{"title":"Changes and predictors of resilience among wife and husband caregivers of patients with advanced cancer: A longitudinal study.","authors":"Haiyan Sun, Chintana Wacharasin, Pornpat Hengudomsub, Ayano Nagai","doi":"10.1177/02692163251323118","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Resilience as a dynamic process plays a significant role in caregivers' mental health. Little is known about gender differences in the resilience process and predictors of resilience in spousal caregivers.</p><p><strong>Aim: </strong>To investigate changes in resilience among wives and husbands of patients with advanced cancer over a 6-month posttreatment period, and identify different predictors of resilience between females and males.</p><p><strong>Design: </strong>This longitudinal, observational study was conducted from January to December 2022.</p><p><strong>Setting/participants: </strong>Spousal caregivers of patients with newly diagnosed advanced cancer were recruited from five regional tertiary hospitals in China. There were three assessment points at 1, 3, and 6 months post-initial treatment. The dependent variable was resilience, and five independent repeated variables were investigated.</p><p><strong>Results: </strong>Totally, 179 wife caregivers and 133 husband caregivers were included. Resilience in both wife caregivers and husband caregivers increased over time (Wald χ<sup>2</sup> = 29.83, <i>p</i> < 0.001) but husbands had higher levels of resilience than wives (Wald χ<sup>2</sup> = 35.59, <i>p</i> < 0.001). However, there was no interaction between time and gender (Wald χ<sup>2</sup> = 5.25, <i>p</i> > 0.05). Patient functional status, caregiver burden, social support, coping self-efficacy, and mutuality were predictors of resilience for wife caregivers. Meanwhile, patient functional status, caregiver burden and coping self-efficacy could predict resilience for husband caregivers.</p><p><strong>Conclusions: </strong>Healthcare providers may develop gender-specific interventions to promote resilience in spousal caregivers of patients with advanced cancer. This would improve mental health for caregivers in the process of palliative care.</p>","PeriodicalId":19849,"journal":{"name":"Palliative Medicine","volume":" ","pages":"594-603"},"PeriodicalIF":3.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Palliative Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/02692163251323118","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/28 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Resilience as a dynamic process plays a significant role in caregivers' mental health. Little is known about gender differences in the resilience process and predictors of resilience in spousal caregivers.
Aim: To investigate changes in resilience among wives and husbands of patients with advanced cancer over a 6-month posttreatment period, and identify different predictors of resilience between females and males.
Design: This longitudinal, observational study was conducted from January to December 2022.
Setting/participants: Spousal caregivers of patients with newly diagnosed advanced cancer were recruited from five regional tertiary hospitals in China. There were three assessment points at 1, 3, and 6 months post-initial treatment. The dependent variable was resilience, and five independent repeated variables were investigated.
Results: Totally, 179 wife caregivers and 133 husband caregivers were included. Resilience in both wife caregivers and husband caregivers increased over time (Wald χ2 = 29.83, p < 0.001) but husbands had higher levels of resilience than wives (Wald χ2 = 35.59, p < 0.001). However, there was no interaction between time and gender (Wald χ2 = 5.25, p > 0.05). Patient functional status, caregiver burden, social support, coping self-efficacy, and mutuality were predictors of resilience for wife caregivers. Meanwhile, patient functional status, caregiver burden and coping self-efficacy could predict resilience for husband caregivers.
Conclusions: Healthcare providers may develop gender-specific interventions to promote resilience in spousal caregivers of patients with advanced cancer. This would improve mental health for caregivers in the process of palliative care.
背景：心理弹性是一个动态过程，在照顾者心理健康中起着重要作用。对于配偶照顾者心理弹性过程中的性别差异和心理弹性的预测因素知之甚少。目的：探讨晚期癌症患者的妻子和丈夫在治疗后6个月的恢复力变化，并确定女性和男性之间恢复力的不同预测因素。设计：这项纵向观察性研究于2022年1月至12月进行。环境/参与者：从中国五家区域性三级医院招募新诊断晚期癌症患者的配偶照顾者。初始治疗后1个月、3个月和6个月有三个评估点。因变量为心理弹性，研究了五个独立重复变量。结果：共纳入妻子照顾者179人，丈夫照顾者133人。妻子照顾者和丈夫照顾者的恢复力随时间的推移而增加（Wald χ2 = 29.83, p 2 = 35.59, p 2 = 5.25, p > 0.05）。患者功能状态、照顾者负担、社会支持、应对自我效能和互动性是妻子照顾者心理弹性的预测因子。同时，患者功能状态、照顾者负担和应对自我效能可以预测丈夫照顾者的心理弹性。结论：医疗保健提供者可以制定针对性别的干预措施，以促进晚期癌症患者配偶照顾者的恢复力。这将改善姑息治疗过程中护理人员的心理健康。
期刊介绍：
Palliative Medicine is a highly ranked, peer reviewed scholarly journal dedicated to improving knowledge and clinical practice in the palliative care of patients with far advanced disease. This outstanding journal features editorials, original papers, review articles, case reports, correspondence and book reviews. Essential reading for all members of the palliative care team. This journal is a member of the Committee on Publication Ethics (COPE).
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