scholarly journals Cancer and Relationship Dissolution: Perspective of Partners of Cancer Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Bahar Nalbant ◽  
André Karger ◽  
Tanja Zimmermann

PurposeCancer can be a burden on the relationship and even lead to relationship dissolution. Previous studies about the impact of cancer on close relationships almost exclusively involve cancer patients. So far, little is known about the views of spouses. Therefore, this study focuses on partners or ex-partners of cancer patients.MethodsIn this cross-sectional study, N = 265 partners or ex-partners of cancer patients are examined regarding a possible separation, the reasons for separation and the influence of the cancer on the relationship. In addition, predictors of separation and the positive or negative perception of the impact of cancer on the relationship were investigated.ResultsThe separation rate (23.4%) was marginally lower than in the general population in Germany (35.79%). The most frequent reason for separation was the death of the cancer patient (59.6%), followed by relationship problems (26.9%), and the cancer disease itself (9.6%). Among those who were separated, 57.4% reported that cancer contributed to the separation. On average, the influence of cancer on relationship dissolution is indicated with 82.9%. Also, for those who stayed together, 83.7% reported an impact of the cancer on the relationship, of which 55.9% reported a negative impact. Logistic regressions indicated that higher levels of depression were associated with greater odds of a more negative perception of the influence of cancer on the relationship, whereas a more satisfied relationship tended to be associated with a more positive perception. Those who had no psychological treatment in the past, lower anxiety levels and lower relationship satisfaction had an increased risk of separation. Overall, relationship satisfaction was significantly lower than in the general population in Germany.ConclusionIn particular, psychological factors such as depression and anxiety as well as relationship satisfaction appear to be factors influencing separation and the perception of the influence of cancer on the relationship as positive or negative. Therefore, it seems to be reasonable to consider these aspects in the psychosocial support and also to include the partners in order to achieve a stable and satisfied relationship which has a positive effect on health and psychological well-being.

PRiMER ◽  
2017 ◽  
Vol 1 ◽  
Author(s):  
Cesar A. Gonzalez ◽  
Natalie E Gentile ◽  
Kurt B Angstman ◽  
Julia R Craner ◽  
Robert P. Bonacci

Background: Lack of wellness among physicians has been associated with increased risk for physical and mental illness, interpersonal discord, and occupational liability. In academic primary care practices, physician wellness and self-care behaviors have been associated with improved patient outcomes. With the increase in team-based care structures in primary care clinics and residencies there may be opportunities to promote wellness among primary clinicians, particularly among resident physicians who are at increased risk for decreased well being. The primary objective of the study was to test an a priori hypothesis that family medicine residents’ perception of support from preceptor team leads would be associated with wellbeing. A secondary objective of the study was to test a post hoc hypothesis that examined whether the relationship between residents’ perception of support from their preceptor team leads would be associated with residents’ well being, while controlling for self-care behaviors. Methods: Our study utilized a prospective cross-sectional design with purposive sampling to survey family medicine residents. Data were collected in February 2016. The survey was sent out to 58 family medicine residents across three family medicine residencies at Mayo Clinic. The survey response rate was 55% (n=32); Ten (31.3%) residents reported being in their PGY-1, 11 (34.4%) in PGY-2; and 11 (34.4%) in PGY-3; participants included 19 (59.4%) women and 13 (40.6%) men. The Brief Resident Wellness Profile (BRWP) was utilized to assess family medicine residents’ perceived sense of professional accomplishment and mood in the past week. Results: In bivariate correlational analyses, increased perception of support from preceptor team leads (r=.40, P<.01) and reporting a male gender (r=.43, P<.01) was associated with increased resident wellness. In exploratory multivariate analysis, results suggested that while controlling for gender, frequency of self-care behaviors, and perceived preceptor team lead support, a one-point change on rating of perceived team leader support is associated with a 1.69 increase in resident wellness score on the BRWP. Conclusions: Our results provide preliminary evidence to support the relationship between preceptor team lead support and resident wellness in team-based care, above and beyond the impact that self-behaviors have on wellness. Our findings suggest evidence for the subsequent study of the impact of preceptor team lead relationship quality on resident wellness. 


