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Care for the cancer caregiver: A systematic review

Published online by Cambridge University Press:  10 October 2012

Allison J. Applebaum  and
William Breitbart
Allison J. Applebaum*
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York, New York
William Breitbart
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York, New York
*
Address correspondence and reprint requests to: Allison J. Applebaum, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, N.Y., 10022. E-mail: [email protected]
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Abstract

Objective:

Informal caregivers (ICs) are relatives, friends, and partners who have a significant relationship with and provide assistance (i.e., physical, emotional) to a patient with a life- threatening, incurable illness. The multidimensional burden that results from providing care to a patient with cancer is well documented, and as a result, a growing number of psychosocial interventions have been developed specifically to address this burden. The purpose of the present study was to characterize the state of the science of psychosocial interventions for informal cancer caregivers.

Method:

A comprehensive systematic review of interventions for cancer caregivers was conducted via an electronic literature search of publications between 1980 and January 13, 2011. A final sample of 49 interventions was reviewed in detail.

Results:

The interventions, which varied in terms of modality and patient population, fell into the following eight categories: psychoeducation, problem-solving/skills building interventions, supportive therapy, family/couples therapy, cognitive-behavioral therapy, interpersonal therapy, complementary and alternative medicine interventions, and existential therapy. Benefits and disadvantages of each of the categories are discussed, with special attention given to studies that produced null findings.

Significance of results:

Beyond specific techniques, structured, goal-oriented, and time-limited interventions that are integrative appear to be the most feasible and offer the greatest benefits for ICs of cancer patients. Future studies are needed to examine the specific benefits and challenges of delivering interventions in alternative modalities (Internet, Skype) so that the needs of a greater number of ICs may be addressed.

Keywords

Cancer caregiversCaregiver burdenPsychosocial interventions
Type
Review Articles
Information
Palliative & Supportive Care , Volume 11 , Issue 3 , June 2013 , pp. 231 - 252
Copyright
Copyright © Cambridge University Press 2012 

