Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping Mechanisms
This study aimed to elucidate the role of psychological factors in caregiver burden among caregivers of stage 4 cancer patients. Data were collected from 328 caregivers of cancer patients, employing the Zarit Care Burden Scale, Depression-Anxiety-Stress Scale (DASS-42), Dysfunctional Attitudes Scale...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/19/2700 |
| _version_ | 1797575851981668352 |
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| author | Ipek Özönder Ünal Cetin Ordu |
| author_facet | Ipek Özönder Ünal Cetin Ordu |
| author_sort | Ipek Özönder Ünal |
| collection | DOAJ |
| description | This study aimed to elucidate the role of psychological factors in caregiver burden among caregivers of stage 4 cancer patients. Data were collected from 328 caregivers of cancer patients, employing the Zarit Care Burden Scale, Depression-Anxiety-Stress Scale (DASS-42), Dysfunctional Attitudes Scale (DAS-A), Ruminative Thought Style Questionnaire (RTSQ), and Coping Orientation to Problems Experienced Inventory (Brief COPE). Males, spouses, and caregivers of patients with a PEG or tracheostomy, or those diagnosed with pancreatic biliary cancer were found to have a significantly higher risk of caregiver burden. Age, sex, caregiver-patient relationship, caregiving duration, patient’s catheter status, cancer types, depression and stress severity, rumination, dysfunctional attitudes, and dysfunctional coping strategies explained 69.7% of the variance in Zarit Care Burden Scale scores (F(14,313) = 51.457, <i>p</i> < 0.001), illustrating their significant predictive relationship with caregiver burden. Moderation analysis revealed significant interactions of emotional coping with depression (b = −0.0524, <i>p</i> = 0.0076) and dysfunctional coping with stress on caregiver burden (b = 0.014, <i>p</i> = 0.006). Furthermore, rumination mediated the relationships between caregiver burden, stress, and depression (<i>p</i> < 0.01). Overall, the results highlight the intricate relationships among caregiver burden, mental health, and coping strategies, suggesting tailored interventions to support caregiver health and quality of care. |
| first_indexed | 2024-03-10T21:45:10Z |
| format | Article |
| id | doaj.art-dfdda6b85a8d423a924f684ff9c99ef0 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T21:45:10Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-dfdda6b85a8d423a924f684ff9c99ef02023-11-19T14:26:02ZengMDPI AGHealthcare2227-90322023-10-011119270010.3390/healthcare11192700Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping MechanismsIpek Özönder Ünal0Cetin Ordu1Department of Psychiatry, Tuzla State Hospital, Içmeler Mahallesi, Piri Reis Caddesi, No: 74 Tuzla, Istanbul 34947, TurkeyDivision of Medical Oncology, Department of Internal Medicine, Gayrettepe Florence Nightingale Hospital, Cemil Aslan Güder Sk. No: 8, Beşiktaş, Istanbul 34349, TurkeyThis study aimed to elucidate the role of psychological factors in caregiver burden among caregivers of stage 4 cancer patients. Data were collected from 328 caregivers of cancer patients, employing the Zarit Care Burden Scale, Depression-Anxiety-Stress Scale (DASS-42), Dysfunctional Attitudes Scale (DAS-A), Ruminative Thought Style Questionnaire (RTSQ), and Coping Orientation to Problems Experienced Inventory (Brief COPE). Males, spouses, and caregivers of patients with a PEG or tracheostomy, or those diagnosed with pancreatic biliary cancer were found to have a significantly higher risk of caregiver burden. Age, sex, caregiver-patient relationship, caregiving duration, patient’s catheter status, cancer types, depression and stress severity, rumination, dysfunctional attitudes, and dysfunctional coping strategies explained 69.7% of the variance in Zarit Care Burden Scale scores (F(14,313) = 51.457, <i>p</i> < 0.001), illustrating their significant predictive relationship with caregiver burden. Moderation analysis revealed significant interactions of emotional coping with depression (b = −0.0524, <i>p</i> = 0.0076) and dysfunctional coping with stress on caregiver burden (b = 0.014, <i>p</i> = 0.006). Furthermore, rumination mediated the relationships between caregiver burden, stress, and depression (<i>p</i> < 0.01). Overall, the results highlight the intricate relationships among caregiver burden, mental health, and coping strategies, suggesting tailored interventions to support caregiver health and quality of care.https://www.mdpi.com/2227-9032/11/19/2700cancercaregiver burdencoping strategiesdepressionrumination |
| spellingShingle | Ipek Özönder Ünal Cetin Ordu Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping Mechanisms Healthcare cancer caregiver burden coping strategies depression rumination |
| title | Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping Mechanisms |
| title_full | Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping Mechanisms |
| title_fullStr | Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping Mechanisms |
| title_full_unstemmed | Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping Mechanisms |
| title_short | Decoding Caregiver Burden in Cancer: Role of Emotional Health, Rumination, and Coping Mechanisms |
| title_sort | decoding caregiver burden in cancer role of emotional health rumination and coping mechanisms |
| topic | cancer caregiver burden coping strategies depression rumination |
| url | https://www.mdpi.com/2227-9032/11/19/2700 |
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