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Clinical Trial
. 2021 Nov;29(11):6913-6920.
doi: 10.1007/s00520-021-06265-y. Epub 2021 May 24.

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

J Nicholas Dionne-Odom  1 , Andres Azuero  2 , Richard A Taylor  2 , Rachel D Wells  2 , Bailey A Hendricks  2 , Avery C Bechthold  2 , Rhiannon D Reed  3 , Erin R Harrell  4 , Chinara K Dosse  2 , Sally Engler  2 , Peggy McKie  2 , Deborah Ejem  2 , Marie A Bakitas  2 , Abby R Rosenberg  5   6   7
Affiliations
Clinical Trial

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

J Nicholas Dionne-Odom et al. Support Care Cancer. 2021 Nov.

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.

Keywords: Cancer; Decision-making; Distress; Family caregiving; Resilience.

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Conflict of interest statement

Conflict of interest The authors declare no competing interests.

References

    1. Siegel RL, Miller KD, Jemal A (2019) Cancer statistics, 2019. CA Cancer J Clin 69(1):7–34 - PubMed
    1. National Alliance for Caregiving. Cancer caregiving in the U.S.: an intense, episodic, and challenging care experience. Bethesda, MD: National Alliance for Caregiving;2016.
    1. Yabroff KR, Kim Y (2009) Time costs associated with informal caregiving for cancer survivors. Cancer 115(18 Suppl):4362–4373 - PubMed
    1. Geng HM, Chuang DM, Yang F et al. (2018) Prevalence and determinants of depression in caregivers of cancer patients: a systematic review and meta-analysis. Medicine (Baltimore) 97(39):e11863. - PMC - PubMed
    1. Nielsen MK, Neergaard MA, Jensen AB, Bro F, Guldin MB (2016) Psychological distress, health, and socio-economic factors in caregivers of terminally ill patients: a nationwide population-based cohort study. Support Care Cancer 24(7):3057–3067 - PubMed

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