Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey — Oak Academic Publishing
Research ArticleOpen AccessGoogle Scholar indexed
Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey
Palliative care ward, Heiwa Hospital, Kanagawa, Japan
,
Department of Health Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan
,
Department of Medical Oncology, Kanazawa Medical University, Ishikawa, Japan
,
Nursing Department, Tokyo Medical and Dental University Hospital, Tokyo, Japan
,
Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
1 Palliative care ward, Heiwa Hospital, Kanagawa, Japan
2 Department of Health Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan
3 Department of Medical Oncology, Kanazawa Medical University, Ishikawa, Japan
4 Nursing Department, Tokyo Medical and Dental University Hospital, Tokyo, Japan
5 Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
Background: A means of assessing the social support needs of spouses of patients with cancer is not available in Japan, yet such individuals are at increased risk of developing psychological difficulties. Objectives: The present study aimed (1) to describe the social support needs of spouses of patients with cancer, and (2) to explore factors associated with social support needs of spouses of patients with cancer. Design: Spouses (n = 559) of patients with cancer were recruited by registered agents of an online survey company and completed a self-reporting, online questionnaire. Measurements: The questionnaires included demographic information and a tool to assess social support needs. Results: Factor analysis of social support needs of the spouses of patients with cancer indicated that (1) “social support needs regarding disease and treatment of patient” (54 items) comprised 3 factors (“medical condition and cure”, “daily life and social support”, “intimacy and employment”), and (2) “social support needs of spouse (19 items)” comprised 2 factors (“family psychological issues and social support” and “intimacy, employment and society”). The ANOVA and T tests showed that “younger age”, “under treatment”, and “cancer not cured: treatment stopped”, “PS1” and “PS 2-4”, the presence of “lung cancer”, and “recurrence/metastasis” were significant factors (all p < 0.05). Conclusions: The age of the spouse, treatment status, performance status, site of cancer, and recurrence/metastasis are important factors related to spousal needs for social support. Clinicians should assess these factors and the social support needs of spouses to provide appropriate support.
KeywordsCancerSpouseSocial Support NeedsAssessment ToolOnline Survey
Bigatti, S.M., Wagner, C.D., Lydon-Lam, J.R., Steiner, J.L. and Miller, K.D. (2011) Depression in Husbands of Breast Cancer Patients: Relationships to Coping and Social Support. Support Care Cancer, 19, 455-466. https://doi.org/10.1007/s00520-010-0835-8
Braun, M., Mikulincer, M., Rydall, A., Walsh, A. and Rodin, G. (2007) Hidden Morbidity in Cancer: Spouse Caregivers. Journal of Clinical Oncology, 25, 4829-4834. https://doi.org/10.1200/JCO.2006.10.0909
Doorenbos, A.Z., Given, B., Given, C.W., Wyatt, G., Gift, A., Rahbar, M. and Jeon, S. (2007) The Influence of End-of-Life Cancer Care on Caregiver. Research in Nursing & Health, 30, 270-281. https://doi.org/10.1002/nur.20217
Haun, M.W., Sklenarova, H., Villalbos, M., Thomas, M., Brechtel, A., Löwe, B., Herzog, W. and Hartmann, M. (2014) Depression, Anxiety and Disease-Related Distress in Couples Affected by Advanced Lung Cancer. Lung Cancer, 86, 274-280. https://doi.org/10.1016/j.lungcan.2014.09.009
