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Comparing adult‐child and spousal caregiver burden and potential contributors

Fenton, Anny T.H.R. ; Keating, Nancy L. ; Ornstein, Katherine A. ; Kent, Erin E. ; Litzelman, Kristin ; Rowland, Julia H. ; Wright, Alexi A.

Cancer, 2022-05, Vol.128 (10), p.2015-2024 [Periódico revisado por pares]

United States: Wiley Subscription Services, Inc

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  • Título:
    Comparing adult‐child and spousal caregiver burden and potential contributors
  • Autor: Fenton, Anny T.H.R. ; Keating, Nancy L. ; Ornstein, Katherine A. ; Kent, Erin E. ; Litzelman, Kristin ; Rowland, Julia H. ; Wright, Alexi A.
  • Assuntos: Adult ; Adult Children - psychology ; Cancer ; Caregiver Burden ; caregiver preparedness ; Caregivers ; Caregivers - psychology ; caregiving burden ; Children ; Children & youth ; communication ; Cost of Illness ; Demographics ; Demography ; Emotions ; families ; Female ; financial burden ; Gender ; Humans ; Lung cancer ; Multivariate statistical analysis ; Oncology ; Patients ; Population studies ; Regression analysis ; Regression models ; Spouses - psychology
  • É parte de: Cancer, 2022-05, Vol.128 (10), p.2015-2024
  • Notas: this issue.
    See editorial on pages
    1904‐1906
    ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    Author contributions: All authors were responsible for reviewing and editing. Authors were responsible for the following as noted: Conceptualization (ATHRF, AAW), analysis (ATHRF), methodology (ATHRF, KAO), investigation (ATHRF, AAW, KAO, NLK), original draft (ATHRF), data curation (NLK), funding acquisition (NLK).
  • Descrição: Background Adult‐children caring for a parent with cancer comprise a significant segment of caregivers. Yet less is known about adult‐child caregivers, their burden, or caregivers' and patients' gender's impact, which may differ from the well‐studied spousal caregiver. This knowledge gap may hinder efforts to ameliorate adult‐children's caregiver burden. Methods We analyzed caregiver surveys from the Cancer Care Outcomes Research and Surveillance Consortium, a multi‐regional population‐based study of patients with colorectal or lung cancer. Using t tests and multivariate regression models, we assessed whether adult‐child and spousal caregivers' caregiving responsibilities and social/emotional and financial burdens differed and used structural equation models (SEMs) to examine mediating factors. Results Compared with spouses/partners (N = 1007), adult‐children (N = 227) spent less time caregiving (14 vs 23 hours/week; P < .001), but experienced higher social/ emotional burden (P < .01). In models adjusted for objective caregiving burden measures and demographics, adult‐children's social/emotional (P < .05) and financial burdens (P < .01) were greater than spouses'. Poor communication quality was associated with greater social/emotional burden for both groups (P < .05). SEMs indicated that gender concordance between caregivers and patients (eg, daughters caring for mothers) and caregiver employment increased the difference between adult‐child and spouses' social/emotional burden, whereas caregiver‐patient relationship quality reduced it. Conclusions Adult‐children spend less time caregiving than spouses/partners, but have higher social/emotional and financial caregiving burdens, partially due to adult‐children's employment, caregiver‐patients' gender concordance, and relationship quality. Gender concordance's contribution to greater social/emotional burden adds important context to prior findings, indicating female caregivers experience the most burden. Interventions that improve caregiver‐patient communication may reduce both adult‐child and spousal caregiver burden. Adult‐children spend less time caregiving than spouses/partners, but report higher social/emotional and financial caregiving burdens, partially due to adult‐children's employment and caregiver‐patients' gender makeup. Interventions to improve communication between caregivers and patients may reduce both adult‐child and spousal caregiver burden.
  • Editor: United States: Wiley Subscription Services, Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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