Back
 IJCM  Vol.10 No.4 , April 2019
Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey
Abstract:
Background: A means of assessing the social support needs of spouses of patients with cancer is not available in Japan, yet such individuals are at increased risk of developing psychological difficulties. Objectives: The present study aimed (1) to describe the social support needs of spouses of patients with cancer, and (2) to explore factors associated with social support needs of spouses of patients with cancer. Design: Spouses (n = 559) of patients with cancer were recruited by registered agents of an online survey company and completed a self-reporting, online questionnaire. Measurements: The questionnaires included demographic information and a tool to assess social support needs. Results: Factor analysis of social support needs of the spouses of patients with cancer indicated that (1) “social support needs regarding disease and treatment of patient” (54 items) comprised 3 factors (“medical condition and cure”, “daily life and social support”, “intimacy and employment”), and (2) “social support needs of spouse (19 items)” comprised 2 factors (“family psychological issues and social support” and “intimacy, employment and society”). The ANOVA and T tests showed that “younger age”, “under treatment”, and “cancer not cured: treatment stopped”, “PS1” and “PS 2-4”, the presence of “lung cancer”, and “recurrence/metastasis” were significant factors (all p < 0.05). Conclusions: The age of the spouse, treatment status, performance status, site of cancer, and recurrence/metastasis are important factors related to spousal needs for social support. Clinicians should assess these factors and the social support needs of spouses to provide appropriate support.
Cite this paper: Amano, K. , Ichikura, K. , Hisamura, K. , Motomatsu, Y. and Matsushima, E. (2019) Factors Associated with Social Support Needs of Spouses of Patients with Cancer: Online Survey. International Journal of Clinical Medicine, 10, 270-292. doi: 10.4236/ijcm.2019.104021.
References

[1]   Bigatti, S.M., Wagner, C.D., Lydon-Lam, J.R., Steiner, J.L. and Miller, K.D. (2011) Depression in Husbands of Breast Cancer Patients: Relationships to Coping and Social Support. Support Care Cancer, 19, 455-466.
https://doi.org/10.1007/s00520-010-0835-8

[2]   Braun, M., Mikulincer, M., Rydall, A., Walsh, A. and Rodin, G. (2007) Hidden Morbidity in Cancer: Spouse Caregivers. Journal of Clinical Oncology, 25, 4829-4834.
https://doi.org/10.1200/JCO.2006.10.0909

[3]   Doorenbos, A.Z., Given, B., Given, C.W., Wyatt, G., Gift, A., Rahbar, M. and Jeon, S. (2007) The Influence of End-of-Life Cancer Care on Caregiver. Research in Nursing & Health, 30, 270-281.
https://doi.org/10.1002/nur.20217

[4]   Haun, M.W., Sklenarova, H., Villalbos, M., Thomas, M., Brechtel, A., Löwe, B., Herzog, W. and Hartmann, M. (2014) Depression, Anxiety and Disease-Related Distress in Couples Affected by Advanced Lung Cancer. Lung Cancer, 86, 274-280.
https://doi.org/10.1016/j.lungcan.2014.09.009

[5]   Chiu, Y.W., Huang, C.T., Yin, S.M., Huang, Y.C., Chien, C.H. and Chuang, H.Y. (2010) Determinants of Complicated Grief in Caregivers Who Cared for Terminal Cancer Patients. Supportive Care Cancer, 18, 1321-1327.
https://doi.org/10.1007/s00520-009-0756-6

[6]   Fujisawa, D., Miyashita, M., Nakajima, S., Ito, M., Kato, M. and Kim, Y. (2010) Prevalence and Determinants of Complicated Grief in General Population. Journal of Affective Disorders, 127, 352-358.
https://doi.org/10.1016/j.jad.2010.06.008

[7]   Kersting, A., Bräher, E., Glaesmer, H. and Wagner, B. (2011) Prevalence of Complicated Grief in a Representative Population-Based Sample. Journal of Affective Disorders, 13, 339-343.
https://doi.org/10.1016/j.jad.2010.11.032

[8]   Ling, S.F., Chen, M.L., Li, C.Y., Chang, W.C., Shen, W.C. and Tang, S.T. (2013) Trajectory and Influencing Factors of Depressive Symptoms in Family Caregivers before and after the Death of Terminally Ill Patients with Cancer. Oncology Nurse Forum, 40, E32-E40.
https://doi.org/10.1188/13.ONF.E32-E40

