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Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time
PURPOSE: Cancer caregiving, a critical component in the cancer-care model, has deleterious effects on the caregiver’s physical and mental health. The degree to which these negative effects are uniformly experienced by caregivers is unclear. The impact of the secondary caregiver’s absence on the prim...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Journal Experts
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10659542/ https://www.ncbi.nlm.nih.gov/pubmed/37986993 http://dx.doi.org/10.21203/rs.3.rs-3513142/v1 |
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author | Wilson-Genderson, Maureen Thomson, Maria D Siminoff, Laura A |
author_facet | Wilson-Genderson, Maureen Thomson, Maria D Siminoff, Laura A |
author_sort | Wilson-Genderson, Maureen |
collection | PubMed |
description | PURPOSE: Cancer caregiving, a critical component in the cancer-care model, has deleterious effects on the caregiver’s physical and mental health. The degree to which these negative effects are uniformly experienced by caregivers is unclear. The impact of the secondary caregiver’s absence on the primary caregivers’ well-being is understudied. METHODS: Terminal cancer patient-caregiver dyads (n = 223) were recruited from oncology clinics and followed for six months or until patient death. Longitudinal latent growth models were used to characterize the heterogeneity of caregiver physical health and depressive symptoms; characteristics associated with these trajectories are examined. RESULTS: Caregivers were majority female (74%), white (55%) and patient spouses (60%). Two physical health (moderate, stable; initially good, declining) and two depressive symptom (moderate, stable; high, increasing) trajectories were identified. Declining physical health was more likely among caregivers who were healthiest at baseline, had higher levels of education, lower subjective burden, fewer depressive symptoms, cared for patients with fewer functional limitations and reported fewer caregiving tasks rendered by a secondary caregiver. Those with increasing depressive symptoms were more likely to be white, patient’s wife, have higher subjective caregiver burden, lower physical health, and care for a patient with greater functional limitations. CONCLUSIONS: Decreasing physical health was evident among caregivers who were initially healthier and reported less assistance from secondary caregivers. Increasing depression was seen in white, female spouses with higher subjective burden. Sample heterogeneity revealed hidden groups unexpectedly at risk in the primary cancer caregiver role to which the oncology care team should be alert. |
format | Online Article Text |
id | pubmed-10659542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | American Journal Experts |
record_format | MEDLINE/PubMed |
spelling | pubmed-106595422023-11-20 Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time Wilson-Genderson, Maureen Thomson, Maria D Siminoff, Laura A Res Sq Article PURPOSE: Cancer caregiving, a critical component in the cancer-care model, has deleterious effects on the caregiver’s physical and mental health. The degree to which these negative effects are uniformly experienced by caregivers is unclear. The impact of the secondary caregiver’s absence on the primary caregivers’ well-being is understudied. METHODS: Terminal cancer patient-caregiver dyads (n = 223) were recruited from oncology clinics and followed for six months or until patient death. Longitudinal latent growth models were used to characterize the heterogeneity of caregiver physical health and depressive symptoms; characteristics associated with these trajectories are examined. RESULTS: Caregivers were majority female (74%), white (55%) and patient spouses (60%). Two physical health (moderate, stable; initially good, declining) and two depressive symptom (moderate, stable; high, increasing) trajectories were identified. Declining physical health was more likely among caregivers who were healthiest at baseline, had higher levels of education, lower subjective burden, fewer depressive symptoms, cared for patients with fewer functional limitations and reported fewer caregiving tasks rendered by a secondary caregiver. Those with increasing depressive symptoms were more likely to be white, patient’s wife, have higher subjective caregiver burden, lower physical health, and care for a patient with greater functional limitations. CONCLUSIONS: Decreasing physical health was evident among caregivers who were initially healthier and reported less assistance from secondary caregivers. Increasing depression was seen in white, female spouses with higher subjective burden. Sample heterogeneity revealed hidden groups unexpectedly at risk in the primary cancer caregiver role to which the oncology care team should be alert. American Journal Experts 2023-11-07 /pmc/articles/PMC10659542/ /pubmed/37986993 http://dx.doi.org/10.21203/rs.3.rs-3513142/v1 Text en https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use. |
spellingShingle | Article Wilson-Genderson, Maureen Thomson, Maria D Siminoff, Laura A Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time |
title | Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time |
title_full | Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time |
title_fullStr | Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time |
title_full_unstemmed | Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time |
title_short | Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time |
title_sort | where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10659542/ https://www.ncbi.nlm.nih.gov/pubmed/37986993 http://dx.doi.org/10.21203/rs.3.rs-3513142/v1 |
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