Longitudinal dyadic interdependence in psychological distress among Latinas with breast cancer and their caregivers
- 24 Downloads
Cancer diagnosis and treatment can generate substantial distress for both survivors and their family caregivers. The primary aim of this investigation is to test a model of dyadic interdependence in distress experienced by cancer survivors and their caregivers to determine if each influences the other.
To test this prediction, 209 Latinas with breast cancer and their family caregivers (dyads) were followed for 4 waves of assessment over the course of 6 months. Both psychological (depression, anxiety, perceived stress) and physical (number of symptoms, symptom distress) indicators of distress were assessed. Longitudinal analyses of dyadic data were performed in accordance with the actor-partner interdependence model.
Findings indicated that psychological distress was interdependent between cancer survivors and their caregivers over the 6 months of observation. However, there was no such evidence of interdependence on indicators of physical distress.
These findings are consistent with emotional contagion processes and point to the potential importance of caregiver well-being for the welfare of Latina breast cancer survivors.
KeywordsBreast cancer Caregivers Depression Anxiety Interdependence
We thank the research staff: Maria Figueroa, Karina Othon-Tapia, Xochitl Gaxiola, Mary Pentland, and Molly Hadeed, the community providers who referred survivors to the study, and the study participants.
This research was supported by a grant no. RSG-12-120-01-CPPB from the American Cancer Society to Terry Badger.
Compliance with ethical standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee ( University of Arizona Institutional Review Board ) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Conflict of interest
Terry Badger, Chris Segrin, and Alla Sikorskii received grant funding from the American Cancer Society pursuant to the research reported in this manuscript. They have control of all primary data and agree to allow the journal to review the data if requested.
- 2.Crocetti E, Bossard N, Uhry Z, Roche L, Rossi S, Capocaccia R, Faivre J, Group GE-W (2017) Trends in net survival from 15 cancers in six European Latin countries: the SUDCAN population-based study material. Eur J Cancer Prev 26:S3-S8. https://doi.org/10.1097/CEJ.0000000000000300 CrossRefGoogle Scholar
- 13.Butow PN, Price MA, Bell ML, Webb PM, deFazio A, Australian Ovarian Cancer Study G, Australian Ovarian Cancer Study Quality Of Life Study I, Friedlander M (2014) Caring for women with ovarian cancer in the last year of life: a longitudinal study of caregiver quality of life, distress and unmet needs. Gynecol Oncol 132(3):690–697. https://doi.org/10.1016/j.ygyno.2014.01.002 CrossRefPubMedGoogle Scholar
- 23.Jacobs JM, Shaffer KM, Nipp RD, Fishbein JN, MacDonald J, El-Jawahri A, Pirl WF, Jackson VA, Park ER, Temel JS, Greer JA (2017) Distress is interdependent in patients and caregivers with newly diagnosed incurable cancers. Ann Behav Med 51(4):519–531. https://doi.org/10.1007/s12160-017-9875-3 CrossRefPubMedPubMedCentralGoogle Scholar
- 24.Katapodi MC, Ellis KR, Schmidt F, Nikolaidis C, Northouse LL (2018) Predictors and interdependence of family support in a random sample of long-term young breast cancer survivors and their biological relatives. Cancer Med 7(10):4980–4992. https://doi.org/10.1002/cam4.1766 CrossRefPubMedPubMedCentralGoogle Scholar
- 28.Hatfield E, Cacioppo JT, Rapson RL (1994) Emotional contagion. Cambridge University Press, ParisGoogle Scholar
- 31.Milbury K, Badr H, Fossella F, Pisters KM, Carmack CL (2013) Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Support Care Cancer 21(9):2371–2379. https://doi.org/10.1007/s00520-013-1795-6 CrossRefPubMedPubMedCentralGoogle Scholar
- 33.Lopez-Class M, Perret-Gentil M, Kreling B, Caicedo L, Mandelblatt J, Graves KD (2011) Quality of life among immigrant Latina breast cancer survivors: realities of culture and enhancing cancer care. J Cancer Educ 26(4):724–733. https://doi.org/10.1007/s13187-011-0249-4 CrossRefPubMedPubMedCentralGoogle Scholar
- 35.Badger TA, Segrin C, Sikorskii A, Pasvogel A, Weihs K, Lopez AM, Chalasani P (2019) Randomized controlled trial of supportive care interventions to manage psychological distress and symptoms in Latinas with breast cancer and their informal caregivers. Psychol Health:1–20. https://doi.org/10.1080/08870446.2019.1626395
- 36.Correia H (2011) Spanish translations of PROMIS Instruments. Northwestern University, Dept. of Medical Social SciencesGoogle Scholar
- 37.Pilkonis PA, Choi SW, Reise SP, Stover AM, Riley WT, Cella D, Group PC (2011) Item banks for measuring emotional distress from the Patient-Reported Outcomes Measurement Information System (PROMIS(R)): depression, anxiety, and anger. Assessment 18(3):263–283. https://doi.org/10.1177/1073191111411667 CrossRefPubMedPubMedCentralGoogle Scholar
- 42.Kenny DA, Kashy DA, Cook WL (eds) (2006) Dyadic data analysis. Guilford Press, New YorkGoogle Scholar
- 45.Kim Y, Kashy DA, Wellisch DK, Spillers RL, Kaw CK, Smith TG (2008) Quality of life of couples dealing with cancer: dyadic and individual adjustment among breast and prostate cancer survivors and their spousal caregivers. Ann Behav Med 35(2):230–238. https://doi.org/10.1007/s12160-008-9026-y CrossRefPubMedGoogle Scholar
- 48.Cleeland CS, Sloan JA, Cella D, Chen C, Dueck AC, Janjan NA, Liepa AM, Mallick R, O’Mara A, Pearson JD, Torigoe Y, Wang XS, Williams LA, Woodruff JF, Force CMT (2013) Recommendations for including multiple symptoms as endpoints in cancer clinical trials: a report from the ASCPRO (Assessing the Symptoms of Cancer Using Patient-Reported Outcomes) Multisymptom Task Force. Cancer 119(2):411–420. https://doi.org/10.1002/cncr.27744 CrossRefPubMedGoogle Scholar