Lung cancer patients and their spouses: psychological and relationship functioning within 1 month of treatment initiation
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BACKGROUND: Lung cancer morbidity and mortality may increase the risk for distress in couples facing this malignancy. PURPOSE: We examined the prevalence of psychological and relationship distress in lung cancer patients and their spouses, predictors of psychological distress for both, and whether relationship satisfaction moderated the relation between patient and spouse distress. METHODS: Participants (169 patients and 167 spouses) completed questionnaires provided during clinic appointments at baseline (within one month of treatment initiation) and through the mail 3 and 6 months later. Analyses were from the baseline data. RESULTS: In total, 34.6% of patients and 36.4% of spouses reported psychological distress. Patient and spouse distress were correlated, depending on the symptom examined. Only 10.9% of patients and 14.1% of spouses reported distressed spousal relationships. Distress predictors for patients included less positive social interaction support, more behavioral disengagement and self-distraction coping, and the spouse reporting less use of humor for coping. Predictors for spouses included more behavioral disengagement and substance use coping, more blaming the patient for causing the cancer, and the patient using more behavioral disengagement coping. Relationship satisfaction moderated the association between each partner's distress. CONCLUSIONS: Psychosocial counseling for lung cancer patients should include spouses and target decreasing individual distress and enhancing relationship satisfaction.
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Caregivers of patients with LC report significant emotional distress.
“Caregivers of patients with LC report feeling unprepared, lacking caregiving resources,11,12 having low self-efficacy for managing patient symptoms, experiencing significant emotional distress,13, 14, 15 and receiving minimal psychosocial care.6,16,17”
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 [13]
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Cites
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650 · see citing works
Sherbourne, C. D., & Stewart, A. L. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90150-b · Cited by 6,643 · see citing works
Hagedoorn, M., Sanderman, R., Bolks, H. N., Tuinstra, J., & Coyne, J. C. (2008) · Psychological Bulletin · doi:10.1037/0033-2909.134.1.1 · Cited by 777 · see citing works
Given, C. W., Stommel, M., Given, B., Osuch, J., Kurtz, M. E., & Kurtz, J. C. (1993) · Health Psychology · doi:10.1037/0278-6133.12.4.277 · Cited by 325 · see citing works
Scott, J. L., Halford, W. K., & Ward, B. G. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.6.1122 · Cited by 324 · see citing works
Flagged first, then by citations
Research works printed but not linked: 36
- [1]Spiegel D Cancer and depression Br J Psych 1996 168 109 116 8864156
- [2]Massie MJ Holland JC Depression and the cancer patient J Clin Psych 1990 51 12 17 2195008
- [3]Zabora J Brintzenhofeszoc K Curbow B Hooker C Piantadosi S The prevalence of psychological distress by cancer site Psycho-Oncol 2001 10 19 28 11180574
- [4]Hopwood P Stephens RJ Depression in patients with lung cancer: Prevalence and risk factors derived from quality-of-life data J Clin Oncol 2000 18 893 903 10673533
- [5]Gritz ER Wellisch DK Siau J Wang HJ Long-term effects of testicular cancer on marital relationships Psychosomatics 1990 31 301 312 2167494
- [6]Compas BE Worsham NL Epping-Jordan JE When mom or dad has cancer: Markers of psychological distress in cancer patients, spouses, and children Health Psychol 1994 13 507 515 7889905
- [8]Northouse LL Mood D Templin T Mellon S George T Couples' patterns of adjustment to colon cancer Soc Sci Med 2000 50 271 284 10619695
- [9]Kornblith AB Herr HW Ofman US Scher HI Holland JC Quality of life of patients with prostate cancer and their spouses: The value of a data base in clinical care Cancer 1994 73 2791 2802 8194021