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References

REFERENCES

Adams, E., Boulton, M. & Watson, E. (2009). The information needs of partners and family members of cancer patients: a systematic literature review. Patient Education and Counseling, 77, 179–186.CrossRefGoogle ScholarPubMed
Andrews, S.C. (2001). Caregiver burden and symptom distress in people with cancer receiving hospice care. Oncology Nursing Forum, 28, 1469–1474.Google ScholarPubMed
Aoun, S.M., Kristjanson, L.J., Currow, D.C., et al. (2005). Caregiving for the terminally ill: at what cost? Palliative Medicine, 19, 551–555.Google Scholar
Applebaum, A. (2011). Caregiving for cancer patients: Finding meaning in the experience of giving care. Presented at the 13th World Congress of Psycho-Oncology, Analya, Turkey.Google Scholar
Applebaum, A., Stein, E., Pessin, H., et al. (2012). The role of therapeutic alliance in telephone-administered cognitive-behavioral therapy for hematopoietic SCT survivors. Journal of Clinical and Consulting Psychology.Google Scholar
Applebaum, A., Stein, E., Rosenfeld, B., et al. (2012). Optimism, social support, and mental health outcomes, in patients with advanced cancer. https://synapse.mskcc.org/synapse/works/25146.Google Scholar
Badger, T., Sagrin, C., Dorros, S.M., et al. (2007). Depression and anxiety in women with breast cancer and their partners. Nursing Research, 56, 44–53.Google Scholar
Baider, L., Uziely, B. & De-Nour, A.K. (1994). Progressive muscle relaxation and guided imagery in cancer patients. General Hospital Psychiatry, 16, 340–347.Google Scholar
Baider, L. & De-Nour, A.K. (1988). Adjustment to cancer: Who is the patient—the husband or the wife. Israel Journal of Medicine and Science, 24, 631–636.Google Scholar
Baider, L., Kaufman, B., Perez, T., et al. (1996). Mutuality of fate: Adaptation and psychological distress in cancer patients and their partners. In Cancer and the Family, Baider, L., Cooper, C.L. & De-Nour, A.K. (eds.). pp. 173–186. New York: Wiley.Google Scholar
Baider, L., Perez, T. & De-Nour, A.K. (1989). Gender and adjustment to chronic disease: A study of couples with colon cancer. General Hospital Psychiatry, 11, 1–8.CrossRefGoogle ScholarPubMed
Barg, F.K., Padacreta, J.V., Nuamah, I.F., et al. (1998). A description of a psychoeducational intervention for family caregivers of cancer patients. Journal of Family Nursing, 4, 394–413.CrossRefGoogle Scholar
Baucom, D.H., Porter, L.S., Kirby, J.S., et al. (2009). A couple-based intervention for female breast cancer. Psycho-Oncology, 18, 276–283.CrossRefGoogle ScholarPubMed
Bevans, M., Castro, K., Prince, P., et al. (2010). An individualized dyadic problem-solving education intervention for patients and family caregivers during allogeneic HSCT: A feasibility study. Cancer Nursing, 33, E24–E32.CrossRefGoogle ScholarPubMed
Bishop, M.M., Beaumont, J.L., Hahn, E.A., et al. (2007). Late effects of cancer and hematopoietic stem-cell transplantation on spouses or partners compared with survivors and survivor-matched controls. Journal of Clinical Oncology, 25, 1403–1411.CrossRefGoogle ScholarPubMed
Blanchard, C.G., Toseland, R.W. & McCallion, P. (1996). The effects of a problem-solving intervention with spouses of cancer patients. Journal of Psychosocial Oncology, 14, 11–21.CrossRefGoogle Scholar
Bowman, K.F., Rose, J.H., Radziewicz, R.M., et al. (2009). Family caregiver engagement in a coping and communication support intervention tailored to advanced cancer patients and families. Cancer Nursing, 32, 73–81.Google Scholar
Boyle, D., Blodgett, L., Gnesdiloff, S., et al. (2000). Caregiver quality of life after autologous bone marrow transplantation. Cancer Nursing, 23, 193–203.CrossRefGoogle ScholarPubMed
Braun, M., Mikulincer, M., Rydall, A., et al. (2007). Hidden morbidity in cancer: Spouse caregivers. Journal of Clinical Oncology, 25, 4829–4834.CrossRefGoogle ScholarPubMed
Breitbart, W.S. & Alici, Y. (2009). Psycho-oncology. Harvard Review of Psychiatry, 17, 361–376.CrossRefGoogle ScholarPubMed
Bucher, J.A., Trostle, G.B. & Moore, M. (1999). Family reports of cancer pain, pain relief, and prescription access. Cancer Practice, 7, 71–77.CrossRefGoogle ScholarPubMed
Budin, W.C., Hoskins, C.N., Haber, J., et al. (2008). Breast cancer: Education, counseling and adjustment among patients and partners: A randomized clinical trial. Nursing Research, 57, 199–213.Google Scholar
