Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers:Effects and mediation in a randomized controlled trial
Autor: | Christoffer Johansen, Jakob Kjellberg, Per Sjøgren, Pernille Envold Bidstrup, Elisabeth Wreford Andersen, Helle Ussing Timm, Annika von Heymann-Horan, Mai-Britt Guldin, Nina Rottmann, Hans von der Maase |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male Coping (psychology) caregivers Palliative care psychological adaptation Psychological intervention Experimental and Cognitive Psychology Anxiety law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Psychological adaptation Neoplasms Adaptation Psychological medicine Humans cancer 030212 general & internal medicine Aged palliative care business.industry Depression Palliative Care Middle Aged Moderation anxiety psychotherapy Psychiatry and Mental health Oncology Caregivers 030220 oncology & carcinogenesis Hospice and Palliative Care Nursing depression oncology behavior and behavior mechanisms Female medicine.symptom business Clinical psychology Dyad |
Zdroj: | von Heymann-Horan, A, Bidstrup, P E, Johansen, C, Rottmann, N, Andersen, E A W, Sjøgren, P, von der Maase, H, Timm, H, Kjellberg, J & Guldin, M-B 2019, ' Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers : Effects and mediation in a randomized controlled trial ', Psycho-Oncology, vol. 28, no. 2, pp. 264-270 . https://doi.org/10.1002/pon.4932 von Heymann-Horan, A B, Envold-Bidstrup, P, Johansen, C, Rottmann, N, Andersen, E A W, Sjøgren, P, Maase, H V D, Timm, H, Kjellberg, J & Guldin, M-B 2018, ' Dyadic coping in specialised palliative care intervention for patients with advanced cancer and their caregivers. Effects and mediation in a randomized controlled trial ', Psycho-Oncology . https://doi.org/10.1002/pon.4932 von Heymann-Horan, A, Bidstrup, P E, Johansen, C, Rottmann, N, Andersen, E A W, Sjøgren, P, von der Maase, H, Timm, H, Kjellberg, J & Guldin, M-B 2019, ' Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers : effects and mediation in a randomized controlled trial ', Psycho-Oncology, vol. 28, no. 2, pp. 264-270 . https://doi.org/10.1002/pon.4932 |
Popis: | OBJECTIVE: Specialized palliative care (SPC) interventions increasingly include patient-caregiver dyads, but their effects on dyadic coping are unknown. We investigated whether an SPC and dyadic psychological intervention increased aspects of dyadic coping in patients with advanced cancer and their caregivers, whether dyad characteristics moderated effects and whether aspects of dyadic coping mediated significant intervention effects on caregivers' anxiety and depression.METHODS: We randomized 258 patients with incurable cancer and their caregivers to care as usual or accelerated transition from oncological treatment to home-based SPC and dyadic psychological support. In secondary outcome analyses, using mixed-effects models, we estimated intervention effects and 95% confidence intervals (CIs) for communication of stress and common coping, and moderation by dyad type and demographics. In path analyses, we investigated whether stress communication and common coping mediated intervention effects on caregivers' symptoms of anxiety and depression. (Clinicaltrials.gov NCT01885637).RESULTS: The intervention significantly increased common coping in patients and caregivers in couples (estimated difference, 0.68; 95% CI, 0.11 to 1.24) and stress communication by partner caregivers (0.97; 0.24 to 1.24). We found some support for different intervention effects for spouses and other dyads, but no evidence of mediation.CONCLUSIONS: Specialized palliative care and dyadic psychological intervention may affect aspects of dyadic coping. Common coping and stress communication did not mediate the previously found significant intervention effects on caregiver anxiety and depression, indicating that other mechanisms may have been central in the intervention. |
Databáze: | OpenAIRE |
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