Format

Send to

Choose Destination
J Psychosoc Oncol. 2019 May 20:1-16. doi: 10.1080/07347332.2019.1566808. [Epub ahead of print]

Patient-family communication mediates the relation between family hardiness and caregiver positivity: Exploring the moderating role of caregiver depression and anxiety.

Shin JY1, Steger MF2,3, Shin DW4,5, Kim SY6,7, Yang HK8, Cho J9,10,11,12, Jeong A13, Park K6, Kweon SS14, Park JH6,7.

Author information

1
a Graduate School of Education , Inha University , Incheon , Republic of Korea.
2
b Department of Psychology , Colorado State University , Fort Collins , Colorado , USA.
3
c Department of Psychology , North-West University , Potchefstroom , South Africa.
4
d Department of Family Medicine , Samsung Medical Center, Sungkyunkwan University School of Medicine , Seoul , Korea.
5
e Department of Digital Health , Samsung Advanced Institute of Health Science and Technology (SAIHST), Sungkyunkwan University , Seoul , Korea.
6
f Cancer Policy Branch, National Cancer Control Institute, National Cancer Center , Goyang , Republic of Korea.
7
g College of Medicine/Graduate School of Health Science Business Convergence , Chungbuk National University , Cheongju , Republic of Korea.
8
h Cancer Survivorship Branch , National Cancer Control Institute, National Cancer Center , Goyang , Republic of Korea.
9
i Department of Clinical Research Design and Evaluation , SAIHST, Sungkyunkwan University , Seoul , Republic of Korea.
10
j Department of Epidemiology , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
11
k Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
12
l Center for Clinical Epidemiology, Samsung Medical Center , School of Medicine, Sungkyunkwan University , Seoul , Republic of Korea.
13
m Department of Psychology , The University of Utah Asia Campus , Incheon , Republic of Korea.
14
n Department of Preventive Medicine , Chonnam National University Medical School , Gwangju , Republic of Korea.

Abstract

PURPOSE:

Despite the theoretical and empirical significance of positive aspects of caregiving in caregiver well-being, relatively little is known regarding family-related predictors of caregiver positivity. This study examines whether patient-family communication (p-f communication) mediates the relation between family hardiness and caregiver positivity and whether the mediating effects of p-f communication are moderated by the levels of caregiver depression and anxiety.

DESIGN/SAMPLE:

This study used secondary data obtained from a large-scale cross-sectional national survey conducted in South Korea. Participants were 544 spousal cancer patient-caregiver dyads recruited from the National Cancer Center and nine government-designated regional cancer centers in South Korea.

METHODS:

To test the hypotheses, a simple mediation model and two moderated mediation tests were conducted using the PROCESS macro for SPSS.

FINDINGS:

Higher family hardiness was related to higher p-f positive communication and higher caregiver positivity. The effects of family hardiness were partially mediated by p-f communication, controlling for caregiver sex, education, health status, depression and anxiety, time spent caregiving, and patient depression and anxiety, cancer stage, and time since diagnosis. The mediating effects of p-f communication were not significantly moderated by caregiver depression and anxiety.

CONCLUSIONS/IMPLICATIONS:

Health care professionals could consider p-f communication as a reasonable target of intervention to increase caregiver positivity, even for caregivers with heightened depression and anxiety.

KEYWORDS:

cancer; caregiver depression and anxiety; caregiver positivity; communication; family hardiness

Supplemental Content

Loading ...
Support Center