Care givers' depression, anxiety, distress, and somatization as predictors of identical symptoms in cancer patients

Padmaja, Gadiraju; Vanlalhruaii, C; Rana, Suvashisa; Nandinee, Durgesh; Hariharan, Meena

doi:10.4103/0973-1482.146088

Cited by 20 publications

(18 citation statements)

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“…2 At the same time, significant medical and psychological morbidity because of late effects of therapy has been well documented. 15,16 Therefore, treatment strategies able to mitigate multiple symptoms simultaneously may have significant benefit for childhood cancer survivors. Of importance, these symptoms do not occur in isolation but, rather, in clusters.…”

Section: Introductionmentioning

confidence: 99%

“…Of importance, these symptoms do not occur in isolation but, rather, in clusters. 15,16 Therefore, treatment strategies able to mitigate multiple symptoms simultaneously may have significant benefit for childhood cancer survivors. 17 Exercise is a pleiotropic therapy shown to improve a broad array of psychological symptoms in patients without cancer.…”

Section: Introductionmentioning

confidence: 99%

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Impact of exercise on psychological burden in adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

Tonorezos

Ford

Wang

et al. 2019

Cancer

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BACKGROUND: Childhood cancer survivors are at risk for adverse psychological outcomes. Whether exercise can attenuate this risk is unknown. METHODS: In total, 6199 participants in the Childhood Cancer Survivor Study (median age, 34.3 years [range, 22.0-54.0 years]; median age at diagnosis, 10.0 years [range, 0-21.0 years]) completed a questionnaire assessing vigorous exercise and medical/psychological conditions. Outcomes were evaluated a median of 7.8 years (range, 0.1-10.0 years) later and were defined as: symptom level above the 90th percentile of population norms for depression, anxiety, or somatization on the Brief Symptom Inventory-18; cancer-related pain; cognitive impairment using a validated self-report neurocognitive questionnaire; or poor healthrelated quality of life. Log-binomial regression estimated associations between exercise (metabolic equivalent [MET]-hours per week −1 ) and outcomes adjusting for cancer diagnosis, treatment, demographics, and baseline conditions. RESULTS: The prevalence of depression at follow-up was 11.4% (95% CI, 10.6%-12.3%), anxiety 7.4% (95% CI, 6.7%-8.2%) and somatization 13.9% (95% CI, 13.0%-14.9%). Vigorous exercise was associated with lower prevalence of depression and somatization. The adjusted prevalence ratio for depression was 0.87 (95% CI, 0.72-1.05) for 3 to 6 MET hours per week −1 , 0.76 (95% CI, 0.62-0.94) for 9 to 12 MET-hours per week −1 , and 0.74 (95% CI, 0.58-0.95) for 15 to 21 MET-hours per week −1 . Compared with 0 MET hours per week −1 , 15 to 21 MET-hours per week −1 were associated with an adjusted prevalence ratio of 0.79 (95% CI, 0.62-1.00) for somatization. Vigorous exercise also was associated with less impairment in the physical functioning, general health and vitality (P trend < .001), emotional role limitations (P trend = .02), and mental health (P trend = .02) domains as well as higher cognitive function in the domains of task completion, organization, and working memory (P < .05 for all), but not in the domain of cancer pain. CONCLUSIONS: Vigorous exercise is associated with less psychological burden and cognitive impairment in childhood cancer survivors. Cancer 2019;125:3059-3067.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of exercise on psychological burden in adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

Tonorezos

Ford

Wang

et al. 2019

Cancer

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“…The second most relevant correlation found was between the presence of any relevant psychological burden in caring relatives and total SoMe score, as well as with the superordinate meaning dimensions, with the exception of “order.” In particular, the positive association with “crisis of meaning” as the most indicative dimension (Schnell, 2009) suggests that the presence of psychopathological-relevant symptoms in family caregivers could be a negative prognostic factor for them to consider quality of life (Padmaja et al, 2016), though in this investigation quality of life was not assessed separately. The finding that the level of psychological burden in terminally ill family members is positively associated with “self-actualization” of caring relatives is unexpected and contrary to the findings of other studies.…”

Section: Discussionmentioning

confidence: 95%

Sources of meaning in family caregivers of terminally ill patients supported by a palliative nursing care team: A naturalistic three-month cohort study

Valdés-Stauber

Lemaczyk²,

Kilian

2017

Pall Supp Care

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According to our hypothesis, sources of meaning and meaning in life seem to remain robust in relatives caring for terminally ill family members during the three-month survey period. A parabolic development pattern of single sources of meaning indicates an adjustment process. An important limitation of our study is the small number of participants compared with larger multivariate models because of high dropout rates, primarily due to the death of three-quarters of the participants during the survey period.

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“…Most often, this is a cultural obligation, and they either do not have the means or feel the need to employ professional caregivers. Cancer caregiving research in India is limited to quantitative studies, and few focus on breast cancer . Furthermore, literature is focused more on assessing the caregiver burden and other caregiving effects .…”

Section: Introductionmentioning

confidence: 99%

Exploring perceptions and practices of cancer care among caregivers and care recipients of breast cancer in India

et al. 2020

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Objective: Cancer care is physically and psychologically challenging for both care recipients and caregivers. Caregiving in cancer is an area that needs urgent attention in India. Much of caregiving literature in India is limited to mental illnesses. This study thus examines the perceptions and practices of psychological caregiving among caregivers and care recipients of breast cancer in India.Methods: Participants were interviewed with the aid of a semistructured qualitative interview guide. Participants included 39 caregivers and 35 care recipients in different breast cancer stages. Interviews were transcribed, translated to English, and coded, and themes were derived for further analysis. Informed consent from participants and ethical clearance and permission from a tertiary hospital were obtained prior to data collection.Results: Psychological caregiving as perceived by the participants included actions such as encouraging, convincing care recipients, companionship, and maintaining a stress-free environment. Caregivers in particular felt that psychological caregiving meant reacting calmly to sensitive queries of nonfamily members, providing emotional support to other family members, and involvement in religious activities. Taking on such diverse responsibilities gave rise to several unmet psychological needs such as motivation and support in decision making from other family members.Conclusions: Irrespective of the status (caregiver or care recipient), participants in this study felt the need for structured counselling services to be incorporated into the standard care protocol. This is an area that needs to be further explored in the context of the breast cancer caregiver and care recipient dyad.breast cancer, breast oncology, caregiver, caregiving, India, psychological care, qualitative study 1 | BACKGROUND Caregivers, especially family members, perform diverse caregiving activities at all stages of illness, additionally to their routine work. [1][2][3][4] Providing emotional or psychological support is one of the inherent caregiving activities 5-7 and crucially includes managing psychological needs 8 and feelings about having cancer. 9 Literature suggests that about 74% to 80% of the cancer caregivers provide psychological

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Care givers' depression, anxiety, distress, and somatization as predictors of identical symptoms in cancer patients

Abstract: The association between depression, anxiety, distress, and somatization of caregivers and patients indicates the need for psychological interventions to manage these problems of caregivers, which would in turn help managing the identical symptoms in patients.

Cited by 20 publications

References 0 publications

Impact of exercise on psychological burden in adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

Impact of exercise on psychological burden in adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

Sources of meaning in family caregivers of terminally ill patients supported by a palliative nursing care team: A naturalistic three-month cohort study

Exploring perceptions and practices of cancer care among caregivers and care recipients of breast cancer in India

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