Stress and Psychological Adjustment in Caregivers of Children with Cancer

Overview

Journal Health Psychol

Specialty Public Health

Date 2021 Jun 21

PMID 34152783

Citations 6

Authors

Kyrill Gurtovenko

Kaitlyn M Fladeboe

Liana R Galtieri

Kevin King

Debra Friedman

Bruce Compas

David Breiger

Liliana Lengua

Madelaine Keim

Joy Kawamura

Lynn Fainsilber Katz

Affiliations

Soon will be listed here.

Abstract

Objective: To examine effects of stress on caregiver psychological adjustment during the first year of pediatric cancer.

Method: Caregivers (N = 159) of children with cancer completed monthly questionnaires assessing domains of caregiver psychological adjustment (depression, anxiety, and posttraumatic stress symptoms) and stress (general life stress, treatment-related stress, caregiver perceptions of treatment intensity and life threat). Effects of stress were assessed at two levels to examine whether within-person changes in stress predicted concurrent changes in caregiver adjustment and whether average stress was associated with between-person differences in caregiver adjustment trajectories.

Results: Overall, higher levels of stress factors were associated with poorer caregiver adjustment at both the between- and within-person levels, with high average levels of treatment-related stress and general life stress emerging as leading predictors of worse adjustment.

Conclusions: Both types of stressors, those directly related as well as unrelated to a child's cancer, contribute uniquely to caregiver distress. Caregiver distress is impacted by both overall levels of stress over time as well as month-to-month changes in stress. Implications for informing care for at-risk caregivers are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Citing Articles

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