Bultz, B.D., Speca, M., Brasher, P.M., et al. (2000). A randomized controlled trial of a brief psychoeducational support group for partners of early stage breast cancer patients. Psycho-Oncology, 9, 303–313.Google Scholar
Burton, L.C., Newsom, J.T., Schulz, R., et al. (1997). Preventive health behaviors among spousal caregivers. Preventive Medicine, 26, 162–169.CrossRefGoogle ScholarPubMed
Cameron, J.I., Shin, J.L, Williams, D., et al. (2004). A brief problem-solving intervention forfamily caregivers to individuals with advanced cancer. Journal of Psychosomatic Research, 57, 137–143.Google Scholar
Campbell, L.C., Keefe, F.J., Scipio, C., et al. (2006). Facilitating research participation and improving quality of life for African American prostate cancer survivors and their intimate partners: A pilot studyof telephone-based coping skills training. Cancer, 109, S414–S424.CrossRefGoogle Scholar
Campbell, L.D. (2010). Sons who care: Examining the experience and meaning of filial caregiving for married and never-married sons. Canadian Journal on Aging, 29, 73–84.CrossRefGoogle ScholarPubMed
Carlson, L.E., Ottenbreit, N., St. Pierre, M., et al. (2001). Partner understanding of the breast and prostate cancer experience. Cancer Nursing, 24, 231–239.CrossRefGoogle ScholarPubMed
Carter, P.A. (2006). A brief behavioral sleep intervention for family caregivers of persons with cancer. Cancer Nursing, 29, 95–103.CrossRefGoogle ScholarPubMed
Carter, P.A. (2003). Family caregivers' sleep loss and depression over time. Cancer Nursing, 26, 253–259.CrossRefGoogle ScholarPubMed
Carter, P.A. & Chang, B.L. (2000). Sleep and depression in cancer caregivers. Cancer Nursing, 23, 410–415.CrossRefGoogle ScholarPubMed
Cartledge Hoff, A. & Haaga, D.G. (2005). Effects of an education program on radiation oncology patients and families. Journal of Psychosocial Oncology, 23, 61–79.CrossRefGoogle ScholarPubMed
Cho, M.H., Dodd, M.J., Lee, K.A., et al. (2006). Self-reported sleep quality in family caregivers of gastric cancer patients who are receiving chemotherapy in Korea. Journal of Cancer Education, 21, S37–S41.Google Scholar
Christakis, N.A. & Allison, P.D. (2006). Mortality after the hospitalization of a spouse. New England Journal of Medicine, 354, 719–730.CrossRefGoogle ScholarPubMed
Christensen, D.N. (1983). Postmastectomy couple counseling: An outcome study of a structured treatment protocol. Journal of Sex and Marital Therapy, 9, 266–275.CrossRefGoogle ScholarPubMed
Cliff, A.M. & Macdonagh, R.P. (2000). Psychosocial morbidity in prostate cancer: II. A comparison of patients and partners. British Journal of Urology International, 86, 834–839.Google Scholar
Cohen, M., & Kuten, A. (2006). Cognitive-behavior group intervention for relatives of cancer patients: A controlled study. Journal of Psychosomatic Research, 61, 187–196.CrossRefGoogle ScholarPubMed
Covinsky, K.E., Goldman, L., Cook, E.F., et al. (1994). The impact of serious illness on patients' families. Journal of the American Medical Association, 272, 1839–1844.CrossRefGoogle ScholarPubMed
Derdiarian, A.K. (1989). Effects of information on recently diagnosed cancer patients' and spouses' satisfaction with care. Cancer Nursing, 12, 285–292.Google Scholar
Duggleby, W., Wright, K., Williams, A., et al. (2007). Developing a living with hope program for caregivers of family members with advanced cancer. Journal of Palliative Care, 23, 24–31.Google Scholar
Dumont, S., Turgeon, J., Allard, P., et al. (2006). Caring for a loved one with advanced cancer: Determinants of psychological distress in family caregivers. Journal of Palliative Medicine, 9, 912–921.CrossRefGoogle ScholarPubMed
Ell, K., Nishimoto, R., Mantell, J., et al. (1988). Longitudinal analysis of psychosocial adaptation among family members of patients with cancer. Journal of Psychosomatic Research, 32, 429–438.CrossRefGoogle Scholar
Emanuel, E.J., Fairclough, D.L., Slutsman, J., et al. (1999). Assistance from family members, friends, paid care givers, and volunteers in the care of terminally ill patients. New England Journal of Medicine, 341, 956–963.CrossRefGoogle ScholarPubMed
Emanuel, E.J., Fairclough, D.L., Slutsman, J., et al. (2000). Understanding economic and other burdens of terminal illness: The experience of patients and their caregivers. Annals of Internal Medicine, 132, 451–459.CrossRefGoogle ScholarPubMed
