Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients’ spouses
Abstract
This study investigated contextual determinants of psychological distress among 197 spouses of cancer patients. It was hypothesized that higher levels of patient functional impairment would lead to greater patient distress. Patient distress, in turn, would lead to lower spouse marital satisfaction and ultimately to higher spouse distress. Spouses completed measures of distress and marital quality at three time points. Cancer patients rated their functional impairment and psychological distress at the same time points. Results indicated that at all time points, greater patient impairment was associated with higher levels of patient distress, which, in turn, was related to lower marital satisfaction. However, marital quality was related to spouse distress at only 1 time point, but spouse distress was directly associated with patient distress at each time point. Implications for cancer patients and spouses are discussed.
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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 [3]
A cancer diagnosis is associated with high levels of distress, leading to frequent anxiety, depression, fear of recurrence/progression, sleep disturbance, and fatigue in both patients and caregivers.
“A cancer diagnosis is associated with high levels of distress, leading to frequent anxiety, depression, fear of recurrence/progression, sleep disturbance, and fatigue in both patients and caregivers [1–8].”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [3]
A metastatic cancer diagnosis is associated with high levels of distress in patients and caregivers.
“A metastatic cancer diagnosis is associated with high levels of distress in patients and caregivers.”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [3]
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 [3]
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 [3]
We found comparable distress levels in patients and caregivers, and emotional distress in particular may be even higher in caregivers, corroborating previous findings.
“Yet we found comparable distress levels in patients and caregivers, and emotional distress in particular may be even higher in caregivers, corroborating previous findings [2–6].”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [3]
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- Authors
- Fang, C. Y., Manne, S. L., & Pape, S. J.
- Affiliations
- Fox Chase Cancer Center (US)
- The Ohio State University (US)
- Venue
- Health Psychology
- Published
- 2001-11
- Volume
- 20
- Issue
- 6
- Pages
- 452-457
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W1985668906
- Cited by
- 111
- References
- 22
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 7 · 2013: 5 · 2012: 4
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r21ca088307-02, 1k07ca082347-01, 5k04ca065727-05, 1r29ca057379-01)
- National Cancer Institute (R21 CA88307, R29-CA57379, K04 CA65727, K07 CA82347)
- 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
- psychological distress, marital satisfaction, marital quality, caregiver burden
- MeSH terms
- Adult, Aged, Major Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Marriage, Middle Aged, Neoplasms, Personal Satisfaction, Predictive Value of Tests, Quality of Life, Surveys and Questionnaires
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