Skip to main content
Log in

Association between emotional competence and risk of unmet supportive care needs in caregivers of cancer patients at the beginning of care

  • Research
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Purpose

This cross-sectional study explored the associations between intrapersonal and interpersonal emotional competence (EC) and the unmet supportive care needs (SCN), anxiety, and depression of informal caregivers at the beginning of gastrointestinal or haematological cancer care, i.e. during chemotherapy and within 6 months after diagnosis.

Methods

The participants completed a self-reported questionnaire, comprising the Short Profile of Emotional Competence (S-PEC), the SCN survey for partners and caregivers (SCNS-P&C), and the Hospital Anxiety and Depression Scale (HADS). Multivariate logistic regression models were performed to explore the influence of EC on unmet SCN and the presence of moderate/severe anxiety or depression.

Results

Most of the 203 caregivers were women (n = 141, 69.80%) and the partners of patients (n = 148, 73.27%) suffering from gastrointestinal (n = 112, 55.17%) and haematological (n = 91, 44.83%) cancer. Only intrapersonal EC showed a significant influence out of all the dimensions of unmet SCN related to healthcare services and information (odds ratio (OR) = 0.35 [95%CI 0.19; 0.65]), emotional and psychological needs (OR = 0.43 [95%CI 0.25; 0.74]), work and social security (OR = 0.57 [95%CI 0.37; 0.88]), and communication and family support (OR = 0.61 [95%CI 0.39; 0.95]). A one-unit increase in the intrapersonal EC score significantly reduced the probability of anxiety (OR = 0.42, [95%CI 0.26; 0.68]) and depression (OR = 0.34, [95%CI 0.21; 0.55]).

Conclusion

Intrapersonal EC of caregivers is crucial to reduce the risk of unmet SCN, anxiety, and depression from the beginning of care. Identifying caregivers with lower intrapersonal EC may be necessary to increase vigilance from healthcare professionals and psychologists.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Guerra-Martín M, Casado-Espinosa M, Gavira-López Y, Holgado-Castro C, López-Latorre I, Borrallo Riego Á (2023) Quality of life in caregivers of cancer patients: a literature review. Int J Environ Res Public Health 20:1570. https://doi.org/10.3390/ijerph20021570

    Article  PubMed  PubMed Central  Google Scholar 

  2. Shilling V, Starkings R, Jenkins V, Cella D, Fallowfield L (2019) Development and validation of the caregiver roles and responsibilities scale in cancer caregivers. Qual Life Res 28(6):1655–1668

    Article  PubMed  PubMed Central  Google Scholar 

  3. Clarijs ME, Oemrawsingh A, Bröker MEE, Verhoef C, Lingsma H, Koppert LB (2022) Quality of life of caregivers of breast cancer patients: a cross-sectional evaluation. Health Qual Life Outcomes 20(1):1–10

    Google Scholar 

  4. Harvey J, Berndt M (2021) Cancer caregiver reports of post-traumatic growth following spousal hematopoietic stem cell transplant. Anxiety Stress Coping 34(4):397–410

    Article  PubMed  Google Scholar 

  5. Ehmann AT, Mahler C, Klafke N (2020) Validation of a German version of the Caregiver Quality of Life Index-Cancer (CQOLC) in a sample of significant others of breast and gynaecologic cancer patients. Psicologia: Reflexão e Critica 33(1):1–11

    Google Scholar 

  6. Bedaso A, Dejenu G, Duko B (2022) Depression among caregivers of cancer patients: updated systematic review and meta-analysis. Psychooncology 31(11):1809–1820. https://doi.org/10.1002/pon.6045

    Article  PubMed  PubMed Central  Google Scholar 

  7. Howard AF, Lynch K, Thorne S, Porcino A, Lambert L, De Vera MA, McKenzie M (2022) Occupational and financial setbacks in caregivers of people with colorectal cancer: considerations for caregiver-reported outcomes. Current Oncol 29(11):8180–8196

    Article  Google Scholar 

  8. Lemetti T, Partanen E, Hupli M, Haavisto E (2021) Cancer patients’ experiences of realization of relatives’ participation in hospital care: a qualitative interview study. Scand J Caring Sci 35(3):979–987

    Article  PubMed  Google Scholar 

  9. Christophe V, Anota A, Vanlemmens L, Cortot A, Ceban T, Piessen G, Baudry A-S (2022) Unmet supportive care needs of caregivers according to medical settings of cancer patients: a cross-sectional study. Support Care Cancer 30(11):9411–9419. https://doi.org/10.1007/s00520-022-07379-7

    Article  PubMed  Google Scholar 

  10. Chong E, Crowe L, Mentor K, Pandanaboyana S, Sharp L (2023) Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer. Support Care Cancer 31(1):1–12

    Article  Google Scholar 

  11. Larsen MK, Birkelund R, Mortensen MB, Schultz H (2021) Being a relative on the sideline to the patient with oesophageal cancer: a qualitative study across the treatment course. Scand J Caring Sci 35(1):277–286