Ey, S., Compas, B.E., Epping-Jordan, J.E., et al. (1998). Stress response and psychological adjustment in patients with cancer and their spouses. Journal of Psychosocial Oncology, 16, 59–77.CrossRefGoogle Scholar
Farran, C.J., Keane-Hagerty, E., Salloway, S., et al. (1991). Finding meaning: An alternative paradigm for Alzheimer's disease family caregivers. Gerontologist, 31, 483–489.CrossRefGoogle ScholarPubMed
Ferrell, B., Grant, M., Chan, J., et al. (1995). The impact of cancer pain education on family caregivers of elderly patients. Oncology Nursing Forum, 22, 1211–1218.Google Scholar
Francis, L., Worthington, J., Kypriotakis, G., et al. (2010). Relationship quality and burden among caregivers for late-stage cancer patients. Support Cancer Care, 18, 1429–1436.Google Scholar
Gallagher, J., Parle, M. & Cairns, D. (2002). Appraisal and psychological distress six months after diagnosis of breast cancer. British Journal of Health Psychology, 7, 365–376.Google Scholar
Gansler, T., Kepner, J., Willacy, E., et al. (2010). Evolving information priorities of hematologic cancer survivors, caregivers, and other relatives. Journal of Cancer Education, 25, 302–311.CrossRefGoogle ScholarPubMed
Gaugler, J., Mittelman, M.S., Hepburn, K., et al. (2009). Predictors of change in caregiver burden and depressive symptoms following nursing home admission. Psychology and Aging, 24, 385–396.Google Scholar
Given, B. & Given, C.W. (1992). Patient and family caregiver reaction to new and recurrentbreast cancer. Journal of the American Medical Women's Association, 47, 201–206.Google Scholar
Given, B., Given, C., Sikorskii, A., et al. (2006a). The impact of providing symptom management assistance on caregiver reaction: Results of a randomized trial. Journal of Pain and Symptom Management, 32, 433–443.Google Scholar
Given, B., Kozachik, S., Collins, C., et al. (2001a). Caregiver role strain. In Nursing Care of Older Adults Diagnosis: Outcome and Interventions, Maas, M., Buckwalter, K., Hardy, M., et al. (eds.). pp. 679–695. St Louis: Mosby.Google Scholar
Given, B., Wyatt, G., Given, C., et al. (2006b). Burden and depression among caregivers of patients with cancer at the end of life. Oncology Nursing Forum, 31, 1105–1117.Google Scholar
Given, B., Wyatt, G., Given, C., et al. (2004). Burden and depression among caregivers of patients with cancer at the end of life. Oncology Nursing Forum, 31, 1105–1115.CrossRefGoogle ScholarPubMed
Given, C.W., Given, B., Azzouz, F., et al. (2001b). Predictors of pain and fatigue in the year following diagnosis among elderly cancer patients. Journal of Pain and Symptom Management, 21, 456–466.Google Scholar
Given, C.W., Stommel, M., Given, B.A., et al. (1993). The influence of cancer patients' symptoms and functional status on patients' depression and family caregivers' reaction and depression. Health Psychology, 12, 277–285.Google Scholar
Goldberg, R.J. & Wool, M.S. (1985). Psychotherapy for the spouses of lung cancer patients: Assessment of an intervention. Psychotherapy and Psychosomatics, 43, 141–150.Google Scholar
Grahn, G. & Danielson, M. (1996). Coping with the cancer experience. II. Evaluating an education and support programme for cancer patients and their significant others. European Journal of Cancer Care, 5, 182–187.Google Scholar
Grov, E.K., Fossa, S.D., Sorebo, O., et al. (2006). Primary caregivers of cancer patients in the palliative phase: A path analysis or variables influencing their burden. Social Science & Medicine, 63, 2429–2439.CrossRefGoogle ScholarPubMed
Grunfeld, E., Coyle, D., Whelan, T., et al. (2004). Family caregiver burden: Results of a longitudinal study of breast cancer patients and their principal caregivers. Canadian Medical Association Journal, 170, 1795–1801.CrossRefGoogle ScholarPubMed
Harding, R. & Higginson, I.J. (2003). What is the best way to help caregivers in cancer and palliative care? A systematic literature review of interventions and their effectiveness. Palliative Medicine, 17, 63–74.CrossRefGoogle ScholarPubMed
Harding, R., Higginson, I., Leam, C., et al. (2004). Evaluation of a short-term group intervention for informal carers of patients attending a home palliative care service. Journal of Pain and Symptom Management, 27, 396–408.Google Scholar
