Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Annals of Behavioral Medicine
Erschienen in: Annals of Behavioral Medicine 6/2015

01.12.2015 | Original Article

The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time

verfasst von: Trace Kershaw, PhD, Katrina R. Ellis, PhD, MPH, MSW, Hyojin Yoon, PhD, RN, Ann Schafenacker, MSN, RN, Maria Katapodi, PhD, RN, FAAN, Laurel Northouse, PhD, RN, FAAN

Erschienen in: Annals of Behavioral Medicine | Ausgabe 6/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

The challenges of advanced cancer have health implications for patients and their family caregivers from diagnosis through end of life. The nature of the patient/caregiver experience suggests that their mental and physical health may be interdependent, but limited empirical evidence exists.

Purpose

This study used social cognitive theory as a framework to investigate individual and interpersonal influences on patients’ and their family caregivers’ mental health, physical health, and self-efficacy as individuals to manage the challenges of advanced disease over time.

Methods

Patients and caregivers (484 patient-caregiver dyads) completed surveys at baseline, 3 and 6 months. Longitudinal dyadic analysis techniques were used to examine (i) the influence that patients and caregivers had on their own mental health, physical health, and self-efficacy (actor effects) and (ii) the influence that they had on each other’s health outcomes (partner effects). We also examined the influence of self-efficacy on mental and physical health over time.

Results

Consistent with our hypotheses, each person’s mental health, physical health, and self-efficacy had significant effects on their own outcomes over time (actor effects). Patients and caregivers influenced one another’s mental and physical health (partner effects), but not their self-efficacy. In addition, patients and caregivers with higher self-efficacy had better mental health, and their partners had better physical health.