2020 ◽  
Vol 11 ◽  
Author(s):  
Daniela Marchetti ◽  
Lilybeth Fontanesi ◽  
Serena Di Giandomenico ◽  
Cristina Mazza ◽  
Paolo Roma ◽  
...  

The coronavirus disease 2019 (COVID-19) health crisis is strongly affecting the psychological well-being of the general population. According to a very recent literature, the imposed lockdown and social distancing measures have generated a series of negative outcomes, including fear of the future, anxiety, and somatization symptoms. Few studies have investigated the impact of the COVID-19 pandemic on the well-being of parents and children, and still fewer studies have assessed the relationship between the psychological health of parents and children. The present study aimed at understanding the effect of parents’ psychological distress and verbal aggression on behavioral and emotional symptoms of children during the COVID-19 lockdown. Using an online survey administered in the first weeks of the lockdown in Italy, we explored the mediating effects of parent verbal hostility and child emotional symptoms on the relationship between parent distress and child hyperactivity/inattention in a sample of 878 Italian parents (87.4% mothers; meanage = 40.58). Two hypotheses were proposed: (1) parent distress would significantly predict child hyperactivity/inattention, and (2) parent verbal hostility and child emotional symptoms would mediate the association between parent distress and child hyperactivity/inattention. The serial mediated model confirmed both hypotheses, suggesting that higher rates of psychological distress in parents were associated with higher levels of hyperactivity/inattention in children. Parent verbal hostility and child emotional problems were also found to positively mediate this relation. Our results may be used to improve sociopsychological interventions in the general population in the near future. They may also contribute to the clinical definition of therapeutic paths for parents and families.


2003 ◽  
Vol 1 (2) ◽  
pp. 143-151 ◽  
Author(s):  
ALICE INMAN ◽  
KENNETH L. KIRSH ◽  
STEVEN D. PASSIK

Objective: Spirituality has been neglected when assessing the well-being of cancer patients. Traditionally, researchers have focused on areas such as physical, social, and emotional functioning. However, there is a potential for spirituality to have a large impact on quality of life in patients with cancer. The current study was conducted to investigate the relationship between spirituality and boredom, constraint, social contact, and depression.Methods: A total of 100 oncology patients completed several assessment instruments, including the Purposelessness, Under-stimulation, and Boredom (PUB) Scale, Functional Assessment of Cancer Therapy Scale–Anemia, Brief Zung Self-Rating Depression Scale (BZSDS), Cancer Behavior Inventory, Systems of Belief Inventory, and Eastern Cooperative Oncology Group Performance Status Scale.Results: The average age of the sample was 62.37 years (SD = 13.43) and was comprised of 60 women (60%) and 40 men (40%). A regression analysis conducted to explore the impact of the variables on quality of life found only the BZSDS (R2Δ = .650, F = 180.392, p < .001) and the PUB Scale (R2Δ = .077, F = 26.885, p < .001) were significant predictors of quality of life. Another set of regression analyses were conducted to explore whether spirituality had a mediating effect on this relationship, but the mediated model was not supported.Significance of results: We conclude that spirituality and boredom are difficult concepts to define, operationalize, and measure, but crucial to our understanding of quality of life in advanced cancer. More research is needed to clarify the nature of the interrelationships between these important concepts.


2021 ◽  
pp. 644-653
Author(s):  
Daniel C. McFarland ◽  
Leah E. Walsh ◽  
Andrew H. Miller

Depression in cancer is common, often unrecognized and untreated, and has a significant impact on quality of life and morbidity and mortality. Increasing understanding of the impact of the immune system and inflammation on the brain has revealed that cancer patients are at an especially increased risk for inflammation-induced depression by virtue of the many sources of inflammation to which they are exposed. Treatments including surgery, radiation, chemotherapy, and immunotherapy as well as cancer itself are associated with increased inflammation that can drive brain changes and depression. This chapter will review the relationship between depression and inflammation in cancer patients with special attention paid to the data that support increased inflammatory markers in cancer patients with depression, the neurobiological mechanisms by which inflammation can impact neurotransmitters and neurocircuits in the brain, and the data addressing interventions that reduce inflammation and depression in cancer patients. Finally, the chapter addresses future directions regarding the translational implications of this work.