Hauser, J.M. & Kramer, B.J. (2004). Family caregivers in palliative care. Clinical Geriatric Medicine, 20, 671–688.Google Scholar
Hearson, B. & Clement, S. (2007). Sleep disturbance in family caregivers of patients with advanced cancer. International Journal of Palliative Nursing, 13, 495–501.Google Scholar
Heinrich, R.L. & Schag, C.C. (1985). Stress and activity management: Group treatment for cancer patients and spouses. Journal of Consulting and Clinical Psychology, 53, 439–446.CrossRefGoogle ScholarPubMed
Hileman, J.W., Lackey, N.R. & Hassanein, R.S. (1992). Identifying the needs of home caregivers of patients with cancer. Oncology Nursing Forum, 19, 771–777.Google ScholarPubMed
Hinds, C. (1985). The needs of families who care for patients with cancer at home: Are we meeting them? Journal of Advanced Nursing, 10, 575–581.CrossRefGoogle Scholar
Hinds, P.S., Hockenberry-Eaton, M., Gilger, E., et al. (1999). Comparing patient, parent, and staff descriptions of fatigue in pediatric oncology patients. Cancer Nursing, 22, 277–288.Google Scholar
Hodgkinson, K., Butow, P., Hobbs, K.M., et al. (2007). After cancer: The unmet supportive care needs of survivors and their partners. Journal of Psychosocial Oncology, 25, 89–104.Google Scholar
Horowitz, S., Passik, S.D. & Malkin, M.G. (1996). In sickness and in health: A group intervention for spouses caring for patients with brain tumors. Journal of Psychosocial Oncology, 14, 43–56.Google Scholar
Hudson, P., Aranda, S. & Hayman-White, K. (2005). A psycho-educational intervention for family caregivers of patients receiving palliative care: A randomized controlled trial. Journal of Pain and Symptom Management, 30, 329–341.CrossRefGoogle ScholarPubMed
Hudson, P. & Payne, S. (2009). The future of family caregiving: Research, social policy and clinical practice. In Family Carers in Palliative Care: A Guide for Health and Social Care Professionals, Hudson, P. & Payne, S. (eds.). pp. 277–303. Oxford: Oxford University Press.Google Scholar
Hudson, P., Quinn, K., Kristjanson, L., et al. (2008). Evaluation of a psycho-educational group programme for family caregivers in home-based palliative care. Palliative Medicine, 22, 270–280.Google Scholar
Hudson, P.L., Remedios, C. & Thomas, K. (2010). A systematic review of psychosocial interventions for family carers of palliative care patients. BMC Palliative Care, 9, 17–22.CrossRefGoogle ScholarPubMed
Institute of Medicine (2008). Retooling for an Aging America: Building the Health Care Workforce. Washington, DC: The National Academies Press.Google Scholar
Jensen, S. & Given, B.A. (1991). Fatigue affecting family caregivers of cancer patients. Cancer Nursing, 14, 181–187.CrossRefGoogle ScholarPubMed
Jepson, C., McCorkle, R., Adler, D., et al. (1999). Effects of home care on caregivers' psychosocial status. Image – The Journal of Nursing Scholarship, 31, 115–120.Google Scholar
Johnson, J. (1988). Cancer: A family disruption. Recent Results in Cancer Research, 108, 306–310.Google Scholar
Keefe, F., Ahles, T., Sutton, L., et al. (2005). Partner-guided cancer pain management at the end of life: A preliminary study. Journal of Pain and Symptom Management, 29, 263–272.CrossRefGoogle ScholarPubMed
Kiecolt-Glaser, J.K., Glaser, R., Shuttleworth, E.C., et al. (1987). Chronic stress and immunity in family caregivers of Alzheimer's disease victims. Psychosomatic Medicine, 49, 523–535.Google Scholar
Kim, Y., Baker, F., Spillers, R.L., et al. (2006). Psychological adjustment of cancer caregivers with multiple roles. Psycho-Oncology, 15, 795–804.Google Scholar
Kim, Y. & Given, B.A. (2008). Quality of life of family caregivers of cancer survivors across the trajectory of the illness. Cancer, 112, 2556–2568.Google Scholar
Kim, Y., Schulz, R. & Carver, C.S. (2007). Benefit-finding in the cancer caregiving experience. Psychosomatic Medicine, 69, 283–291.Google Scholar
Kissane, D.W., Bloch, S., Burns, W.I., et al. (1994). Psychological morbidity in the families of patients with cancer. Psycho-Oncology, 3, 47–56.Google Scholar
Kissane, D.W., McKenzie, M., Bloch, S., et al. (2006). Family focused grief therapy: A randomized, controlled trial in palliative care and bereavement. American Journal of Psychiatry, 163, 1208–1218.CrossRefGoogle ScholarPubMed
Kornblith, A.B., Herr, H.W., Ofman, U.S., et al. (1994). Quality of life of patients with prostate cancer and their spouses. The value of a data base in clinical care. Cancer, 73, 2791–2802.Google Scholar