Conclusions

Patients’ and caregivers’ mental and physical health were interdependent. Each person’s cancer-related self-efficacy influenced their own mental and physical health. However, a person’s self-efficacy did not influence the other person’s self-efficacy.
Literatur
1.
Vanderwerker LC, Laff RE, Kadan-Lottick NS, McColl S, Prigerson HG. Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol. 2005; 23(28): 6899-6907.PubMedCentralCrossRefPubMed
2.
Barnes E, Bruera E. Fatigue in patients with advanced cancer: A review. Int J Gynecol Cancer. 2002; 12(5): 424-428.CrossRefPubMed
3.
Given B, Given C. Patient and family caregiver reaction to new and recurrent breast cancer. J Am Med Womens Assoc. 1991; 47(5): 201-206.
4.
Northouse LL, Mood DW, Montie JE, et al. Living with prostate cancer: Patients’ and spouses’ psychosocial status and quality of life. J Clin Oncol. 2007; 25(27): 4171-4177.CrossRefPubMed
5.
Weitzner MA, McMillan SC, Jacobsen PB. Family caregiver quality of life: Differences between curative and palliative cancer treatment settings. J Pain Symptom Manag. 1999; 17(6): 418-428.CrossRef
6.
Badr H, Krebs P. A systematic review and meta-analysis of psychosocial interventions for couples coping with cancer. Psychooncology. 2013; 22(8): 1688-1704.PubMedCentralCrossRefPubMed
7.
Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psychooncology. 2010; 19(10): 1013-1025.CrossRefPubMed
8.
Hagedoorn M, Sanderman R, Bolks HN, 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): 1.CrossRefPubMed
9.
Simon A, Thompson M, Flashman K, Wardle J. Disease stage and psychosocial outcomes in colorectal cancer. Color Dis. 2009; 11(1): 19-25.CrossRef
10.
Kurtz ME, Kurtz J, Given CW, Given B. A randomized, controlled trial of a patient/caregiver symptom control intervention: Effects on depressive symptomatology of caregivers of cancer patients. J Pain Symptom Manag. 2005; 30(2): 112-122.CrossRef
11.
Pinquart M, Sörensen S. Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2003; 58(2): 112-128.CrossRef
12.
Burridge LH, Barnett AG, Clavarino AM. The impact of perceived stage of cancer on carers’ anxiety and depression during the patients’ final year of life. Psychooncology. 2009; 18(6): 615-623.CrossRefPubMed
13.
Kurtz ME, Kurtz J, Given CW, Given B. Relationship of caregiver reactions and depression to cancer patients’ symptoms, functional states and depression—a longitudinal view. Soc Sci Med. 1995; 40(6): 837-846.CrossRefPubMed
14.
Mystakidou K, Tsilika E, Parpa E, Galanos A, Vlahos L. Caregivers of advanced cancer patients: Feelings of hopelessness and depression. Cancer Nurs. 2007; 30(5): 412-418.CrossRefPubMed
15.
Kurtz ME, Kurtz JC, Given CW, Given BA. Depression and physical health among family caregivers of geriatric patients with cancer–a longitudinal view. Med Sci Monit. 2004; 10(8): 447-456.
16.
Beesley VL, Price MA, Webb PM. Loss of lifestyle: Health behaviour and weight changes after becoming a caregiver of a family member diagnosed with ovarian cancer. Support Care Cancer. 2011; 19(12): 1949-1956.CrossRefPubMed
17.
Rohleder N, Marin TJ, Ma R, Miller GE. Biologic cost of caring for a cancer patient: Dysregulation of pro-and anti-inflammatory signaling pathways. J Clin Oncol. 2009; 27(18): 2909-2915.CrossRefPubMed
18.
Girgis A, Lambert S, Johnson C, Waller A, Currow D. Physical, psychosocial, relationship, and economic burden of caring for people with cancer: A review. J Oncol Pract. 2013; 9(4): 197-202.PubMedCentralCrossRefPubMed
19.
Badr H, Smith CB, Goldstein NE, Gomez JE, Redd WH. Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: Results of a randomized pilot trial. Cancer. 2015; 121(1): 150-158.CrossRefPubMed
20.
Chih M-Y, DuBenske LL, Hawkins RP, et al. Communicating advanced cancer patients’ symptoms via the Internet: A pooled analysis of two randomized trials examining caregiver preparedness, physical burden, and negative mood. Palliat Med. 2013; 27(6): 533-543.CrossRefPubMed
21.
Dionne-Odom JN, Azuero A, Lyons KD, et al. Benefits of early versus delayed palliative care to informal family caregivers of patients with advanced cancer: Outcomes from the ENABLE III randomized controlled trial. J Clin Oncol. 2015; 33(13): 1446-1452.CrossRefPubMed
22.
