An Online Intervention for Lung Cancer Caregivers Buffers Negative Mood in Bereavement

2013 ◽  
Author(s):  
Lori L. DuBenske ◽  
David Gustafson ◽  
Kang Namkoong ◽  
Ming-Yuan Chih ◽  
Amy Atwood ◽  
...  
2013 ◽  
Author(s):  
Lori L. DuBenske ◽  
David Gustafson ◽  
Kang Namkoong ◽  
Ming-Yuan Chih ◽  
Amy Atwood ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e023672 ◽  
Author(s):  
Yaping He ◽  
Hong Jian ◽  
Meiqiong Yan ◽  
Jingfen Zhu ◽  
Guohong Li ◽  
...  

ObjectivesThe ways patients cope with advanced cancer can influence their health-related quality of life (HRQoL). This study aims to examine the mediating role of positive and negative mood in the relationship between coping and HRQoL in patients with advanced lung cancer.MethodsA consecutive sample of 261 patients (mean age: 59.99±9.53) diagnosed with stage III or IV lung cancer was recruited from the inpatient unit in a hospital that specialises in chest-related disease in Shanghai, China. Participants completed measurements including Medical Coping Modes Questionnaire, Positive and Negative Affect Schedule, and 5-level EuroQol 5-dimension instrument.ResultsAlthough the total effects of confrontation on HRQoL were not significant, competing indirect effects via mood were identified: (1) positive indirect effects through positive mood were found for confrontation on mobility, usual activities, pain/discomfort and overall utility index (indirect effect=0.01, 95% CI 0.003 to 0.03); (2) negative indirect effects through negative mood were found for confrontation on mobility, pain/discomfort, anxiety/depression and overall utility index (indirect effect=−0.01, 95% CI −0.03 to −0.001). Resigned acceptance was negatively associated with HRQoL, and indirect effects via mood were identified: (1) negative indirect effects through positive mood were found for resigned acceptance on mobility, self-care, usual activities, pain/discomfort and overall utility index (indirect effect=−0.01, 95% CI −0.03 to −0.003); (2) negative indirect effects through negative mood were found for resigned acceptance on domains of HRQoL and overall utility index (indirect effect=−0.04, 95% CI −0.06 to −0.02).ConclusionsConfronting advanced lung cancer can fuel ambivalent emotional experiences. Nevertheless, accepting the illness in a resigned way can be maladaptive for health outcomes. The findings suggest interventions that facilitate adaptive coping, reduce negative mood and enhance positive mood, as this could help to improve or maintain HRQoL in patients with advanced lung cancer.


2018 ◽  
Vol 41 (6) ◽  
pp. 506-512 ◽  
Author(s):  
Elaine Wittenberg ◽  
Betty Ferrell ◽  
Marianna Koczywas ◽  
Catherine Del Ferraro ◽  
Nora H. Ruel

2021 ◽  
Author(s):  
Weichao Huang ◽  
Yifan Luo ◽  
Ying Huang ◽  
Chunhong Yang ◽  
Yumei Li

Abstract Purpose: To investigate the status of symptom clusters and mood states and analyze the correlation between them in patients with stage-IV lung cancer undergoing immunotherapy.Methods: Using a convenience sampling method, we selected 259 patients for analysis with stage-IV lung cancer who were admitted to the oncology department of a hospital for immunotherapy from February to December 2020. Three instruments were used: a general situation questionnaire, the Chinese version of the M. D. Anderson Symptom Inventory, and the Brief Profile of Mood State Short Form.Results: An exploratory factor analysis identified three main symptom clusters: the disturbance influence, general, and pain–fatigue related symptom clusters. The total score for mood state was (25.71 SD: ±8.32). The score of the depression dimension was the highest (3.30 ±1.85) in the negative mood state; the total score of mood state and the score of negative mood state at different latitudes were significantly positively correlated with the total score of symptom clusters (r = 0.420–0.529, p < 0.01).Conclusion: There are many symptom clusters in patients with lung cancer undergoing immunotherapy. The negative mood state is significant and changes along with changes in symptom clusters; moreover, there is high correlation between them. There should be more focus on the evaluation and management of symptom clusters of patients in nursing to improve the patients’ quality of life.


2013 ◽  
Author(s):  
Lori L. DuBenske ◽  
David H. Gustafson ◽  
Ming-Yuan Chih ◽  
Amy K. Atwood ◽  
Robert Hawkins ◽  
...  

Cancer ◽  
2019 ◽  
Vol 126 (2) ◽  
pp. 425-431 ◽  
Author(s):  
Kristin Litzelman ◽  
Maija Reblin ◽  
Helene E. McDowell ◽  
Lori L. DuBenske

2013 ◽  
Author(s):  
Lori L. DuBenske ◽  
David H. Gustafson ◽  
Ming-Yuan Chih ◽  
Amy K. Atwood ◽  
Robert Hawkins ◽  
...  

2014 ◽  
Vol 13 (3) ◽  
pp. 691-700 ◽  
Author(s):  
Melinda Kavanaugh ◽  
Betty J. Kramer ◽  
Matthew Cunningham Walsh ◽  
Amy Trentham-Dietz

AbstractObjective:The determinates of economic burden in lung cancer caregivers are poorly understood. Of particular interest is the role patient symptoms play in caregiver economic burden. Guided by a stress process conceptual framework, this study examined the predictors of economic burden reported by lung cancer spousal caregivers. Our study focused on the pathway of contextual and stressor variables leading to economic burden in lung cancer caregivers.Method:Relying on survey data from 138 spouses, structural equation modeling was employed to examine the determinants of economic burden measured using the Family Impact Survey. Contextual variables included age, gender, education, and income; and stressor variables included patient physical and mental symptoms, as well as number of children in the home.Results:A significant indirect path between age and economic distress through patient symptoms (p = 0.05) indicates younger spouses providing care for patients with more symptoms and reporting greater economic burden. Direct effects between contextual variables and economic burden revealed that caregivers with less education (p = 0.02) and those with more children at home (p = 0.01) reported more adverse economic outcomes.Significance of Results:Numerous factors impact spousal caregivers' economic burden, including the presence of children at home, being a younger caregiver, and lower educational attainment by caregivers. Moreover, the direct effects between age and economic burden were not significant, supporting the clear role patient symptoms play in the path to economic burden in spousal caregivers. These results underscore the need for healthcare providers to address psychosocial factors when dealing with patients and families with lung cancer. Specifically, the results highlight the importance of addressing patient symptoms early before they threaten the family's economic well-being.


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