Informal caregiving in head and neck cancer: caregiving activities and psychological well-being
Corresponding Author
M. Balfe Ph.D.
Researcher
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Correspondence Myles Balfe, National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland. Email: [email protected]Search for more papers by this authorK. M. O'Brien Ph.D.
Researcher
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Search for more papers by this authorA. Timmons Ph.D.
Researcher
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Search for more papers by this authorP. Butow Ph.D.
Professor
Centre for Medical Psychology, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorE. O'Sullivan Ph.D.
Researcher
School of Dentistry, University College Cork, Cork, Ireland
Search for more papers by this authorR. Gooberman-Hill Ph.D.
Researcher
Musculskeletal Research Unit, University of Bristol, Bristol, UK
Search for more papers by this authorL. Sharp Ph.D.
Professor
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Search for more papers by this authorCorresponding Author
M. Balfe Ph.D.
Researcher
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Correspondence Myles Balfe, National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland. Email: [email protected]Search for more papers by this authorK. M. O'Brien Ph.D.
Researcher
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Search for more papers by this authorA. Timmons Ph.D.
Researcher
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Search for more papers by this authorP. Butow Ph.D.
Professor
Centre for Medical Psychology, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorE. O'Sullivan Ph.D.
Researcher
School of Dentistry, University College Cork, Cork, Ireland
Search for more papers by this authorR. Gooberman-Hill Ph.D.
Researcher
Musculskeletal Research Unit, University of Bristol, Bristol, UK
Search for more papers by this authorL. Sharp Ph.D.
Professor
National Cancer Registry of Ireland, Cork Airport Business Park, Cork, Ireland
Search for more papers by this authorAbstract
The purpose of this study was to quantify the general cancer support activities that long-term carers of head and neck cancer (HNC) survivors engage in; and the relationships between these care activities and psychological well-being. Respondents answered a survey detailing their caring activities, the amount of time that they spent on those activities and how comfortable they felt engaging in them. Psychological well-being was assessed by the Depression Anxiety Stress Scales-21. A total of 197 carers took part in the study. The majority (76%) were women, mean age 57.4. Mean time since diagnosis was 6.2 years. In the past month, 45% of carers did not spend any extra time per week helping their relative/friend with general caring activities such as cleaning the house; 31% spent 1–19 hr/week and 23% spent 20 or more hours/week doing so. Most carers were comfortable assisting their relative/friend, though more carers felt uncomfortable assisting with HNC-specific support tasks (31% uncomfortable helping with medication) compared with general support tasks (7% uncomfortable helping with appointments). Feeling uncomfortable with head and neck-specific care tasks was a significant predictor of experiencing depression and anxiety.
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References
- Badr, H., Gupta, V., Sikora, A., & Posner, M. (2014). Psychological distress in patients and caregivers over the course of radiotherapy for head and neck cancer. Oral Oncology, 50, 1005–1011.
- Blood, G., Simpson, K., Dineen, M., Kauffman, S., & Raimondi, S. (1994). Spouses of individuals with laryngeal cancer: Caregiver strain and burden. Journal of Communication Disorders, 27, 19–35.
- Bookman, A., & Harrington, M. (2007). Family caregivers: A shadowy workforce in the Geriatric health care system. Journal of Health Politics Policy Law, 32, 1005–1041.
- Dempster, M., McCorry, N., Brennan, E., Donnelly, M., Murray, L., & Johnston, B. (2011). Illness perceptions among carer-survivor dyads related to psychological distress among Oesophageal cancer survivors. Journal of Psychosomatic Research, 70, 432–439.
- Drabe, N., Zwahlen, D., Buchi, S., Moergeli, H., Zwahlen, R., & Jenewein, J. (2008). Psychiatric morbidity and quality of life in wives of men with long-term head and neck cancer. Psychooncology, 17, 199–204.
- Francouer, R. (2005). Cumulative financial stress and strain in palliative radiation outpatients: The role of age and disability. Acta Oncology, 44, 369–381.
- Gaugler, J., Hanna, N., Linder, J., Given, C., Tolbert, V., Kataria, R., & Regine, W. (2005). Cancer caregiving and subjective stress: A multi-site, multi-dimensional analysis. Psychooncology, 14, 771–785.
- Girgis, A., & Lambert, S. (2009). Caregivers of cancer survivors: The state of the field. Cancer Forum, 3, 3.
- Girgis, A., Lambert, S., Johnson, C., Waller, A., & Currow, D. (2013). Physical, psychosocial, relationship and economic burden of caring for people with cancer: A review. Journal of Oncology Practice, 9, 197–202.
- Given, B., Given, C., & Kozachik, S. (2001). Family support in advanced cancer. Canadian Journal of Clinical Cancer, 51, 213–231.
- Hanly, P., Ceilleachair, A. O., Skally, M., O'Leary, E., Kapur, K., Fitzpatrick, P., … & Sharp, L. (2013). How much does it cost to care for survivors of colorectal cancer? Caregivers's time, travel and out-of-pocket costs. Supportive Care in Cancer 21, 2585–2592.
- Henry, J., & Crawford, J. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239.
- Hodges, L., & Humphris, G. (2009). Fear of recurrence and psychological distress in head and neck cancer patients and their carers. Psychooncology, 18, 841–848.
- Jayani, R., & Hurria, A. (2012). Caregivers of older adults with cancer. Seminars in Oncology Nursing, 28, 221–225.
- Lambert, S., Girgis, A., Lecthelinais, C., & Stacey, F. (2013). Walking a mile in their shoes: Anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis. Supportive Care in Cancer, 21, 75–85.
