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Symptom burden and quality of life among patient and family caregiver dyads in advanced cancer
Purpose Symptom management among patients diagnosed with advanced cancer is a high priority in clinical care that often involves the support of a family caregiver. However, limited studies have examined parallel patient and caregiver symptom burden and associations with their own and each other’s qu...
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Published in: | Quality of life research 2024-11, Vol.33 (11), p.3027-3038 |
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container_title | Quality of life research |
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creator | Ellis, Katrina R. Furgal, Allison Wayas, Feyisayo Contreras, Alexis Jones, Carly Perez, Sierra Raji, Dolapo Smith, Madeline Vincent, Charlotte Song, Lixin Northouse, Laurel Langford, Aisha T. |
description | Purpose
Symptom management among patients diagnosed with advanced cancer is a high priority in clinical care that often involves the support of a family caregiver. However, limited studies have examined parallel patient and caregiver symptom burden and associations with their own and each other’s quality of life (QOL). This study seeks to identify patient and caregiver symptom clusters and investigate associations between identified clusters and demographic, clinical, and psychosocial factors (cognitive appraisals and QOL).
Methods
This study was a secondary analysis of self-reported baseline survey data collected from a randomized clinical trial of 484 adult advanced cancer patients and their caregivers. Latent class analysis and factor analysis were used to identify symptom clusters. Bivariate statistics tested associations between symptom clusters and demographic, clinical, and psychosocial variables.
Results
The most prevalent symptom for patients was energy loss/fatigue and for caregivers, mental distress. Low, moderate, and high symptom burden subgroups were identified at the patient, caregiver, and dyad level. Age, gender, race, income, chronic conditions, cancer type, and treatment type were associated with symptom burden subgroups. Higher symptom burden was associated with more negative appraisals of the cancer and caregiving experience, and poorer QOL (physical, social, emotional, functional, and overall QOL). Dyads whose caregivers had more chronic conditions were more likely to be in the high symptom burden subgroup.
Conclusion
Patient and caregiver symptom burden influence their own and each other’s QOL. These findings reinforce the need to approach symptom management from a dyadic perspective. |
doi_str_mv | 10.1007/s11136-024-03743-8 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3084028625</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3084028625</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-2736ea63cfeb6e8698cd3f9650c484e720af62f6a0405a1b525cd52c614ef6943</originalsourceid><addsrcrecordid>eNp9kD1PHDEQhq0IFA6SP5AiskSTZmH8sd51iVASkJAogBbLZ49Pi_bjzt49af895u5IJAqqKeZ5X3seQn4wuGAA1WVijAlVAJcFiEqKov5CFqysRMGV1EdkAVrxQgspTshpSi8AUGvgX8mJ0CCVYnJBnh_mbj0OHV1O0WNPbe_pZrJtM850CLRtAlLbDf2Kru3YYD_uiGC7pp2psxFXzRYj9bP1iTY577e2d-jzLo_4jRwH2yb8fphn5OnP78frm-Lu_u_t9dVd4XipxoJXQqFVwgVcKqyVrp0XQasSnKwlVhxsUDwoCxJKy5YlL50vucsnYFBaijPya9-7jsNmwjSarkkO29b2OEzJCKgl8FrxMqPnH9CXYYp9_p0RjEsNTIi3Qr6nXBxSihjMOjadjbNhYN7sm719k-2bnX1T59DPQ_W07ND_i7zrzoDYAymv-hXG_29_UvsKyWiO9g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3124901334</pqid></control><display><type>article</type><title>Symptom burden and quality of life among patient and family caregiver dyads in advanced cancer</title><source>Springer Link</source><creator>Ellis, Katrina R. ; Furgal, Allison ; Wayas, Feyisayo ; Contreras, Alexis ; Jones, Carly ; Perez, Sierra ; Raji, Dolapo ; Smith, Madeline ; Vincent, Charlotte ; Song, Lixin ; Northouse, Laurel ; Langford, Aisha T.</creator><creatorcontrib>Ellis, Katrina R. ; Furgal, Allison ; Wayas, Feyisayo ; Contreras, Alexis ; Jones, Carly ; Perez, Sierra ; Raji, Dolapo ; Smith, Madeline ; Vincent, Charlotte ; Song, Lixin ; Northouse, Laurel ; Langford, Aisha T.</creatorcontrib><description>Purpose
Symptom management among patients diagnosed with advanced cancer is a high priority in clinical care that often involves the support of a family caregiver. However, limited studies have examined parallel patient and caregiver symptom burden and associations with their own and each other’s quality of life (QOL). This study seeks to identify patient and caregiver symptom clusters and investigate associations between identified clusters and demographic, clinical, and psychosocial factors (cognitive appraisals and QOL).
Methods
This study was a secondary analysis of self-reported baseline survey data collected from a randomized clinical trial of 484 adult advanced cancer patients and their caregivers. Latent class analysis and factor analysis were used to identify symptom clusters. Bivariate statistics tested associations between symptom clusters and demographic, clinical, and psychosocial variables.
