Abstract
Purpose
The care of cancer patients involves collaboration among health care professionals, patients, and family caregivers. As health care has evolved, more complex and challenging care is provided in the home, usually with the support of family members or friends. The aim of the study was to examine perceived needs regarding the psychosocial tasks of caregiving as reported by patients and caregivers. We also evaluated the association of demographic and clinical variables with self-reported caregiving needs.
Methods
Convenience samples of 100 cancer patients and 100 family caregivers were recruited in outpatient medical and radiation oncology waiting areas—the patients and caregivers were not matched dyads. Both groups completed a survey about their perceptions of caregiving tasks, including how difficult the tasks were for them to do. Demographic information was also provided by participants.
Results
Caregivers reported providing more help in dealing with feelings than patients endorsed needing. Caregivers were also more likely than patients to report the psychosocial aspects of caregiving were more difficult for them. Lastly, caregivers were more likely to report helping with logistical issues in comparison with patients expressing this need. Race, length of time since diagnosis, and age were associated with patients’ expressed needs, while only number of hours spent providing care was associated with the caregivers’ reporting of care activities.
Conclusions
Our results suggest that patients may underestimate how difficult caregivers perceive the psychosocial aspects of caregiving to be. Also, it seems that caregivers tend to take on the psychosocial aspects of caregiving, although patients do not tend to report this need. Caregiving needs were only minimally associated with demographic variables, as was participation in caregiving tasks.
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References
Jemal A, Siegal R, Ward E, Hao Y, Xu J, Thun M (2009) Cancer statistics, 2009. CA Cancer J Clin 59:225–249
Robison J, Fortinsky R, Kleppinger A, Shugrue N, Porter M (2009) A broader view of family caregiving: effects of caregiving and caregiver conditions on depressive symptoms, health, work and social isolation. J Gerontol B Psychol Sci Soc Sci 64:788–798
US Department of Health and Human Services (1998) Informal caregiving: compassion in action. Washington, DC
National Alliance for Caregiving (2010) Caregiving in the United States: Executive summary, National Alliance for Caregiving in association with the American Association of Retired Persons, November 2009. Available at: http://www.caregiving.org/data. Accessed on: August 2010
Yabroff KR, Kim Y (2009) Time costs associated with informal caregiving for cancer survivors. Cancer 115:4362–4373
van Ryn M, Sanders S, Kahn K, van Houtven C, Griffin J et al (2010) Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue? Psycho-Oncol. doi:10.1002/pon.1703
Given B, Given C, Kozachik S (2001) Family support in advanced cancer. CA Cancer J Clin 51:213–231
Bakas T, Lewis RR, Parsons JE (2001) Caregiving tasks among family caregivers of patients with lung cancer. Oncol Nurs Forum 28:847–854
Sherwood P, Donovan H, Given C, Lu X et al (2008) Predictors of employment and lost hours from work in cancer caregivers. Psycho-Oncol 17:598–605
Himmelstein DU, Thorne D, Warren E, Woolhandler S (2009) Medical bankruptcy in the United States, 2007: results of a national study. Am J Med 122:741–746
Yun Y, Rhee Y, Kang I, Lee J, Bang S et al (2005) Economic burdens and quality of life of family caregivers of cancer patients. Oncology 68:107–114
Schubart J, Kinzie M, Farace E (2008) Caring for the brain tumor patient: family caregiver burden and unmet needs. Neuro-Oncology 10:61–72
Yabroff KR, Lawrence W, Clauser S, Davis W, Brown M (2004) Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst 96:1322–1330
Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G (2007) Hidden morbidity in cancer: spouse caregivers. J Clin Oncol 25:4829–4834
Schumacher K, Stewart B, Archbold P, Capparro M et al (2008) Effects of caregiving demand, mutuality, and preparedness on family caregiver outcomes during cancer treatment. Oncol Nurs Forum 35:49–56
Spillers RL, Wellisch DK, Kim Y, Matthews BA, Baker F (2008) Family caregivers and guilt in the context of cancer care. Psychosomatics 49:511–519
Gaugler J, Linder J, Given C, Kataria R et al (2008) The proliferation of primary cancer caregiving stress to secondary stress. Cancer Nurs 31:116–123
Schumacher K, Stewart B, Archbold P (2007) Mutuality and preparedness moderate the effects of caregiving demand on cancer family caregiver outcomes. Nurs Res 56:425–433
Bloom J (2002) Surviving and thriving? Psycho-Oncol 11:89–92
Beckjord E, Arora N, McLaughlin W, Oakley-Girvan I et al (2008) Health-related information needs in a large and diverse sample of adult cancer survivors: implications for cancer care. J Cancer Surviv 2:179–189
Ross S, Mosher C, Ronis-Robin V, Hermele S, Ostroff J (2010) Psychosocial adjustment of family caregivers of head and neck cancer survivors. Support Care Cancer 18:171–178
Potter P, Deshields T, Kuhrik M, Kuhrik N et al (2010) An analysis of educational and learning needs of cancer patients and unrelated family caregivers. J Cancer Educ 25:538–542
Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101
U.S. Census Bureau (2009) Income, poverty, and health insurance coverage in the United States: 2008. Available at: http://www.census.gov/prod/2009pubs/p60-236.pdf. Accessed on: June 2010
Oberst MT, Thomas SE, Gass KA, Ward SE (1989) Caregiving demands and appraisal of stress among family caregivers. Cancer Nurs 12:209–215
Northouse L, Katapodi M, Song L, Zhang L, Mood D (2010) Interventions with family caregivers of cancer patients. CA Cancer J Clin 60:317–339
Bucher J, Loscalzo M, Zabora J, Houts P et al (2001) Problem-solving cancer care education for patients and caregivers. Cancer Pract 9:66–70
Acknowledgments
The authors wish to acknowledge the support of the Biostatistics Core, Siteman Comprehensive Cancer Center and NCI Cancer Center Support Grant P30 CA091842.
Conflict of Interest
The authors note that this research was funded by the Siteman Cancer Center and Barnes-Jewish Hospital, the employer for Dr. Deshields, Dr. Potter, Dr. M. Kuhrik, Dr. N. Kuhrik, and Ms. O’Neill. Otherwise, there is no financial relationship that compromises the integrity of the data reported here. The authors have full control of the data and agree to make the data available to the journal to review, if needed.
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Deshields, T.L., Rihanek, A., Potter, P. et al. Psychosocial aspects of caregiving: perceptions of cancer patients and family caregivers. Support Care Cancer 20, 349–356 (2012). https://doi.org/10.1007/s00520-011-1092-1
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DOI: https://doi.org/10.1007/s00520-011-1092-1