The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
Factors Associated with Caregiver Burden among Caregivers of Terminally Ill Patients with Cancer
Abstract
Objective To identify factors associated with caregiver burden among those caring for terminally ill patients with cancer. Design Cross-sectional study of interviews with primary caregivers (n = 206) of consecutive patients with cancer enrolled in the largest hospice in Connecticut. Methods Data were collected on the caregivers' sociodemographic characteristics, social network index, and number of restrictions in their own activities due to their caregiving role. The outcome was a nine-item questionnaire adapted from the Zarit Burden Inventory. Results The highest burden was reported among caregivers with more limited social networks (OR 1.38, Cl 1.02-1.87), more restrictions in their daily activities (OR 1.35, Cl 1.13-1.61), and who were younger (OR 1.46, Cl 1.10-1.93). Conclusions Variations exist in the intensity of caregiver burden based on subjective experiences and social support, rather than on the amount of assistance provided. Clinicians should consider factors such as these when targeting caregivers for interventions to alleviate burden.
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“A limitation of the study is that we did not study all factors that had been found to contribute to CB in other studies like the social network index of caregivers and their activity restriction [28].”
From Caregiver burden among family caregivers of incurable cancer patients in two eastern Mediterranean countries (2021) · cites this paper as [28]
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“Goldstein et al. included in their study caregivers of patients with terminal cancer and found no significant association between the number of ADLs the caregivers assist with and higher CB [28].”
From Caregiver burden among family caregivers of incurable cancer patients in two eastern Mediterranean countries (2021) · cites this paper as [28]
Citations
Cites
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540
BERKMAN, L. F., & SYME, S. L. (1979) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112674 · Cited by 5,341
Caregiving as a Risk Factor for Mortality: The Caregiver Health Effects Study
Schulz, R., & Beach, S. R. (1999) · JAMA · doi:10.1001/jama.282.23.2215 · Cited by 3,340 · cited 1×
“Caregiver burden is associated with several poor health outcomes, including increased depression and anxiety, poorer health behaviour, and increased mortality (6-9).”
BackgroundBédard, M., Molloy, D. W., Squire, L., Dubois, S., Lever, J. A., & O'Donnell, M. (2001) · The Gerontologist · doi:10.1093/geront/41.5.652 · Cited by 1,691
The Role of Social Relations in Health Promotion
Berkman, L. F. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199505000-00006 · Cited by 1,233
Flagged first, then by citations
Research works printed but not linked: 24
- 1997, Spiritual Beliefs and the Dying Process: a report on a national survey.
- 10.1001/jama.1994.03520230049037 · DOI
- 10.1377/hlthaff.21.4.222 · DOI
- 10.1377/hlthaff.18.2.182 · DOI
- 10.1093/geront/37.3.355 · DOI
- 10.1037/0882-7974.15.2.259 · DOI
- 10.1007/BF02883327 · DOI
- 10.1093/geront/29.2.159 · DOI
- 10.1093/geront/20.6.649 · DOI · Paper page
- 10.1093/geront/10.1_Part_1.20 · DOI
- 10.2190/9QT0-XBD0-V8E9-U650 · DOI
- 10.1017/S0714980800012484 · DOI · Paper page
- 10.1093/geront/31.1.9 · DOI
- 10.1177/082585979801400206 · DOI
- 10.1177/082585970101700105 · DOI
- The SAS System for Windows [computer program]., 1999, Version 8.00.
- 10.1093/jurban/78.3.458 · DOI
- 10.1097/00006842-199609000-00008 · DOI
- 10.7326/0003-4819-132-6-200003210-00005 · DOI
- 10.1002/cncr.10212 · DOI
- 10.1002/(SICI)1099-1611(199907/08)8:4<287::AID-PON385>3.0.CO;2-W · DOI
- 10.1002/1099-1611(200005/06)9:3<232::AID-PON458>3.0.CO;2-J · DOI
- Knight R., 2001, Caring, 20, 32
- Sorcinelle R., 1999, Reichel's Care of the Elderly: clinical aspects of aging., 763
Cited by
Sorted by citations
Items 101–153 of 153
Experiences of family of patient with newly diagnosed advanced terminal stage hepatocellular cancer.
