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Work, gender, and stress in family cancer caregiving

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Abstract

Goals of work

The objective of this study was to examine whether employment status and gender was associated with family cancer caregivers’ reports of stress and well-being.

Materials and methods

Using a correlational, cross-sectional survey design, this study included 183 primary caregivers (i.e., those individuals who provided the most help to persons with cancer). Caregivers were recruited in a radiation oncology cancer clinic and were administered detailed interviews that collected a wide range of information about the stress process.

Results

Bivariate and multivariable analyses suggested a number of differences between various classifications of employment status and gender. In particular, women who worked appeared more likely to provide instrumental care to the person with cancer when compared to men who did or did not work. In addition, women who worked were more likely to report feelings of exhaustion and fatigue when compared to men who worked.

Conclusions

The results emphasize the need to consider the context of cancer care when analyzing the stress process. When faced with employment, women appear particularly at risk for emotional distress and greater perceived care demands. Utilizing tools that identify cancer caregivers at risk based on work, gender, or other contextual variables may inform the development and targeting of clinical interventions for this population.

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References

  1. Doty P (1986) Family care of the elderly: the role of public policy. Milbank Q 64:34–75

    Article  PubMed  CAS  Google Scholar 

  2. Whitlatch CJ, Noelker L (1996) Caregiving and caring. In: Svanborg A, Masoro EJ, Schaie KW, Birren JE, Marshall VW, Cole TR (eds) Encyclopedia of gerontology. Academic, San Diego, California, pp 253–268

    Google Scholar 

  3. Gaugler JE, Kane RL, Kane RA (2002) Family care for older people with disabilities: towards more targeted and interpretable research. Int J Aging Hum Dev 54:205–231

    Article  PubMed  Google Scholar 

  4. Given B, Given CW, Kozachik S, Rawl S (2003) Family caregiving interventions in cancer care. In: Given CW, Given C, Champion VL, Kozachik S, DeVoss DN (eds) Evidence-based cancer care and prevention: behavioral interventions. Springer, New York, pp 332–370

    Google Scholar 

  5. Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Spruijt RJ, Van Den Bos GAM (1998) Cancer and caregiving: the impact on the caregiver’s health. Psychooncology 7:3–13

    Article  PubMed  CAS  Google Scholar 

  6. Pinquart M, Sorensen S (2003) Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: a meta-analysis. J Geront Ser B Psychol Sci Soc Sci 58B:P112-128

    Google Scholar 

  7. Weitzner MA, Haley WE, Chen H (2000) The family caregiver of the older cancer patient. Hematol Oncol Clin North Am 14:269–281

    Google Scholar 

  8. Sales E, Schulz R, Biegel D (1992) Predictors of strain in families of cancer patients: a review of the literature. J Psychosoc Oncol 10:1–26

    Article  Google Scholar 

  9. Bednarek HL, Bradley CJ (2005) Work and retirement after cancer diagnosis. Res Nurs Health 28:126–13

    Article  PubMed  Google Scholar 

  10. Bradley CJ, Oberst K, Schenk M (2006) Absenteeism from work: the experience of employed breast and prostate cancer patients in the months following diagnosis. Psychooncology 15:739–747

    Article  PubMed  Google Scholar 

  11. Clipp EC, George LK (1993) Dementia and cancer: a comparison of spouse caregivers. Gerontologist 33:534–541

    PubMed  CAS  Google Scholar 

  12. Given BA, Given CW, Stommel M (1994) Family and out-of-pocket costs for women with breast cancer. Cancer Pract 2:187–193

    PubMed  CAS  Google Scholar 

  13. Haley WE (2003) The costs of family caregiving: implications for geriatric oncology. Crit Rev Oncol/Hematol 48:151–158

    Article  Google Scholar 

  14. Swanberg JE (2006) Making it work: informal caregiving, cancer, and employment. J Psychosoc Oncol 24:1–18

    Article  PubMed  Google Scholar 

  15. Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, Willan A, Viola R, Coristine M, Janz T, Glossop R (2004) Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. Can Med Assoc J 170:1795–1801

    Article  Google Scholar 

  16. Williams AP (2006) Financial and family burden associated with cancer treatment in Ontario, Canada. Support Care Cancer 14:1077–1085

    Article  PubMed  Google Scholar 

  17. Phipps E, Braitman LE, True G, Harris D, Tester W (2003) Family care giving for patients at life’s end: report from the Cultural Variations Study (CAVS). Palliat Support Care 1:165–170

    Article  PubMed  Google Scholar 

  18. Jensen S, Given BA (1991) Fatigue affecting family caregivers of cancer patients. Cancer Nurs 14:181–187

    Article  PubMed  CAS  Google Scholar 

  19. Borg C, Hallberg IR (2006) Life satisfaction among informal caregivers in comparison with non-caregivers. Scand J Caring Sci 20:427–438