Chiu, Y.W., Huang, C.T., Yin, S.M., Huang, Y.C., Chien, C.H. and Chuang, H.Y. (2010) Determinants of Complicated Grief in Caregivers Who Cared for Terminal Cancer Patients. Supportive Care Cancer, 18, 1321-1327. https://doi.org/10.1007/s00520-009-0756-6
Fujisawa, D., Miyashita, M., Nakajima, S., Ito, M., Kato, M. and Kim, Y. (2010) Prevalence and Determinants of Complicated Grief in General Population. Journal of Affective Disorders, 127, 352-358. https://doi.org/10.1016/j.jad.2010.06.008
Kersting, A., Bräher, E., Glaesmer, H. and Wagner, B. (2011) Prevalence of Complicated Grief in a Representative Population-Based Sample. Journal of Affective Disorders, 13, 339-343. https://doi.org/10.1016/j.jad.2010.11.032
Ling, S.F., Chen, M.L., Li, C.Y., Chang, W.C., Shen, W.C. and Tang, S.T. (2013) Trajectory and Influencing Factors of Depressive Symptoms in Family Caregivers before and after the Death of Terminally Ill Patients with Cancer. Oncology Nurse Forum, 40, E32-E40. https://doi.org/10.1188/13.ONF.E32-E40
Girgis, A., Lambert, S. and Lecathelinais, C. (2011) The Supportive Care Needs Survey for Partners and Caregivers of Cancer Survivors: Development and Psychometric Evaluation. Psycho-Oncology, 20, 387-393. https://doi.org/10.1002/pon.1740
Shin, D.W., Park, J.-H., Shim, E.-J., Park, J.-H., Choi, J.-Y., Kim, S.G. and Park, E.-C. (2011) The Development of a Comprehensive Needs Assessment Tool for Cancer-Caregivers in Patient-Caregiver Dyads. Psycho-Oncology, 20, 1342-1352. https://doi.org/10.1002/pon.1857
Hodgkinson, K., Butow, P., Hobbs, K.M., Hunt, G.E., Lo, S.K. and Wain, G. (2007) Assessing Unmet Supportive Care Needs in Partners of Cancer Survivors: The Development and Evaluation of the Cancer Supervisors’ Partners Unmet Needs Measure (CaSPUN). Psycho-Oncology, 16, 805-813. https://doi.org/10.1002/pon.1138
Hisamura, K. (2010) Problems in Social Lives Patients with Cancer Experience and the Importance of Social Support. Gendai No Esupuri, 517, 41-53. (In Japanese)
Umezawa, S., Fujisawa, D., Fujimori, M., Ogawa, A., Matsushima, E. and Miyashita, M. (2015) Prevalence, Associated Factors and Source of Support Concerning Supportive Care Needs among Japanese Cancer Survivors. Psycho-Oncology, 24, 635-642. https://doi.org/10.1002/pon.3702
Hisamura, K., Matsushima, E., Tsukayama, S., Murakami, S. and Motto, Y. (2018) An Exploratory Study of Social Problems Experienced by Ambulatory Patients with Cancer in Japan: Frequency and Association with Perceived Need for Help. Psycho-Oncology, 27, 1704-1710. https://doi.org/10.1002/pon.4703
Girgis, A., Lambert, S.D., McElduff, P., Bonevski, B., Lecathelinais, C., Boyes, A. and Stacey, F. (2013) Some Things Change, Some Things Stay the Same: A Longitudinal Analysis of Cancer Caregivers’ Unmet Supportive Care Needs. Psycho-Oncology, 22, 1557-1564. https://doi.org/10.1002/pon.3166
Horibe, K. (2017) Characteristics of Adolescent and Young Adult Cancer. Japanese Journal of Cancer and Chemotherapy, 44, 7-11.
Stava, C.J., Lopez, A. and Vassilopoulou-Sellin, R. (2006) Health Profiles of Younger and Older Breast Cancer Survivors. Cancer, 107, 1752-1759. https://doi.org/10.1002/cncr.22200
Geue, K., Richter, D., Schmidt, R., Sender, A., Siedentopf, F., Brähler, E. and Stöbel-Richter, Y. (2014) The Desire for Children and Fertility Issues among Young German Cancer Survivors. Journal of Adolescent Health, 54, 527-535. https://doi.org/10.1016/j.jadohealth.2013.10.005
Zerback, B.J., Casillas, J., Nohr, L., Adams, H. and Zeltzer, L.K. (2004) Fertility Issues for Young Adult Survivors of Childhood Cancer. Psycho-Oncology, 13, 689-699. https://doi.org/10.1002/pon.784