[9]   Girgis, A., Lambert, S. and Lecathelinais, C. (2011) The Supportive Care Needs Survey for Partners and Caregivers of Cancer Survivors: Development and Psychometric Evaluation. Psycho-Oncology, 20, 387-393.
https://doi.org/10.1002/pon.1740

[10]   Shin, D.W., Park, J.-H., Shim, E.-J., Park, J.-H., Choi, J.-Y., Kim, S.G. and Park, E.-C. (2011) The Development of a Comprehensive Needs Assessment Tool for Cancer-Caregivers in Patient-Caregiver Dyads. Psycho-Oncology, 20, 1342-1352.
https://doi.org/10.1002/pon.1857

[11]   Hodgkinson, K., Butow, P., Hobbs, K.M., Hunt, G.E., Lo, S.K. and Wain, G. (2007) Assessing Unmet Supportive Care Needs in Partners of Cancer Survivors: The Development and Evaluation of the Cancer Supervisors’ Partners Unmet Needs Measure (CaSPUN). Psycho-Oncology, 16, 805-813.
https://doi.org/10.1002/pon.1138

[12]   Hisamura, K. (2010) Problems in Social Lives Patients with Cancer Experience and the Importance of Social Support. Gendai No Esupuri, 517, 41-53. (In Japanese)

[13]   Umezawa, S., Fujisawa, D., Fujimori, M., Ogawa, A., Matsushima, E. and Miyashita, M. (2015) Prevalence, Associated Factors and Source of Support Concerning Supportive Care Needs among Japanese Cancer Survivors. Psycho-Oncology, 24, 635-642.
https://doi.org/10.1002/pon.3702

[14]   Hisamura, K., Matsushima, E., Tsukayama, S., Murakami, S. and Motto, Y. (2018) An Exploratory Study of Social Problems Experienced by Ambulatory Patients with Cancer in Japan: Frequency and Association with Perceived Need for Help. Psycho-Oncology, 27, 1704-1710.
https://doi.org/10.1002/pon.4703

[15]   Girgis, A., Lambert, S.D., McElduff, P., Bonevski, B., Lecathelinais, C., Boyes, A. and Stacey, F. (2013) Some Things Change, Some Things Stay the Same: A Longitudinal Analysis of Cancer Caregivers’ Unmet Supportive Care Needs. Psycho-Oncology, 22, 1557-1564.
https://doi.org/10.1002/pon.3166

[16]   Horibe, K. (2017) Characteristics of Adolescent and Young Adult Cancer. Japanese Journal of Cancer and Chemotherapy, 44, 7-11.

[17]   Stava, C.J., Lopez, A. and Vassilopoulou-Sellin, R. (2006) Health Profiles of Younger and Older Breast Cancer Survivors. Cancer, 107, 1752-1759.
https://doi.org/10.1002/cncr.22200

[18]   Geue, K., Richter, D., Schmidt, R., Sender, A., Siedentopf, F., Brähler, E. and Stöbel-Richter, Y. (2014) The Desire for Children and Fertility Issues among Young German Cancer Survivors. Journal of Adolescent Health, 54, 527-535.
https://doi.org/10.1016/j.jadohealth.2013.10.005

[19]   Zerback, B.J., Casillas, J., Nohr, L., Adams, H. and Zeltzer, L.K. (2004) Fertility Issues for Young Adult Survivors of Childhood Cancer. Psycho-Oncology, 13, 689-699.
https://doi.org/10.1002/pon.784

[20]   Geue, K., Sender, A., Schmidt, R., Richter, D., Hinz, A., Schulte, T., Brähler, E. and Stöbel-Richter, Y. (2014) Gender-Specific Quality of Life after Cancer in Young Adulthood: A Comparison with the General Population. Quality of Life Research, 23, 1377-1386.
https://doi.org/10.1007/s11136-013-0559-6

[21]   Nowe, E., Stöbel-Richter, Y., Sender, A., Leuteritz, K., Friedrich, M. and Geue, K. (2017) Cancer-Related Fatigue in Adolescents and Young Adults: A Systematic Review of the Literature. Critical Reviews in Oncology/Hematology, 118, 63-69.
https://doi.org/10.1016/j.critrevonc.2017.08.004