McLean LM, Walton T, Rodin G, Esplen MJ, Jones JM. A couple-based intervention for patients and caregivers facing end-stage cancer: Outcomes of a randomized controlled trial. Psychooncology. 2013; 22(1): 28-38.CrossRefPubMed
23.
Locke KD, Sadler P. Self-efficacy, values, and complementarity in dyadic interactions: Integrating interpersonal and social-cognitive theory. Pers Soc Psychol Bull. 2007; 33(1): 94-109.CrossRefPubMed
24.
Van Lange PA, Rusbult CE. Interdependence theory. In: Van Lange PA, Kruglanski AW, Higgins TE, eds. Handbook of Theories of Social Psychology, vol. 2. Thousand Oaks, CA: SAGE Publications; 2012: 251-272.CrossRef
25.
Rusbult CE, Van Lange PA. Why we need interdependence theory. Soc Personal Psychol Compass. 2008; 2(5): 2049-2070.CrossRef
26.
Graves KD. Social cognitive theory and cancer patients’ quality of life: A meta-analysis of psychosocial intervention components. Health Psychol. 2003; 22(2): 210.CrossRefPubMed
27.
Steffen AM, McKibbin C, Zeiss AM, Gallagher-Thompson D, Bandura A. The revised scale for caregiving self-efficacy reliability and validity studies. J Gerontol B Psychol Sci Soc Sci. 2002; 57(1): 74-86.CrossRef
28.
Northouse LL, Mood D, Kershaw T, et al. Quality of life of women with recurrent breast cancer and their family members. J Clin Oncol. 2002; 20(19): 4050-4064.CrossRefPubMed
29.
30.
Hirai K, Suzuki Y, Tsuneto S, Ikenaga M, Hosaka T, Kashiwagi T. A structural model of the relationships among self-efficacy, psychological adjustment, and physical condition in Japanese advanced cancer patients. Psychooncology. 2002; 11(3): 221-229.CrossRefPubMed
31.
Keefe FJ, Ahles TA, Porter LS, et al. The self-efficacy of family caregivers for helping cancer patients manage pain at end-of-life. Pain. 2003; 103(1): 157-162.CrossRefPubMed
32.
Porter LS, Keefe FJ, Garst J, McBride CM, Baucom D. Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: Associations with symptoms and distress. Pain. 2008; 137(2): 306-315.PubMedCentralCrossRefPubMed
33.
Campbell LC, Keefe FJ, McKee DC, et al. Prostate cancer in African Americans: Relationship of patient and partner self-efficacy to quality of life. J Pain Symptom Manag. 2004; 28(5): 433-444.CrossRef
34.
Bookwala J, Schulz R. The role of neuroticism and mastery in spouse caregivers’ assessment of and response to a contextual stressor. J Gerontol B Psychol Sci Soc Sci. 1998; 53(3): 155-164.CrossRef
35.
Mellon S, Kershaw TS, Northouse LL, Freeman‐Gibb L. A family-based model to predict fear of recurrence for cancer survivors and their caregivers. Psychooncology. 2007; 16(3): 214-223.CrossRefPubMed
36.
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(2): 139-155.CrossRef
37.
Siminoff LA, Wilson‐Genderson M, Baker S. Depressive symptoms in lung cancer patients and their family caregivers and the influence of family environment. Psychooncology. 2010; 19(12): 1285-1293.PubMedCentralCrossRefPubMed
38.
Cook WL, Kenny DA. The actor–partner interdependence model: A model of bidirectional effects in developmental studies. Int J Behav Dev. 2005; 29(2): 101-109.CrossRef
39.
Kenny DA, Kashy DA, Cook WL. Dyadic Data Analysis. New York, NY: Guilford Press; 2006.
40.
Northouse LL, Mood DW, Schafenacker A, et al. Randomized clinical trial of a brief and extensive dyadic intervention for advanced cancer patients and their family caregivers. Psychooncology. 2013; 22(3): 555-563.PubMedCentralCrossRefPubMed
41.
Cella DF, Tulsky DS, Gray G, et al. The functional assessment of cancer therapy scale: Development and validation of the general measure. J Clin Oncol. 1993; 11(3): 570-579.PubMed
42.
Lewis F. Family Home Visitation Study Final Report. Bethesda, MD: National Cancer Institute; 1996.
43.
Kim Y, Kashy DA, Spillers RL, Evans TV. Needs assessment of family caregivers of cancer survivors: Three cohorts comparison. Psychooncology. 2010; 19(6): 573-582.CrossRefPubMed
44.
Mellon S, Northouse LL, Weiss LK. A population-based study of the quality of life of cancer survivors and their family caregivers. Cancer Nurs. 2006; 29(2): 120-131.CrossRefPubMed
45.
Hagedoorn M, Buunk BP, Kuijer RG, Wobbes T, Sanderman R. Couples dealing with cancer: Role and gender differences regarding psychological distress and quality of life. Psychooncology. 2000; 9(3): 232-242.CrossRefPubMed