Results
The most prevalent symptom for patients was energy loss/fatigue and for caregivers, mental distress. Low, moderate, and high symptom burden subgroups were identified at the patient, caregiver, and dyad level. Age, gender, race, income, chronic conditions, cancer type, and treatment type were associated with symptom burden subgroups. Higher symptom burden was associated with more negative appraisals of the cancer and caregiving experience, and poorer QOL (physical, social, emotional, functional, and overall QOL). Dyads whose caregivers had more chronic conditions were more likely to be in the high symptom burden subgroup.
Conclusion
Patient and caregiver symptom burden influence their own and each other’s QOL. These findings reinforce the need to approach symptom management from a dyadic perspective.</description><identifier>ISSN: 0962-9343</identifier><identifier>ISSN: 1573-2649</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-024-03743-8</identifier><identifier>PMID: 39046614</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Cancer ; Caregivers ; Caregivers - psychology ; Chronic illnesses ; Cost of Illness ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasms - psychology ; Patients ; Public Health ; Quality of life ; Quality of Life - psychology ; Quality of Life Research ; Self Report ; Sociology ; Surveys and Questionnaires ; Symptom Burden ; Symptom management</subject><ispartof>Quality of life research, 2024-11, Vol.33 (11), p.3027-3038</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-2736ea63cfeb6e8698cd3f9650c484e720af62f6a0405a1b525cd52c614ef6943</cites><orcidid>0000-0003-1709-3912</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39046614$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ellis, Katrina R.</creatorcontrib><creatorcontrib>Furgal, Allison</creatorcontrib><creatorcontrib>Wayas, Feyisayo</creatorcontrib><creatorcontrib>Contreras, Alexis</creatorcontrib><creatorcontrib>Jones, Carly</creatorcontrib><creatorcontrib>Perez, Sierra</creatorcontrib><creatorcontrib>Raji, Dolapo</creatorcontrib><creatorcontrib>Smith, Madeline</creatorcontrib><creatorcontrib>Vincent, Charlotte</creatorcontrib><creatorcontrib>Song, Lixin</creatorcontrib><creatorcontrib>Northouse, Laurel</creatorcontrib><creatorcontrib>Langford, Aisha T.</creatorcontrib><title>Symptom burden and quality of life among patient and family caregiver dyads in advanced cancer</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>Qual Life Res</addtitle><description>Purpose
Symptom management among patients diagnosed with advanced cancer is a high priority in clinical care that often involves the support of a family caregiver. However, limited studies have examined parallel patient and caregiver symptom burden and associations with their own and each other’s quality of life (QOL). This study seeks to identify patient and caregiver symptom clusters and investigate associations between identified clusters and demographic, clinical, and psychosocial factors (cognitive appraisals and QOL).
Methods
This study was a secondary analysis of self-reported baseline survey data collected from a randomized clinical trial of 484 adult advanced cancer patients and their caregivers. Latent class analysis and factor analysis were used to identify symptom clusters. Bivariate statistics tested associations between symptom clusters and demographic, clinical, and psychosocial variables.
Results
The most prevalent symptom for patients was energy loss/fatigue and for caregivers, mental distress. Low, moderate, and high symptom burden subgroups were identified at the patient, caregiver, and dyad level. Age, gender, race, income, chronic conditions, cancer type, and treatment type were associated with symptom burden subgroups. Higher symptom burden was associated with more negative appraisals of the cancer and caregiving experience, and poorer QOL (physical, social, emotional, functional, and overall QOL). Dyads whose caregivers had more chronic conditions were more likely to be in the high symptom burden subgroup.
Conclusion
Patient and caregiver symptom burden influence their own and each other’s QOL. These findings reinforce the need to approach symptom management from a dyadic perspective.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Cancer</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Chronic illnesses</subject><subject>Cost of Illness</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasms - psychology</subject><subject>Patients</subject><subject>Public Health</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Quality of Life Research</subject><subject>Self Report</subject><subject>Sociology</subject><subject>Surveys and Questionnaires</subject><subject>Symptom Burden</subject><subject>Symptom management</subject><issn>0962-9343</issn><issn>1573-2649</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kD1PHDEQhq0IFA6SP5AiskSTZmH8sd51iVASkJAogBbLZ49Pi_bjzt49af895u5IJAqqKeZ5X3seQn4wuGAA1WVijAlVAJcFiEqKov5CFqysRMGV1EdkAVrxQgspTshpSi8AUGvgX8mJ0CCVYnJBnh_mbj0OHV1O0WNPbe_pZrJtM850CLRtAlLbDf2Kru3YYD_uiGC7pp2psxFXzRYj9bP1iTY577e2d-jzLo_4jRwH2yb8fphn5OnP78frm-Lu_u_t9dVd4XipxoJXQqFVwgVcKqyVrp0XQasSnKwlVhxsUDwoCxJKy5YlL50vucsnYFBaijPya9-7jsNmwjSarkkO29b2OEzJCKgl8FrxMqPnH9CXYYp9_p0RjEsNTIi3Qr6nXBxSihjMOjadjbNhYN7sm719k-2bnX1T59DPQ_W07ND_i7zrzoDYAymv-hXG_29_UvsKyWiO9g</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Ellis, Katrina R.