Self-care, resilience, and caregiver burden in relatives of patients with advanced cancer: results from the eQuiPe study
Open accessAbstract
PURPOSE: Relatives are often involved in caregiving for patients with advanced cancer and carry a heavy burden. Self-care and resilience might be beneficial to enhance their wellbeing and burden-bearing capacity. This study assessed the engagement in self-care and resilience in relatives of patients with advanced cancer and its association with their caregiver burden. METHODS: This study analyzed baseline data of the eQuiPe study, a prospective longitudinal, multicenter, observational study on quality of care and life of patients with advanced cancer and their relatives in which self-care (Self-care Practices Scale), resilience (Connor-Davidson Resilience Scale), and caregiver burden (Zarit Burden Interview (ZBI)) of relatives were included. Their scores were compared with a gender- and age-matched normative population. Multivariable logistic regression analysis was performed to assess the association between self-care and resilience with caregiver burden. RESULTS: Most of the 746 relatives were the patient's partner (78%) and 54% reported to be an informal caregiver of the patient. The median hours of caregiving a week for all relatives was 15 and 11% experienced high caregiver burden (ZBI > 20). Relatives who reported a high caregiver burden engaged less often in self-care (OR = .87) and were less resilient (OR = .76) compared to relatives with low/medium caregiver burden. Relatives with high caregiver burden were younger (OR = .96), highly educated (OR = 2.08), often reported to be an informal caregiver of the patient (OR = 2.24), and were less well informed about the importance of self-care (OR = .39). CONCLUSION: A significant number of relatives of patients with advanced cancer experienced high caregiver burden. As more self-care and resilience were associated with lower experienced caregiver burden, creating awareness of the beneficial potential of self-care is important. Future studies should illuminate the causal relation. TRIAL REGISTRATION NUMBER: NTR6584 (date of registration: 30 June 2017).
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Resilience among many informal caregivers of patients with advanced cancer has been suggested as a primary component in their ability to withstand psychological strain and function effectively in the task despite carrying a heavy load of caregiving responsibilities.
“Resilience among many informal caregivers of patients with advanced cancer has been suggested as a primary component in their ability to withstand psychological strain and function effectively in the task despite carrying a heavy load of caregiving responsibilities [3, 7].”
From Preparedness, resilience and unmet needs of informal caregivers of advanced cancer patients in a Regional Mission Hospital in Kenya: Qualitative Study (2023) · cites this paper as [7]
The Background (page not available) suggests resilience may help relatives of patients with advanced cancer bear caregiving burden and reports associations with less depression and better health. The Results also associate higher resilience with lower odds of high caregiver burden. The paper does not establish resilience as a primary component or show that it enables caregivers to function effectively in caregiving tasks. (LLM, conf=0.85)
Experimental — accuracy not yet measuredResilience may be critical to informal caregivers' abilities to manage stress, be effective sources of support to patients, and feel ready to make future medical decisions on behalf of patients.
“studies have shown that resilience may be critical to informal caregivers' abilities to manage stress, be effective sources of support to patients, and feel ready to make future medical decisions on behalf of patients [3, 7].”
From Preparedness, resilience and unmet needs of informal caregivers of advanced cancer patients in a Regional Mission Hospital in Kenya: Qualitative Study (2023) · cites this paper as [7]
The Background (page unavailable) says resilience may help informal caregivers adapt to negative events and bear caregiving burden, which supports the stress-management part of the claim. The Results associate greater resilience with lower caregiver burden. Neither passage establishes that resilience makes caregivers more effective sources of support to patients or more ready to make future medical decisions for them. (LLM, conf=0.84)
Experimental — accuracy not yet measuredOtras publicaciones reportan características similares en términos de sexo, relación con el paciente, ingresos económicos bajos (menores a USD 500) y un alto grado de compromiso del cuidador manifestado por el número de horas al día dedicadas a su atención.
“Otras publicaciones reportan características similares en términos de sexo, relación con el paciente, ingresos económicos bajos (menores a USD 500) (42-44) y un alto grado de compromiso del cuidador por atender a su familiar enfermo, manifestado por el número de horas al día dedicadas a su atención (45, 46).”
From Factores relacionados con sobrecarga del cuidador informal de pacientes con cáncer avanzado (2024) · cites this paper as [45]
The Results table reports caregivers’ sex and relationship to the patient, and a median of 15 hours of care per week. It does not report hours per day or income below USD 500, and it does not establish that the hours indicate a high degree of commitment. In the printed sentence, the income claim has a different citation group, but the hours claim is only partly supported by this paper. (LLM, conf=0.86)
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Factores relacionados con sobrecarga del cuidador informal de pacientes con cáncer avanzado
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Clinical Indicators of the Nursing Diagnosis Caregiver Role Strain: A Systematic Review of Accuracy
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Sobrecarga de los cuidadores informales de los pacientes oncológicos
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Resilience and Overload in Caregivers of Dependent Persons: a Systematic Review and Meta-Analysis
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- Authors
- van Roij, J., Brom, L., Sommeijer, D., van de Poll-Franse, L., Raijmakers, N., & on behalf of the eQuiPe study group
- Affiliations
- Netherlands Comprehensive Cancer Organisation (NL)
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Raijmakers, Natasja
- Venue
- Supportive Care in Cancer
- Published
- 2021-07-03
- Volume
- 29
- Issue
- 12
- Pages
- 7975-7984
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- PMC
- PMC8549961
- OpenAlex
- W3175376921
- Cited by
- 62
- References
- 50
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 20 · 2023: 9 · 2022: 8
- FWCI
- 14.43
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Supportive Care in Cancer (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (acceptedVersion, cc-by)
- Research portal (Tilburg University) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- 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
- caregiver burden, self-care, resilience, relatives of cancer patients, advanced cancer, informal caregivers, partner caregivers, caregiver well-being
- MeSH terms
- Caregiver Burden, Humans, Neoplasms, Prospective Studies, Self Care, Caregivers, Cost of Illness
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