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Cited by 89Nursing care and researchPalliative Care and End-of-Life IssuesCancer survivorship and care

Resilience, preparedness, and distress among family caregivers of patients with advanced cancer

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Dionne-Odom, J. Nicholas, Azuero, Andres, Taylor, Richard A., Wells, Rachel D., Hendricks, Bailey A., Bechthold, Avery C., Reed, Rhiannon D., Harrell, Erin R. +6 more·2021·Supportive Care in Cancer
DOI 10.1007/s00520-021-06265-yPMC PMC9733586
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Abstract

Objective Resilience has been proposed as a primary factor in how many family caregivers of patients with advanced cancer are able to resist psychological strain and perform effectively in the role while bearing a high load of caregiving tasks. To evaluate this hypothesis, we examined whether self-perceived resilience is associated with distress (anxiety and depressive symptoms), caregiver preparedness, and readiness for surrogate decision-making among a racially diverse sample of family caregivers of patients with newly diagnosed advanced cancer. Methods Secondary analysis of baseline data from two small-scale, pilot clinical trials that both recruited family caregivers of patients with newly diagnosed advanced cancer. Using multivariable linear regression, we analyzed relationships of resilience as a predictor of mood, caregiving preparedness, and readiness for surrogate decision-making, controlling for sociodemographics. Results Caregiver participants (N = 112) were mean 56 years of age and mostly female (76%), the patient's spouse/partner (52%), and White (56%) or African-American/Black (43%). After controlling for demographics, standardized results indicated that higher resilience was relevantly associated with higher caregiver preparedness (beta = .46, p < .001), higher readiness for surrogate decision-making (beta = .20, p < .05) and lower anxiety (beta = - .19, p < .05), and depressive symptoms (beta = - .20, p < .05). Conclusions These results suggest that resilience may be critical to caregivers' abilities to manage stress, be effective sources of support to patients, and feel ready to make future medical decisions on behalf of patients. Future work should explore and clinicians should consider whether resilience can be enhanced in cancer caregivers to optimize their well-being and ability to perform in the caregiving and surrogate decision-making roles.

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Authors
Dionne-Odom, J. N., Azuero, A., Taylor, R. A., Wells, R. D., Hendricks, B. A., Bechthold, A. C., Reed, R. D., Harrell, E. R., Dosse, C. K., Engler, S., McKie, P., Ejem, D., Bakitas, M. A., & Rosenberg, A. R.
Affiliations
  • University of Alabama at Birmingham (US)
  • University of Alabama (US)
  • University of Washington (US)
Corresponding author
Dionne-Odom, J. Nicholas
ORCID
Venue
Supportive Care in Cancer
Publisher
Springer Science and Business Media LLC
Published
2021-05-24
Volume
29
Issue
11
Pages
6913-6920
ISSN
  • 0941-4355 (ISSN-L)
  • 1433-7339
DOI
10.1007/s00520-021-06265-y
PMC
PMC9733586
OpenAlex
W3165805817
Cited by
89
References
47
Citations by year
2026: 13 · 2025: 26 · 2024: 29 · 2023: 14 · 2022: 7
FWCI
19.51
Type
journal article
Language
en
Open access
Licence
Locations
  • Supportive Care in Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Nursing Research (R00NR015903)
  • National Palliative Care Research Center (No grant number)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
resilience, family caregivers, advanced cancer, caregiver preparedness, surrogate decision-making, caregiver distress, anxiety, depressive symptoms, psychological strain, newly diagnosed cancer, racial diversity
MeSH terms
Anxiety, Emotions, Family, Female, Humans, Male, Neoplasms, Stress, Psychological, Caregivers

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