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Supportive Care in Cancer

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01-03-2021 | Affective Disorder | Original Article

The dyadic relationship of benefit finding and its impact on quality of life in colorectal cancer survivor and spousal caregiver couples

Authors: Yi Lin, Xingjuan Luo, Jieyu Li, Yinghua Xu, Qiuping Li

Published in: Supportive Care in Cancer | Issue 3/2021

Abstract

Objectives

To explore the benefit finding (BF) relationship between colorectal cancer (CRC) survivors and their spousal caregivers, and to discover the dyadic impact of BF on quality of life (QOL) in CRC survivor and spousal caregiver couples.

Methods

Conducted from May 2018 to December 2018, the study included 286 couples consisting of CRC survivors and their spousal caregivers. The study survey evaluated participants’ BF, anxiety, depression, and QOL. Data analysis methods included Pearson’s correlation, paired t test, and the actor-partner interdependence mediation model (APIMeM).

Results

CRC survivors and spousal caregivers reported comparable moderate to high BF experience (ranging from 68.9 to 80.8%). Moderate to high correlations were found between CRC survivors and their spousal caregivers in all of the paired BFs (including the overall BF scale and three factors) (all Ps < 0.001, r = 0.461–0.612). We found significant positive correlations of the same measures between dyads of CRC survivors and spousal caregivers (r = 0.331–0.612), including BFS-C (overall BF scale and three subscales), HADS-C (anxiety and depression), PCS, and MCS. To a certain degree, BF exerts an impact on couples’ QOL through the mediating effect of psychological distress (anxiety and depression).

Conclusions

The present study further confirms the dyadic interdependence between BF, anxiety, depression, and QOL in couples coping with CRC. In addition, the APIMeM findings may support the proposed mechanism, in that buffering against negative emotions (psychological distress) is an approach in which BF plays an important role, e.g., improves QOL, in the context of a stressful process.

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Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492CrossRefPubMed

Zhang L, Cao F, Zhang G, Shi L, Chen S, Zhang Z, Zhi W, Ma T (2019) Trends in and predictions of colorectal cancer incidence and mortality in China from 1990 to 2025. Front Oncol 9:98. https://doi.org/10.3389/fonc.2019.00098CrossRefPubMedPubMedCentral

Kayser K, Watson LE, Andrade JT (2007) Cancer as a “we-disease”: examining the process of coping from a relational perspective. Fam Syst Health 25(4):404–418. https://doi.org/10.1037/1091-7527.25.4.404CrossRef

Hagedoorn M, Sanderman R, Bolks HN, Tuinstra J, Coyne JC (2008) Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. Psychol Bull 134(1):1–30CrossRefPubMed

Northouse LL, Mood D, Templin T, Mellon S, George T (2000) Couples’ patterns of adjustment to colon cancer. Soc Sci Med 50(2):271–284CrossRefPubMed

Kayser K, Acquati C, Reese JB, Mark K, Wittmann D, Karam E (2018) A systematic review of dyadic studies examining relationship quality in couples facing colorectal cancer together. Psycho-oncology 27(1):13–21. https://doi.org/10.1002/pon.4339CrossRefPubMed

Li Q, Lin Y, Chen Y, Loke AY (2018) Mutual support and challenges among Chinese couples living with colorectal cancer: a qualitative study. Cancer Nurs 41(5):E50–E60. https://doi.org/10.1097/ncc.0000000000000553CrossRefPubMed

Lyons KS, Miller LM, McCarthy MJ (2016) The roles of dyadic appraisal and coping in couples with lung cancer. J Fam Nurs 22(4):493–514. https://doi.org/10.1177/1074840716675976CrossRefPubMedPubMedCentral

Lyons KS, Jones KD, Bennett RM, Hiatt SO, Sayer AG (2013) Couple perceptions of fibromyalgia symptoms: the role of communication. Pain 154(11):2417–2426. https://doi.org/10.1016/j.pain.2013.07.018CrossRefPubMed

10.

Regan TW, Lambert SD, Kelly B, McElduff P, Girgis A, Kayser K, Turner J (2014) Cross-sectional relationships between dyadic coping and anxiety, depression, and relationship satisfaction for patients with prostate cancer and their spouses. Patient Educ Couns 96(1):120–127. https://doi.org/10.1016/j.pec.2014.04.010CrossRefPubMed

11.

Folkman S (1997) Positive psychological states and coping with severe stress. Soc Sci Med 45(8):1207–1221CrossRefPubMed

12.

Graça Pereira M, Figueiredo AP, Fincham FD (2012) Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: a study with Portuguese patients and their partners. Eur J Oncol Nurs 16(3):227–232. https://doi.org/10.1016/j.ejon.2011.06.006CrossRefPubMed

13.