Shih, W.-M., Hsiao, P.-J., Chen, M.-L., & Lin, M.-H. (2013) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2013.14.8.4655 · Cited by 15
“Research articles revealed about the devastating effect that cancer may have on caregivers, particularly at the end of live (Goldstein et al., 2004; Grunfeld et al., 2004), but little research exists regarding family members’ experience to liver cancer at the time of diagnosis.”
BackgroundTop Ten Tips Palliative Care Clinicians Should Know About Caring for Family Caregivers
Applebaum, A. J., Kent, E. E., Ellington, L., Campbell, G. B., Donovan, H. S., TRIVEDI, R. B., Houtven, C. H. V., Gray, T. F., Gebert, R. R., Rosa, W. E., et al. (2024) · Journal of Palliative Medicine · doi:10.1089/jpm.2023.0640 · Cited by 16
“29 Research demonstrates that family caregivers who have someone to talk to report lower psychological distress, 30 and that similar to the benefits of self-care for family caregivers, supportive networks have downstream benefits on patients’ health outcomes.”
Unnikrishnan, B., Rathi, P., Saxena, P. P., Aggarwal, A., Shekhar, S., Bansal, S., Naidu, B. V., & Menon, S. (2019) · SAGE Open · doi:10.1177/2158244019876287 · Cited by 18
Cancer patient age and family caregiver bereavement outcomes
Francis, L. E., Kypriotakis, G., O’Toole, E. E., & Rose, J. H. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3219-x · Cited by 14
“Other patient characteristics, symptoms, andemotional states have been shown to exacerbate caregiving and bereavement [10–13], and some studies imply patient age impact on caregiver outcomes, suchas finding thatbothyoungerpatients andyounger caregiversaremoredistressed thanareolderones[14,15]andthat caregiver quality…”
BackgroundWest, E., Costantini, M., Pasman, H., & Onwuteaka-Philipsen, B. (2014) · BMC Health Services Research · doi:10.1186/s12913-014-0496-2 · Cited by 14
“Fried [20], in a study of elderly patients making end-of-life treatment decisions, found that burden of treatments was weighed by patients against anticipated outcomes and a more marginal outcome lead to less willingness to consider a treatment.”
BackgroundQuality of life of community-based palliative care clients and their caregivers
Connell, T., Fernandez, R., Tran, D., Griffiths, R., Harlum, J., & Agar, M. (2012) · Palliative & Supportive Care · doi:10.1017/s1478951512000260 · Cited by 13
“Variations exist in the intensity of caregiver burden based on subjective experiences and social support; therefore, clinicians need to consider individual need, and design interventions to target these issues (Goldstein et al., 2004).”
BackgroundFamily Caregiver Perception of Hospice Support
Raleigh, E. D. H., Robinson, J., Marold, K., & Jamison, M. (2006) · doi:10.1097/00129191-200601000-00010 · Cited by 13
Dignity of informal caregivers of migrant patients in the last phase of life: a qualitative study
de Voogd, X., Willems, D. L., Torensma, M., Onwuteaka-Philipsen, B. D., & Suurmond, J. (2021) · BMC Palliative Care · doi:10.1186/s12904-021-00721-6 · Cited by 13
Programa de intervención multidisciplinaria para cuidadores de pacientes en atención domiciliaria
Caballero, L. G., Ramos, R., Aranda, A. A., Dolcet, M. J. L., la Laguna, J. L. P., & Sabaté, M. Q. (2008) · Gaceta Sanitaria · doi:10.1157/13126927 · Cited by 12
“Edad del paciente (años), media (DE) 70,8 (22,4) 79,4 (13,4) 0,17”
Family Appraisal of Caregiving in a Brain Cancer Model
Keir, S. T., Farland, M. M., Lipp, E., & Friedman, H. S. (2009) · Journal of Hospice and Palliative Nursing · doi:10.1097/njh.0b013e3181917e35 · Cited by 13
“Previous studies conducted on caregivers of patients with cancer found that lower levels of education, younger caregiver age, and sex (male) of caregiver correlate to higher levels of stress.(7,29-32) This study focused on caregivers of patients with brain tumors and explored the relationship between positive and nega…”
BackgroundLeow, M. Q. H., & Chan, S. W. C. (2010) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/01938924-201008241-00006
Caregiver burden: Support needed for those who support others and the National Health Service
Stephanou, M. (2023) · Patient Experience Journal · doi:10.35680/2372-0247.1796 · Cited by 11
Reliability and Validity of the Suffering Scale of Family of Patients with Terminal Cancer
Kang, K.-A. (2011) · doi:10.5388/jkon.2011.11.1.49 · Cited by 9
Langegård, U., Cajander, Å., Carlsson, M., von Essén, L., Ahmad, A., Laurell, G. F. E., Ehrsson, Y. T., & Johansson, B. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-057442 · Cited by 10
“21 The caregiver burden may encompass physical, mental 22 23 and financial components, 24 and social isolation.”