Geue, K., Sender, A., Schmidt, R., Richter, D., Hinz, A., Schulte, T., Brähler, E. and Stöbel-Richter, Y. (2014) Gender-Specific Quality of Life after Cancer in Young Adulthood: A Comparison with the General Population. Quality of Life Research, 23, 1377-1386. https://doi.org/10.1007/s11136-013-0559-6
Nowe, E., Stöbel-Richter, Y., Sender, A., Leuteritz, K., Friedrich, M. and Geue, K. (2017) Cancer-Related Fatigue in Adolescents and Young Adults: A Systematic Review of the Literature. Critical Reviews in Oncology/Hematology, 118, 63-69. https://doi.org/10.1016/j.critrevonc.2017.08.004
Bellizzi, K.M., Smith, A., Schmidt, S., Keegan, T.H.M., Zebrack, B., Lynch, C.F., Deapen, D.D., Shnorhavorian, M., Tompkins, B.J., Simon, M. and the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) Study Collaborative Group (2012) Positive and Negative Psychosocial Impact of Being Diagnosed with Cancer as an Adolescent or Young Adult. Cancer, 118, 5155-5162. https://doi.org/10.1002/cncr.27512
Warner, E.L., Kent, E.E., Trevino, K.M., Parsons, H.M., Zebrack, B.J. and Kirchhoff, A.C. (2016) Social Well-Being among Adolescents and Young Adults with Cancer: A Systematic Review. Cancer, 122, 1029-1037. https://doi.org/10.1002/cncr.29866
Dyson, G.J., Thompson, K., Palmer, S., Thomas, D.M. and Schofield, P. (2012) The Relationship between Unmet Needs and Distress amongst Young People with Cancer. Supportive Care Cancer, 20, 75-85. https://doi.org/10.1007/s00520-010-1059-7
Larsson, G., Mattsson, E. and Essen, L.V. (2010) Aspects of Quality of Life, Anxiety, and Depression among Persons Diagnosed with Cancer during Adolescence: A Long-Term Follow-Up Study. European Journal of Cancer, 46, 1062-1068. https://doi.org/10.1016/j.ejca.2010.01.021
Quinn, G.P., Goncalves, V., Sehovic, I., Bowman, M.L. and Reed, D.R. (2015) Quality of Life in Adolescent and Young Adult Cancer Patients: A Systematic Review of the Literature. Patient Related Outcome Measures, 6, 19-51. https://doi.org/10.2147/PROM.S51658
Duprez, C., Vanlemments, L., Untas, A., Antoine, P., Lesur, A., Loustalot, C., Guillement, C., Leclerrcq, M., Segura, C., Carlier, D., Lefeuvre-Plesse, C., Simon, H., Frenel, J.S. and Christophe, V. (2017) Emotional Distress and Subjective Impact of the Disease in Young Women with Breast Cancer and Their Spouses. Future Oncology, 13, 2667-2680. https://doi.org/10.2217/fon-2017-0264
Juth, V., Silver, R.C. and Sender, L. (2015) The Shared Experience of Adolescent and Young Adult Cancer Patients and Their Caregivers. Psycho-Oncology, 24, 1746-1753. https://doi.org/10.1002/pon.3785
Hagedoorn, M., Buunk, B.P., Kuijer, R.G., Wobbes, T. and Sanderman, R. (2000) Couples Dealing with Cancer: Role and Gender Differences Regarding Psychological Distress and Quality of Life. Psycho-Oncology, 9, 232-242. https://doi.org/10.1002/1099-1611(200005/06)9:3 3.0.CO;2-J
The Cancer Information Service of National Cancer Center in Japan. https://ganjoho.jp/reg_stat/statistics/stat/short_pred.html
Sung, M.R., Patel, M.V., Djalalov, S., Le, L.W., Shepherd, F.A., Burkes, R.L., Feld, R., Lin, S., Tudor, R. and Leighl, N.B. (2017) Evolution of Symptom Burden of Advanced Lung Cancer over a Decade. Clinical Lung Cancer, 18, 274-280. https://doi.org/10.1016/j.cllc.2016.12.010
Lee, Y.-H., Liao, Y.-C., Liao, W.-Y., Shun, S.-C., Liu, Y.-C., Chan, J.-C., Yu, C.-J., Yang, P.-C. and Lai, Y.-H. (2013) Anxiety, Depression and Related Factors in Family Caregivers of Newly Diagnosed Lung Patients with Cancer before First Treatment. Psycho-Oncology, 22, 2617-2623. https://doi.org/10.1002/pon.3328
