Skip to main content
Erschienen in: Annals of Behavioral Medicine 2/2012

01.10.2012 | Original Article

Distressed Partners and Caregivers Do Not Recover Easily: Adjustment Trajectories Among Partners and Caregivers of Cancer Survivors

verfasst von: Sylvie D. Lambert, Ph.D., Bobby L. Jones, Ph.D., Afaf Girgis, Ph.D., Christophe Lecathelinais, DESS de Mathématiques Appliquées

Erschienen in: Annals of Behavioral Medicine | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

Abstract

Background

Although a number of cross-sectional studies document the distress experienced by partners and caregivers of cancer survivors, few have considered their potential differential patterns of adjustment over time.

Purpose

Identify distinct trajectories of anxiety and depression among partners and caregivers of cancer survivors and predictors of these trajectories.

Methods

Participants completed a survey to examine the impact of caring for, or living with, a cancer survivor at 6, 12, and 24 months post-survivor diagnosis. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale (N anxiety = 510; N depression = 511).

Results

Anxiety trajectories included: no anxiety (15.1% scored <3; 37.8% scored 3–5); chronic, borderline anxiety (33.2%); and chronic, clinical anxiety (13.9%). The depression trajectories were: no depression (38.9% scored <2; 31.5% scored around 3); a sustained score of 7 (25.5%); and chronic, clinical depression (4.1%). Variables associated with the trajectories included most of the psychosocial variables.