2021 ◽  
Author(s):  
Annika Stechemesser ◽  
Leonie Wenz ◽  
Maximilian Kotz ◽  
Anders Levermann

&lt;p&gt;Temperature has been identified as a potential cause for human conflict. Conflict poses a fundamental obstacle to Sustainable Development Goal 16 which acknowledges the importance of building peace, justice and strong institutions for people around the world. Today, conflict is no longer limited to the physical space. The increasing digitalization of all areas of everyday life reinforces the impact of cyber racism, cyber discrimination and online hate. It disproportionally affects groups with an already increased risk of marginalization such as women, lgbtq+ youth or people of color, causing affected persons to feel unsafe in digital spaces and limiting their access to online services. Twitter is one of the biggest social media platforms with more than 300 million active users around the world. We provide evidence that the amount of racist content posted to Twitter is non-linearly influenced by temperature. Exploiting the linguistic plurality of Europe, we investigate the relationship between daily maximum temperature and racist or xenophobic content online using a fixed-effects panel-regression approach for countries spanning multiple European climatic zones. Racist tweets are lowest between daily temperatures of 8&amp;#176;C to 17&amp;#176;C whereas ambient temperatures warmer or colder are associated with steep, non-linear increases. Within the next 30 years, temperatures are projected to shift with new heat extremes being reached. To quantify the potential impact on cyber hate, the number of days outside this range, weighted by the identified temperature-racist-tweet response curve is projected to increase across Europe. Results suggest, that future warming and more extreme temperatures could aggravate xenophobia and racism online, further hindering the achievement of SDG 16 and posing a challenge for future human well-being. &amp;#160;&lt;/p&gt;


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 593-593
Author(s):  
Margarita Osuna

Abstract Aging in Latin America is occurring rapidly, in a context of high levels of poverty and inequality. This symposium is focused on population health and the heath-disparities found in some of Latin America’s largest middle-income countries, Mexico, Brazil, and Colombia. This symposium contains presentations on different health-related issues affecting older adults, which can have further implications for wellbeing, health, and disease risk. The papers in this symposium examine a variety of health-related dimensions and disparities among older Latinos that include physiological functioning, cognition, and oral health. Using the Mexican Health and Aging Study (MHAS), Sheehan investigates the associations between personal and familial educational attainment on sleep quality. Also using MHAS, Milani. Using data from the Brazilian Longitudinal Study of Aging, Farina examines the relationship between race and cognition. Garcia uses data from the Colombian Survey of Health, Well-Being, and Aging to study the relationship between Motor Cognitive Risk Syndrome (MCRS) and cognition and frailty. Using the same dataset, Osuna examines variation in oral health in Colombian older adults and the impact this has on their wellbeing. Results indicate which population subgroups in Latin American have increased risk for poorer health and which dimensions of health have gender, race and socioeconomic disparities. The findings highlight the importance of understanding the conditions under which Latin American older adults are aging and the implications this can have in the future.


2021 ◽  
Vol 22 (2) ◽  
pp. 147-206
Author(s):  
Hadházi Éva ◽  
Takács Szabolcs ◽  
Csikós Gábor ◽  
Homoki Adél ◽  
Czinkóczki Annamária ◽  
...  