Segrin C, Badger TA, Sikorskii A, Pasvogel A, Weihs K, Lopez AM, Chalasani P (2020) Longitudinal dyadic interdependence in psychological distress among Latinas with breast cancer and their caregivers. Support Care Cancer 28(6):2735–2743. https://doi.org/10.1007/s00520-019-05121-4CrossRefPubMed

14.

Segrin C, Badger TA, Sikorskii A, Crane TE, Pace TWW (2018) A dyadic analysis of stress processes in Latinas with breast cancer and their family caregivers. Psycho-oncology 27(3):838–846. https://doi.org/10.1002/pon.4580CrossRefPubMed

15.

Segrin C, Badger TA (2014) Psychological and physical distress are interdependent in breast cancer survivors and their partners. Psychol Health Med 19(6):716–723. https://doi.org/10.1080/13548506.2013.871304CrossRefPubMed

16.

Künzler A, Nussbeck FW, Moser MT, Bodenmann G, Kayser K (2014) Individual and dyadic development of personal growth in couples coping with cancer. Support Care Cancer 22(1):53–62. https://doi.org/10.1007/s00520-013-1949-6CrossRefPubMed

17.

Jansen L, Hoffmeister M, Chang-Claude J, Brenner H, Arndt V (2011) Benefit finding and post-traumatic growth in long-term colorectal cancer survivors: prevalence, determinants, and associations with quality of life. Br J Cancer 105(8):1158–1165. https://doi.org/10.1038/bjc.2011.335CrossRefPubMedPubMedCentral

18.

Rinaldis M, Pakenham KI, Lynch BM (2010) Relationships between quality of life and finding benefits in a diagnosis of colorectal cancer. Br J Psychol (London, England : 1953) 101(Pt 2):259–275. https://doi.org/10.1348/000712609x448676CrossRef

19.

Kim Y, Schulz R, Carver CS (2007) Benefit-finding in the cancer caregiving experience. Psychosom Med 69(3):283–291. https://doi.org/10.1097/PSY.0b013e3180417cf4CrossRefPubMed

20.

Antoni MH, Lehman JM, Kilbourn KM, Boyers AE, Culver JL, Alferi SM, Yount SE, McGregor BA, Arena PL, Harris SD, Price AA, Carver CS (2001) Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychol 20(1):20–32CrossRefPubMed

21.

Barskova T, Oesterreich R (2009) Post-traumatic growth in people living with a serious medical condition and its relations to physical and mental health: a systematic review. Disabil Rehabil 31(21):1709–1733. https://doi.org/10.1080/09638280902738441CrossRefPubMed

22.

Li Q, Lin Y, Xu Y, Zhou H, Yang L, Xu Y (2017) Construct validity of the 17-item benefit finding scale in Chinese cancer patients and their family caregivers: a cross-sectional study. Support Care Cancer 25(8):2387–2397. https://doi.org/10.1007/s00520-017-3644-5CrossRefPubMed

23.

Folkman S (2008) The case for positive emotions in the stress process. Anxiety Stress Coping 21(1):3–14. https://doi.org/10.1080/10615800701740457CrossRefPubMed

24.

Wang YLLYY, Cai L, Chen G, Tang L, Zhu X (2013) Reliability and validity of the benefit finding scale in women with breast cancer. Chin J Clin Psychol 21:410–412

25.

Helgeson VS, Reynolds KA, Tomich PL (2006) A meta-analytic review of benefit finding and growth. J Consult Clin Psychol 74(5):797–816. https://doi.org/10.1037/0022-006X.74.5.797CrossRefPubMed

26.

Zhu L, Ranchor AV, Helgeson VS, van der Lee M, Garssen B, Stewart RE, Sanderman R, Schroevers MJ (2018) Benefit finding trajectories in cancer patients receiving psychological care: predictors and relations to depressive and anxiety symptoms. Br J Health Psychol 23(2):238–252. https://doi.org/10.1111/bjhp.12283CrossRefPubMed

27.

Llewellyn CD, Horney DJ, McGurk M, Weinman J, Herold J, Altman K, Smith HE (2013) Assessing the psychological predictors of benefit finding in patients with head and neck cancer. Psycho-oncology 22(1):97–105. https://doi.org/10.1002/pon.2065CrossRefPubMed

28.

Li Q, Xu Y, Zhou H, Loke AY (2015) Testing a preliminary live with love conceptual framework for cancer couple dyads: a mixed-methods study. Eur J Oncol Nurs 19(6):619–628. https://doi.org/10.1016/j.ejon.2015.03.010CrossRefPubMed

29.

