@article{682af83e7d5342bba09ae3ddbb645834,
title = "Comparing adult-child and spousal caregiver burden and potential contributors",
abstract = "Background: Adult-children caring for a parent with cancer comprise a significant segment of caregivers. Yet less is known about adult-child caregivers, their burden, or caregivers' and patients' gender's impact, which may differ from the well-studied spousal caregiver. This knowledge gap may hinder efforts to ameliorate adult-children's caregiver burden. Methods: We analyzed caregiver surveys from the Cancer Care Outcomes Research and Surveillance Consortium, a multi-regional population-based study of patients with colorectal or lung cancer. Using t tests and multivariate regression models, we assessed whether adult-child and spousal caregivers' caregiving responsibilities and social/emotional and financial burdens differed and used structural equation models (SEMs) to examine mediating factors. Results: Compared with spouses/partners (N = 1007), adult-children (N = 227) spent less time caregiving (14 vs 23 hours/week; P <.001), but experienced higher social/ emotional burden (P <.01). In models adjusted for objective caregiving burden measures and demographics, adult-children's social/emotional (P <.05) and financial burdens (P <.01) were greater than spouses'. Poor communication quality was associated with greater social/emotional burden for both groups (P <.05). SEMs indicated that gender concordance between caregivers and patients (eg, daughters caring for mothers) and caregiver employment increased the difference between adult-child and spouses' social/emotional burden, whereas caregiver-patient relationship quality reduced it. Conclusions: Adult-children spend less time caregiving than spouses/partners, but have higher social/emotional and financial caregiving burdens, partially due to adult-children's employment, caregiver-patients' gender concordance, and relationship quality. Gender concordance's contribution to greater social/emotional burden adds important context to prior findings, indicating female caregivers experience the most burden. Interventions that improve caregiver-patient communication may reduce both adult-child and spousal caregiver burden.",
keywords = "caregiver preparedness, caregivers, caregiving burden, communication, families, financial burden",
author = "Fenton, {Anny T.H.R.} and Keating, {Nancy L.} and Ornstein, {Katherine A.} and Kent, {Erin E.} and Kristin Litzelman and Rowland, {Julia H.} and Wright, {Alexi A.}",
note = "Funding Information: Alexi A. Wright received contracts or grants from the National Cancer Institute, National Institute of Nursing Research, the Agency for Healthcare Research and Quality, National Comprehensive Cancer Network/Astra-Zeneca, and PackHealth and consulting fees from Glaxo-Smith Kline. Nancy Keating received grants or contracts to the institution from Centers for Medicare & Medicaid Services, the National Cancer Institute, Arnold Ventures, and Commonwealth Fund and consulting fees from Research Triangle. The other authors made no disclosures. Anny T. H. R. Fenton is supported by the National Cancer Institute (NCI) (5T32CA092203). The Cancer Care Outcomes Research and Surveillance study was supported by the NCI via grants to the Statistical Coordinating Center (U01 CA093344), Dana-Farber Cancer Institute/Cancer Research Network through the NCI-supported Primary Data Collection and Research Centers (U01 CA 093332), Harvard Medical School/Northern California Cancer Center (U01 CA093324), RAND/University of California, Los Angeles (U01 CA093348), University of Alabama at Birmingham (U01 CA093329), University of Iowa (U01 CA01013), and University of North Carolina U01 CA093339. Cancer Care Outcomes Research and Surveillance study was also supported by the Department of Veterans Affairs through a grant to the Durham Veterans Affairs Medical Center (CRS 02-164). Funding Information: Anny T. H. R. Fenton is supported by the National Cancer Institute (NCI) (5T32CA092203). The Cancer Care Outcomes Research and Surveillance study was supported by the NCI via grants to the Statistical Coordinating Center (U01 CA093344), Dana‐Farber Cancer Institute/Cancer Research Network through the NCI‐supported Primary Data Collection and Research Centers (U01 CA 093332), Harvard Medical School/Northern California Cancer Center (U01 CA093324), RAND/University of California, Los Angeles (U01 CA093348), University of Alabama at Birmingham (U01 CA093329), University of Iowa (U01 CA01013), and University of North Carolina U01 CA093339. Cancer Care Outcomes Research and Surveillance study was also supported by the Department of Veterans Affairs through a grant to the Durham Veterans Affairs Medical Center (CRS 02‐164). Funding Information: Alexi A. Wright received contracts or grants from the National Cancer Institute, National Institute of Nursing Research, the Agency for Healthcare Research and Quality, National Comprehensive Cancer Network/Astra‐Zeneca, and PackHealth and consulting fees from Glaxo‐Smith Kline. Nancy Keating received grants or contracts to the institution from Centers for Medicare & Medicaid Services, the National Cancer Institute, Arnold Ventures, and Commonwealth Fund and consulting fees from Research Triangle. The other authors made no disclosures. Publisher Copyright: {\textcopyright} 2022 American Cancer Society.",
year = "2022",
month = may,
day = "15",
doi = "10.1002/cncr.34164",
language = "English",
volume = "128",
pages = "2015--2024",
journal = "Cancer",
issn = "0008-543X",
publisher = "John Wiley & Sons Inc.",
number = "10",
}