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Meaning‐based coping, chronic conditions and quality of life in advanced cancer & caregiving

dc.contributor.authorEllis, Katrina R.
dc.contributor.authorJanevic, Mary R.
dc.contributor.authorKershaw, Trace
dc.contributor.authorCaldwell, Cleopatra H.
dc.contributor.authorJanz, Nancy K.
dc.contributor.authorNorthouse, Laurel
dc.date.accessioned2017-10-05T18:20:17Z
dc.date.available2018-12-03T15:34:04Zen
dc.date.issued2017-09
dc.identifier.citationEllis, Katrina R.; Janevic, Mary R.; Kershaw, Trace; Caldwell, Cleopatra H.; Janz, Nancy K.; Northouse, Laurel (2017). "Meaning‐based coping, chronic conditions and quality of life in advanced cancer & caregiving." Psycho‐Oncology 26(9): 1316-1323.
dc.identifier.issn1057-9249
dc.identifier.issn1099-1611
dc.identifier.urihttps://hdl.handle.net/2027.42/138410
dc.description.abstractObjectiveThis study examined the relationship between the number of co‐existing health problems (patient comorbidities and caregiver chronic conditions) and quality of life (QOL) among patients with advanced cancer and their caregivers and assessed the mediating and moderating role of meaning‐based coping on that relationship.MethodsData came from patients with advanced cancers (breast, colorectal, lung, and prostate) and their family caregivers (N = 484 dyads). Study hypotheses were examined with structural equation modeling using the actor‐partner interdependence mediation model. Bootstrapping and model constraints were used to test indirect effects suggested by the mediation models. An interaction term was added to the standard actor‐partner interdependence model to test for moderation effects.ResultsMore patient comorbidities were associated with lower patient QOL. More caregiver chronic conditions were associated with lower patient and caregiver QOL. Patient comorbidities and caregiver chronic conditions had a negative influence on caregiver meaning‐based coping but no significant influence on patient meaning based coping. Caregiver meaning‐based coping mediated relationships between patient comorbidities and caregiver health conditions and patient and caregiver QOL. No significant moderating effects were observed.ConclusionsDespite the severity of advanced cancer for patients and caregivers, the co‐existing health problems of one member of the dyad have the potential to directly or indirectly affect the wellbeing of the other. Future research should consider how the number of patient comorbidities and caregiver chronic conditions, as well as the ability of patients and caregivers to manage those conditions, influences their meaning‐based coping and wellbeing. Copyright © 2016 John Wiley & Sons, Ltd.
dc.publisherSAGE
dc.publisherWiley Periodicals, Inc.
dc.subject.otherquality of life
dc.subject.otherpatient/caregiver dyad
dc.subject.otherchronic conditions
dc.subject.otheroncology
dc.subject.othercancer
dc.subject.othermeaning
dc.titleMeaning‐based coping, chronic conditions and quality of life in advanced cancer & caregiving
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/138410/1/pon4146_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/138410/2/pon4146.pdf
dc.identifier.doi10.1002/pon.4146
dc.identifier.sourcePsycho‐Oncology
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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