- Lee, Y., Lin, P., Chieln, C., & Fang, F. (2014). Prevalence and risk factors of depressive disorder in caregivers of patients with head and neck cancer. Psychooncology, 24, 155–161. doi: 10.1002/pon.3619
- Longacre, M., Ridge, J., Burtness, B., Galloways, T., & Fang, C. (2012). Psychological functioning of caregivers for head and neck cancer patients. Oral Oncology, 48, 18–25.
- Lovibond, S., & Lovibond, P. (1995). Manual for the depression, anxiety, stress scales. Psychological Foundation, Sydney.
- Maddems, J., Utley, M., & Moller, H. (2012). Projections of cancer prevalence in the United Kingdom, 2010-2040. British Journal of Cancer, 107, 1195–1202.
- McMullen, C., Schneider, J., Altschuler, A., Grant, M., Hornbrook, N., Liliestrand, P., & Krouse, R. (2014). Caregivers as healthcare managers: Health management activities, needs, and caregiving relationships for colorectal cancer survivors with ostomies. Supportive Care in Cancer, 22, 2401–2408.
- Mehanna, H., Paleri, V., West, C., & Nutting, C. (2010). Head and neck cancer: Epidemiology, presentation and prevention. British Medical Journal, 341, 663–666.
- Mehta, A., Chan, L., & Cohen, S. (2014). Flying blind: Sources of distress for family caregivers of palliative cancer patients managing cancer at home. Journal of Psychosocial Oncology, 32, 94–111.
- Mosher, C., Jaynes, H., Hanna, N., & Ostroff, J. (2013). Distressed family caregivers of lung cancer patients: An examination of psychosocial and practical challenges. Supportive Care in Cancer, 21, 431–437.
- Nijboer, C., Tempelaar, R., Sanderman, R., Triemstra, M., Spruit, R., & Bos, G. (1999). Determinants of caregiving experiences and mental health of partners of cancer patients. Cancer, 86, 577–588.
10.1002/(SICI)1097-0142(19990815)86:4<577::AID-CNCR6>3.0.CO;2-S CAS PubMed Web of Science® Google Scholar
- Nijboer, C., Templaar, R., Sanderman, R., Triemstra, M., Spruit, R., & Bos, G. (1998). Cancer and caregiving: The impact on the caregiver's health. Psychooncology, 7, 3–13.
10.1002/(SICI)1099-1611(199801/02)7:1<3::AID-PON320>3.0.CO;2-5 CAS PubMed Web of Science® Google Scholar
- Olson, R. (2014). A time-sovereignty approach to understanding carers of cancer patients’ experiences and support preferences. European Journal of Cancer Care, 23, 239–248.
- Otis-Green, S., & Juarez, G. (2012). Enhancing the social well-being of family caregivers. Seminars in Oncology Nursing, 28, 246–255.
- Oyebode, J. (2003). Assessment of carers’ psychological needs. Advances in Psychiatric Treatment, 9, 45–53.
10.1192/apt.9.1.45 Google Scholar
- Patterson, J., Rapley, T., Carding, P., Wilson, J., & McColl, E. (2013). Head and neck cancer and dysphagia: Caring for carers. Psychooncology, 22, 1815–1820.
- Pearce, A., Timmons, A., O’ Sullivan, E., Gallagher, P., Gooberman-Hill, R., Thomas, A., … & Sharp, L. (2014). Long-term workforce participation patterns following head and neck cancer. Journal of Cancer Survivorship, 9, 30–39.
- Precious, E., Haran, S., Lowe, D., & Rogers, S. (2012). Head and neck cancer patients’ perspectives of carer burden. British Journal of Oral and Maxillofacial Surgery, 50, 202–207.
- Romito, F., Goldzweig, G., Cormio, C., Hagedoom, M., & Andersen, B. (2013). Informal caregiving for cancer patients. Cancer, 21, 2160–2169.
- Ross, S., Mocher, C., Ronis-Tobin, V., Hermele, S., & Ostroff, J. (2010). Psychosocial adjustment of family caregivers of head and neck cancer survivors. Supportive Care in Cancer, 18, 171–178.
- Sharp, L., Carsin, A., & Timmons, A. (2013). Associations between cancer-related financial stress and strain and psychological well-being among individuals living with cancer. Psychooncology, 22, 745–755.
- Stenberg, U., Ruland, C., & Miaskowski, C. (2010). Review of the literature on the effects of caring for a patient with cancer. Psychooncology, 19, 1013–1025.
- Thomas, A., Timmons, A., Molcho, M., Pearce, A., Gallagher, P., Butow, P., … & Sharp, L. (2014). Quality of life in urban and rural settings: A study of head and neck cancer survivors. Oral Oncology, 50, 676–682.
- Timmons, A., Gooberman-Hill, R., & Sharp, L. (2013). It's a time in your life when you are most vulnerable: A qualitative exploration of the financial impact of a cancer diagnosis and implications for financial protection in health. PLoS ONE, 8, e77549.
- Verdonck-de Leeuw, I., Eerenstein, S., Linden, M., Kuik, D., & de Bree, R. (2007). Distress in spouses and patients after treatment for head and neck cancer. The Laryngoscope, 117, 238–241.
- Vickery, L., Latchford, G., Hewison, J., Bellew, M., & Feber, T. (2003). The impact of head and neck cancer and facial disfigurement on the quality of life of patients and their partners. Head and Neck, 25, 289–296.
- Yabroff, K., & Youong, K (2009). Time costs associated with informal caregiving for cancer survivors. Cancer, 115, 4362–4367.