    Article  PubMed  Google Scholar 

  12. Baudry A-S, Anota A, Bonnetain F, Mariette C, Christophe V (2019) Psychometric validation of the French version of the supportive care needs survey for partners and caregivers of cancer patients. Eur J Cancer Care 28(1):e12896. https://doi.org/10.1111/ecc.12896

    Article  Google Scholar 

  13. Gabriel I, Creedy D, Coyne E (2021) Quality of life and associated factors among adults living with cancer and their family caregivers. Nurs Health Sci 23(2):419–429

    Article  PubMed  Google Scholar 

  14. Baudry A-S, Vanlemmens L, Anota A, Cortot A, Piessen G, Christophe V (2019) Profiles of caregivers most at risk of having unmet supportive care needs: recommendations for healthcare professionals in oncology. Eur J Oncol Nurs 43:101669. https://doi.org/10.1016/j.ejon.2019.09.010

    Article  PubMed  Google Scholar 

  15. Hart NH, Crawford-Williams F, Crichton M, Yee J, Smith TJ, Koczwara B, Chan RJ (2022) Unmet supportive care needs of people with advanced cancer and their caregivers: a systematic scoping review. Crit Rev Oncol/Hematol 176:103728 (N.PAG-N.PAG)

    Article  PubMed  Google Scholar 

  16. Yang W, Lee R, Kuparasundram S, Tan T, Chan Y, Griva K, Mahendran R (2021) Cancer caregivers unmet needs and emotional states across cancer treatment phases. PLoS ONE 16:e0255901. https://doi.org/10.1371/journal.pone.0255901

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Baudry A-S, Lelorain S, Mahieuxe M, Christophe V (2018) Impact of emotional competence on supportive care needs, anxiety and depression symptoms of cancer patients: a multiple mediation model. Support Care Cancer 26(1):223–230. https://doi.org/10.1007/s00520-017-3838-x

    Article  PubMed  Google Scholar 

  18. Baudry A-S, Grynberg D, Dassonneville C, Lelorain S, Christophe V (2018) Sub-dimensions of trait emotional intelligence and health: a critical and systematic review of the literature. Scand J Psychol 59(2):206–222. https://doi.org/10.1111/sjop.12424

    Article  PubMed  Google Scholar 

  19. Mikolajczak M (2009) Going beyond the ability-trait debate: the three-level model of emotional intelligence. E-J Appl Psychol 5(2):25–31

    Google Scholar 

  20. Brasseur S, Grégoire J, Bourdu R, Mikolajczak M (2013) The Profile of Emotional Competence (PEC): development and validation of a self-reported measure that fits dimensions of emotional competence theory. PLoS ONE 8(5):e62635–e62635. https://doi.org/10.1371/journal.pone.0062635

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Baudry A-S, Christophe V, Constant E, Piessen G, Anota A, & the FREGAT Working Group (2020) The Profile of Emotional Competence (PEC): a French short version for cancer patients. PLOS ONE 15(6):e0232706. https://doi.org/10.1371/journal.pone.0232706

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Razavi Darius, Delvaux N, Farvacques C, Robaye E (1989) Validation de la version française du HADS dans une population de patients cancéreux hospitalisés. = Validation of the French version of the Hospital Anxiety and Depression Scale (HADS) in a population of hospitalized cancer patients. Revue de Psychol Appl 39(4):295–307

    Google Scholar 

  23. Girgis A, Lambert S, Lecathelinais C (2011) The supportive care needs survey for partners and caregivers of cancer survivors: development and psychometric evaluation. Psychooncology 20(4):387–393. https://doi.org/10.1002/pon.1740

    Article  PubMed  Google Scholar 

  24. Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x

    Article  CAS  PubMed  Google Scholar 

  25. Baudry A-S, Vanlemmens L, Congard A, Untas A, Segura-Djezzar C, Lefeuvre-Plesse C, Christophe V (2023) Emotional processes in partners’ quality of life at various stages of breast cancer pathway: a longitudinal study. Qual Life Res 32(4):1085–1094. https://doi.org/10.1007/s11136-022-03298-6

    Article  PubMed  Google Scholar 

  26. Zeidner M, Matthews G, Roberts RD (2012) The emotional intelligence, health, and well-being nexus: what have we learned and what have we missed? Appl Psychol Health Well Being 4(1):1–30

    Article  PubMed  Google Scholar 

  27. Ellis KR, Oh S, Hecht HK, Northouse L (2021) Symptom distress and quality of life among Black Americans with cancer and their family caregivers. Psychooncology 30(8):1356–1365

    Article  PubMed  PubMed Central  Google Scholar 

  28. Langenberg SMCH, Poort H, Wymenga ANM, de Groot JW, Muller EW, van der Graaf WTA, van Herpen CML (2021) Informal caregiver well-being during and after patients’ treatment with adjuvant chemotherapy for colon cancer: a prospective, exploratory study. Support Care Cancer 29(5):2481–2491

