Anxiety and depression in cancer patients’ spouses

Glasdam, Stinne; Jensen, Anders Bonde; Madsen, Ebbe Lindegaard; Rose, Carsten

doi:10.1002/(sici)1099-1611(199603)5:1<23::aid-pon206>3.0.co;2-h

Cited by 61 publications

(17 citation statements)

References 7 publications

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“…Patients also rated partners as being more supportive than their partners rated them. Taken together, these findings are consistent with studies showing that partners often shield patients from their own distress (Coyne & Smith, 1991; Manne et al, 2007), and are less likely to solicit and receive support than are patients (Glasdam, Jensen, Madsen, & Rose, 1996). This discrepancy raises concerns.…”

Section: Discussionsupporting

confidence: 88%

“…It is not surprising that cross-sectional and longitudinal studies show that about one-third of women with MBC and their partners experience clinically significant levels of depression, anxiety, and/or traumatic stress symptoms (Baider, Perez, & DeNour, 1989; Butler, Koopman, Classen, & Spiegel, 1999; Carter & Carter, 1994; Cella, Mahon, & Donovan, 1990). Although distress often increases for patients and their partners as the patient approaches death (Brown et al, 2000; Glasdam, Jensen, Madsen, & Rose, 1996), partners are far less likely to ask for or receive professional help for their distress than are patients (Vanderwerker, Laff, Kadan-Lottick, McColl, & Prigerson, 2005). …”

Section: Why Study Couples' Psychosocial Adjustment To Mbc?mentioning

confidence: 99%

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Dyadic coping in metastatic breast cancer.

Carmack²,

et al. 2010

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Objective Couples facing metastatic breast cancer (MBC) must learn to cope with stressors that can affect both partners' quality of life as well as the quality of their relationship. Common dyadic coping involves taking a “we” approach, whereby partners work together to maintain their relationship while jointly managing their shared stress. This study prospectively evaluated whether common dyadic coping was associated with less cancer-related distress and greater dyadic adjustment for female MBC patients and their male partners. Design Couples (N = 191) completed surveys at the start of treatment for MBC (baseline), and 3 and 6 months later. Main Outcome Measures Cancer-related distress was assessed with the Impact of Events Scale; dyadic adjustment was assessed using the short-form of the Dyadic Adjustment Scale. Results Multilevel models using the couple as the unit of analysis showed that the effects of common positive dyadic coping on cancer-related distress significantly differed for patients and their partners. Whereas partners experienced slightly lower levels of distress, patients experienced slightly higher levels of distress. Although patients and partners who used more common negative dyadic coping experienced significantly greater distress at all times, the association was stronger for patients. Finally, using more common positive dyadic coping and less common negative dyadic coping was mutually beneficial for patients and partners in terms of greater dyadic adjustment. Conclusion Our findings underscore the importance of couples working together to manage the stress associated with MBC. Future research may benefit from greater focus on the interactions between patients and their partners to address ways that couples can adaptively cope together.

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Section: Discussionsupporting

confidence: 88%

Section: Why Study Couples' Psychosocial Adjustment To Mbc?mentioning

confidence: 99%

Dyadic coping in metastatic breast cancer.

Carmack²,

et al. 2010

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“…Studies have shown that the spouses of cancer patients have more psychological problems than spouses of healthy subjects. The percentage of spouses that report problems at a clinically increased level varies between 18% and 30% [5,[8][9][10]. Other studies have shown that when a cancer patient reports a high level of distress, his or her spouse is also found to have a high level of distress [3,11,12].…”

Section: Introductionmentioning

confidence: 99%

Quality of life and stress response symptoms in long-term and recent spouses of testicular cancer survivors

Tuinman

Fleer

Hoekstra

et al. 2004

European Journal of Cancer

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Quality of life and stress response symptoms in long-term and recent spouses of testicular cancer survivors Tuinman, MA; Fleer, J; Hoekstra, HJ; Sleijfer, DT; Hoekstra-Weebers, JEHM AbstractThe aim of this study was to gain insight into the quality of life (QoL) and stress response of female spouses of men cured of testicular cancer in the long-term. Time since treatment completion varied from 0.5 to 23.8 years. Two hundred and fifty nine testicular cancer survivors and their spouses completed the Dutch version of the MOS Short Form (SF)-36 and the Impact of Event Scale. QoL data from a reference group of women were used for comparison. Spouses who had relationship with the testicular cancer survivor before the diagnosis (spouses during testicular cancer) had better functioning scores than the reference group, especially with respect to the physical QoL domains. Spouses who had started a relationship after treatment (spouses after testicular cancer) experienced more problems with psychological QoL domains than spouses during testicular cancer and than the reference group. The stress response of spouses during testicular cancer was related to that of the testicular cancer survivors and to the extent of treatment they had received. Although stress response levels were low, spouses during testicular cancer reported more stress response than the testicular cancer survivors. Time since completion of treatment did not affect QoL or stress response. This study showed that spouses during testicular cancer had a good QoL and little stress response. Functioning of spouses after testicular cancer was poorer with respect to various QoL domains, particularly the psychological measures.

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“…Although the emotional impact of cancer on families is clearly documented in relation to partners (Zahlis and Shands, 1991;Glasdam et al, 1996;Baider et al, 1998;Northouse et al, 1998) and adult children (Rait and Lederberg, 1989;Edwards and Clarke, 2004), the evidence for school age children is less clear (Romer et al, 2002). Several studies have reported that children of mothers with breast cancer exhibit a high rate of psychological and behavioural disturbance (Wellisch et al, 1992;Compas et al, 1994;Welch et al, 1996;Birenbaum et al, 1999;Nelson and While, 2002).…”

mentioning

confidence: 99%

Factors associated with emotional and behavioural problems among school age children of breast cancer patients

et al. 2005

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To identify factors linked with emotional and behavioural problems in school age (6-to 17-year-old) children of women with breast cancer. Reports of children's emotional and behavioural problems were obtained from patient mothers, their healthy partners, the children's teacher and adolescents using the Child Behaviour Checklist and Mental Health subscale of the Child Health Questionnaire. Parents reported on their own level of depression and, for patients only, their quality of life. Family functioning was assessed using the Family Assessment Device and Cohesion subscale of the Family Environment Scale. Using a cross-sectional within groups design, assessments were obtained (N ¼ 107 families) where the patients were 3 -36 months postdiagnosis. Risk of problems in children were linked with low levels of family cohesion, low affective responsiveness and parental over-involvement as reported by both child and mother. Adolescents reported family communication issues, which were associated with externalising behaviour problems. Maternal depression was related to child internalising problems, particularly in girls. Whether the mother was currently on or off chemotherapy was not associated with child problems nor was time since cancer diagnosis. These findings held across child age. Where mothers have early stage breast cancer, a substantial minority of their school-aged children have emotional and behavioural problems. Such cases are characterised by the existence of maternal depression and poor family communication, rather than by the mother's treatment status or time since diagnosis. Targeted treatments, which focus on maternal depression and family communication may benefit the children and, through improved relationships, enhance the patients' quality of life.

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Anxiety and depression in cancer patients’ spouses

Cited by 61 publications

References 7 publications

Dyadic coping in metastatic breast cancer.

Dyadic coping in metastatic breast cancer.

Quality of life and stress response symptoms in long-term and recent spouses of testicular cancer survivors

Factors associated with emotional and behavioural problems among school age children of breast cancer patients

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