Background“You Want to Shield Your Kids”: Patients’ and Their Adult-Children's Serious Illness Conversations
Fenton, A., Blashill, B., Revette, A. C., Mann, A., Reblin, M., Enzinger, A. C., Ornstein, K. A., Jain, S., Manz, C. R., Tulsky, J. A., et al. (2024) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2024.12.014 · Cited by 7
Takao, A., Arao, H., Yamamoto, S., Aoki, M., Kouda, K., Morita, T., Kizawa, Y., Tsuneto, S., Shima, Y., Masukawa, K., et al. (2023) · Journal of Palliative Care · doi:10.1177/08258597231169625 · Cited by 7
Akter, S., Sarker, M., Hossain, P., Ahmad, N., & Zaman, S. (2022) · Palliative Care and Social Practice · doi:10.1177/26323524221095104 · Cited by 7
“Family caregivers are 111 crucial for providing the most physical and emotional care for individuals with life-threatening 112 and terminal illnesses, especially those who wish to die at home (20).”
BackgroundYang, E.-Y., & Kim, Y. A. (2015) · doi:10.5762/kais.2015.16.6.3954 · Cited by 7
Sobrecarga del cuidador informal del paciente con ictus a largo plazo
Pinedo, S., Miranda, M., Suárez, A. M., Ortiz, M. G., Quiros, M., & Herrero, A. M. (2010) · doi:10.1016/j.rh.2010.05.004 · Cited by 7
Reblin, M., McCormick, R., Mansfield, K. J., Wawrzynski, S. E., Ketcher, D., Tennant, K. E., Guo, J., Jones, E. C., & Cloyes, K. G. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01083-x · Cited by 7
“Some work indicates that larger social networks can protect against mortality in cancer survivors [31] and ease burden for caregivers [18].”
BackgroundChan, E. W. W., Liang, L., Liu, N. H., & Hou, W. K. (2021) · Journal of Health Psychology · doi:10.1177/13591053211030994 · Cited by 5
“…are faced with multiple concurrent stressful events, such as the constant worry of the loss of their ill close social partner, deterioration of the partner’s condition, financial pressure, and balancing between personal life and caring activities (Goldstein et al., 2004; Hou et al., 2016).”
BackgroundDetermining the satisfaction levels of the family members of patients with advanced-stage cancer
Özçelik, H., Cakmak, D. E., Fadıloğlu, Ç., Yıldırım, Y., & Uslu, R. (2014) · Palliative & Supportive Care · doi:10.1017/s1478951514000534 · Cited by 8
“Thus, this process causes a change or loss of role for family members, and consequently intrafamilial relations and the family structure are disrupted (Loke et al., 2003; Babaoglu & Oz, 2003; Goldstein et al., 2004).”
BackgroundEnazy, E. H. A., & Alyousef, S. M. (2025) · Nursing Reports · doi:10.3390/nursrep15070233 · Cited by 5
“Unlike in studies conducted in the West, where formal support services are more readily available [61], our Saudi participants relied heavily on extended family networks and religious coping mechanisms.”
Chen, S., Vanderpoel, J., Mody, S. H., Nelson, W. W., Schein, J. R., Rao, P., & Boulanger, L. (2012) · The American Journal of Geriatric Pharmacotherapy · doi:10.1016/j.amjopharm.2012.08.003 · Cited by 4
Pereira, M. G., & Soares, A. J. (2011) · Psicologia Saúde & Doenças · doi:10.15309/11psd120211 · Cited by 6
Lee, S., Ory, M. G., Dahlke, D., & Smith, M. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.898042 · Cited by 3
Silent Pain of Caregivers: A Qualitative Study
Bharti, J., & Bhatnagar, P. (2020) · Saudi Journal of Humanities and Social Sciences · doi:10.36348/sjhss.2020.v05i07.001 · Cited by 4
“Researches on Caregivers of person with chronic illness represent diseases like Cancer [2, 3], Stroke [4], Traumatic Injury [5] Sclerosis [6] HIV/AIDS [7, 8] Coronary Heart disease [9, 10] Asthma, arthritis, diabetes, heart disease [11, 12, 13] Hepatitis C patients [14] Inflammatory bowel disease [15].”
