Family Relationships and Psychosocial Dysfunction Among Family Caregivers of Patients With Advanced Cancer.
Family Relationships and Psychosocial Dysfunction Among Family Caregivers of Patients With Advanced Cancer.
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DOI：
10.1016/j.jpainsymman.2016.07.006
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发表时间：
2016-12
影响因子：
4.7
通讯作者：
Prigerson HG
中科院分区：
文献类型：
--
作者：
Nissen KG;Trevino K;Lange T;Prigerson HG
语境。照顾患有晚期癌症的家庭成员给家庭护理人员带来了压力。家庭类型的分类已被证明可以识别存在心理社会功能不良风险的患者。然而，人们对家庭关系如何影响照顾者的心理社会功能知之甚少。目标。调查通过聚类分析确定的家庭类型并检查聚类分析的再现性。我们还试图研究家庭类型与照顾者心理社会功能之间的关系。方法。使用高斯混合模型作为主要方法，根据家庭关系指数 (FRI) 问卷来识别家庭类型，对 622 名晚期癌症患者的护理人员（应对癌症研究的一部分）的数据进行了分析。然后，我们研究了家庭类型和照顾者生活质量（医疗结果调查简表）、社会支持（人际支持评估表）和感知的照顾者负担（照顾负担量表）之间的关系。结果。出现了三种家庭类型：低表达型、疏离型和支持型。事后比较的方差分析（ANOVA）表明，与支持性家庭类型相比，独立和低表达家庭类型的照顾者的生活质量和感知的社会支持水平较低。结论。该研究确定了晚期癌症患者的护理人员中支持性、低表达性和疏离的家庭类型。支持性的家庭类型与最好的结果有关，而与最坏的结果无关。这些发现表明家庭功能与晚期癌症患者的照顾者的心理社会功能相关。因此，关注家庭支持以及家庭成员分享感受和处理冲突的能力可能是改善癌症患者家庭心理社会功能的重要工具。
Context. Caring for a family member with advanced cancer strains family caregivers. Classification of family types has been shown to identify patients at risk of poor psychosocial function. However, little is known about how family relationships affect caregiver psychosocial function. Objectives. To investigate family types identified by a cluster analysis and to examine the reproducibility of cluster analyses. We also sought to examine the relationship between family types and caregivers' psychosocial function. Methods. Data from 622 caregivers of advanced cancer patients (part of the Coping with Cancer Study) were analyzed using Gaussian Mixture Modeling as the primary method to identify family types based on the Family Relationship Index (FRI) questionnaire. We then examined the relationship between family type and caregiver quality of life (Medical Outcome Survey Short Form), social support (Interpersonal Support Evaluation List), and perceived caregiver burden (Caregiving Burden Scale). Results. Three family types emerged: Low-expressive, detached, and supportive. Analyses of variance (ANOVA) with post hoc comparisons showed that caregivers of detached and low-expressive family types experienced lower levels of quality of life and perceived social support in comparison to supportive family types. Conclusion. The study identified supportive, low-expressive and detached family types among caregivers of advanced cancer patients. The supportive family type was associated with the best outcomes and detached with the worst. These findings indicate that family function is related to psychosocial function of caregivers of advanced cancer patients. Therefore, paying attention to family support, and family members' ability to share feelings and manage conflicts may serve as an important tool to improve psychosocial function in families affected by cancer.