Mediating burden and stress over time: Caregivers of patients with primary brain tumor.
Mediating burden and stress over time: Caregivers of patients with primary brain tumor.
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DOI：
10.1002/pon.4527
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发表时间：
2018-02
期刊：
影响因子：
3.6
通讯作者：
Sherwood, Paula
中科院分区：
文献类型：
--
作者：
Reblin, Maija;Small, Brent;Jim, Heather;Weimer, Jason;Sherwood, Paula
越来越多的文献表明癌症对非正式家庭照顾者的福祉有影响。然而，一直很少有纵向研究的照顾者的复杂，快速变化的疾病原发性恶性脑肿瘤。我们的目标是建立原发性脑肿瘤患者照顾者负担、社会支持和痛苦之间的纵向关系模型。护理参与者从神经肿瘤诊所招募。在4个时间点（诊断、+4、+8和+12个月）收集照顾者问卷数据，包括社会人口统计学、社会支持、抑郁、焦虑和养育负担。利用压力过程模型作为指导，我们假设早期负担会预测后期的抑郁和焦虑，这将是由社会支持介导的。使用来自147名参与者的数据，我们发现原发性脑肿瘤患者的照顾者支持压力过程模型。诊断时更大的负担与4个月时更低的社会支持相关，而更低的社会支持与8个月时更高的抑郁和焦虑相关，以及与8至12个月之间焦虑的变化相关。我们发现了原发性脑肿瘤患者的照顾者在诊断后一年内展开的压力过程模型的证据。我们的研究结果强调了早期护理计划的潜在重要性，以确保低水平的初始负担，这可能对社会支持，抑郁和焦虑产生积极影响。
There is a growing literature on the effects of cancer caregiving on the well-being of informal family caregivers. However, there has been little longitudinal research on caregivers of patients with the complex, rapidly-changing disease of primary malignant brain tumor. Our objective was to model longitudinal relationships between caregiver burden, social support, and distress within caregivers of patients with primary brain tumor. Caregiver participants were recruited from a neuro-oncology clinic. Caregiver questionnaire data, including sociodemographics, social support, depression, anxiety, and caregiving burden, were collected at 4 time points (diagnosis, +4, +8, and +12 mo). Using the stress process model as a guide, we hypothesized that early burden would predict later depression and anxiety, and this would be mediated by social support. Using data from 147 participants, we found support for the stress process model in caregivers of patients with primary brain tumor. Greater burden at diagnosis was associated with lower social support at 4 months, and lower social support was related to higher depression and anxiety at 8 months, as well as to changes in anxiety between 8 and 12 months. We found evidence of the stress process model in caregivers of primary brain tumor patients unfolding over the course of a year after diagnosis. Our findings emphasize the potential importance of early programs for caregivers to ensure low initial levels of burden, which may have a positive effect on social support, depression, and anxiety.
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影响因子：
3.6
作者：
Scrignaro, Marta;Barni, Sandro;Magrin, Maria Elena
通讯作者：
Magrin, Maria Elena
影响因子：
3.6
作者：
Arora, Neeraj K.;Rutten, Lila J. Finney;Hawkins, Robert P.
通讯作者：
Hawkins, Robert P.
影响因子：
2.3
作者：
Schmer, Carol;Ward-Smith, Peggy;Salacz, Michael
通讯作者：
Salacz, Michael
DOI：
10.1016/j.ejon.2011.09.001
发表时间：
2012-09
期刊：
European journal of oncology nursing : the official journal of European Oncology Nursing Society
影响因子：
--
作者：
Fletcher BS;Miaskowski C;Given B;Schumacher K
通讯作者：
Schumacher K
影响因子：
4.4
作者：
McConigley, Ruth;Halkett, Georgia;Nowak, Anna
通讯作者：
Nowak, Anna