Elmélet: A gyermekek egészséges testi, lelki fejlődésének támogatása a szülői vágyakon túlmutató társadalmi érdek. Az 1950-es évektől kezdve élénk kutatási érdeklődés övezi a szülői nevelői stílusnak a gyermek fejlődésére gyakorolt hatásvizsgálatát, ám a szülői nevelői stílust befolyásoló tényezőkről kevesebb eredmény áll a rendelkezésünkre. A tanul­ mány célja: a Parenting Styles and Dimensions Questionnaire (PSDQ) kérdőív magyar mintán történő kipróbálása, és a szülői nevelői stílus lehetséges szociodemográfiai, párkapcsolati és pszichoszociális összefüggéseinek vizsgálata volt. Módszerek: 711 fős (113 férfi, 598 nő, átlagéletkor 34,8 [SD = 10,91] év) önbeszámolós, keresztmetszeti vizsgálatunkban a PSDQ 32 tételes kérdőív mellett felvettük az Intim Kötődés Mérésére kidolgozott kérdőívet, a Kapcsolati Elégedettség Skálát, a Közvetlen Kapcsolatok Élményei kérdőívet, a STAI Vonásszorongás, a Zung-féle Önértékelő Depresszió Skálát, valamint a MOS Társas Támasz Kérdőívet. Eredmények: a konfirmatív faktorelemzés a PSDQ-HU önmagára és párjára vonatkoztatott változatának megbízható faktorstruktúráját igazolta (Saját – Self: SRMR = 0,065, RMSEA = 0,059, TLI = 0,796, CFI = 0,818; Másik – Other: SRMR = 0,066, RMSEA = 0,063, TLI = 0,890, CFI = 0,902). A Tekintélyelvű és Irányító skálák belső reliabilitása megfelelő (Cronbach-α = 0,73 – 0,95), a nemzetközi tapasztalatokhoz hasonlóan a Megengedő skála Cronbach-α értéke alacsonyabb (0,64). Az alskálák: Testi fenyítés, Verbális ellenségesség, Indokolatlan büntetés, Melegség, Érvelés, Demokratikus részvétel Cronbach-α értéke 0,54 – 0,93 között mozog. A nem, a családi állapot, valamint az, hogy valaki egyedüli gyermekként nő-e fel, szerepet játszhat a szülői nevelői stílu sában. A PSDQ-HU több kérdőívvel mutatott szignifikáns (p < 0,05) együttjárást. A párkapcso lati intimitás (r = –0,38 — 0,62), a felnőtt kötődés biztonsága (r = –0,31 — –0,57), a párkapcsolattal való elégedettség (r = –0,39 — 0,58) együtt jár azzal, hogy milyen szülőnek észleli valaki a párját. A vonásszorongás és a Zung-féle depresszió kérdőíven elért pontok a pár szülőként való negatívabb észlelésével korrelálnak (r = –0,33 — –0,38). A minél erősebb társas támasz észlelete a párra vonatkoztatott pozitívabb szülői percepcióval jár együtt (r = 0,36 — 0,46). Az önmagára vonatkoztatott szülői nevelői stílus nem mutat szignifikáns összefüggést egyetlen vizsgált skálaváltozóval sem, csak a nemmel és a testvér nélküli felnövekedéssel. Következtetések: A PSDQ-HU kérdőív az önmagunk szülőként való észlelése mellett alkalmas a párunk szülőként való észlelésének a monitorozására, s bár nem párokat vizsgáltunk, eredményeink felhívják a figyelmet a mentális állapot, a párkapcsolat minőségének percepciója és a pár szülői nevelői stílusának észlelete kö zötti kapcsolatra, amely a pszicho- edukációban és a családokkal, párokkal dolgozó szakemberek számára nyújthat hasznos támpontot.Background: Promoting the healthy physical and mental development of children is a social interest that goes beyond parental desires. Since the 1950s, there has been a strong research interest in assessing the impact of parents’ parenting style on their children’s development, while we have more modest research findings on the factors influencing parental style. Aim: testing the Parenting Styles and Dimensions Questionnaire (PSDQ) developed by Robinson, Mandleco, Olsen and Hart (2001) on a Hungarian sample and examining the possible sociodemographic, relationship, and psychosocial contexts of the Parenting Style. Method: In our 711-person (113 fathers, 598 mothers, mean age 34.8 [SD = 10.91] years) self-report cross-sectional study, we checked the structure and internal reliability of the PSDQ 32-item questionnaire and its subscales correlation with relationship intimacy (IBM-HU), adult attachment (ECR-RS), relationship satisfaction (RAS-H), social support (MOSS SSS), and mental well-being (STAI-T, ZUNG). Results: Due to the confirmatory factor analysis a reliable factor structure of the self- and pair-version of PSDQ-HU was confirmed (Self: SRMR = 0.065, RMSEA = 0.059, TLI = 0.796, CFI = 0.818; Other: SRMR = 0.066, RMSEA = 0.063, TLI = 0.890, CFI = 0.902). The internal reliability of the Authoritarian and Authoritative scales (Cronbach-α = 0.73 – 0.95) is adequate. Similar to international experience, the Cronbach-α value of the Permissive scale is lower (0,635). The Physical Coercion, Verbal Hostility, Non-Reasoning, Warmth, Reasoning and Democratic Participation subscales Cronbach-α is between 0.54 – 0.93 values. Gender, marital status, and whether someone grows up as an only child can influence the parenting style. PSDQ-HU showed significant association with multiple questionnaires (p <0.05). Relationship intimacy (r = –0.38 — 0,62), adult attachment security (r = –0.31 — –0.57), and relationship satisfaction (r = –0.39 — 0.58) shows correlation with the way parents perceive their partners. The scores obtained on the trait anxiety and Zung depression questionnaires correlates with the perception of the couple as more negative parents (r = –0.33— –0.38). Perception of stronger social support is associated with more positive parental perception of the couple (r = 0.36— 0.46). Self-referenced parenting style does not show a significant correlation with any of the scale variables examined. Conclusions: The questionnaire is suitable for monitoring the perception of our couple as a parent, as well perceiving ourselves as a parent. Although we examined single persons, not couples, our results draw attention to the relationship between mental state, perception of the quality of the relationship, and perception of the couple’s parenting style. Our findings can provide a useful reference point for professionals working with families and couples, and in psychoeducation as well.