Conclusions

Findings highlight that most caregivers maintained their baseline level of distress, which is particularly concerning for participants reporting chronic anxiety or depression.
Literatur
1.
Zurück zum Zitat Girgis A, Lambert SD. Caregivers of cancer survivors: The state of the field. Cancer Forum. 2009;33:167-171. Girgis A, Lambert SD. Caregivers of cancer survivors: The state of the field. Cancer Forum. 2009;33:167-171.
2.
Zurück zum Zitat Pitceathly C, Maguire P. The psychological impact of cancer on patients’ partners and other key relatives: A review. Eur J Cancer. 2003;39:1517-1524.PubMedCrossRef Pitceathly C, Maguire P. The psychological impact of cancer on patients’ partners and other key relatives: A review. Eur J Cancer. 2003;39:1517-1524.PubMedCrossRef
3.
Zurück zum Zitat Chambers SK, Girgis A, Occhipinti S, et al. Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines. Eur J Cancer Care. 2012;21:213-223.CrossRef Chambers SK, Girgis A, Occhipinti S, et al. Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines. Eur J Cancer Care. 2012;21:213-223.CrossRef
4.
Zurück zum Zitat Couper J, Bloch S, Love AW, Duchesne G, Macvean M, Kissane DW. The psychosocial impact of prostate cancer on patients and their partners. Med J Aust. 2006;185:428-432.PubMed Couper J, Bloch S, Love AW, Duchesne G, Macvean M, Kissane DW. The psychosocial impact of prostate cancer on patients and their partners. Med J Aust. 2006;185:428-432.PubMed
5.
Zurück zum Zitat Northouse LL, Mood D, Templin T, Mellon S, George T. Couples’ patterns of adjustment to colon cancer. Soc Sci Med. 2000;50:271-284.PubMedCrossRef Northouse LL, Mood D, Templin T, Mellon S, George T. Couples’ patterns of adjustment to colon cancer. Soc Sci Med. 2000;50:271-284.PubMedCrossRef
6.
Zurück zum Zitat Boyes A, Girgis A, D'Este C, Zucca A. Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6 months after diagnosis. J Affect Disord. 2011;135:184-192.PubMedCrossRef Boyes A, Girgis A, D'Este C, Zucca A. Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6 months after diagnosis. J Affect Disord. 2011;135:184-192.PubMedCrossRef
7.
Zurück zum Zitat Lambert S, Girgis A, Lecathelinais C, Stacey F. (2012) Walking a mile in their shoes: Anxiety and depression among caregivers of cancer survivors at six and 12 months post-diagnosis. Support Care in Cancer. doi:10.1007/s00520-012-1495-7. Lambert S, Girgis A, Lecathelinais C, Stacey F. (2012) Walking a mile in their shoes: Anxiety and depression among caregivers of cancer survivors at six and 12 months post-diagnosis. Support Care in Cancer. doi:10.​1007/​s00520-012-1495-7.
8.
Zurück zum Zitat Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G. Hidden morbidity in cancer: Spouse caregivers. J Clin Oncol. 2007;25:4829-4834.PubMedCrossRef Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G. Hidden morbidity in cancer: Spouse caregivers. J Clin Oncol. 2007;25:4829-4834.PubMedCrossRef
9.
Zurück zum Zitat Bigatti SM, Wagner CD, Lydon-Lam JR, Steiner JL, Miller KD. Depression in husbands of breast cancer patients: Relationships to coping and social support. Support Care Cancer. 2011;19:455-466.PubMedCrossRef Bigatti SM, Wagner CD, Lydon-Lam JR, Steiner JL, Miller KD. Depression in husbands of breast cancer patients: Relationships to coping and social support. Support Care Cancer. 2011;19:455-466.PubMedCrossRef
10.
Zurück zum Zitat Hagedoorn M, Sanderman R, Bolks H, Tuinstra J, Coyne JC. Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects. Psychol Bull. 2008;134:1-30.PubMedCrossRef Hagedoorn M, Sanderman R, Bolks H, Tuinstra J, Coyne JC. Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects. Psychol Bull. 2008;134:1-30.PubMedCrossRef
11.
Zurück zum Zitat Segrin C, Badger T, Dorros SM, Meek P, Lopez AM. Interdependent anxiety and psychological distress in women with breast cancer and their partners. Psychooncology. 2007;16:634-643.PubMedCrossRef Segrin C, Badger T, Dorros SM, Meek P, Lopez AM. Interdependent anxiety and psychological distress in women with breast cancer and their partners. Psychooncology. 2007;16:634-643.PubMedCrossRef
12.
Zurück zum Zitat Kurtz M, Kurtz JC, Given C, Given B. Depression and physical health among family caregivers of geriatric patients with cancer—A longitudinal view. Med Sci Monit. 2004;10:447-456. Kurtz M, Kurtz JC, Given C, Given B. Depression and physical health among family caregivers of geriatric patients with cancer—A longitudinal view. Med Sci Monit. 2004;10:447-456.
13.
14.
Zurück zum Zitat Lazarus R, Folkman S. Stress, appraisal, and coping. New York: Springer Publishing Company Inc; 1984. Lazarus R, Folkman S. Stress, appraisal, and coping. New York: Springer Publishing Company Inc; 1984.
15.