- [11]Abernathy AD Chang T Seidlitz L Evinger JS Duberstein PR Religious coping and depression among spouses of people with lung cancer Psychosomatics 2002 43 456 463 12444228
- [12]Kim Y Buberstein PR Sorensen S Larson MR Levels of depressive symptoms of spouses of people with lung cancer: Effects of personality, social support, and caregiving burden Psychosomatics 2005 46 123 130 15774950
- [15]McNaughton ME Smith LW Patterson TL Grant I Stress, social support, coping resources, and immune status in elderly women J of Nerv Ment Dis 1990 178 460 461 2142212
- [16]Holahan CJ Moos RH Holahan CK Brennan PL Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness Health Psychol 1995 14 152 163 7789351
- [17]Carver CS Pozo C Harris SD How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer J Pers Soc Psychol 1993 65 375 390 8366426
- [18]Cordova MJ Cunningham LLC Carlson CR Andrykowski MA Social constraints, cognitive processing, and adjustment to breast cancer J Consult Clin Psychol 2001 69 706 711 11550737
- [20]Sammarco A Perceive social support, uncertainty, and quality of life of younger breast cancer survivors Cancer Nurs 2001 24 212 219 11409065
- [21]Alferi SM Carver CS Antoni MH Weiss S Duran RE An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer Health Psychol 2001 20 41 46 11199065
- [22]Morse SR Fife B Coping with a partner's cancer: Adjustment at four stages of the illness trajectory Oncol Nurs Forum 1998 25 751 760 9599358
- [23]Baron RS Cutrona CE Hicklin D Russell DW Lubaroff DM Social support and immune function among spouses of cancer patients J Pers Soc Psychol 1990 59 344 352 2213497
- [24]Nijboer C Tempelaar R Triemstra M van den Bos GAM Sanderman R The role of social and psychologic resources in caregiving of cancer patients Cancer 2001 91 1029 1039 11251956
- [27]Janoff-Bulman R Characterological versus behavioral self-blame: Inquiries into depression and rape J Pers Soc Psychol 1979 37 1798 1809 512837
- [28]Malcarne VL Compas BE Epping-Jordan JE Howell DC Cognitive factors in adjustment to cancer: Attributions of self-blame and perceptions of control J Behav Med 1995 18 401 417 8847712
- [29]Houldin AD Jacobsen B Lowery BJ Self-blame and adjustment to breast cancer Oncol Nurs Forum 1996 23 8628713
- [30]Glinder JG Compas BE Self-blame attributions in women with newly diagnosed breast cancer: A prospective study of psychological adjustment Health Psychol 1999 18 475 481 10519463
- [31]Breslau N Kilbey MM Andreski P Nicotine dependence, major depression, and anxiety in young adults Arch Gen Psychiatry 1991 48 1069 1074 1845224
- [33]Manne SL Norton TR Ostroff JS Protective buffering and psychological distress among couples coping with breast cancer: The moderating role of relationship satisfaction J Fam Psychol 2007 21 380 388 17874923
- [34]Schag CAC Ganz PA Wing DS Sim MS Lee JJ Quality of life in adult survivors of lung, colon and prostate cancer Qual Life Res 1994 3 127 141 8044158
- [35]Badr H Carmack Taylor CL Social constraints and spousal communication in lung cancer Psycho-Oncol 2006 15 673 683 16287210
- [36]Manne S Ostroff J Norton T Cancer-related relationship communication in couples coping with early stage breast cancer Psycho-Oncol 2006 15 234 247 15926198
- [37]Oken MM Creech RH Tormey DC Toxicity and response criteria of the Eastern Cooperative Oncology Group Am J Clin Oncol 1982 5 649 655 7165009
- [38]Buccheri G Ferrigno D Tamburini M Karnofsky and ECOG Performance Status scoring in lung cancer: A prospective, longitudinal study of 536 patients from a single institution Eur J Cancer 1996 32A 1135 1141 8758243
- [39]Maestu I Pastor M Gomez-Codina J Pretreatment prognostic factors for survival in small-cell lung cancer: A new prognostic index and validation of three known prognostic indices on 341 patients Ann Oncol 1997 8 547 553 9261523
- [42]Amenson CS Lewinsohn PM An investigation of observed sex differences in prevalence of unipolar depression J Abnorm Psychology 1981 90 1 13 6973575