</creator><creator>Furgal, Allison</creator><creator>Wayas, Feyisayo</creator><creator>Contreras, Alexis</creator><creator>Jones, Carly</creator><creator>Perez, Sierra</creator><creator>Raji, Dolapo</creator><creator>Smith, Madeline</creator><creator>Vincent, Charlotte</creator><creator>Song, Lixin</creator><creator>Northouse, Laurel</creator><creator>Langford, Aisha T.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1709-3912</orcidid></search><sort><creationdate>20241101</creationdate><title>Symptom burden and quality of life among patient and family caregiver dyads in advanced cancer</title><author>Ellis, Katrina R. ; Furgal, Allison ; Wayas, Feyisayo ; Contreras, Alexis ; Jones, Carly ; Perez, Sierra ; Raji, Dolapo ; Smith, Madeline ; Vincent, Charlotte ; Song, Lixin ; Northouse, Laurel ; Langford, Aisha T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-2736ea63cfeb6e8698cd3f9650c484e720af62f6a0405a1b525cd52c614ef6943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Cancer</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Chronic illnesses</topic><topic>Cost of Illness</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasms - psychology</topic><topic>Patients</topic><topic>Public Health</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Quality of Life Research</topic><topic>Self Report</topic><topic>Sociology</topic><topic>Surveys and Questionnaires</topic><topic>Symptom Burden</topic><topic>Symptom management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ellis, Katrina R.</creatorcontrib><creatorcontrib>Furgal, Allison</creatorcontrib><creatorcontrib>Wayas, Feyisayo</creatorcontrib><creatorcontrib>Contreras, Alexis</creatorcontrib><creatorcontrib>Jones, Carly</creatorcontrib><creatorcontrib>Perez, Sierra</creatorcontrib><creatorcontrib>Raji, Dolapo</creatorcontrib><creatorcontrib>Smith, Madeline</creatorcontrib><creatorcontrib>Vincent, Charlotte</creatorcontrib><creatorcontrib>Song, Lixin</creatorcontrib><creatorcontrib>Northouse, Laurel</creatorcontrib><creatorcontrib>Langford, Aisha T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Quality of life research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ellis, Katrina R.</au><au>Furgal, Allison</au><au>Wayas, Feyisayo</au><au>Contreras, Alexis</au><au>Jones, Carly</au><au>Perez, Sierra</au><au>Raji, Dolapo</au><au>Smith, Madeline</au><au>Vincent, Charlotte</au><au>Song, Lixin</au><au>Northouse, Laurel</au><au>Langford, Aisha T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptom burden and quality of life among patient and family caregiver dyads in advanced cancer</atitle><jtitle>Quality of life research</jtitle><stitle>Qual Life Res</stitle><addtitle>Qual Life Res</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>33</volume><issue>11</issue><spage>3027</spage><epage>3038</epage><pages>3027-3038</pages><issn>0962-9343</issn><issn>1573-2649</issn><eissn>1573-2649</eissn><abstract>Purpose
Symptom management among patients diagnosed with advanced cancer is a high priority in clinical care that often involves the support of a family caregiver. However, limited studies have examined parallel patient and caregiver symptom burden and associations with their own and each other’s quality of life (QOL). This study seeks to identify patient and caregiver symptom clusters and investigate associations between identified clusters and demographic, clinical, and psychosocial factors (cognitive appraisals and QOL).
Methods
This study was a secondary analysis of self-reported baseline survey data collected from a randomized clinical trial of 484 adult advanced cancer patients and their caregivers. Latent class analysis and factor analysis were used to identify symptom clusters. Bivariate statistics tested associations between symptom clusters and demographic, clinical, and psychosocial variables.
Results
The most prevalent symptom for patients was energy loss/fatigue and for caregivers, mental distress. Low, moderate, and high symptom burden subgroups were identified at the patient, caregiver, and dyad level. Age, gender, race, income, chronic conditions, cancer type, and treatment type were associated with symptom burden subgroups. Higher symptom burden was associated with more negative appraisals of the cancer and caregiving experience, and poorer QOL (physical, social, emotional, functional, and overall QOL). Dyads whose caregivers had more chronic conditions were more likely to be in the high symptom burden subgroup.
Conclusion
Patient and caregiver symptom burden influence their own and each other’s QOL. These findings reinforce the need to approach symptom management from a dyadic perspective.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>39046614</pmid><doi>10.1007/s11136-024-03743-8</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-1709-3912</orcidid></addata></record> |
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subjects | Adaptation, Psychological Adult Aged Cancer Caregivers Caregivers - psychology Chronic illnesses Cost of Illness Female Humans Male Medicine Medicine & Public Health Middle Aged Neoplasms - psychology Patients Public Health Quality of life Quality of Life - psychology Quality of Life Research Self Report Sociology Surveys and Questionnaires Symptom Burden Symptom management |
title | Symptom burden and quality of life among patient and family caregiver dyads in advanced cancer |
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