Spouse cancer caregivers' burden and distress at entry to home hospice: The role of relationship quality

被引:31
作者
Reblin, Maija [1 ]
Donaldson, Gary [1 ]
Ellington, Lee [1 ]
Mooney, Kathi [1 ]
Caserta, Michael [1 ]
Lund, Dale [2 ]
机构
[1] Univ Utah, Salt Lake City, UT USA
[2] Calif State Univ San Bernardino, San Bernardino, CA 92407 USA
基金
美国国家卫生研究院;
关键词
Burden; cancer; caregiving; distress; end of life; relationship quality; TERMINALLY-ILL PATIENTS; SOCIAL SUPPORT; FAMILY CAREGIVERS; OF-LIFE; COPING STRATEGIES; DEPRESSION SCALE; PHYSICAL HEALTH; MENTAL-HEALTH; OLDER ADULTS; END;
D O I
10.1177/0265407515588220
中图分类号
G2 [信息与知识传播];
学科分类号
05 ; 0503 ;
摘要
High-quality relationships may be protective for family caregivers. This study focuses on relationship quality categories (supportive and ambivalent) in spouse caregivers in cancer home hospice. The goals of this article are to, first, describe relationship quality categories among end-of-life caregivers and, second, test the effects of relationship quality categories on caregiver burden and distress within a stress process model. Using questionnaire data collected at entry to home hospice, we found relationship quality categories were proportionally similar to those seen in noncaregiver older adults. Relationship quality significantly predicted caregiver burden, which completely mediated the relationship between caregiver relationship quality and distress. Caregivers whose social contexts place them at risk for greater distress may benefit from increased clinical attention or intervention.
引用
收藏
页码:666 / 686
页数:21
相关论文
共 101 条
[51]   The Performance of RMSEA in Models With Small Degrees of Freedom [J].
Kenny, David A. ;
Kaniskan, Burcu ;
McCoach, D. Betsy .
SOCIOLOGICAL METHODS & RESEARCH, 2015, 44 (03) :486-507
[52]   Adult attachment and psychological well-being in cancer caregivers: The mediational role of spouses' motives for caregiving [J].
Kim, Youngmee ;
Deci, Edward L. ;
Carver, Charles S. ;
Kasser, Tim .
HEALTH PSYCHOLOGY, 2008, 27 (02) :S144-S154
[53]  
Kissane D.W., 1994, Psycho-Oncology, V3, P47, DOI [10.1002/pon.2960030109, DOI 10.1002/PON.2960030109, DOI 10.1002/P0N.2960030109]
[54]   Predictors of Family Conflict at the End of Life: The Experience of Spouses and Adult Children of Persons with Lung Cancer [J].
Kramer, Betty J. ;
Kavanaugh, Melinda ;
Trentham-Dietz, Amy ;
Walsh, Matthew ;
Yonker, James A. .
GERONTOLOGIST, 2010, 50 (02) :215-225
[55]  
KURTZ ME, 1994, CANCER-AM CANCER SOC, V74, P2071, DOI 10.1002/1097-0142(19941001)74:7+<2071::AID-CNCR2820741715>3.0.CO
[56]  
2-R
[57]   The Impact of Perceived Adequacy of Social Support on Caregiving Burden of Family Caregivers [J].
Lai, Daniel W. L. ;
Thomson, Caroline .
FAMILIES IN SOCIETY-THE JOURNAL OF CONTEMPORARY SOCIAL SERVICES, 2011, 92 (01) :99-106
[58]   Rasch analysis of the Hospital Anxiety and Depression Scale among caregivers of cancer survivors: implications for its use in psycho-oncology [J].
Lambert, Sylvie ;
Pallant, Julie F. ;
Girgis, Afaf .
PSYCHO-ONCOLOGY, 2011, 20 (09) :919-925
[59]   Quality of the caregiver care recipient relationship: Does it offset negative consequences of caregiving for family caregivers? [J].
Lawrence, RH ;
Tennstedt, SL ;
Assmann, SF .
PSYCHOLOGY AND AGING, 1998, 13 (01) :150-158
[60]   LONG-TERM MARRIAGE - AGE, GENDER, AND SATISFACTION [J].
LEVENSON, RW ;
CARSTENSEN, LL ;
GOTTMAN, JM .
PSYCHOLOGY AND AGING, 1993, 8 (02) :301-313