- [43]Croog SH Levine S Tets MA The effects of antihypertensive therapy on quality of life N Engl J Med 1986 314 3520318
- [45]Carver C Scheier M Weintraub J Assessing coping strategies: A theoretically based approach J Pers Soc Psychol 1989 56 267 283 2926629
- [51]Lepore SJ Ragan JD Jones S Talking facilitates cognitive-emotional processes of adaptation to an acute stressor J Pers Soc Psychol 2000 78 499 508 10743876
- [53]de Groot JM Mah K Fyles A The psychosocial impact of cervical cancer among affected women and their partners Int J Gynecol Cancer 2005 15 918 925 16174246
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Fujinami, R., Sun, V., Zachariah, F., Uman, G., Grant, M., & Ferrell, B. (2015) · Psycho-Oncology · doi:10.1002/pon.3562 · Cited by 140 · see citing works
Mosher, C. E., Secinti, E., Hirsh, A. T., Hanna, N., Einhorn, L. H., Jalal, S. I., Durm, G., Champion, V. L., & Johns, S. A. (2019) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.06.021 · Cited by 98 · see citing works
Mosher, C. E., Winger, J. G., Hanna, N., Jalal, S. I., Einhorn, L. H., Birdas, T. J., Ceppa, D. P., Kesler, K. A., Schmitt, J., Kashy, D. A., et al. (2016) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2016.04.006 · Cited by 91 · see citing works
Pakenham, K. I., & Samios, C. (2013) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9434-0 · Cited by 87 · see citing works
Schellekens, M. P. J., Karremans, J. C., van der Drift, M. A., Molema, J., van den Hurk, D. G. M., Prins, J. B., & Speckens, A. E. M. (2017) · Mindfulness · doi:10.1007/s12671-016-0602-0 · Cited by 85 · see citing works
Milbury, K., Li, Y., Durrani, S., Liao, Z., Tsao, A. S., Carmack, C., Cohen, L., & Bruera, E. (2020) · The Oncologist · doi:10.1634/theoncologist.2020-0125 · Cited by 78 · see citing works
Mosher, C. E., Champion, V. L., Hanna, N., Jalal, S. I., Fakiris, A. J., Birdas, T. J., Okereke, I. C., Kesler, K. A., Einhorn, L. H., Given, B. A., et al. (2013) · Psycho-Oncology · doi:10.1002/pon.3168 · Cited by 65 · see citing works
“We focused on the early phase of care because it represents an initial period of heightened distress and immersion into caregiving responsibilities [10].”
BackgroundResultBadr, H., & Shen, M. J. (2014) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000058 · Cited by 32 · see citing works
Self-citationRangel, M. L., Milbury, K., Kayser, K., Ripley, R. T., Kvale, E., & Badr, H. (2024) · JTO Clinical and Research Reports · doi:10.1016/j.jtocrr.2024.100736 · Cited by 5 · see citing works
“10 Caregivers of patients with LC report feeling unprepared, lacking caregiving resources, 11,12 having low self-ef fi cacy for managing patient symptoms, experiencing signi fi cant emotional distress, 13 – 15 and receiving minimal psychosocial care.”
Self-citation
- Authors
- Carmack Taylor, C. L., Badr, H., Lee, J. H., Fossella, F., Pisters, K., Gritz, E. R., & Schover, L.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-09-17
- Volume
- 36
- Issue
- 2
- Pages
- 129-140
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- PMC
- PMC4454464
- OpenAlex
- W2031100297
- Cited by
- 99
- References
- 5
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 8 · 2018: 5 · 2017: 5 · 2016: 9 · 2015: 4 · 2014: 10 · 2013: 9 · 2012: 10
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R03CA096462, CA57730, 1 R03-CA96462-01, R25CA57730, R25CA057730)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- lung cancer, spouses, psychological distress, relationship functioning, relationship satisfaction, coping strategies, behavioral disengagement, coping humor, blame, social support, psychosocial counseling, couples
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Counseling, Female, Humans, Interpersonal Relations, Lung Neoplasms, Male, Marriage, Middle Aged, Models, Psychological, Psychiatric Status Rating Scales, Social Support, Stress, Psychological, Cost of Illness, Spouses
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