Avoidance of cancer communication, perceived social support, and anxiety and depression among patients with cancer

Jeong, Ansuk; Shin, Dong Wook; Kim, So Young; Yang, Hyung Kook; Park, Jong Hyock

doi:10.1002/pon.4060

Cited by 43 publications

(46 citation statements)

References 31 publications

(39 reference statements)

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“…20 Depression is the main cause of suicide. 29 Social support for patients with cancer plays an integral role in suicide prevention. 21 Maladaptive responses to stressors may result in increased anxiety, depressive symptoms, and suicidal ideation, all of which are factors predisposing people to suicide attempts.…”

Section: Discussionmentioning

confidence: 99%

Suicidal death within a year of a cancer diagnosis: A population‐based study

Saad

Gad

Al‐Husseini

et al. 2019

Cancer

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BACKGROUND:The suicide risk after a new cancer diagnosis remains a controversial issue. This study examines the suicide risk within the year after a cancer diagnosis. This is the largest study to assess recent trends in suicide risk after a cancer diagnosis. METHODS: Data were obtained from the Surveillance, Epidemiology, and End Results Program. All patients diagnosed with cancer between 2000 and 2014 were selected. The event was defined as death due to suicide within the first year after a cancer diagnosis, and patients who experienced the event after their diagnosis were observed. The observed/expected (O/E) ratio was assessed as well as the excess risk per 10,000 person-years to determine the suicide risk change after the diagnosis in comparison with the general population. RESULTS: A total of 4,671,989 patients with cancer were included; 1585 committed suicide within 1 year of their diagnosis. The risk of suicide increased significantly with an O/E ratio of 2.52 and with an excess risk of 2.51 per 10,000 person-years. When the risk of suicide was studied according to the cancer site, the highest increases in the O/E ratio came after diagnoses of pancreatic cancer (8.01) and lung cancer (6.05). The risk of suicide also increased significantly after a diagnosis of colorectal cancer with an O/E ratio of 2.08. However, the risk of suicidal death did not increase significantly after breast and prostate cancer diagnoses. CONCLUSIONS: The risk of suicide increases significantly in the first year after a diagnosis of cancer in comparison with the general population, and this increase varies with the type and prognosis of cancer. Close observation and referral to mental health services, when indicated, are important for mitigating such risk. Cancer 2019;125:972-979.

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Section: Discussionmentioning

confidence: 99%

Suicidal death within a year of a cancer diagnosis: A population‐based study

Saad

Gad

Al‐Husseini

et al. 2019

Cancer

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“…Anxiety and Depression were assessed with two items asking YBCS and relatives “Have you ever been told by a healthcare provider that you have anxiety?” yes/no and “Have you ever been told by a health care provider that you have depression?” yes/no. These variables were assessed because they interfere with support and communication, and better family functioning mitigates depressive symptoms among cancer patients …”

Section: Methodsmentioning

confidence: 99%

“…yes/no. These variables were assessed because they interfere with support and communication, 33,34 and better family functioning mitigates depressive symptoms among cancer patients. 35 Fear of Cancer Recurrence (YBCS only) was assessed with four items from the Concerns About Recurrence Scale (CARS) (eg, "How much time do you spend thinking about your breast cancer coming back") using a seven-point Likert scale from one "Not at all" to seven "All the time".…”

mentioning

confidence: 99%

Predictors and interdependence of family support in a random sample of long‐term young breast cancer survivors and their biological relatives

et al. 2018

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ObjectiveWomen diagnosed with breast cancer younger than 45 years (young breast cancer survivors—YBCS) and their biological relatives face significant stressors. Although family support is an important coping resource, little is known about YBCS’ and relatives’ support and whether it is interdependent. The study described family support in YBCS and their biological relatives; identified demographic, clinical, and psychosocial predictors of support; and determined the interdependence of support in YBCS‐relatives family units.MethodsData were collected from a random sample of YBCS and their first‐ or second‐degree female relatives. Actor‐partner interdependence models (APIM) explored predictors and interdependence of YBCS’ and relatives’ family support in dyads (YBCS and relative) and triads (YBCS and two relatives).ResultsAmong n = 310 YBCS and n = 431 first‐ or second‐degree relatives, family support was higher in triads compared to dyads. APIMs identified actor effects in dyads, and actor and partner effects in triads. Across all family units, YBCS’ higher self‐efficacy was associated with higher YBCS support (actor effect) and relative support (partner effect); YBCS’ prior diagnosis of depression was associated with lower YBCS and relative support (actor and partner effect); cost‐related lack of access to care was associated with lower support among YBCS (actor effect) and relatives (actor and partner effect).ConclusionsFamily support was interdependent and was affected by self‐efficacy, depression, and access to care. Interventions should include YBCS and relatives, enhance self‐efficacy and access to care.

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“…Patient anxiety is associated with family’s avoidance of cancer communication [18,19] and can be triggered by conflict with family members [20]. Disagreements between patient and caregiver are also associated with depression [3] and can impact the caregiver’s ability to provide care [15].…”

Section: Discussionmentioning

confidence: 99%

Cancer Communication and Family Caregiver Quality of Life

Wittenberg

Borneman

Koczywas

et al. 2017

Behavioral Sciences

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Family caregivers have enormous communication responsibilities tied to caregiving, such as sharing the patient’s medical history with providers, relaying diagnosis and prognosis to other family members, and making decisions about care with the patient. While caregiver stress and burden has been widely documented in the caregiving literature, little is known about how communication burden, real or perceived communication challenges, impacts caregiver quality of life. In family caregiving, the City of Hope (COH) Quality of Life model proposes that the caregiving experience is reciprocal to the patient experience, impacting physical, social, psychological, and spiritual quality of life. We used data from a pilot study testing a communication coaching call intervention with family caregivers of lung cancer patients to analyze caregiver reported communication burden and quality of life. We found variances in each quality of life domain, suggesting that caregiver interventions should range from self-care skill building for physical care to psycho-educational interventions that support caregiver coping and communication skill building. These findings demonstrate the importance of caregiver assessment and attention to communication burden in quality cancer care.

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Avoidance of cancer communication, perceived social support, and anxiety and depression among patients with cancer

Abstract: The implications of the findings are discussed in terms of the psycho-oncological and psycho-social interventions. Copyright © 2016 John Wiley & Sons, Ltd.

Cited by 43 publications

References 31 publications

Suicidal death within a year of a cancer diagnosis: A population‐based study

Suicidal death within a year of a cancer diagnosis: A population‐based study

Predictors and interdependence of family support in a random sample of long‐term young breast cancer survivors and their biological relatives

Cancer Communication and Family Caregiver Quality of Life

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