    Article  PubMed  Google Scholar 

  20. Edwards AB, Zarit SH, Stephens MAP, Townsend A (2002) Employed family caregivers of cognitively impaired elderly: an examination of role strain and depressive symptoms. Aging Ment Health 6:55–61

    Article  PubMed  CAS  Google Scholar 

  21. Pearlin LI, Mullan JT, Semple SJ, Skaff MM (1990) Caregiving and the stress process: An overview of concepts and their measures. Gerontologist 30:583–594

    PubMed  CAS  Google Scholar 

  22. Aneshensel CS, Pearlin LI, Mullan JT, Zarit SH, Whitlatch CJ (1995) Profiles in caregiving: the unexpected career. Academic, San Diego

    Google Scholar 

  23. Schumacher KL, Dodd MJ, Paul SM (1993) The stress process in family caregivers of persons receiving chemotherapy. Res Nurs Health 16:395–404

    PubMed  CAS  Google Scholar 

  24. Allen SM (1994) Gender differences in spousal caregiving and unmet need for care. J Geront Ser B Psychol Sci Soc Sci 49:S187–S195

    CAS  Google Scholar 

  25. Blood GW, Simpson KC, Dineen M, Kauffman SM, Raimondi SC (1994) Spouses of laryngeal cancer: caregiver strain and burden. J Commun Disord 27:19–35

    Article  PubMed  CAS  Google Scholar 

  26. Haley WE, LaMonde LA, Han B, Burton AM, Schonwetter R (2003) Predictors of depression and life satisfaction among spousal caregivers in hospice: application of a stress process model. J Palliat Med 6:215–224

    Article  PubMed  Google Scholar 

  27. Kim Y, Loscalzo MJ, Wellisch DK, Spillers RL (2006) Gender differences in caregiving stress among caregivers of cancer survivors. Psychooncology 15:1086–1092

    Article  PubMed  Google Scholar 

  28. Langer SL (2003) Mood disturbance in the cancer setting: effects of gender and patient/spouse role. Semin Clin Neuropsychiatry 8:276–285

    PubMed  Google Scholar 

  29. Matthews BA (2003) Role and gender differences in cancer-related distress: A comparison of survivor and caregiver self-reports. Oncol Nurs Forum 30:493–499

    Article  PubMed  Google Scholar 

  30. Nijboer C, Triemstra M, Tempelaar R, Mulder M, Sanderman R, Van Den Bos GAM (2000) Patterns of caregiver experiences among partners of cancer patients. Gerontologist 40:738–746

    PubMed  CAS  Google Scholar 

  31. Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Van Den Bos GAM, Sanderman R (2001) The role of social and psychologic resources in caregiving of cancer patients. Cancer 91:1029–1039

    Article  PubMed  CAS  Google Scholar 

  32. Gaugler JE, Zarit SH, Pearlin LI (1999) Caregiving and institutionalization: Perceptions of family conflict and socioemotional support. Int J Aging Hum Dev 49:15–38

    Google Scholar 

  33. Gaugler JE, Hanna N, Linder J, Given CW, Tolbert V, Kataria R, Regine WF (2005) Cancer caregiving and subjective stress: a multi-site, multi-dimensional analysis. Psychooncology 14:771–785

    Article  PubMed  Google Scholar 

  34. Gaugler JE, Kane RA, Langlois J (2000) Assessment of family caregivers of older adults. In: Kane RL, Kane RA (eds) Assessing the well-being of older people: measures, meaning, and practical applications. Oxford University Press, New York, pp 320–359

    Google Scholar 

  35. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffee MW (1963) Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. JAMA 185:914–919

    PubMed  CAS  Google Scholar 

  36. Lawton MP, Brody EM (1969) Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186

    PubMed  CAS  Google Scholar 

  37. Given CW, Given B, Stommel M, Collins C, King S, Franklin S (1992) The Caregiver Reaction Assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Res Nurs Health 15:271–283

    Article  PubMed  CAS  Google Scholar 

  38. Radloff L (1977) The Center for Epidemiological Studies-Depression Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 3:385–401

    Article  Google Scholar 

  39. Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182

    Article  PubMed  CAS  Google Scholar 

  40. Gaugler JE, Kane RL, Newcomer R (2007) Resilience and transitions from dementia caregiving. J Geront Ser B Psychol Sci Soc Sci 62:P38–P44

    Google Scholar 

  41. Mittelman MS, Haley WE, Clay OJ, Roth DL (2006) Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology 67:1592–1599

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank the Stulman Foundation for their support of this project. JE Gaugler would also like to thank Niki Lindon for her data entry support.

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Correspondence to Joseph E. Gaugler.

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Gaugler, J.E., Given, W.C., Linder, J. et al. Work, gender, and stress in family cancer caregiving. Support Care Cancer 16, 347–357 (2008). https://doi.org/10.1007/s00520-007-0331-y

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  • DOI: https://doi.org/10.1007/s00520-007-0331-y

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