Title

Dyadic stress of breast cancer survivors and their caregivers: Are there differences by sexual orientation

UMMS Affiliation

Department of Quantitative Health Sciences

Publication Date

2018-06-29

Document Type

Article

Disciplines

Gender, Race, Sexuality, and Ethnicity in Communication | Health Psychology | Health Services Administration | Health Services Research | Neoplasms | Oncology | Psychological Phenomena and Processes

Abstract

OBJECTIVE: The objective of the study is to assess dyadic stress among sexual minority cancer survivor and caregivers compared to heterosexual cancer survivors and their caregivers.

METHODS: We recruited 167 survivors of nonmetastatic breast cancer of different sexual orientations and their caregivers, who were interviewed via telephone after obtaining consent. We used inverse propensity score weighting to account for differences by sexual orientation in age and length of the survivor-caregiver relationship and simultaneous equation models consistent with the needs for analyzing dyadic data.

RESULTS: Survivors and caregivers reported stress levels consistent with population norms, irrespective of survivors' sexual orientation. Accounting for covariates, survivors' and caregivers' stress did not mutually influence one another overall. However, differences by sexual orientation were noted such that caregivers' stress was influential for sexual minority survivors' stress, but not for heterosexual survivors' stress.

CONCLUSIONS: Careful consideration should be given to caregivers of sexual minority survivors, an underserved group for whom currently no interventions exist.

Keywords

breast cancer, caregiving, dyads, psychological needs, stress

DOI of Published Version

10.1002/pon.4836

Source

Psychooncology. 2018 Jun 29. doi: 10.1002/pon.4836. [Epub ahead of print] Link to article on publisher's site

Journal/Book/Conference Title

Psycho-oncology

PubMed ID

29959808

Related Resources

Link to Article in PubMed

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