2020 ◽  
Vol 6 (1) ◽  
pp. 109
Author(s):  
Massoomeh Hedayati ◽  
Aldrin Abdullah ◽  
Mohammad Javad Maghsoodi Tilaki

There is continuous debate on the impact of house quality on residents’ health and well-being. Good living environment improves health, and fear of crime is recognised as a mediator in the relationship between physical environment and health. Since minimal studies have investigated the relationship, this study aims to examine the impact of the house quality on fear of crime and health. A total of 230 households from a residential neighbourhood in Malaysia participated in the study. Using structural equation modelling, the findings indicate that housing quality and fear of crime can account for a proportion of the variance in residents’ self-rated health. However, there is no significant relationship between housing quality and fear of crime. Results also show that fear of crime does not mediate the relationship between housing quality and health. This study suggests that the environment-fear relationship should be re-examined theoretically.  


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yue Feng ◽  
Xingcan Liu ◽  
Tangwei Lin ◽  
Biru Luo ◽  
Qianqian Mou ◽  
...  

Abstract Background In recent years, spiritual well-being has gradually gained the attention of health care providers in China, especially those in oncology departments, who have recognized the importance of improving spiritual well-being in cancer patients. Since most of the current research on spiritual well-being has been carried out in areas with religious beliefs, this study was conducted in the context of no development of formal religion. The purpose of this study was to explore the relationship between death anxiety and spiritual well-being and the related factors of spiritual well-being among gynecological cancer patients. Methods This cross-section study was conducted among 586 gynecological cancer patients. The European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being32 (EORTC QLQ-SWB32) and Templer's Death Anxiety Scale (T-DAS) were used to measure spiritual well-being and death anxiety. The Multiple Linear Regression Model was used to determine the relationship between spiritual well-being and death anxiety. Results For all participants, the highest QLQ-SWB32 centesimal score was 75.13 on the Relationship with Other scale, and the lowest was 60.33 on the Relationship with Someone or Something Greater Scale. The mean Death Anxiety score was 5.31 (SD 3.18). We found that Relationship with Someone or Something Greater was the only scale not associated with death anxiety. Overall, patients with lower death anxiety have a higher level of spiritual well-being. Besides, a high Relationship with Other score was associated with living with a partner (B = 2.471, P < 0.001) and married (B = -6.475, P = 0.001). Patients with higher Global-SWB were retired (B = 0.387, P = 0.019). Conclusions Our study found that the spiritual well-being of patients with gynecological cancer in China was no worse than in other countries with religious beliefs and patients with lower death anxiety have a higher level of spiritual well-being. Clinical staff should pay attention to the spiritual health of cancer patients, and spiritual care should be regarded as an essential element in cancer care.


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