Siminoff, L.A., Wilsom-Genderson, M. and Baker Jr., S. (2010) Depressive Symptoms in Lung Patients with Cancer and Their Family Caregivers and the Influence of Family Environment. Psycho-Oncology, 19, 1285-1293. https://doi.org/10.1002/pon.1696
Chen, S.C., Chiou, S.C., Yu, C.J., Lee, Y.H., Liao, W.Y., Hsieh, P.Y., Jhang, S.Y. and Lai, Y.H. (2016) The Unmet Supportive Care Needs—What Advanced Lung Cancer Patients’ Caregivers Need and Related Factors. Supportive Care Cancer, 24, 2999-3009. https://doi.org/10.1007/s00520-016-3096-3
Kavanaugh, M., Kramer, B.J., Walsh, M.C. and Trentham-Dietz, A. (2015) Factors Contributing to Economic Burden in Lung Cancer Spousal Caregivers. Palliative & Supportive Care, 13, 691-700. https://doi.org/10.1017/S1478951514000443
Holiday, E.B., Dieckmann, N.F., McDonald, T.L., Hung, A.Y., Thomas Jr., C.R. and Wood, L.J. (2016) Relationship between Fatigue, Sleep Quality and Inflammatory Cytokines during External Beam Radiation Therapy for Prostate Cancer: A Prospective Study. Radiation and Oncology, 118, 105-111. https://doi.org/10.1016/j.radonc.2015.12.015
Fasse, L., Flahault, C., Bredart, A., Dolbeault, S. and Sultan, S. (2015) Describing and Understanding Depression in Spouses of Patients with Cancer in Palliative Phase. Psycho-Oncology, 24, 1131-1137. https://doi.org/10.1002/pon.3777
Akechi, T., Okamura, H., Yamawaki, S. and Uchitomi, Y. (1998) Predictors of Patient’s Mental Adjustment to Cancer: Patient Characteristics and Social Support. British Journal of Cancer, 77, 2381-2385. https://doi.org/10.1038/bjc.1998.396
Butler, L.D., Field, N.P., Busch, A.L., Seplaki, J.E., Hastings, T.A. and Spiegel, D. (2005) Anticipating Loss and Other Temporal Stressors Predict Traumatic Stress Symptoms among Partners of Metastatic/Recurrent Breast Cancer Patients. Psycho-Oncology, 14,492-502. https://doi.org/10.1002/pon.865
Grunfeld, E., Coyle, D., Whelan, T., Clinch, J., Reyno, L., Earle, C.C., Willan, A., Voila, R., Coristine, M., Janz, T. and Glossop, R. (2004) Family Caregiver Burden: Results of a Longitudinal Study of Breast Patients with Cancer and Their Principal Caregivers. Canadian Medical Association Journal, 170, 1795-1801. https://doi.org/10.1503/cmaj.1031205
Lewis, F.M. and Deal, L.W. (1995) Balancing Our Lives: A Study of the Married Couple’s Experience with Breast Cancer Recurrence. Oncology Nursing Forum, 22, 943-953.
Siegel, K., Karus, D.G., Raveis, V.H., Christ, G.H. and Mesagno, F.P. (1996) Depressive Distress among the Spouses of Terminally Ill Cancer Patients. Cancer Practice, 4, 25-30.
Hedden, L., Wassersug, R., Mahovlich, S., Pollock, P., Sundar, M., Bell, R.H., Goldenberg, L. and Higano, C.S. (2017) Evaluating an Educational Intervention to Alleviate Distress amongst Men with Newly Diagnosed Prostate Cancer and Their Partners. BJU International, 120, E21-E29.
Hudson, P.L., Trauer, T., Lobb, E., Zordan, R., Williams, A., Quinn, K., Summers, M. and Thomas, K. (2012) Supporting Family Caregivers of Hospitalised Palliative Care Patients: A Psychoeducational Group Intervention. BMJ Supportive & Palliative Care, 2, 115-120. https://doi.org/10.1136/bmjspcare-2011-000131
Wang, F., Luo, D., Fu, L., Zhang, H., Wu, S., Zhang, M., Zhou, H., Sun, T. and Chen, X. (2017) The Efficacy of Couple-Based Interventions on Health-Related Quality of Life in Cancer Patients and Their Spouses: A Meta-Analysis of 12 Randomized Controlled Trials. Cancer Nursing, 40, 39-47. https://doi.org/10.1097/NCC.0000000000000356
Li, Q. and Loke, A.Y. (2014) A Systematic Review of Spousal Couple-Based Intervention Studies for Couples Coping with Cancer: Direction for the Development of Interventions. Psycho-Oncology, 23, 731-739. https://doi.org/10.1002/pon.3535