Variables associated with distress amongst informal caregivers of people with lung cancer: a systematic review of the literature
Open accessAbstract
Objective: Informal caregivers of people with lung cancer often experience a substantial care burden and associated negative consequences due to the often‐contracted course of the disease. The objective of this review was to systematically examine the evidence on the factors associated with lung cancer caregiver distress. Methods: Five databases (MEDLINE, CINAHL, EMBASE, PsychINFO and Web of Science) were searched for studies investigating factors associated with distress amongst caregivers of people with lung cancer. Empirical studies published up to July 2020 were included if they measured distress using a valid and reliable measure and examined its association with at least one other factor, with a sample of 50 or more caregivers. Results: Thirty publications describing 27 studies (16 cross‐sectional; 6 prospective; 8 intervention) involving 3744 caregivers (primarily spouse or adult child) were included. A narrative synthesis of the findings is presented due to heterogeneity in study design, variables measured and analyses conducted. Patient variables associated with greater distress included: stage of cancer and quality of spousal relationship. Caregiver variables associated with higher distress included: social support, coping strategies and self‐efficacy. Conclusions: Several variables were associated with distress amongst lung cancer caregivers. Understanding these variables could inform the development of interventions that will enable caregivers to care effectively while maintaining their own well‐being. Screening for distress among caregivers may identify those caregivers who would benefit from early intervention.
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Caregiver burden and poor mental health can adversely affect the caregiver's ability to provide quality care to the patient.
“This contributes to caregiver burden18 and poor mental health,19 which can adversely affect the caregiver’s ability to provide quality care to the patient.”
From Multisite Randomized Controlled Trial of CareSTEPS: A Supportive Care Intervention for the Family Caregivers of Patients With Advanced Lung Cancer (2024) · cites this paper as [19]
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Review of the literature on the effects of caring for a patient with cancer
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“6,16,17 This contributes to caregiver burden 18 and poor mental health, 19 which can adversely affect the caregiver ’ s ability to provide quality care to the patient.”
- Authors
- Cochrane, A., Reid, O., Woods, S., Gallagher, P., & Dunne, S.
- Affiliations
- Dublin City University (IE)
- School of Psychology Dublin City University Dublin 9 Ireland
- Corresponding author
- Dunne, Simon
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2021-05-04
- Volume
- 30
- Issue
- 8
- Pages
- 1246-1261
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W3153544547
- Cited by
- 43
- References
- 10
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 12 · 2023: 9 · 2022: 10 · 2021: 1
- FWCI
- 2.10
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psycho-Oncology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Dublin City University Open Access Institutional Repository (Dublin City University) (submittedVersion, cc-by-nc-nd)
- Funders
- Irish Cancer Society (STS19DUN)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- lung cancer, informal caregivers, caregiver distress, caregiver burden, marital relationships, social support, coping strategies, self-efficacy, tumor stage, caregiver well-being, caregiver screening
- MeSH terms
- Cross-Sectional Studies, Humans, Lung Neoplasms, Prospective Studies, Quality of Life, Caregivers
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