BackgroundAndina, M. P., & Pohan, L. D. (2019) · International Conference on Intervention and Applied Psychology (ICIAP) · doi:10.2991/iciap-18.2019.33 · Cited by 2
Fjose, M., Eilertsen, G., Kirkevold, M., & Grov, E. K. (2019) · Clinical Nursing Studies · doi:10.5430/cns.v7n4p1 · Cited by 1
“Children and children-in-law are not expected to provide much caregiving;[26] have multiple role obligations, such as home, children and work, in addition to caregiving;[25, 26, 52] and may therefore be in need of help and expect family members to share the caregiving responsibility.”
BackgroundThe Life Quality of Mothers of Children With Leukemia and its Related Factors
Abdi, M., Mohammadian, R., Abbasi, P., Asadi, M., Mohajer, E., & Piri, S. (2019) · Journal of Client-centered Nursing Care · doi:10.32598/jccnc.5.2.105 · Cited by 2
Suporte Social em Cuidadores Informais de Dependentes de Substâncias
Soares, A. J., & Pereira, M. G. (2014) · Revista Interamericana de Psicología/Interamerican Journal of Psychology · doi:10.30849/rip/ijp.v48i1.248 · Cited by 1
Caring for a Loved One with Cancer: Professional and Family Issues
McCorkle, R. C., Talley, R. C., Baile, W. F., & Williams, A.-L. (2012) · Caregiving · doi:10.1007/978-1-4614-3154-1_1 · Cited by 2
“2002); feelings of helplessness and lack of control (Goldstein et al. 2004); and insufficient skill to manage the ill family member’s symptoms (Nijboer et al.”
BackgroundWhen Missing Out Matters: Associations Between Social Activity Restriction and Caregiver Burden
Rosenberg, M. W., Cenzer, I. S., Covinsky, K. E., Smith, A. K., & Kotwal, A. (2025) · Journal of the American Geriatrics Society · doi:10.1111/jgs.70173 · Cited by 2
“…defined as participation in various social activities (e.g., attending group activities, spending time with friends or family, attending religious services, or doing volunteer work) [9], are more likely to experience depression, anxiety, psychological distress, and reduced life-meaning [10, 11].”
Costa, D. P. S., Ardah, H. I., & Searya, A. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22020313 · Cited by 1
“Given the unique cultural context of Saudi Arabia, future research should examine how cultural values and social norms influence the caregiving experience, particularly regarding expectations and perceived responsibilities [41–43].”
Factors Related to the Caregiving Burden on Families of Korean Patients With Lung Cancer
Lee, H. J., & Park, S. (2022) · Clinical Nursing Research · doi:10.1177/10547738221098150 · Cited by 1
“Social support was associated with family caregiver burden, which is consistent with the findings of past studies (Cooper et al., 2013; Goldstein et al., 2004).”
ResultMurnaghan, S., Kendell, C., SUSSMAN, J. S., Porter, G. A., Howell, D., Grunfeld, E., & Urquhart, R. (2021) · Current Oncology · doi:10.3390/curroncol28060416 · Cited by 1
Hosseinzadeh, M., Karcioglu, O., Ikizceli, I., Çakmak, F., & Kolahforoush, A. (2021) · Signa Vitae · doi:10.22514/sv.2021.004
Sano, T., Kusajima, E., Shirai, Y., Setoyama, M., Tamai, T., Hirooka, K., Sato, T., Miyashita, M., Kawa, M., & Okabe, T. (2014) · doi:10.2512/jspm.9.140 · Cited by 1
Chalsit, P., Phithakwongrojn, K., Bosittipichet, T., & Leesri, T. (2026) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20260755
Archana, R., Yashwanth, G., Rao, S., & Sudharani, K. (2026) · Annals of Indian Psychiatry · doi:10.4103/aip.aip_68_25
Ünal, İ. Ö., Aytac, M. P., Turhan, N. Ö., TAYLAN, Y., Ünal, Ç., Topcu, A., Çavdar, E., Özcan, E., Duymaz, T., & Berkol, T. D. (2025) · Healthcare · doi:10.3390/healthcare13202612
Konstantinides, N. A., Atkeson, P. S., DiGregorio, H., Dairi, I., Brown, C., Noriega, K., Baker, J. S., Taylor, V., Glass, C., Kazis, L. E., et al. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1581239
Wakefield, D., Booth, Z., Fay, M., & Breckons, M. (2025) · Palliative Care and Social Practice · doi:10.1177/26323524251340707
Papageorgiou, N., Zygogianni, A. G., Parpa, E., Tsilika, E., & Mystakidou, K. (2022) · Advances in Gerontology · doi:10.1134/s2079057022020151
“It seems that dementia brings greater burden than other diseases [12, 27].”