[22]   Bellizzi, K.M., Smith, A., Schmidt, S., Keegan, T.H.M., Zebrack, B., Lynch, C.F., Deapen, D.D., Shnorhavorian, M., Tompkins, B.J., Simon, M. and the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) Study Collaborative Group (2012) Positive and Negative Psychosocial Impact of Being Diagnosed with Cancer as an Adolescent or Young Adult. Cancer, 118, 5155-5162.
https://doi.org/10.1002/cncr.27512

[23]   Warner, E.L., Kent, E.E., Trevino, K.M., Parsons, H.M., Zebrack, B.J. and Kirchhoff, A.C. (2016) Social Well-Being among Adolescents and Young Adults with Cancer: A Systematic Review. Cancer, 122, 1029-1037.
https://doi.org/10.1002/cncr.29866

[24]   Dyson, G.J., Thompson, K., Palmer, S., Thomas, D.M. and Schofield, P. (2012) The Relationship between Unmet Needs and Distress amongst Young People with Cancer. Supportive Care Cancer, 20, 75-85.
https://doi.org/10.1007/s00520-010-1059-7

[25]   Larsson, G., Mattsson, E. and Essen, L.V. (2010) Aspects of Quality of Life, Anxiety, and Depression among Persons Diagnosed with Cancer during Adolescence: A Long-Term Follow-Up Study. European Journal of Cancer, 46, 1062-1068.
https://doi.org/10.1016/j.ejca.2010.01.021

[26]   Quinn, G.P., Goncalves, V., Sehovic, I., Bowman, M.L. and Reed, D.R. (2015) Quality of Life in Adolescent and Young Adult Cancer Patients: A Systematic Review of the Literature. Patient Related Outcome Measures, 6, 19-51.
https://doi.org/10.2147/PROM.S51658

[27]   Duprez, C., Vanlemments, L., Untas, A., Antoine, P., Lesur, A., Loustalot, C., Guillement, C., Leclerrcq, M., Segura, C., Carlier, D., Lefeuvre-Plesse, C., Simon, H., Frenel, J.S. and Christophe, V. (2017) Emotional Distress and Subjective Impact of the Disease in Young Women with Breast Cancer and Their Spouses. Future Oncology, 13, 2667-2680.
https://doi.org/10.2217/fon-2017-0264

[28]   Juth, V., Silver, R.C. and Sender, L. (2015) The Shared Experience of Adolescent and Young Adult Cancer Patients and Their Caregivers. Psycho-Oncology, 24, 1746-1753.
https://doi.org/10.1002/pon.3785

[29]   Hagedoorn, M., Buunk, B.P., Kuijer, R.G., Wobbes, T. and Sanderman, R. (2000) Couples Dealing with Cancer: Role and Gender Differences Regarding Psychological Distress and Quality of Life. Psycho-Oncology, 9, 232-242.
https://doi.org/10.1002/1099-1611(200005/06)9:3<232::AID-PON458>3.0.CO;2-J

[30]   The Cancer Information Service of National Cancer Center in Japan.
https://ganjoho.jp/reg_stat/statistics/stat/short_pred.html

[31]   Sung, M.R., Patel, M.V., Djalalov, S., Le, L.W., Shepherd, F.A., Burkes, R.L., Feld, R., Lin, S., Tudor, R. and Leighl, N.B. (2017) Evolution of Symptom Burden of Advanced Lung Cancer over a Decade. Clinical Lung Cancer, 18, 274-280.
https://doi.org/10.1016/j.cllc.2016.12.010

[32]   Lee, Y.-H., Liao, Y.-C., Liao, W.-Y., Shun, S.-C., Liu, Y.-C., Chan, J.-C., Yu, C.-J., Yang, P.-C. and Lai, Y.-H. (2013) Anxiety, Depression and Related Factors in Family Caregivers of Newly Diagnosed Lung Patients with Cancer before First Treatment. Psycho-Oncology, 22, 2617-2623.
https://doi.org/10.1002/pon.3328

[33]   Siminoff, L.A., Wilsom-Genderson, M. and Baker Jr., S. (2010) Depressive Symptoms in Lung Patients with Cancer and Their Family Caregivers and the Influence of Family Environment. Psycho-Oncology, 19, 1285-1293.
https://doi.org/10.1002/pon.1696

