Psychological distress of female cancer caregivers: Effects of type of cancer and caregivers' spirituality

Youngmee Kim, David K. Wellisch, Rachel L. Spillers, Corinne Crammer

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


Introduction: This study examined the effects of the survivor's cancer type (gender-specific vs nongender-specific) and the female caregiver's spirituality and caregiving stress on the caregiver's psychological distress. Cancer caregivers, who were nominated by cancer survivors, participated in a nationwide quality-of-life survey with 252 caregivers providing complete data for the variables. Patients and methods: Breast and ovarian cancer were categorized as gender-specific types of cancer (GTC+), whereas kidney, lung, non-Hodgkin's lymphoma (NHL), and skin melanoma cancers were GTC-. Spirituality, caregiving stress, and psychological distress were measured using the functional assessment of chronic illness therapy-spiritual well-being, stress overload subscale, and profile of mood states-short form, respectively. Results and discussion: Hierarchical regression analyses revealed that female caregivers whose care recipient was diagnosed with a nongender specific type of cancer (GTC- group) reported higher psychological distress than did the GTC+ group. The GTC- group also reported lower spirituality and higher caregiving stress related to higher psychological distress than did the GTC+ group. In addition, the beneficial effect of spirituality on reducing psychological distress was more pronounced among the GTC- group or when caregiving stress increased. Conclusions: Our findings suggest that female caregivers of survivors with a nongender-specific cancer may benefit from programs designed to reduce their psychological distress, and caregivers who are low in spirituality need help to derive faith and meaning in the context of cancer care.

Original languageEnglish (US)
Pages (from-to)1367-1374
Number of pages8
JournalSupportive Care in Cancer
Issue number12
StatePublished - Dec 1 2007
Externally publishedYes


  • Caregivers
  • Gender-specific types of cancer
  • Psychological distress
  • Spirituality

ASJC Scopus subject areas

  • Oncology
  • Nursing(all)

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