BackgroundBesely, W. N., Kassem, F. K., Samir, M. M., Elshafiae, E. M. H., Bakr, Z. H., Ayed, M. M. A., & Yousef, E. A. M. (2022) · International Journal of Health Sciences · doi:10.53730/ijhs.v6ns10.10522
Assessment of prevalence of psychiatric illness among care givers of cancer patients
Thakur, A., & Kumar, R. (2021) · International Journal of Advanced Research in Medicine · doi:10.22271/27069567.2021.v3.i1i.205
“Although caregivers complain little, they often experience a great deal of uncertainty, concern and lack of hope ([4-7]).”
BackgroundAkter, S., Sarker, M., Hossain, P., Ahmad, N., & Zaman, S. (2020) · Research Square · doi:10.21203/rs.3.rs-53343/v1
“Family caregivers are crucial for providing the majority of physical and emotional care for individuals with life-threatening and terminal illnesses, especially those who wish to die at home (20).”
BackgroundRaju, H., Lee, P., Jayaseeli, D., & Durai, S. (2018) · International journal of scientific engineering and research · doi:10.70729/ijser172648
Rajkumar, A., Payne, K., Goodson, A., & Tahim, A. (2017) · doi:10.26717/bjstr.2017.01.000559
“[33] described the characteristics of patients attending a ‘supportive care centre’ (this name was chosen because the term ‘palliative’ was seen as a barrier to referral from physicians) [14].”
BackgroundRohrer, J., Lim, S. H., & Bock, F. A. (2007) · The American journal of hospice & palliative care · doi:10.1177/1049909106295384
“The discrepancy may be influenced by the burden the caregivers of these patients experience.(27) This discrepancy raises the questions about whether the decisions made by caregivers when the patients become incapable of competent decision-making accurately reflect patients’ preferences.”
BackgroundMittal, D. K., Tomar, S. P., & Tiwari, R. (2020) · International Journal of Current Research and Review · doi:10.31782/ijcrr.2020.122411
What do family members find distressing in home care by visiting nurses
Yukari, H., Harada, M., Takaoka, S., Matsumoto, Y., & Shinjo, T. (2015) · doi:10.2512/jspm.10.125
Assessing the Couple’s Adjustment to Cancer
Kayser, K., & Scott, J. (2008) · doi:10.1007/978-0-387-74803-0_3
Metadata
- Authors
- Goldstein, N. E., Concato, J., Fried, T. R., Kasl, S. V., Johnson-Hurzeler, R., & Bradley, E. H.
- Affiliations
- Yale University (US)
- Connecticut Hospice, Branford
- Venue
- Journal of Palliative Care
- Publisher
- SAGE Publications
- Published
- 2004-03
- Volume
- 20
- Issue
- 1
- Pages
- 38-43
- ISSN
- 0825-8597 (ISSN-L)
- 2369-5293
- OpenAlex
- W16285977
- Cited by
- 190
- References
- 0
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 3 · 2023: 5 · 2022: 7 · 2021: 10 · 2020: 8 · 2019: 11 · 2018: 7 · 2017: 8 · 2016: 8 · 2015: 14 · 2014: 14 · 2013: 4 · 2012: 16
- FWCI
- 8.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Palliative Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (K02AG20113, K02AG020113, P30 AG21342, P30AG021342)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- caregiver burden, terminal cancer, hospice care, family caregivers, social support networks, activity limitation, Zarit Burden Inventory, sociodemographic factors, young carers
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Analysis of Variance, Attitude to Health, Connecticut, Cross-Sectional Studies, Family, Female, Humans, Male, Middle Aged, Neoplasms, Quality of Life, Surveys and Questionnaires, Social Support, Socioeconomic Factors, Stress, Psychological, Logistic Models, Caregivers, Hospice Care, Cost of Illness, Needs Assessment
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