Zurück zum Zitat Iconomou G, Viha A, Kalofonos HP, Kardamakis D. Impact of cancer on primary caregivers of patients receiving radiation therapy. Acta Oncol. 2001;40:766-771.PubMedCrossRef Iconomou G, Viha A, Kalofonos HP, Kardamakis D. Impact of cancer on primary caregivers of patients receiving radiation therapy. Acta Oncol. 2001;40:766-771.PubMedCrossRef
16.
Zurück zum Zitat Papastravrou E, Charalambous A, Tasangari H. Exploring the other side of cancer care: The informal caregiver. Eur J Oncol Nurs. 2009;13:128-136.CrossRef Papastravrou E, Charalambous A, Tasangari H. Exploring the other side of cancer care: The informal caregiver. Eur J Oncol Nurs. 2009;13:128-136.CrossRef
17.
Zurück zum Zitat Carter PA, Acton GJ. Personality and coping: Predictors of depression and sleep problems among caregivers of individuals who have cancer. J Gerontol Nurs. 2006;32:9. Carter PA, Acton GJ. Personality and coping: Predictors of depression and sleep problems among caregivers of individuals who have cancer. J Gerontol Nurs. 2006;32:9.
18.
Zurück zum Zitat Dalton WT, Nelson DV, Brobst JB, Lindsay JE, Friedman LC. Psychosocial variables associated with husbands’ adjustment three months following wives’ diagnosis of breast cancer. J Cancer Educ. 2007;22:245-249.PubMedCrossRef Dalton WT, Nelson DV, Brobst JB, Lindsay JE, Friedman LC. Psychosocial variables associated with husbands’ adjustment three months following wives’ diagnosis of breast cancer. J Cancer Educ. 2007;22:245-249.PubMedCrossRef
19.
Zurück zum Zitat Price MA, Butow PN, Costa DS, et al. Prevalence and predictors of anxiety and depression in women with invasive ovarian cancer and their caregivers. Med J Aust. 2010;193:S52-57.PubMed Price MA, Butow PN, Costa DS, et al. Prevalence and predictors of anxiety and depression in women with invasive ovarian cancer and their caregivers. Med J Aust. 2010;193:S52-57.PubMed
20.
Zurück zum Zitat Ownsworth T, Henderson L, Chambers SK. Social support buffers the impact of functional impairments on caregiver psychological well-being in the context of brain tumor and other cancers. Psychooncology. 2010;19:1116-1122.PubMed Ownsworth T, Henderson L, Chambers SK. Social support buffers the impact of functional impairments on caregiver psychological well-being in the context of brain tumor and other cancers. Psychooncology. 2010;19:1116-1122.PubMed
22.
Zurück zum Zitat Hodgkinson K, Butow P, Hunt G, Wyse R, Hobbs KM, Wain G. Life after cancer: Couples’ and partners’ psychological adjustment and supportive care needs. Support Care Cancer. 2007;15:405-415.PubMedCrossRef Hodgkinson K, Butow P, Hunt G, Wyse R, Hobbs KM, Wain G. Life after cancer: Couples’ and partners’ psychological adjustment and supportive care needs. Support Care Cancer. 2007;15:405-415.PubMedCrossRef
23.
Zurück zum Zitat Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-370.PubMedCrossRef Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-370.PubMedCrossRef
24.
Zurück zum Zitat Lambert SD, Pallant JF, Girgis A. Rasch analysis of the Hospital Anxiety and Depression Scale among caregivers of cancer survivors: Implications for its use in psycho-oncology. Psychooncology. 2011;20:919-925.PubMed Lambert SD, Pallant JF, Girgis A. Rasch analysis of the Hospital Anxiety and Depression Scale among caregivers of cancer survivors: Implications for its use in psycho-oncology. Psychooncology. 2011;20:919-925.PubMed
25.
Zurück zum Zitat Ware JE, Kosinski M, Turner-Bowker DM, Gandeck B. User’s manual for the SF-12v2 TM health survey with a supplement documenting SF-12 R health survey Lincoln. RI: QualityMetric Incorporated; 2002. Ware JE, Kosinski M, Turner-Bowker DM, Gandeck B. User’s manual for the SF-12v2 TM health survey with a supplement documenting SF-12 R health survey Lincoln. RI: QualityMetric Incorporated; 2002.
26.
Zurück zum Zitat Kershaw T, Mood D, Newth G, et al. Longitudinal analysis of a model to predict quality of life in prostate cancer patients and their spouses. Ann Behav Med. 2008;36:117-128.PubMedCrossRef Kershaw T, Mood D, Newth G, et al. Longitudinal analysis of a model to predict quality of life in prostate cancer patients and their spouses. Ann Behav Med. 2008;36:117-128.PubMedCrossRef
27.
Zurück zum Zitat Mitchell G, Girgis A, Jiwa M, Sibbritt D, Burridge L. A GP caregiver needs toolkit versus usual care in the management of the needs of caregivers of patients with advanced cancer: A randomized controlled trial. Trials. 2010;11:115.PubMedCrossRef Mitchell G, Girgis A, Jiwa M, Sibbritt D, Burridge L. A GP caregiver needs toolkit versus usual care in the management of the needs of caregivers of patients with advanced cancer: A randomized controlled trial. Trials. 2010;11:115.PubMedCrossRef
28.