Kozachik, S., Given, C., Given, B., et al. (2001). Improving depressive symptoms among caregivers of patients with cancer: Results of a randomized clinical trial. Oncology Nursing Forum, 28, 1149–1157.Google ScholarPubMed
Kozachik, S., Wyatt, G., Given, C., et al. (2006). Patterns of use of complementary therapies among cancer patients and their family caregivers. Cancer Nursing, 29, 84–94.CrossRefGoogle ScholarPubMed
Kris, A.E., Cherlin, E.J., Prigerson, H., et al. (2006). Length of hospice enrollment and subsequent depression in family caregivers: 13-month follow-up study. American Journal of Geriatric Psychiatry, 14, 264–269.Google Scholar
Kuijer, R.G., Buunk, B.P., De Jong, G.M., et al. (2004). Effects of a brief intervention program for patients with cancer and their partners on feelings of inequity, relationship quality, and psychological distress. Psycho-Oncology, 13, 321–334.CrossRefGoogle ScholarPubMed
Kuijer, R.G., Buunk, B.P., Ybema, J.F., et al. (2002). The relation between perceived inequity, marital satisfaction and emotions among couples facing cancer. British Journal of Social Psychology, 41, 39–56.CrossRefGoogle ScholarPubMed
Kurtz, M.E., Kurtz, J.C., Given, C.W., et al. (2005). Depression and physical health among family caregivers of geriatric patients with cancer — a longitudinal view. Medical Science Monitor, 10, CR447–456.Google Scholar
Laizner, A.M., Yost, L.M., Barg, F.K., et al. (1993). Needs of family caregivers of persons with cancer: A review. Seminars in Oncology Nursing, 9, 114–120.Google Scholar
Lee, S., Colditz, G.A., Berkman, L.F., et al. (2003). Caregiving and risk of coronary heart disease in U.S. women: A prospective study. American Journal of Preventive Medicine, 24, 113–119.Google Scholar
Manne, S.L. (2007). Cancer in the marital context: A review of the literature. Cancer Investigation, 16, 188–202.Google Scholar
Manne, S., Babb, J., Pinover, W., et al. (2004). Psychoeducational group intervention for wives of men with prostate cancer. Psycho-Oncology, 13, 37–46.Google Scholar
McLean, L., Jones, J., Rydall, A., et al. (2008). A couples intervention for patients facing advanced cancer and their spouse caregivers: Outcomes of a pilot study. Psycho-Oncology, 17, 1152–1156.Google Scholar
McLean, L.M., Walton, T., Matthew, A., et al. (2011). Examination of couples' attachment security in relation to depression and hopelessness in maritally distressed patients facing end-stage cancer and their spouse caregivers: A buffer or facilitator of psychosocial distress? Supportive Care in Cancer, 19, 1539–48.Google Scholar
McMillan, S. (2005). Interventions to facilitate family caregiving at the end of life. Journal of Palliative Medicine, 8, S132–S139.Google Scholar
McMillan, S., Small, B., Weitzner, M., et al. (2005). Impact of coping skills intervention with family caregivers of hospice patients with cancer. Cancer, 106, 214–222.CrossRefGoogle Scholar
Milberg, A., Rydstrand, K., Helander, L., et al. (2005). Participants' experiences of a support group intervention for family members during ongoing palliative home care. Journal of Palliative Care, 21, 277–284.CrossRefGoogle ScholarPubMed
Milberg, A. & Strang, P. (2000). Met and unmet needs in hospital-based home care: qualitative evaluation through open-ended questions. Palliative Medicine, 14, 533–534.Google Scholar
Mokuau, N., Braun, K.L., Wong, L.K., et al. (2008). Development of a family intervention for Native Hawaiian women with cancer: A pilot study. http://www.thefreelibrary.com/Development of a family intervention for Native Hawaiian women with.a0209801156.Google Scholar
Moorey, S. & Greer, S. (2002). Cognitive Behaviour Therapy for People with Cancer. Oxford: Oxford University Press, Oxford.Google Scholar
Morse, S.R. & Fife, B. (1998). Coping with a partner's cancer: Adjustment at four stages of the illness trajectory. Oncology Nursing Forum, 25, 751–760.Google Scholar
Murray, S., Kendall, M., Boyd, K., et al. (2010). Archetypal trajectories of social, psychological, and spiritual wellbeing and distress in family caregivers of patients with lung cancer: Secondary analysis of serial qualitative interviews. British Medical Journal, 304, c2581.Google Scholar