Li Q, Lin Y, Zhou H, Xu Y, Yang L, Xu Y (2018) Factors moderating the mutual impact of benefit finding between Chinese patients with cancer and their family caregivers: a cross-sectional study. Psycho-oncology 27(10):2363–2373. https://doi.org/10.1002/pon.4833CrossRefPubMed

30.

Lin Y, Hu C, Xu Y, Zhao J, Li Q (2020) The mutual impact and moderating factors of quality of life between advanced cancer patients and their family caregivers. Support Care Cancer. https://doi.org/10.1007/s00520-020-05351-x

31.

Paul C, Hall A, Oldmeadow C, Lynagh M, Campbell S, Bradstock K, Williamson A, Carey M, Sanson-Fisher R (2017) Dyadic interdependence of psychosocial outcomes among haematological cancer survivors and their support persons. Support Care Cancer 25(11):3339–3346. https://doi.org/10.1007/s00520-017-3751-3CrossRefPubMed

32.

Segrin C, Badger TA, Harrington J (2012) Interdependent psychological quality of life in dyads adjusting to prostate cancer. Health Psychol 31(1):70–79. https://doi.org/10.1037/a0025394CrossRefPubMed

33.

von Heymann-Horan A, Bidstrup PE (2019) Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers: effects and mediation in a randomized controlled trial. Psycho-oncology 28(2):264–270. https://doi.org/10.1002/pon.4932CrossRef

34.

Ackerman RA, Kenny DA (2016) APIMPowerR: an interactive tool for Actor-Partner Interdependence Model power analysis [computer software]. https://robert-a-ackerman.shinyapps.io/APIMPowerRdis/.

35.

Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67(6):361–370CrossRefPubMed

36.

Li Q, Lin Y, Hu C, Xu Y, Zhou H, Yang L, Xu Y (2016) The Chinese version of hospital anxiety and depression scale: psychometric properties in Chinese cancer patients and their family caregivers. Eur J Oncol Nurs 25:16–23. https://doi.org/10.1016/j.ejon.2016.09.004CrossRefPubMed

37.

Ware JJ, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34(3):220–233CrossRefPubMed

38.

Ware JE, Kosinski M, Turner-Bowker DM, Gandek B (2002) How to score version 2 of the SF-12 health survey (with a supplement documenting version 1). QualityMetric Incorporated,

39.

Portney LG, Watkins MP (2009) Foundations of clinical research: applications to practice, 3rd edn. Pearson/Prentice Hall, London

40.

Ledermann T, Macho S, Kenny DA (2011) Assessing mediation in dyadic data using the actor-partner interdependence model. Struct Equ Modeling Multidisciplinary J 18(4):595–612. https://doi.org/10.1080/10705511.2011.607099CrossRef

41.

Cook WL, Kenny DA (2005) The actor–partner interdependence model: a model of bidirectional effects in developmental studies. Int J Behav Dev 29(2):101–109CrossRef

42.

Kenny DA, Kashy DA, Cook WL (2006) Dyadic data analysis. Guilford Press, New York

43.

Emslie C, Browne S, Macleod U, Rozmovits L, Mitchell E, Ziebland S (2009) ‘Getting through’ not ‘going under’: a qualitative study of gender and spousal support after diagnosis with colorectal cancer. Soc Sci Med 68(6):1169–1175. https://doi.org/10.1016/j.socscimed.2009.01.004CrossRefPubMedPubMedCentral

44.

Li Q, Chiang VC, Xu X, Xu Y, Loke AY (2015) The experiences of Chinese couples living with cancer: a focus group study. Cancer Nurs 38(5):383–394. https://doi.org/10.1097/ncc.0000000000000196CrossRefPubMed

45.

Li Q, Xu Y, Zhou H, Loke AY (2016) Re-affirmation of a preliminary live with love conceptual framework for cancer couple dyads: a couple-based complex intervention study. Eur J Oncol Nurs 20:215–222. https://doi.org/10.1016/j.ejon.2015.09.001CrossRefPubMed

Title: The dyadic relationship of benefit finding and its impact on quality of life in colorectal cancer survivor and spousal caregiver couples
Authors: Yi Lin
Xingjuan Luo
Jieyu Li
Yinghua Xu
Qiuping Li
Publication date: 01-03-2021
Publisher: Springer Berlin Heidelberg
Keywords: Affective Disorder
Affective Disorder
Anxiety
Colorectal Cancer
Colorectal Cancer
Published in: Supportive Care in Cancer / Issue 3/2021
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-020-05602-x

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Abstract

Objectives

Methods

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Conclusions

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