Zurück zum Zitat Sanderson K, Andrews G. The SF-12 in the Australian population: Cross-validation of item selection. Aust N Z J Public Health. 2002;26:343-345.PubMedCrossRef Sanderson K, Andrews G. The SF-12 in the Australian population: Cross-validation of item selection. Aust N Z J Public Health. 2002;26:343-345.PubMedCrossRef
29.
Zurück zum Zitat Currow D, Abernethy AP, Fazekas BS. Specialist palliative care needs of whole populations: A feasibility study using a novel approach. Palliat Med. 2004;18:239-247.PubMedCrossRef Currow D, Abernethy AP, Fazekas BS. Specialist palliative care needs of whole populations: A feasibility study using a novel approach. Palliat Med. 2004;18:239-247.PubMedCrossRef
30.
Zurück zum Zitat Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. Pharmacoeconomics. 1993;4:353-365.PubMedCrossRef Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. Pharmacoeconomics. 1993;4:353-365.PubMedCrossRef
31.
Zurück zum Zitat Carver CS. You want to measure coping but your protocol’s too long: Consider the Brief COPE. Int J Behav Med. 1997;4:92-100.PubMedCrossRef Carver CS. You want to measure coping but your protocol’s too long: Consider the Brief COPE. Int J Behav Med. 1997;4:92-100.PubMedCrossRef
32.
Zurück zum Zitat Kershaw T, Northouse L, Kritpracha C, Schafenacker A, Mood D. Coping strategies and quality of life in women with advanced breast cancer and their family caregivers. Psychol Health. 2004;19:139-155.CrossRef Kershaw T, Northouse L, Kritpracha C, Schafenacker A, Mood D. Coping strategies and quality of life in women with advanced breast cancer and their family caregivers. Psychol Health. 2004;19:139-155.CrossRef
33.
34.
Zurück zum Zitat Girgis A, Lambert SD, Lecathelinais C. The supportive care needs survey for partners and caregivers of cancer survivors: Development and psychometric evaluation. Psychooncology. 2011;20:387-393.PubMedCrossRef Girgis A, Lambert SD, Lecathelinais C. The supportive care needs survey for partners and caregivers of cancer survivors: Development and psychometric evaluation. Psychooncology. 2011;20:387-393.PubMedCrossRef
35.
Zurück zum Zitat Janda M, Steginga S, Dunn J, Langbecker D, Walker D, Eakin E. Unmet supportive care needs and interest in services among patients with a brain tumour and their carers. Patient Educ Couns. 2008;71:251-258.PubMedCrossRef Janda M, Steginga S, Dunn J, Langbecker D, Walker D, Eakin E. Unmet supportive care needs and interest in services among patients with a brain tumour and their carers. Patient Educ Couns. 2008;71:251-258.PubMedCrossRef
36.
Zurück zum Zitat Girgis A, Boyes A, Sanson-Fisher RW, Burrows S. Perceived needs of women diagnosed with breast cancer: A focus on rural versus urban location. Aust N Z J Public Health. 2000;24:166-173.PubMedCrossRef Girgis A, Boyes A, Sanson-Fisher RW, Burrows S. Perceived needs of women diagnosed with breast cancer: A focus on rural versus urban location. Aust N Z J Public Health. 2000;24:166-173.PubMedCrossRef
37.
Zurück zum Zitat Harrison J, Young J, Price M, Butow P, Solomon M. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17:1117-1128.PubMedCrossRef Harrison J, Young J, Price M, Butow P, Solomon M. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009;17:1117-1128.PubMedCrossRef
38.
Zurück zum Zitat Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P. The unmet supportive care needs of patients with cancer. Cancer. 2000;88:226-237.PubMedCrossRef Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P. The unmet supportive care needs of patients with cancer. Cancer. 2000;88:226-237.PubMedCrossRef
39.
Zurück zum Zitat McDowell ME, Occhipinti S, Ferguson M, Dunn J, Chambers SK. Predictors of change in unmet supportive care needs in cancer. Psychooncology. 2009;19:508-516. McDowell ME, Occhipinti S, Ferguson M, Dunn J, Chambers SK. Predictors of change in unmet supportive care needs in cancer. Psychooncology. 2009;19:508-516.
40.
Zurück zum Zitat Soothill K, Morris S, Harman J, Francis B, Thomas C, McIllmurray MB. The significant unmet needs of cancer patients: Probing psychosocial concerns. Support Care Cancer. 2001;9:597-605.PubMedCrossRef Soothill K, Morris S, Harman J, Francis B, Thomas C, McIllmurray MB. The significant unmet needs of cancer patients: Probing psychosocial concerns. Support Care Cancer. 2001;9:597-605.PubMedCrossRef
41.
Zurück zum Zitat Park SM, Kim YJ, Kim S, et al. Impact of caregivers’ unmet needs for supportive care on quality of terminal cancer care delivered and caregiver’s workforce performance. Support Care Cancer. 2010;18:699-706.PubMedCrossRef Park SM, Kim YJ, Kim S, et al. Impact of caregivers’ unmet needs for supportive care on quality of terminal cancer care delivered and caregiver’s workforce performance. Support Care Cancer. 2010;18:699-706.PubMedCrossRef