Nagatomo, I., Akasaki, Y., Uchida, M., et al. (1999). Gender of demented patients and specific family relationship of caregiver to patients. International Journal of Geriatric Psychiatry, 14, 618–625.Google Scholar
National Alliance for Caregiving, in Collaboration with AARP (2009). Caregiving in the U.S., 2009. http://www.caregiving.org/data/CaregivingUSAllAgesExecSum.pdf.Google Scholar
Nezu, A.M., Nezu, C.M., Felgoise, S.H., et al. (2003). Project genesis: Assessing the efficacy of problem-solving therapy for distressed adult cancer patients. Journal of Consulting and Clinical Psychology, 71, 1036–1048.Google Scholar
Nijboer, C., Triemstar, M., Tempelaar, R., et al. (1999). Determinants of caregiving experiences and mental health of partners of cancer patients. Cancer, 86, 577–588.Google Scholar
Nijboer, C., Tempelaar, R., Triemstra, M., et al. (2001). The role of social and psychologic resources in caregiving of cancer patients. Cancer, 91, 1029–1039.Google Scholar
Northfield, S. & Nebauer, M. (2010). The caregiving journey for family members of relatives with cancer: How do they cope? Clinical Journal of Oncology Nursing, 14, 567–577.Google Scholar
Northouse, L.L. (1984). The impact of cancer on the family: An overview. International Journal of Psychiatric Medicine, 14, 215–242.CrossRefGoogle Scholar
Northouse, L. (1989). A longitudinal study of the adjustment of patients and husbands to breast cancer. Oncology Nursing Forum, 16, 511–516.Google Scholar
Northouse, L.L., Katapodi, M., Song, L., et al. (2010). Interventions with family caregivers of cancer patients: Meta-Analysis of randomized trials. CA: A Cancer Journal for Clinicians, 60, 317–339.Google ScholarPubMed
Northouse, L., Kershaw, T., Mood, D., et al. (2005). Effects of a family intervention on the quality of life of women with recurrent breast cancer and their family caregivers. Psycho-Oncology, 14, 478–491.CrossRefGoogle ScholarPubMed
Northouse, L., Mood, D., Schafenacker, A., et al. (2007). Randomized clinical trial of a family intervention for prostate cancer patients and their spouses. Cancer, 15, 2809–2818.Google Scholar
Northouse, L.L., Mood, D., Templin, T., et al. (2000). Couples' patterns of adjustment to colon cancer. Social Science and Medicine, 50, 271–284.Google Scholar
Oberst, M.T., Thomas, S.E., Gass, K.A., et al. (1989). Caregiving demands and appraisal of stress among family caregivers. Cancer Nursing, 12, 209–215.Google Scholar
Oldham, L., Kristjanson, L.J., White, K., et al. (2006). Female relatives' experiences of testicular cancer. Australian Journal of Cancer Nursing, 7, 18–24.Google Scholar
Pasacreta, J., Barg, F., Nuamah, I., et al. (2000). Participant characteristics before and 4 months after attendance at a family caregiver cancer education program. Cancer Nursing, 23, 295–303.Google Scholar
Pasacreta, J.V. & McCorkle, R. (2000). Cancer care: Impact of interventions on caregiver outcomes. Annual Review Gerontology and Geriatrics, 18, 127–148.Google Scholar
Pederson, L.M. & Valanis, B.G. (1988). The effects of breast cancer on the family: A review of the literature. Journal of Psychosocial Oncology, 6, 95–118.Google Scholar
Pirl, W.F. (2004). Evidence report on the occurrence, assessment, and treatment of depression in cancer patients. Journal of the National Cancer Institute Monographs, 32, 32–39.Google Scholar
Rabow, M.W., Hauser, J.M. & Adams, J. (2004). Supporting family caregivers at the end of life: “They don't know what they don't know.” Journal of the American Medical Association, 291, 483–491.Google Scholar
Reele, B. (1994). Effect of counseling on quality of life for individuals with cancer and their families. Cancer Nursing, 17, 101–112.Google Scholar
Rexilius, S., Mundt, C., Megel, M., et al. (2002). Therapeutic effects of massage therapy and healing touch on caregivers of patients undergoing autologous hematopoietic stem cell transplant. Oncology Nursing Forum, 29, E35–E44.Google Scholar
Riess-Sherwood, P., Given, B.A. & Given, C.W. (2002). Who cares for the caregiver: Strategies to provide support. Home Health Care Management and Practice, 14, 110–121.CrossRefGoogle Scholar
Rivera, H.R. (2009). Depression symptoms in cancer caregivers. Clinical Journal of Oncology Nursing, 13, 195–202.Google Scholar
Rohleder, N., Marin, T.J., Ma, R., et al. (2009). Biologic cost of caring for a cancer patient: Dysregulation of pro and anti-inflammatory signaling pathways. Journal of Clinical Oncology, 27, 2909–2915.Google Scholar
