Roles of age and sources of cancer caregiving stress in self-reported health and neuroendocrine biomarkers.
Roles of age and sources of cancer caregiving stress in self-reported health and neuroendocrine biomarkers.
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DOI：
10.1080/08870446.2020.1800009
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发表时间：
2021-08
影响因子：
3.3
通讯作者：
Mendez, Armando J.
中科院分区：
文献类型：
--
作者：
Mitchell, Hannah-Rose;Kim, Youngmee;Carver, Charles S.;Llabre, Maria M.;Ting, Amanda;Mendez, Armando J.
关键词：
调查年龄和特定的工作压力来源与癌症照顾者健康的相关程度。新的结直肠癌照顾者（n= 88;年龄M= 49）报告了工作压力（即，研究人员对这些受试者的生活质量（包括时间表中断、缺乏家庭支持、经济压力）和身心健康状况进行了调查，并收集了唾液样本，分析了神经内分泌生物标志物（皮质醇和α-淀粉酶）。在所有年龄段中，由于照顾孩子而导致的日常安排中断与自我报告的心理健康状况较差相关（B= −4.19，95% CI：−6.59- −1.80，p <0.01），并且与老年照顾者中皮质醇模式失调相关，但与年轻照顾者中皮质醇模式更受调节相关，ps ≤ 0.01。在所有年龄段中，缺乏家庭支持与自我报告的身体健康状况较差相关（B=-2.13，95% CI：-4.33--0.07，p <.05），但α-淀粉酶模式更受调节（B= 2.51，95% CI：0.83 - 4.19，p <.01）。经济压力仅与老年照顾者的皮质醇水平（B= 5.07，95% CI：0.58 - 9.57，p = 0.03）和所有年龄段的α-淀粉酶模式（B= −25.81，95% CI：−48.72- −2.90，p <0.05）有关。研究结果表明，照顾者压力的具体来源表现在健康结果明显的年龄，并支持有针对性的心理干预癌症照顾者的需要。
To investigate the extent to which age and specific sources of caregiving stress are associated with cancer caregivers’ health. New colorectal cancer caregivers (n= 88; age M= 49) reported caregiving stress (i.e., disrupted schedule, lacking family support, financial strain) and mental and physical health, and collected saliva samples assayed for neuroendocrine biomarkers (cortisol and α-amylase). Disrupted daily schedule due to caregiving was associated with poorer self-reported mental health across all ages (B= −4.19, 95% CI: −6.59- −1.80, p <.01), and associated with dysregulated cortisol patterns among older caregivers, but with more regulated cortisol patterns among younger caregivers, ps ≤ .01. Across all ages, lacking family support was associated with poorer self-reported physical health (B= −2.13, 95% CI: −4.33 - −0.07, p <.05), but more regulated α-amylase patterns (B= 2.51, 95% CI: 0.83 - 4.19, p <.01). Financial strain related to regulated cortisol levels only among older caregivers (B= 5.07, 95% CI: 0.58 - 9.57, p = .03) and more regulated α-amylase patterns across all ages (B= −25.81, 95% CI: −48.72- −2.90, p <.05). Findings suggest that specific sources of caregiver stress manifest in health outcomes distinctly by age, and support the need for targeted psychosocial interventions for cancer caregivers.
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影响因子：
6.2
作者：
Cameron, JI;Franche, RL;Stewart, DE
通讯作者：
Stewart, DE
影响因子：
2
作者：
GIVEN, CW;GIVEN, B;FRANKLIN, S
通讯作者：
FRANKLIN, S
影响因子：
4
作者：
BALTES, PB
通讯作者：
BALTES, PB
影响因子：
16.4
作者：
Czaja, Sara J.
通讯作者：
Czaja, Sara J.
DOI：
10.1177/1043454213520346
发表时间：
2014-03
期刊：
Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
影响因子：
--
作者：
Neu M;Matthews E;King NA;Cook PF;Laudenslager ML
通讯作者：
Laudenslager ML