Psychological distress among Chinese patients with breast cancer undergoing chemotherapy: Concordance between patient and family caregiver reports

Zhao, Huihui; Li, Xiaojin; Zhou, Chunlan; Wu, Yanni; Li, Wenji; Chen, Liling

doi:10.1111/jan.15004

Cited by 13 publications

(15 citation statements)

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“…The total score of DDI is 12~60 points; higher scores indicate a greater likelihood of self-disclosure. The Chinese version of DDI has been proven to have good reliability and validity [ 39 ]. Cronbach’s α coefficient for this scale in patients with colorecatal cancer was 0.98.…”

Section: Methodsmentioning

confidence: 99%

Correlates of Cancer-Related Fatigue among Colorectal Cancer Patients Undergoing Postoperative Adjuvant Therapy Based on the Theory of Unpleasant Symptoms

et al. 2022

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Background: Cancer-related fatigue (CRF) is a common and burdensome symptom in cancer patients that is influenced by multiple factors. Identifying factors associated with CRF may help in developing tailored interventions for fatigue management. This study aimed to examine the correlates of CRF among colorectal cancer patients undergoing postoperative adjuvant therapy based on the theory of unpleasant symptoms. Methods: A cross-sectional study was implemented, and finally, a sample of 363 participants from one tertiary general hospital and one tertiary cancer hospital was purposively recruited. Data were collected using the general information questionnaire, cancer fatigue scale, the distress disclosure index, Herth hope index, and perceived social support scale. Univariate analysis and multiple linear regression analysis were performed to determine the correlates of CRF. Results: The mean score of CRF among colorectal cancer patients was 21.61 (SD = 6.16, 95% CI 20.98–22.25), and the fatigue degree rating was “moderate”. The multiple linear regression model revealed that 49.1% of the variance in CRF was explained by hope, sleep disorder, internal family support, self-disclosure, pain, and time since operation. Conclusions: Our study identified several significant, modifiable factors (self-disclosure, hope, internal family support, pain, and sleep disorder) associated with CRF. Understanding these correlates and developing targeted psychosocial interventions may be associated with the improvement of CRF in patients with colorectal cancer.

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Section: Methodsmentioning

confidence: 99%

Correlates of Cancer-Related Fatigue among Colorectal Cancer Patients Undergoing Postoperative Adjuvant Therapy Based on the Theory of Unpleasant Symptoms

et al. 2022

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“…17 Family caregivers are reliable proxies or complements to report cancer patients' symptoms and provide important information for patients' treatment. 18,19 This situation may be more prominent in esophageal cancer patients, given that they typically endure recurrent laryngeal nerve palsy accompanied with hoarseness and aphonia after surgery, because of the thorough dissection of recurrent laryngeal nerve lymph nodes, diminishing their ability to communicate. 20 The level of patient-family caregiver agreement on cancer patients' symptoms was reported to be moderate to high, which varied with symptoms.…”

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confidence: 99%

“…20 The level of patient-family caregiver agreement on cancer patients' symptoms was reported to be moderate to high, which varied with symptoms. 18,21,22 Family caregivers can more accurately rate patients' visible symptoms, such as dyspnea, but agreement is poorer for implicit symptoms, such as psychological distress. 21,22 Family caregivers may overreport or underreport patients' symptoms, 18,23 and the discrepancy between the dyad can potentially cause their conflict of healthcare-seeking behaviors, 19 leading to worse symptom management 19,23 and higher caregiver burden.…”

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confidence: 99%

“…18,21,22 Family caregivers can more accurately rate patients' visible symptoms, such as dyspnea, but agreement is poorer for implicit symptoms, such as psychological distress. 21,22 Family caregivers may overreport or underreport patients' symptoms, 18,23 and the discrepancy between the dyad can potentially cause their conflict of healthcare-seeking behaviors, 19 leading to worse symptom management 19,23 and higher caregiver burden. 12 A longitudinal study found that incongruent symptom assessments between cancer patients and family caregivers were associated with the physical and mental health for the dyad, and those dyads with greater incongruence reported worse health outcomes.…”

