Impact of caregivers’ negative response to cancer on long-term survivors’ quality of life
- 20 May 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Supportive Care in Cancer
- Vol. 29 (2), 679-686
- https://doi.org/10.1007/s00520-020-05509-7
Abstract
Cancer survivors’ quality of life (QoL) is consistently shown to be positively impacted by social support from family and friends, including informal caregivers. In contrast, a loved one’s negative response to cancer can diminish survivors’ QoL, and these negative responses can be more impactful than supportive behaviors. Nonetheless, negative caregiver response has not been extensively researched, and few studies have explored the potential interaction of negative caregiver response and perceived social support on survivors’ QoL. Therefore, we examined direct effects of perceived negative caregiver response, and the potential moderating role of social support, on QoL in a population-based sample of cancer survivors (N = 7543) using generalized linear models. Findings indicate that survivors who rated their caregiver’s response to their cancer diagnosis more negatively reported worse physical and mental health, even up to 10 years after their initial cancer diagnosis. Perceived social support was not significantly associated with physical health, but it was positively associated with mental health. However, social support was not shown to moderate the relationship between negative caregiver response and mental health. Findings suggest that positive support from others within a survivor’s social network may not be enough to attenuate the negative effects of their primary caregiver’s unsupportive behaviors. Accordingly, cancer survivorship research and practice must consider the critical role that negative caregiver responses have on survivors’ QoL and develop strategies that focus on the survivor–caregiver dynamic.Keywords
This publication has 28 references indexed in Scilit:
- Physical, Psychosocial, Relationship, and Economic Burden of Caring for People With Cancer: A ReviewJournal of Oncology Practice, 2013
- Anger expression, partner support, and quality of life in cancer patientsJournal of Psychosomatic Research, 2009
- Cancer in the Family: Review of the Psychosocial Perspectives of Patients and Family MembersJournal of Family Social Work, 2008
- The rationale, design, and implementation of the American Cancer Society's studies of cancer survivorsCancer, 2006
- The American Cancer Society’s Studies of Cancer SurvivorsThe American Journal of Nursing, 2006
- Buffering Effects of Family and Friend Support on Associations between Partner Unsupportive Behaviors and Coping among Women with Breast CancerJournal of Social and Personal Relationships, 2003
- The role of disclosure patterns and unsupportive social interactions in the well‐being of breast cancer patientsPsycho‐Oncology, 2003
- The partner relationship in psychological response to breast cancerSocial Science & Medicine (1982), 1995
- Couples coping with cancer: Research issues and recent findingsJournal of Clinical Psychology in Medical Settings, 1994
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992