    Article  CAS  PubMed  Google Scholar 

  29. Thomson MD, Wilson-Genderson M, Siminoff LA (2022) The presence of a secondary caregiver differentiates primary cancer caregiver well-being. Support Care Cancer 30(2):1597–1605

    Article  PubMed  Google Scholar 

  30. Lombard Á (2020) Helpful factors of therapy with families/carers of individuals affected by cancer. Couns Psychol Rev 35(2):11–21

    Google Scholar 

  31. Hodzic S, Scharfen J, Ripoll P, Holling H, Zenasni F (2017) How efficient are emotional intelligence trainings: a meta-analysis. Emot Rev 10(2):138–148. https://doi.org/10.1177/1754073917708613

    Article  Google Scholar 

  32. Wittenberg E, Goldsmith J, Parnell TA (2020) Development of a communication and health literacy curriculum: optimizing the informal cancer caregiver role. Psychooncology 29(4):766–774

    Article  PubMed  Google Scholar 

  33. Sandén U, Nilsson F, Thulesius H, Hägglund M, Harrysson L (2019) Cancer, a relational disease exploring the needs of relatives to cancer patients. Int J Qual Stud Health Well-Being 14:1. https://doi.org/10.1080/17482631.2019.1622354

    Article  Google Scholar 

  34. Serpentini S, Guandalini B, Tosin G, Ronconi L, Cristaldi G, Amatulli R, Merluzzi TV (2021) Assessment of self-efficacy for caregiving in oncology: Italian validation of the caregiver inventory (CGI-I). BMC Palliat Care 20(1):1–11

    Article  Google Scholar 

  35. Dhumal T, Siddiqui ZA, Kelley GA, Harper F, Kelly KM (2023) Systematic review and meta-analysis of randomized controlled trials of interventions addressing caregiver distress and burden among cancer caregivers. PEC Innovation 2:100145. https://doi.org/10.1016/j.pecinn.2023.100145

    Article  PubMed  PubMed Central  Google Scholar 

  36. Hamedani B, Alavi M, Taleghani F, Moghadam M (2023) Requirements for promoting help-seeking behaviors in family caregivers of cancer patients: a qualitative study. J Educ Health Promot 12:46. https://doi.org/10.4103/jehp.jehp_512_22

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The present study was supported by the Ligue Contre le Cancer. The SCALab Laboratory is part of the ONCOLille Institute, and the study received a grant from the Contrat de Plan Etat-Région CPER Cancer 2015–2020. We thank all the participants of the CEMA-D study, all the investigators (especially Amorym Sandy, Barbieux Sarah, Barrascout Eduardo, Bourgeois Emmanuelle, Cambier Nathalie, Carpentier Benjamin, Cornea Claudiu, Demarquette Hélène, Desplechin Arnaud, Fruchart Christophe, Garnotel Marie, Peugniez Charlotte), and the Clinical Research Associates (especially Antoine Lydie, Brzyski Dorothee, Dhalluin Quentin, Delannay Justine, Deraed Sandy, Druelle Katarina, Dumortier Mandy, Fressin Elise, Gonda Benoite, Ouanoughi Sabrina, Petri Marion, Vambre Julie, Fahima Yahi-Zidat). We also thank Chiron Juliette, Dreux Malicia, Duhamel Amandine, Foure Maureen, Giovagnoli Sophie, Mahieuxe Magali, Van De Casteele Tom, for their help with inclusions, as well as Cooke-Martageix Emilie for English proofreading. Finally, we thank the Northwest Data Center (CTD-CNO), supported by grants from the French National League Against Cancer (LNC), and the French National Cancer Institute (INCa) for managing the data.

Author information

Authors and Affiliations

Authors

Contributions

Conception and design: A.S.B., A.A., and V.C. Investigation: A.S.B., B.H., A.C., T.C., S.D., and C.A.M. Data analysis and interpretation: A.S.B., A.A., M.D., E.C., and V.C. Manuscript writing: A.S.B., A.A., M.D., E.C., and V.C. All authors reviewed the manuscript.

Corresponding author

Correspondence to Anne-Sophie Baudry.

Ethics declarations

Competing interests

The authors declare no competing interests.

Conflict of interest

The authors declare no conflict of interest.

Ethics approval

This study complied with the tenets of the Declaration of Helsinki and received the approval of the University Ethics Committee (2018–268-S59).

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Consent for publication

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Baudry, AS., Delpuech, M., Charton, E. et al. Association between emotional competence and risk of unmet supportive care needs in caregivers of cancer patients at the beginning of care. Support Care Cancer 32, 302 (2024). https://doi.org/10.1007/s00520-024-08510-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s00520-024-08510-6

Keywords

Navigation