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confidence: 99%

“…According to previous studies, dyads perceived higher mutuality, which referred to the quality of the positive relationship, 30 and dyads with fewer communication problems had better symptom concordance. 18,31 n Conceptual Framework…”

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Patient-Family Caregiver Concordance of Symptom Assessment for Esophageal Cancer Patients Undergoing Esophagectomy

et al. 2023

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BackgroundEsophageal cancer patients suffer from multiple and severe symptoms during the postoperative recovery period. Family caregivers play a vital role in assisting patients to cope with their symptoms.ObjectiveTo examine the concordance of esophageal cancer patients and their caregivers on assessing patients’ symptoms after surgery and identify predictors associated with the symptom concordance.MethodsIn this cross-sectional study, 213 patient-caregiver dyads completed general information questionnaires, the Memorial Symptom Assessment Scale, the Depression Subscale of Hospital Anxiety and Depression Scale, the Mutuality Scale, and the Zarit Burden Interview (for caregivers). Data were analyzed using intraclass correlation coefficients, paired t tests, and binary logistic regression.ResultsAt the dyad level, agreement of patients’ and caregivers’ reported symptoms ranged from poor to fair. At the group level, patients reported significantly higher scores than caregivers in most symptoms. Of the 213 dyads, 119 (55.9%) were identified as concordant on symptom assessment. Patients’ nasogastric tube, perceived mutuality, caregivers’ educational background, and dyad’s communication frequency with each other could predict their concordance of symptom assessment.ConclusionsThere were relatively low agreements between esophageal cancer patients and caregivers on assessing patients’ symptoms, and caregivers tended to underestimate patients’ symptoms. The dyad’s symptom concordance was influenced by patient-, caregiver-, and dyad-related factors.Implications for PracticeHaving an awareness of the incongruence on assessing symptoms between esophageal cancer patients and caregivers may help healthcare professionals to comprehensively interpret patients’ symptoms and develop targeted dyadic interventions to improve their concordance, contributing to optimal symptom management and health outcomes.

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Developing a conceptual model for understanding caregiving experience and their impacts on quality of life for Chinese breast cancer family caregivers: A qualitative study

Gao,

Li,

Guo

et al. 2024

Nursing Open

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AimThe purpose of this study was to understand the caregiving experiences of breast cancer family caregivers and explore the profound impacts of those experiences on their quality of life.DesignA qualitative research method was used.MethodsWe extended invitations to 23 family caregivers of outpatients and inpatients receiving breast surgery and oncology treatments in Taiyuan, China, to participate in semi‐structured interviews. The interviews were audio‐recorded and transcribed verbatim. Thematic analysis was employed to analyse the interview data.ResultsFour themes and associated categories were identified: (1) changes in family dynamics, (2) the socio‐medical context, (3) interactions between family and society, (4) self‐efficacy and nine subthemes and their related categories, where virtually all participants expressed future uncertainty, emotional contagion, and personal challenges, and self‐efficacy had a moderating influence on the first three themes.Patient or Public ContributionThis study did not involve direct participation of patients or the public. However, their experiences and perspectives on caregiving were indirectly reflected through the insights provided by the family caregivers who participated in the interviews. Their valuable input contributed to a deeper understanding of the caregiving experience and its impact on the quality of life for Chinese breast cancer family caregivers.

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Psychological distress among Chinese patients with breast cancer undergoing chemotherapy: Concordance between patient and family caregiver reports

Cited by 13 publications

References 58 publications

Correlates of Cancer-Related Fatigue among Colorectal Cancer Patients Undergoing Postoperative Adjuvant Therapy Based on the Theory of Unpleasant Symptoms

Correlates of Cancer-Related Fatigue among Colorectal Cancer Patients Undergoing Postoperative Adjuvant Therapy Based on the Theory of Unpleasant Symptoms

Patient-Family Caregiver Concordance of Symptom Assessment for Esophageal Cancer Patients Undergoing Esophagectomy

Developing a conceptual model for understanding caregiving experience and their impacts on quality of life for Chinese breast cancer family caregivers: A qualitative study

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