Death Anxiety and Quality of Life in Iranian Caregivers of Patients With Cancer

Soleimani, Mohammad Ali; Lehto, Rebecca H.; Negarandeh, Reza; Bahrami, Nasim; Chan, Yiong Huak

doi:10.1097/ncc.0000000000000355

Cited by 64 publications

(71 citation statements)

References 35 publications

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“…The desire for hastened death in advanced and terminally ill cancer patients correlates with physical symptoms, quality of life, and the perception of being a burden to others 6 . In addition, an increase in morbidity, declining performance status, and the need for ongoing treatment (all commonly seen in advanced cancer patients) increase the risk for comorbid depression 1 and apply significant stress, both perceived and actual, on caregivers [26][27][28][29] . Patients could view suicide as a strategy to relieve stress on the family.…”

Section: Discussionmentioning

confidence: 99%

Risk and Predictors of Suicide in Colorectal Cancer Patients: A Surveillance, Epidemiology, and End Results Analysis

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Risk and Predictors of Suicide in Colorectal Cancer Patients: A Surveillance, Epidemiology, and End Results Analysis

et al. 2017

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“…Following review of titles and/or abstracts, 1450 records were excluded and 23 full-text articles were obtained for detailed assessment. Eleven studies were selected after review of the full-text publications [13][14][15][16][17][18][19][20][21][22][23]. The study selection protocol is delineated in Figure 1.…”

Section: Comprehensive Literature Reviewmentioning

confidence: 99%

“…Seven studies compared standardized assessment scores among caregivers based on tiered income levels [15][16][17][18][19][20]22]. Two studies compared scores based on employment status [16][17][18][19][20][21][22][23]. Vahidi et al compared scores based on personal views of financial stability among caregivers [21].…”

Section: Comprehensive Literature Reviewmentioning

confidence: 99%

“…Three studies completed in the Middle East, 3 studies completed in South or East Asia, and 1 study completed in Nigeria were identified by systematic review [14,15,17,[20][21][22][23]. Hacialioglu et al used the World Health Organization Quality of Life-Short Form, Turkish Version (WHOQOL -BREF TF) to evaluate QOL among family caregivers of Turkish patients actively undergoing chemotherapy [17].…”

Section: Lower-income Cancer Caregivers In Africa Asia and The Middmentioning

confidence: 99%

“…No differences were observed among varying levels of education. In Iran, Soleimani et al used the Quality of Life (Family Version) scale to evaluate outcomes among caregivers for cancer patients undergoing treatment planning [20]. A significant population (30.9%) of caregivers earned income within the poverty range for Iran.…”

Section: Lower-income Cancer Caregivers In Africa Asia and The Middmentioning

confidence: 99%

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Quality of Life among Caregivers of Lower-Income Cancer Patients: A Single-Institutional Experience in India and Comprehensive Literature Review

Vashistha¹,

Poulose

Choudhari

et al. 2019

Asian Pac J Cancer Care

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Objectives: Quality of life (QOL) among caregivers of cancer patients is often diminished. For lower-income caregivers, the deterioration in QOL may be of greater impact. We aimed to evaluate QOL among lower-income cancer caregivers in Delhi, India and to comprehensively review similar investigations conducted internationally.Methods: A Hindi-version of the Caregiver Quality of Life Cancer (CQOLC) index was administered to 89 caregivers of lung cancer patients. Bivariate analyses were employed to evaluate associations between baseline demographics and CQOLC index scores. A systematic review of PubMed, EMBASE, and PsychInfo was undertaken.Results: Reduced QOL was observed for caregivers residing in homes earning less than our center’s median annual income per capita (p < 0.01) and for caregivers providing aid for 4 months or longer (p < 0.01). The burden of caregiving contributed most to summative index scores (p < 0.01). Eleven studies were selected by systematic review. Lower-income caregivers in Asia and the Middle East experience reduced QOL and increased burden. Available evidence does not suggest that lower-income caregivers in Europe and North America share worse QOL.Conclusion: Lower-income caregivers suffer loss in QOL, particularly in the developing world. Resourceful interventions are warranted to mitigate burden for this underappreciated population.

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Existential distress among family caregivers of patients with advanced cancer: A systematic review and meta‐analysis

Walbaum,

Philipp,

Oechsle

et al. 2023

Psycho-Oncology

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ObjectiveCaregiving for a loved one is challenging and requires significant resources. Existential distress in family caregivers may include hopelessness, demoralization, fear of death, pre‐loss grief, or a sense of not being emotionally prepared. The aim of this systematic review is to synthesize the quantitative literature on existential distress among family caregivers of patients with advanced cancer, focusing on its prevalence, association with mental disorders, as well as with sociodemographic, disease, and treatment‐related factors.MethodsWe systematically searched electronic databases for quantitative studies of the above‐described existential distress concepts in family caregivers of patients with advanced cancer. Two independent reviewers extracted data and evaluated study quality. Data were analyzed using random‐effects meta‐analysis.ResultsWe retrieved 17.587 records, of which 31 studies fulfilled inclusion criteria. 63% of the studies (n = 20) provided sufficient data for meta‐analysis for 5558 patients. We found an overall pooled prevalence of 30.6% for existential distress, 95% CI [24.2–37.0]. For existential distress subconcepts, prevalence rates were 57.0%, 95% CI [37.8–76.2], for death anxiety, 13.9%, 95% CI [10.8–17.0], for demoralization, 24.0%, 95% CI [18.0–30.0], for pre‐loss grief, 18.4%, 95% CI [4.0–32.7], for hopelessness, 35.2%, 95% CI [28.2–42.2], for loneliness, and 35.6%, 95% CI [13.0–58.3], for emotional unpreparedness.ConclusionsApproximately one third of the respondents were affected by high levels of existential distress. The review provides evidence for further development of support services that can reduce existential distress, focused on death anxiety, and improve the quality of life for family caregivers of patients with advanced cancer.

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Death Anxiety and Quality of Life in Iranian Caregivers of Patients With Cancer

Cited by 64 publications

References 35 publications

Risk and Predictors of Suicide in Colorectal Cancer Patients: A Surveillance, Epidemiology, and End Results Analysis

Risk and Predictors of Suicide in Colorectal Cancer Patients: A Surveillance, Epidemiology, and End Results Analysis

Quality of Life among Caregivers of Lower-Income Cancer Patients: A Single-Institutional Experience in India and Comprehensive Literature Review

Existential distress among family caregivers of patients with advanced cancer: A systematic review and meta‐analysis

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