46.
Ellis KR. Dyadic analyses of the influence of chronic conditions on the biospychosocial wellbeing and health-promoting behaviors of individuals with advanced cancer and their caregivers (Doctoral Dissertation). University of Michigan, Ann Arbor, MI; 2015.
47.
Worden J. Psychosocial screening of cancer patients. J Psychosoc Oncol. 1983; 1: 1-10.CrossRef
48.
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(7): 634-643.CrossRefPubMed
49.
Graham JW. Missing data analysis: Making it work in the real world. Annu Rev Psychol. 2009; 60: 549-576.CrossRefPubMed
50.
Little JAR, Rubin BD. Statistical Analysis with Missing Data. Hoboken, NJ: John Wiley & Sons; 2014.
51.
Northouse LL, Templin T, Mood D, Oberst M. Couples’ adjustment to breast cancer and benign breast disease: A longitudinal analysis. Psychooncology. 1998; 7(1): 37-48.CrossRefPubMed
52.
Northouse LL, Mood D, Templin T, Mellon S, George T. Couples’ patterns of adjustment to colon cancer. Soc Sci Med. 2000; 50(2): 271-284.CrossRefPubMed
53.
Bishop MM, Beaumont JL, Hahn EA, et al. Late effects of cancer and hematopoietic stem-cell transplantation on spouses or partners compared with survivors and survivor-matched controls. J Clin Oncol. 2007; 25(11): 1403-1411.CrossRefPubMed
54.
Litzelman K, Green PA, Yabroff KR. Cancer and quality of life in spousal dyads: Spillover in couples with and without cancer-related health problems. Support Care Cancer. 2015; doi:10.​1007/​s00520-015-2840-4
55.
Dorros SM, Card NA, Segrin C, Badger TA. Interdependence in women with breast cancer and their partners: An interindividual model of distress. J Consult Clin Psychol. 2010; 78(1): 121.PubMedCentralCrossRefPubMed
56.
Bandura A. Self-Efficacy: The Exercise of Self-Control. Gordonsville, VA: WH Freeman & Co; 1997.
57.
Bandura A. Exercise of human agency through collective efficacy. Curr Dir Psychol Sci. 2000; 9(3): 75-78.CrossRef
58.
Bandura A, Caprara GV, Barbaranelli C, Regalia C, Scabini E. Impact of family efficacy beliefs on quality of family functioning and satisfaction with family life. Appl Psychol Int Rev. 2011; 60(3): 421-448.CrossRef
59.
Lewis MA, McBride CM, Pollak KI, Puleo E, Butterfield RM, Emmons KM. Understanding health behavior change among couples: An interdependence and communal coping approach. Soc Sci Med. 2006; 62(6): 1369-1380.CrossRefPubMed
60.
Manne S, Sherman M, Ross S, Ostroff J, Heyman RE, Fox K. Couples’ support-related communication, psychological distress, and relationship satisfaction among women with early stage breast cancer. J Consult Clin Psychol. 2004; 72(4): 660.CrossRefPubMed
61.
van Ryn M, Sanders S, Kahn K, et al. Objective burden, resources, and other stressors among informal cancer caregivers: A hidden quality issue? Psychooncology. 2011; 20(1): 44-52.PubMedCentralCrossRefPubMed
62.
Metadaten
Titel
The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time
verfasst von
Trace Kershaw, PhD
Katrina R. Ellis, PhD, MPH, MSW
Hyojin Yoon, PhD, RN
Ann Schafenacker, MSN, RN
Maria Katapodi, PhD, RN, FAAN
Laurel Northouse, PhD, RN, FAAN
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Annals of Behavioral Medicine / Ausgabe 6/2015
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-015-9743-y

Weitere Artikel der Ausgabe 6/2015

Annals of Behavioral Medicine 6/2015 Zur Ausgabe

Original Article

Family Environment and the Metabolic Syndrome: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS)

Brief Report

Illness Schema Activation and the Effects of Illness Seasonality on Accessibility of Implicit Illness-Related Information

Original Article

Use of Health Behavior Theory in Funded Grant Proposals: Cancer Screening Interventions as a Case Study

Original Article

Perceived Stress and Atrial Fibrillation: The REasons for Geographic and Racial Differences in Stroke Study

Original Article

Cognitive Behavioral Stress Management for Healthy Women at Risk for Breast Cancer: a Novel Application of a Proven Intervention

Original Article

Baseline Depressive Symptoms, Completion of Study Assessments, and Behavior Change in a Long-Term Dietary Intervention Among Breast Cancer Survivors

Neu in den Fachgebieten Neurologie und Psychiatrie

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Bildnachweise