Sahler, O.J., Varni, J.W., Fairclough, D.L., et al. (2002). Problem-solving skills training for mothers of children with newly diagnosed cancer: A randomized trial. Developmental and Behavioral Pediatrics, 23, 77–86.Google Scholar
Sales, E. (1991). Psychosocial impact of the phase of cancer on the family: An updated review. Journal of Psychosocial Oncology, 9, 1–9.Google Scholar
Scott, J., Halford, W.K. & Ward, B. (2004). United we stand? The effects of a couple-coping intervention on adjustment to early stage breast or gynecological cancer. Journal of Consulting and Clinical Psychology, 72, 1122–1135.CrossRefGoogle ScholarPubMed
Schott-Baer, D. (1993). Dependent care, caregiver burden, and self-care agency of spouse caregivers. Cancer Nursing, 16, 230–236.Google Scholar
Schubart, J.R., Kinzie, M.B. & Farace, E. (2008). Caring for the brain tumor patient: family caregiver burden and unmet needs. Neuro-oncology, 10, 61–72.Google Scholar
Schulz, R. & Beach, S.R. (1999). Caregiving as a risk factor for mortality: The caregiver health effects study. Journal of the American Medical Association, 282, 2215–2219.Google Scholar
Sherwood, P.R., Given, B.A., Donovan, H., et al. (2008). Guiding research in family care: A new approach to oncology caregiving. Psycho-Oncology, 17, 986–996.Google Scholar
Siegel, K., Reveis, V.H., Houts, P., et al. (1991). Caregiver burden and unmet patient needs. Cancer, 68, 1131–1140.Google Scholar
Sörensen, S., Pinquart, M. & Duberstein, P. (2002). How effective are interventions with caregivers? An updated meta-analysis. Gerontologist, 42, 356–372.CrossRefGoogle ScholarPubMed
Stehl, M.L., Kazak, A. E., Alderfer, M.A., et al. (2009). Conducting a randomized clinical trial of a psychological intervention for parents/caregivers of children with cancer shortly after diagnosis. Journal of Pediatric Psychology, 34, 803–816.Google Scholar
Surbone, A., Baider, L., Weitzman, T.S., et al. (2010). Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement. Supportive Care in Cancer, 18, 255–263.Google Scholar
Teel, C.S. & Press, A.N. (1999). Fatigue among elders in caregiving and noncaregiving roles. Western Journal of Nursing Research, 21, 498–520.Google Scholar
Thombre, A., Sherman, A. & Simonton, S. (2010). Religious coping and posttraumatic growth among family caregivers of cancer patients in India. Journal of Psychosocial Oncology, 28, 173–188.CrossRefGoogle ScholarPubMed
Toseland, R.W., Blanchard, C.G. & McCallion, P. (1995). A problem solving intervention for caregivers of cancer patients. Social Science and Medicine, 40, 517–528.Google Scholar
Traeger, K., Greer, J.A., Fernandez-Robles, C., et al. (2012). Evidence-based treatment of anxiety in patients with cancer. Journal of Clinical Oncology. Advance online publication.CrossRefGoogle ScholarPubMed
Vess, J.D., Moreland, J.R. & Schwebel, A.I. (1985). A follow-up study of role functioning and the psychological environment of families of cancer patients. Journal of Psychosocial Oncology, 3, 1–13.Google Scholar
von Kanel, R., Mausbach, B.T., Patterson, T.L., et al. (2008). Increased Framingham coronary heart disease risk score in dementia caregivers relative to non-caregiving controls. Gerontology, 54, 131–137.Google Scholar
Wadhwa, D., Burman, D., Swami, N., et al. (2011). Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho-Oncology. Advance online publication.Google Scholar
Walsh, K., Jones, L., Tookman, A., et al. (2007). Reducing emotional distress in people caring for patients receiving specialist palliative care: Randomised trial. The British Journal of Psychiatry, 190, 142–147.Google Scholar
Walsh, S. & Schmidt, L. (2003). Telephone support for caregivers of patients with cancer. Cancer Nursing, 26, 448–453.Google Scholar
Weitzner, M., McMillan, S. & Jacobson, P. (1999). Family caregiver quality of life: Differences between curative and palliative cancer treatment settings. Journal of Pain and Symptom Management, 17, 418–428.Google Scholar
Wellisch, D., Mosher, M. & van Scoy, C. (1978). Management of family emotion stress: Familygroup therapy in a private oncology practice. International Journal of Group Psychotherapy, 28, 225–231.Google Scholar
Yabroff, K.R. & Kim, Y. (2009). Time costs associated with informal caregiving for cancer survivors. Cancer, 15, 4362–4373.CrossRefGoogle Scholar