Quality of life of family caregivers of cancer survivors: Across the trajectory of the illness

Kim, Youngmee; Given, Barbara A.

doi:10.1002/cncr.23449

Cited by 463Cancer survivorship and careNursing care and researchFamily Support in Illness

Quality of life of family caregivers of cancer survivors: Across the trajectory of the illness

Kim, Youngmee, Given, Barbara A.·2008·Cancer

DOI 10.1002/cncr.23449

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Abstract

BACKGROUND: Cancer affects not only the quality of life (QOL) of individuals with the disease but also that of their family members and close friends. The impact on various aspects of the family caregivers' QOL is significant throughout the trajectory of the illness. The authors reviewed literature on the QOL of family caregivers at the acute and middle- to long-term survivorship phases as well as the bereavement phase. METHODS: By using several databases, the authors searched the literature published in English from 1996 through July 2007. Keywords searched included cancer, carcinoma, family, family member, caregivers, and quality of life. Several criteria were used to guide the literature review: Articles had to be published in refereed journals and had to use rigorous methods, sample, and validated measures. RESULTS: The findings suggested that the QOL of family caregivers of individuals with cancer varies along the illness trajectory. This highlights were importance of assessing the ongoing adjustment of the caregivers over time. However, there were few theory-driven studies, and significant gaps remain in the current understanding of the effects of family caregiving beyond the time of diagnosis and treatment. CONCLUSIONS: Accumulating evidence has supported the concept that cancer affects not only the patients/survivors but also their family members. However, theoretically and methodologically rigorous research on various aspects of the family's QOL, including not only the psychological but also the physical, spiritual, and behavioral adjustment to cancer in the family, remains sparse. Family-based interventions across the trajectory of the illness also are needed.

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Family caregivers of cancer patients exhibit high levels of stress and depression, lower subjective well-being, worse physical health, and higher mortality compared to non-caregivers.
“Family caregivers of cancer patients exhibit high levels of stress and depression, lower subjective well-being, worse physical health, and higher mortality compared to non-caregivers [2–8, 19–25], yet few studies focus on improving outcomes for caregivers [26].”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [21]
The negative effects of caregiving, including a higher mortality rate, are most pronounced in caregivers of patients with advanced cancer, particularly when patients have a protracted disease course and are receiving palliative care.
“Conversely, longer survival comes at a cost for caregivers: the negative effects of caregiving, including a higher mortality rate, are most pronounced in caregivers of patients with advanced cancer [2, 3, 20], particularly when patients have a protracted disease course [25] and are receiving palliative care [4, 21].”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [21]
Distress in caregivers contributes to distress in patients, in addition to negatively impacting the health of caregivers themselves, and likely other family members.
“Distress in caregivers contributes to distress in patients [24], in addition to negatively impacting the health of caregivers themselves [2–4, 20, 21, 25], and likely other family members (e.g. many of our participants had young children).”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [21]

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Interventions with Family Caregivers of Cancer Patients: Meta-Analysis of Randomized Trials
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Authors: Kim, Y., & Given, B. A.
Affiliations: American Cancer Society (US)
Michigan State University (US)
Corresponding author: Kim, Youngmee
ORCID: Kim, Youngmee
Given, Barbara A.
Venue: Cancer
Publisher: Wiley
Published: 2008-06-01
Volume: 112
Issue: S11
Pages: 2556-2568
ISSN: 0008-543X (ISSN-L)
1097-0142
DOI: 10.1002/cncr.23449
OpenAlex: W1569284685
Cited by: 463
References: 193
Citations by year: 2026: 10 · 2025: 17 · 2024: 14 · 2023: 28 · 2022: 17 · 2021: 19 · 2020: 28 · 2019: 32 · 2018: 26 · 2017: 23 · 2016: 30 · 2015: 30 · 2014: 43 · 2013: 25 · 2012: 41
FWCI: 2.37
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 2648 d)
Locations: Cancer (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Health Professions › Pharmacy › Nursing care and research
Social Sciences › Sociology and Political Science › Family Support in Illness
Keywords: family caregivers, quality of life, cancer survivors, cancer survivorship, bereavement, caregiver adaptation, illness trajectory, family intervention, caregiver burden
MeSH terms: Family Health, Humans, Neoplasms, Quality of Life, Time Factors, Caregivers, Survivors, Disease Progression

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Quality of life of family caregivers of cancer survivors: Across the trajectory of the illness

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