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Symptom distress and quality of life among Black Americans with cancer and their family caregivers

dc.contributor.authorEllis, Katrina R.
dc.contributor.authorOh, Seyoung
dc.contributor.authorHecht, Hillary K.
dc.contributor.authorNorthouse, Laurel
dc.date.accessioned2021-09-08T14:33:42Z
dc.date.available2022-09-08 10:33:41en
dc.date.available2021-09-08T14:33:42Z
dc.date.issued2021-08
dc.identifier.citationEllis, Katrina R.; Oh, Seyoung; Hecht, Hillary K.; Northouse, Laurel (2021). "Symptom distress and quality of life among Black Americans with cancer and their family caregivers." Psycho‐Oncology 30(8): 1356-1365.
dc.identifier.issn1057-9249
dc.identifier.issn1099-1611
dc.identifier.urihttps://hdl.handle.net/2027.42/169235
dc.description.abstractObjectiveBlack Americans are disproportionately affected by cancer and chronic diseases. Black patients with cancer and their family caregivers may concurrently experience symptoms that influence their wellbeing. This study investigates the influence of mental and physical symptom distress on quality of life (QOL) among Black Americans with cancer and their family caregivers from a dyadic perspective.MethodsOne hundred and fifty‐one dyads comprised of a Black American with breast, colorectal, lung or prostate cancer and a Black family caregiver were included in this secondary analysis of pooled baseline data from three studies. Self‐reports of problems managing 13 symptoms were used to measure mental and physical symptom distress. Descriptive statistics and the actor‐partner interdependence model were used to examine symptom prevalence and the influence of each person’s symptom distress on their own and each other’s QOL.ResultsFatigue, sleep problems, pain and mental distress were prevalent. Patients and caregivers reported similar levels of mental distress; however, patients reported higher physical distress. Increased patient mental distress was associated with decreased patient QOL (overall, emotional, social, functional). Increased patient physical distress was associated with decreased patient QOL (overall, physical, emotional, functional) and decreased caregiver emotional wellbeing. Increased caregiver mental distress was associated with decreased caregiver QOL (overall, emotional, social, functional) and decreased patient overall QOL. Increased caregiver physical distress was associated with decreased caregiver QOL (overall, physical, functional), decreased patient emotional wellbeing, and better patient social wellbeing.ConclusionsSupporting symptom management in Black patient/caregiver dyads may improve their QOL.
dc.publisherWiley Periodicals, Inc.
dc.publisherAmerican Cancer Society
dc.subject.otherdyads
dc.subject.otheradults
dc.subject.otherBlack Americans
dc.subject.othercancer
dc.subject.othercaregiving
dc.subject.otheroncology
dc.subject.otherpsycho‐oncology
dc.subject.otherquality of life
dc.subject.othersymptoms
dc.titleSymptom distress and quality of life among Black Americans with cancer and their family caregivers
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHematology and Oncology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/169235/1/pon5691_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/169235/2/pon5691.pdf
dc.identifier.doi10.1002/pon.5691
dc.identifier.sourcePsycho‐Oncology
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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