Supportive Care in Cancer

, Volume 14, Issue 12, pp 1258–1261 | Cite as

Differential levels of stress in caregivers of brain tumor patients—observations from a pilot study

  • Stephen T. Keir
  • Ann Bebe Guill
  • Karen E. Carter
  • Lindsay C. Boole
  • Lazaro Gonzales
  • Henry S. Friedman
Short Communication

Abstract

Objective

Caregivers of patients with brain tumors (BT) experience elevated levels of stress. Using pilot data, we sought to determine which caregivers are at risk for experiencing elevated levels of stress based on caregiver-demographic and patient-medical information.

Methods

Using a convenience sample of 60 caregivers, participants were asked to complete the Perceived Stress Scale and to provide demographic information. The Perceived Stress Scale is a 10-item scale designed to measure the degree to which situations in life are perceived as stressful. Demographic information was collected using self-reported measures. Medical data concerning tumor grade of patient were obtained from most recent medical note. Data for study were standardized using z-scores and analyzed using SPSS software.

Results

Seventy-two percent (n=43) of caregivers reported experiencing elevated levels of stress within the last 30 days. Thirty-five percent (n=21) of the sample scored at least one standard deviation above the mean. A statistical trend [F(1, 57)=3.12, p=0.08] exists between caregiver stress and tumor grade of patients for which they are providing care.

Conclusions

Caregivers of patients with BT experience significant stress. Furthermore, this data provide an indication of the profound levels of stress these caregivers experience. Caregivers of patients with grade I/II tumors are at increased risk for experiencing stress. Younger caregiver age and higher levels of education were also found to correlate to higher levels of stress.

Keywords

Brain tumors Caregivers Differential stress 

Abbreviations

BC

Brain cancer

BTC

Brain Tumor Center

DUMC

Duke University Medical Center

PSS-10

10-item Perceived Stress Scale

Notes

Acknowledgement

This study was sponsored by The Preston Robert Tisch Brain Tumor Center at Duke, Durham, NC, USA.

References

  1. 1.
    Baron RS, Cutrona CE, Hicklin D, Russel DW, Lubaroff DM (1990) Social support and immune function among spouses of cancer patients. J Pers Soc Psychol 59:344–352PubMedCrossRefGoogle Scholar
  2. 2.
    Bruce DG, Paley GA, Nichols P, Roberts D, Schapper F (2005) Physical disability contributes to caregiver stress in dementia caregivers. J Gerontol Ser A Biol Sci Med Sci 60A:345–349Google Scholar
  3. 3.
    Bussiere M, Hopman W, Day A, Pombo AP, Neves T, Espinosa F (2005) Indicators of functional status for primary malignant brain tumour patients. Can J Neurol Sci 32:50–56PubMedGoogle Scholar
  4. 4.
    Cameron JI, Franche RL, Cheung AM, Stewart DE (2002) Lifestyle interference and emotional distress in family caregivers of advanced cancer patients. Cancer 94:521–527PubMedCrossRefGoogle Scholar
  5. 5.
    Carter PA, Chang BL (2000) Sleep and depression in cancer caregivers. Cancer Nurs 2:410–415CrossRefGoogle Scholar
  6. 6.
    Chentsova-Dutton Y, Shuchter S, Hutchin S, Strause L, Burns K, Zisook S (2000) The psychological and physical health of hospice caregivers. Ann Clin Psychiatry 12:19–27PubMedCrossRefGoogle Scholar
  7. 7.
    Cohen S, Karmarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385–396PubMedCrossRefGoogle Scholar
  8. 8.
    Covinsky KE, Newcomer R, Fox P, Wood J, Sands L, Dane K, Yaffe K (2003) Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. J Gen Intern Med 18:1006–1014PubMedCrossRefGoogle Scholar
  9. 9.
    Gaston-Johansson F, Lachica EM, Fall-Dickson JM, Kennedy MJ (2004) Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum 16:1161–1169Google Scholar
  10. 10.
    Giovagnoli AR, Silvani A, Colombo E, Boiardi A (2005) Facets and determinants of quality of life in patients with recurrent high grade glioma. J Neurol Neurosurg Psychiatry 76(4):562–568PubMedCrossRefGoogle Scholar
  11. 11.
    Goldstein NE, Concato J, Fried TR, Kasl SV, Johnson-Hurzeler R, Bradley EH (2004) Factors associated with caregiver burden among caregivers of terminally ill patients with cancer. J Palliat Care 20:38–43PubMedGoogle Scholar
  12. 12.
    Goodfellow LM (2003) The effects of therapeutic back massage on psychophysiologic variables and immune function in spouses of patients with cancer. Nursing Res 52:318–328CrossRefGoogle Scholar
  13. 13.
    Hileman JW, Lackey NR, Hassanein RS (1992) Identifying the needs of home caregivers of patients with cancer. Oncol Nurs Forum 19(5):771–777 (Jun)PubMedGoogle Scholar
  14. 14.
    Kim Y, Baker F, Spillers RL, Wellisch DK (2006) Psychological adjustment of cancer caregivers with multiple roles. Psychooncology [Epub ahead of print]Google Scholar
  15. 15.
    Mittelman MS, Herris SH, Shulman E, Steinberg G, Ambinder A, Mackell JA, Cohen J (1995) A comprehensive support program: effect on depression in spouse-caregivers of AD patients. Gerontologist 35:792PubMedGoogle Scholar
  16. 16.
    Raveis VH, Karus DG, Siegel K (1998) Correlates of depressive symptomatology among adult daughter caregivers of a parent with cancer. Cancer 83:1652–1663PubMedCrossRefGoogle Scholar
  17. 17.
    Sansoni J, Vellone E, Piras G (2004) Anxiety and depression in community-dwelling, Italian Alzheimer’s disease caregivers. Int J Nurs Pract 10:93–100PubMedCrossRefGoogle Scholar
  18. 18.
    Schulz R, Beach SR (1999) Caregiving as a risk factor for mortality. JAMA 282:2215–2219PubMedCrossRefGoogle Scholar
  19. 19.
    Sherwood PR, Given BA, Given CW, Schiffman RF, Murman DL, Lovely M, von Eye A, Rogers LR, Remer S (2006) Predictors of distress in caregivers of persons with a primary malignant brain tumor. Res Nurs Health 29(2):105–120 (Apr)PubMedCrossRefGoogle Scholar
  20. 20.
    Sherwood P, Given B, Given C, Schiffman R, Murman D, Lovely M (2004) Caregivers of persons with a brain tumor: a conceptual model. Nurs Inq 11(1):43–53 (Mar)PubMedCrossRefGoogle Scholar
  21. 21.
    Vanderwerker LC, Laff RE, Kadan-Lottick NS, McColl S, Prigerson HG (2005) Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol 23:6899–6907PubMedCrossRefGoogle Scholar
  22. 22.
    Winslow BW (2003) Family caregivers’ experiences with community services: a qualitative analysis. Public Health Nurs 20:341–348PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Stephen T. Keir
    • 1
  • Ann Bebe Guill
    • 1
  • Karen E. Carter
    • 1
  • Lindsay C. Boole
    • 1
  • Lazaro Gonzales
    • 1
  • Henry S. Friedman
    • 1
  1. 1.The Tug McGraw Center for Quality of Life/Supportive Care Research, The Preston Robert Tisch Brain Tumor CenterDuke University Medical CenterDurhamUSA

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