück zum Zitat Lindau ST, Surawska H, Paice J, Baron SR (2011) Communication about sexuality and intimacy in couples affected by lung cancer and their clinical-care providers. Psychooncology 20:179–185PubMedCrossRef Lindau ST, Surawska H, Paice J, Baron SR (2011) Communication about sexuality and intimacy in couples affected by lung cancer and their clinical-care providers. Psychooncology 20:179–185PubMedCrossRef
21.
Zurück zum Zitat Krishnasamy M, Wells M, Wilkie E (2007) Patients and carer experiences of care provision after a diagnosis of lung cancer in Scotland. Support Care Cancer 15:327–332PubMedCrossRef Krishnasamy M, Wells M, Wilkie E (2007) Patients and carer experiences of care provision after a diagnosis of lung cancer in Scotland. Support Care Cancer 15:327–332PubMedCrossRef
22.
Zurück zum Zitat Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef
23.
Zurück zum Zitat Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the Hospital Anxiety and Depression Scale: an updated literature review. J Psychosom Res 52:69–77PubMedCrossRef Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the Hospital Anxiety and Depression Scale: an updated literature review. J Psychosom Res 52:69–77PubMedCrossRef
24.
Zurück zum Zitat Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101CrossRef Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101CrossRef
25.
Zurück zum Zitat Thomas C, Morris SM, Harman JC (2002) Companions through cancer: the care given by informal carers in cancer contexts. Soc Sci Med 54:529–544PubMedCrossRef Thomas C, Morris SM, Harman JC (2002) Companions through cancer: the care given by informal carers in cancer contexts. Soc Sci Med 54:529–544PubMedCrossRef
26.
Zurück zum Zitat Erickson RJ (2005) Why emotion work matters: sex, gender, and the division of household labor. J Marriage Fam 67:337–351CrossRef Erickson RJ (2005) Why emotion work matters: sex, gender, and the division of household labor. J Marriage Fam 67:337–351CrossRef
27.
Zurück zum Zitat Östlund U, Wennman-Larsen A, Persson C, Gustavsson P, Wengström Y (2010) Mental health in significant others of patients dying from lung cancer. Psychooncology 19:29–37PubMedCrossRef Östlund U, Wennman-Larsen A, Persson C, Gustavsson P, Wengström Y (2010) Mental health in significant others of patients dying from lung cancer. Psychooncology 19:29–37PubMedCrossRef
28.
Zurück zum Zitat Institute of Medicine (ed) (2008) Cancer care for the whole patient: meeting psychosocial health needs. The National Academies Press, Washington DC Institute of Medicine (ed) (2008) Cancer care for the whole patient: meeting psychosocial health needs. The National Academies Press, Washington DC
29.
Zurück zum Zitat Vanderwerker LC, Laff RE, Kadan-Lottick NS, McColl S, Prigerson HG (2005) Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol 23:6899–6907PubMedCrossRef Vanderwerker LC, Laff RE, Kadan-Lottick NS, McColl S, Prigerson HG (2005) Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol 23:6899–6907PubMedCrossRef
30.
Zurück zum Zitat Kim Y, Given BA (2008) Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer 112:2556–2568PubMedCrossRef Kim Y, Given BA (2008) Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer 112:2556–2568PubMedCrossRef
31.
Zurück zum Zitat Wen K-Y, Gustafson D (2004) Needs assessment for cancer patients and their families. Health Qual Life Outcomes 2:11PubMedCrossRef Wen K-Y, Gustafson D (2004) Needs assessment for cancer patients and their families. Health Qual Life Outcomes 2:11PubMedCrossRef
32.
Zurück zum Zitat Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW (2010) Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin 60:317–339PubMed Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW (2010) Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin 60:317–339PubMed
Metadaten
Titel
Distressed family caregivers of lung cancer patients: an examination of psychosocial and practical challenges
verfasst von
Catherine E. Mosher
Heather A. Jaynes
Nasser Hanna
Jamie S. Ostroff
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 2/2013
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-012-1532-6

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