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24.05.2021 | Original Article

Resilience, preparedness, and distress among family caregivers of patients with advanced cancer

verfasst von: J. Nicholas Dionne-Odom, Andres Azuero, Richard A. Taylor, Rachel D. Wells, Bailey A. Hendricks, Avery C. Bechthold, Rhiannon D. Reed, Erin R. Harrell, Chinara K. Dosse, Sally Engler, Peggy McKie, Deborah Ejem, Marie A. Bakitas, Abby R. Rosenberg

Erschienen in: Supportive Care in Cancer | Ausgabe 11/2021

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Abstract

Objective

Resilience has been proposed as a primary factor in how many family caregivers of patients with advanced cancer are able to resist psychological strain and perform effectively in the role while bearing a high load of caregiving tasks. To evaluate this hypothesis, we examined whether self-perceived resilience is associated with distress (anxiety and depressive symptoms), caregiver preparedness, and readiness for surrogate decision-making among a racially diverse sample of family caregivers of patients with newly diagnosed advanced cancer.

Methods

Secondary analysis of baseline data from two small-scale, pilot clinical trials that both recruited family caregivers of patients with newly diagnosed advanced cancer. Using multivariable linear regression, we analyzed relationships of resilience as a predictor of mood, caregiving preparedness, and readiness for surrogate decision-making, controlling for sociodemographics.

Results

Caregiver participants (N = 112) were mean 56 years of age and mostly female (76%), the patient’s spouse/partner (52%), and White (56%) or African-American/Black (43%). After controlling for demographics, standardized results indicated that higher resilience was relevantly associated with higher caregiver preparedness (beta = .46, p < .001), higher readiness for surrogate decision-making (beta = .20, p < .05) and lower anxiety (beta = − .19, p < .05), and depressive symptoms (beta = − .20, p < .05).

Conclusions

These results suggest that resilience may be critical to caregivers’ abilities to manage stress, be effective sources of support to patients, and feel ready to make future medical decisions on behalf of patients. Future work should explore and clinicians should consider whether resilience can be enhanced in cancer caregivers to optimize their well-being and ability to perform in the caregiving and surrogate decision-making roles.

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Titel: Resilience, preparedness, and distress among family caregivers of patients with advanced cancer
verfasst von: J. Nicholas Dionne-Odom
Andres Azuero
Richard A. Taylor
Rachel D. Wells
Bailey A. Hendricks
Avery C. Bechthold
Rhiannon D. Reed
Erin R. Harrell
Chinara K. Dosse
Sally Engler
Peggy McKie
Deborah Ejem
Marie A. Bakitas
Abby R. Rosenberg
Publikationsdatum: 24.05.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 11/2021
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-021-06265-y

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Resilience, preparedness, and distress among family caregivers of patients with advanced cancer