42.
Zurück zum Zitat Jones BL, Nagin DS, Roeder K. A SAS procedure based on mixture models for estimating developmental trajectories. Sociol Methods Res. 2001;29:374-393.CrossRef Jones BL, Nagin DS, Roeder K. A SAS procedure based on mixture models for estimating developmental trajectories. Sociol Methods Res. 2001;29:374-393.CrossRef
43.
Zurück zum Zitat Nagin DS. Analyzing developmental trajectories: A semiparametric, group-based approach. Psychol Methods. 1999;4:139-157.CrossRef Nagin DS. Analyzing developmental trajectories: A semiparametric, group-based approach. Psychol Methods. 1999;4:139-157.CrossRef
44.
Zurück zum Zitat Hosmer D, Lemeshow S. Applied logistic regression. New York: Wiley; 1989. Hosmer D, Lemeshow S. Applied logistic regression. New York: Wiley; 1989.
45.
Zurück zum Zitat Helgeson VS, Snyder P, Seltman H. Psychological and physical adjustment to breast cancer over 4 years: Identifying distinct trajectories of change. Health Psychol. 2004;23:3-15.PubMedCrossRef Helgeson VS, Snyder P, Seltman H. Psychological and physical adjustment to breast cancer over 4 years: Identifying distinct trajectories of change. Health Psychol. 2004;23:3-15.PubMedCrossRef
46.
Zurück zum Zitat Lambert SD, Harrison JD, Smith E, et al. The unmet needs of partners and caregivers of adults diagnosed with cancer: A systematic review. BMJ Supportive and Palliative Care. Submitted. Lambert SD, Harrison JD, Smith E, et al. The unmet needs of partners and caregivers of adults diagnosed with cancer: A systematic review. BMJ Supportive and Palliative Care. Submitted.
47.
Zurück zum Zitat Mellon S, Northouse L, Weiss L. A population-based study of the quality of life of cancer survivors and their family caregivers. Cancer Nur. 2006;29:120-130.CrossRef Mellon S, Northouse L, Weiss L. A population-based study of the quality of life of cancer survivors and their family caregivers. Cancer Nur. 2006;29:120-130.CrossRef
48.
Zurück zum Zitat Vanderwerker L, Laff R, Kadan-Lottick N, McColl S, Pigerson H. Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol. 2005;23:6899-6907.PubMedCrossRef Vanderwerker L, Laff R, Kadan-Lottick N, McColl S, Pigerson H. Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol. 2005;23:6899-6907.PubMedCrossRef
49.
Zurück zum Zitat Donnelly JM, Kornblith AB, Fleishman S, et al. A pilot study of interpersonal psychotherapy by telephone with cancer patients and their partners. Psychooncology. 2000;9:44-56.PubMedCrossRef Donnelly JM, Kornblith AB, Fleishman S, et al. A pilot study of interpersonal psychotherapy by telephone with cancer patients and their partners. Psychooncology. 2000;9:44-56.PubMedCrossRef
50.
Zurück zum Zitat Bakas T, Lewis RR, Parsons JE. Caregiving tasks among family caregivers of patients with lung cancer. Oncol Nurs Forum. 2001;28:847-854.PubMed Bakas T, Lewis RR, Parsons JE. Caregiving tasks among family caregivers of patients with lung cancer. Oncol Nurs Forum. 2001;28:847-854.PubMed
51.
Zurück zum Zitat Kim Y, Carver CS. Frequency and difficulty in caregiving among spouses of individuals with cancer: Effects of adult attachment and gender. Psychooncology. 2007;16:714-723.PubMedCrossRef Kim Y, Carver CS. Frequency and difficulty in caregiving among spouses of individuals with cancer: Effects of adult attachment and gender. Psychooncology. 2007;16:714-723.PubMedCrossRef
52.
Zurück zum Zitat Nijboer C, Tempelaar R, Triemstra M, van den Bos GA, Sanderman R. The role of social and psychologic resources in caregiving of cancer patients. Cancer. 2001;91:1029-1039.PubMedCrossRef Nijboer C, Tempelaar R, Triemstra M, van den Bos GA, Sanderman R. The role of social and psychologic resources in caregiving of cancer patients. Cancer. 2001;91:1029-1039.PubMedCrossRef
53.
Zurück zum Zitat Fitzell A, Pakenham KI. Application of a stress and coping model to positive and negative adjustment outcomes in colorectal cancer caregiving. Psychooncology. 2010;19:1171-1178.PubMedCrossRef Fitzell A, Pakenham KI. Application of a stress and coping model to positive and negative adjustment outcomes in colorectal cancer caregiving. Psychooncology. 2010;19:1171-1178.PubMedCrossRef
Metadaten
Titel
Distressed Partners and Caregivers Do Not Recover Easily: Adjustment Trajectories Among Partners and Caregivers of Cancer Survivors
verfasst von
Sylvie D. Lambert, Ph.D.
Bobby L. Jones, Ph.D.
Afaf Girgis, Ph.D.
Christophe Lecathelinais, DESS de Mathématiques Appliquées
Publikationsdatum
01.10.2012
Verlag
Springer-Verlag
Erschienen in
Annals of Behavioral Medicine / Ausgabe 2/2012
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9385-2

Weitere Artikel der Ausgabe 2/2012

Annals of Behavioral Medicine 2/2012 Zur Ausgabe