Expecting the worst? The relationship between retrospective and prospective appraisals of illness on quality of life in prostate cancer survivors

Maguire, Rebecca; Hanly, Paul; Drummond, Frances J.; Gavin, Anna; Sharp, Linda

doi:10.1002/pon.4660

Cited by 16 publications

(12 citation statements)

References 38 publications

(86 reference statements)

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“…Specifically, time since diagnosis (Boehmer et al, 2016;Maguire et al, 2017) was significantly associated with higher FCR, whilst which contrasts with the cancer survivorship literature (Crist and Grunfeld, 2013;Koch et al, 2013;Simard et al, 2013). Four studies found that treatment modality was significantly associated with FCR, which is consistent with the cancer patient and survivorship literature that indicates that different treatment approaches are significantly associated with FCR (Yang et al, 2017a,b;Maguire et al, 2018). Patients who have had chemotherapy or radiotherapy are likely to experience side effects, and an increased number of hospital trips and inpatient episodes, which may contribute to psychological morbidity (Denlinger and Barsevick, 2009).…”

Section: Discussionmentioning

confidence: 73%

Factors Associated With Fear of Cancer Recurrence in Family Caregivers of Cancer Survivors: A Systematic Review

O'Rourke

Fisher

Campbell³

et al. 2021

Front. Psychol.

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Objective: Fear of cancer recurrence (FCR) is a significant concern for family caregivers of cancer survivors and is associated with many adverse outcomes, including increased emotional distress and poorer quality of life. Although several theoretical models have been proposed to account for FCR in cancer survivors, their applicability to caregivers is unknown. The aim of this review was to identify clinical, demographic and psychological factors that are associated with, and predict, FCR in caregivers of cancer survivors.Method: AMED, CINAHL, Medline, PsycINFO, and Scopus were systematically searched for relevant studies reporting quantitative data on factors associated with FCR or similar constructs (e.g., worry or anxiety about cancer recurrence) in family caregivers of adult cancer survivors. Included studies were assessed for methodological quality using a standardized checklist adapted from the Agency for Healthcare Research and Quality.Results: Sixteen studies, half of which were cross-sectional, were included and summarized narratively. Non-modifiable factors, including age (n = 6) and treatment modality (n = 4), were found to be associated with increased FCR. Significant positive associations were also reported between illness perceptions and FCR (n = 3). However, there was heterogeneity across included studies with regards to factors examined and most were conducted in the USA. There were also several methodological limitations to the included studies.Conclusions: Research examining FCR in caregivers of cancer survivors has predominantly focused on demographic and clinical factors. Given the paucity of research exploring the psychological mechanisms underpinning FCR, future research should investigate theoretical underpinnings of FCR in caregivers of cancer survivors to support the development of psychological interventions for this population.Systematic Review Registration: PROSPERO, identifier [CRD42019119729].

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Section: Discussionmentioning

confidence: 73%

Factors Associated With Fear of Cancer Recurrence in Family Caregivers of Cancer Survivors: A Systematic Review

O'Rourke

Fisher

Campbell³

et al. 2021

Front. Psychol.

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“…Less attention has been paid to psychological appraisals made by the caregiver and how these might separately impact on well-being, regardless of the care situation. It is known that appraisals of illness can impact well-being in those who are suffering from chronic health conditions [20][21][22][23]. The same is likely to be the case for caregivers.…”

Section: Introductionmentioning

confidence: 99%

Beyond care burden: associations between positive psychological appraisals and well-being among informal caregivers in Europe

2019

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Purpose The burden of caring for a family member or friend can have a negative impact on caregiver health and well-being, yet caring can also have positive consequences. Understanding the factors that may enhance caregiver well-being is merited. Methods We used data gathered from the European Quality of Life Survey (EQLS). Using complete case analysis followed by multiple imputation analysis, a series of multilevel regression models were developed to systematically explore the role of three distinct blocks of factors in predicting caregiver well-being as measured by the WHO-5 well-being index: (1) sociodemographic and health factors, (2) care and burden-related factors, and (3) psychological and social appraisals. Differences between frequent caregivers and the general population were also compared on all measures. Results 36,908 respondents took part in EQLS, with 4171 (11%) identifying as frequent carers. While frequent caregivers reported lower well-being compared to the remaining population, most were happy with the amount of time spent caring. Our model explained approximately 32% of variance in well-being scores. After examining the role of known risk factors, all positive psychological appraisals were associated with higher well-being (p < .001). In order of magnitude these were optimism, perceived autonomy, sense of purpose, resilience, and perceived levels of social inclusion. Self-rated health was the strongest predictor of well-being while female carers and those with high levels of various burden measures reported lower well-being. Conclusions Findings suggest that caregiver well-being is influenced by more than simply the burden of care. As well as attempting to reduce burden, interventions aimed at supporting caregivers could focus on fostering more positive appraisals to enhance well-being in this group.

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“…Aside from perceptions of support, a range of other psychological appraisals may play an important role in maintaining well-being in those with chronic illness (De Ridder et al, 2008; Maguire et al, 2018). For example, optimism has been demonstrated to be highly predictive of quality of life, with optimistic individuals more likely to report higher well-being (Karademas, 2006; Scheier et al, 2001) and better health outcomes (DuBois et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Living well with chronic illness: How social support, loneliness and psychological appraisals relate to well-being in a population-based European sample

2019

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Positive social and psychological appraisals may help maintain well-being in illness, but few studies have systematically investigated this in a European context. After controlling for sociodemographic, health and objective social factors, we employed multilevel regression modelling to establish if appraisals predict well-being in three illness groups ( n = 10,577). In addition to health and financial status, positive appraisals were consistent predictors of well-being. Social appraisals had stronger associations with well-being than extent of social contact. Optimism and resilience appeared more important in those limited by health than those who were not. Findings may inform interventions aimed at supporting people coping with illness.

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Expecting the worst? The relationship between retrospective and prospective appraisals of illness on quality of life in prostate cancer survivors

Cited by 16 publications

References 38 publications

Factors Associated With Fear of Cancer Recurrence in Family Caregivers of Cancer Survivors: A Systematic Review

Factors Associated With Fear of Cancer Recurrence in Family Caregivers of Cancer Survivors: A Systematic Review

Beyond care burden: associations between positive psychological appraisals and well-being among informal caregivers in Europe

Living well with chronic illness: How social support, loneliness and psychological appraisals relate to well-being in a population-based European sample

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