[34]   Chen, S.C., Chiou, S.C., Yu, C.J., Lee, Y.H., Liao, W.Y., Hsieh, P.Y., Jhang, S.Y. and Lai, Y.H. (2016) The Unmet Supportive Care Needs—What Advanced Lung Cancer Patients’ Caregivers Need and Related Factors. Supportive Care Cancer, 24, 2999-3009.
https://doi.org/10.1007/s00520-016-3096-3

[35]   Kavanaugh, M., Kramer, B.J., Walsh, M.C. and Trentham-Dietz, A. (2015) Factors Contributing to Economic Burden in Lung Cancer Spousal Caregivers. Palliative & Supportive Care, 13, 691-700.
https://doi.org/10.1017/S1478951514000443

[36]   Holiday, E.B., Dieckmann, N.F., McDonald, T.L., Hung, A.Y., Thomas Jr., C.R. and Wood, L.J. (2016) Relationship between Fatigue, Sleep Quality and Inflammatory Cytokines during External Beam Radiation Therapy for Prostate Cancer: A Prospective Study. Radiation and Oncology, 118, 105-111.
https://doi.org/10.1016/j.radonc.2015.12.015

[37]   Fasse, L., Flahault, C., Bredart, A., Dolbeault, S. and Sultan, S. (2015) Describing and Understanding Depression in Spouses of Patients with Cancer in Palliative Phase. Psycho-Oncology, 24, 1131-1137.
https://doi.org/10.1002/pon.3777

[38]   Akechi, T., Okamura, H., Yamawaki, S. and Uchitomi, Y. (1998) Predictors of Patient’s Mental Adjustment to Cancer: Patient Characteristics and Social Support. British Journal of Cancer, 77, 2381-2385.
https://doi.org/10.1038/bjc.1998.396

[39]   Butler, L.D., Field, N.P., Busch, A.L., Seplaki, J.E., Hastings, T.A. and Spiegel, D. (2005) Anticipating Loss and Other Temporal Stressors Predict Traumatic Stress Symptoms among Partners of Metastatic/Recurrent Breast Cancer Patients. Psycho-Oncology, 14,492-502.
https://doi.org/10.1002/pon.865

[40]   Grunfeld, E., Coyle, D., Whelan, T., Clinch, J., Reyno, L., Earle, C.C., Willan, A., Voila, R., Coristine, M., Janz, T. and Glossop, R. (2004) Family Caregiver Burden: Results of a Longitudinal Study of Breast Patients with Cancer and Their Principal Caregivers. Canadian Medical Association Journal, 170, 1795-1801.
https://doi.org/10.1503/cmaj.1031205

[41]   Lewis, F.M. and Deal, L.W. (1995) Balancing Our Lives: A Study of the Married Couple’s Experience with Breast Cancer Recurrence. Oncology Nursing Forum, 22, 943-953.

[42]   Siegel, K., Karus, D.G., Raveis, V.H., Christ, G.H. and Mesagno, F.P. (1996) Depressive Distress among the Spouses of Terminally Ill Cancer Patients. Cancer Practice, 4, 25-30.

[43]   Hedden, L., Wassersug, R., Mahovlich, S., Pollock, P., Sundar, M., Bell, R.H., Goldenberg, L. and Higano, C.S. (2017) Evaluating an Educational Intervention to Alleviate Distress amongst Men with Newly Diagnosed Prostate Cancer and Their Partners. BJU International, 120, E21-E29.

[44]   Hudson, P.L., Trauer, T., Lobb, E., Zordan, R., Williams, A., Quinn, K., Summers, M. and Thomas, K. (2012) Supporting Family Caregivers of Hospitalised Palliative Care Patients: A Psychoeducational Group Intervention. BMJ Supportive & Palliative Care, 2, 115-120.
https://doi.org/10.1136/bmjspcare-2011-000131

[45]   Wang, F., Luo, D., Fu, L., Zhang, H., Wu, S., Zhang, M., Zhou, H., Sun, T. and Chen, X. (2017) The Efficacy of Couple-Based Interventions on Health-Related Quality of Life in Cancer Patients and Their Spouses: A Meta-Analysis of 12 Randomized Controlled Trials. Cancer Nursing, 40, 39-47.
https://doi.org/10.1097/NCC.0000000000000356

[46]   Li, Q. and Loke, A.Y. (2014) A Systematic Review of Spousal Couple-Based Intervention Studies for Couples Coping with Cancer: Direction for the Development of Interventions. Psycho-Oncology, 23, 731-739.
https://doi.org/10.1002/pon.3535

 
 
Top