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Caregiver fear of cancer recurrence: A systematic review and meta‐analysis of quantitative studies.

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Title: Caregiver fear of cancer recurrence: A systematic review and meta‐analysis of quantitative studies.
Authors: Webb, Kyra (AUTHOR), Sharpe, Louise (AUTHOR), Butow, Phyllis (AUTHOR), Dhillon, Haryana (AUTHOR), Zachariae, Robert (AUTHOR), Tauber, Nina Møller (AUTHOR), O'Toole, Mia Skytte (AUTHOR), Shaw, Joanne (AUTHOR)
Source: Psycho-Oncology. Aug2023, Vol. 32 Issue 8, p1173-1191. 19p. 1 Diagram, 5 Charts, 5 Graphs.
Subjects: Caregivers, Cancer relapse, Psychometrics, Quantitative research, CINAHL database
Abstract: Objective: Fear of cancer recurrence (FCR) is reported by both cancer survivors and caregivers however less is known about caregiver FCR. This study aimed to (a) conduct a meta‐analysis to compare survivor and caregiver FCR levels; (b) examine the relationship between caregiver FCR and depression, and anxiety; (c) evaluate psychometric properties of caregiver FCR measures. Methods: CINAHL, Embase, PsychINFO and PubMed were searched for quantitative research examining caregiver FCR. Eligibility criteria included caregivers caring for a survivor with any type of cancer, reporting on caregiver FCR and/or measurement, published in English‐language, peer‐review journals between 1997 and November 2022. The COnsensus‐based Standards for the selection of health status Measurement INstruments (COSMIN) taxonomy was used to evaluate content and psychometric properties. The review was pre‐registered (PROSPERO ID: CRD42020201906). Results: Of 4297 records screened, 45 met criteria for inclusion. Meta‐analysis revealed that caregivers reported FCR levels as high as FCR amongst survivors, with around 48% of caregivers reporting clinically significant FCR levels. There was a strong correlation between anxiety and depression and medium correlation with survivor FCR. Twelve different instruments were used to measure caregiver FCR. Assessments using the COSMIN taxonomy revealed few instruments had undergone appropriate development and psychometric testing. Only one instrument met 50% or more of the criteria, indicating substantial development or validation components were missing in most. Conclusions: Results suggest FCR is as often a problem for caregivers as it is for survivors. As in survivors, caregiver FCR is associated with more severe depression and anxiety. Caregiver FCR measurement has predominately relied on survivor conceptualisations and unvalidated measures. More caregiver‐specific research is urgently needed. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Caregiver fear of cancer recurrence: A systematic review and meta‐analysis of quantitative studies.
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  Data: <searchLink fieldCode="AR" term="%22Webb%2C+Kyra%22">Webb, Kyra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sharpe%2C+Louise%22">Sharpe, Louise</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Butow%2C+Phyllis%22">Butow, Phyllis</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dhillon%2C+Haryana%22">Dhillon, Haryana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zachariae%2C+Robert%22">Zachariae, Robert</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tauber%2C+Nina+Møller%22">Tauber, Nina Møller</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Toole%2C+Mia+Skytte%22">O'Toole, Mia Skytte</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shaw%2C+Joanne%22">Shaw, Joanne</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Aug2023, Vol. 32 Issue 8, p1173-1191. 19p. 1 Diagram, 5 Charts, 5 Graphs.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+relapse%22">Cancer relapse</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Quantitative+research%22">Quantitative research</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Fear of cancer recurrence (FCR) is reported by both cancer survivors and caregivers however less is known about caregiver FCR. This study aimed to (a) conduct a meta‐analysis to compare survivor and caregiver FCR levels; (b) examine the relationship between caregiver FCR and depression, and anxiety; (c) evaluate psychometric properties of caregiver FCR measures. Methods: CINAHL, Embase, PsychINFO and PubMed were searched for quantitative research examining caregiver FCR. Eligibility criteria included caregivers caring for a survivor with any type of cancer, reporting on caregiver FCR and/or measurement, published in English‐language, peer‐review journals between 1997 and November 2022. The COnsensus‐based Standards for the selection of health status Measurement INstruments (COSMIN) taxonomy was used to evaluate content and psychometric properties. The review was pre‐registered (PROSPERO ID: CRD42020201906). Results: Of 4297 records screened, 45 met criteria for inclusion. Meta‐analysis revealed that caregivers reported FCR levels as high as FCR amongst survivors, with around 48% of caregivers reporting clinically significant FCR levels. There was a strong correlation between anxiety and depression and medium correlation with survivor FCR. Twelve different instruments were used to measure caregiver FCR. Assessments using the COSMIN taxonomy revealed few instruments had undergone appropriate development and psychometric testing. Only one instrument met 50% or more of the criteria, indicating substantial development or validation components were missing in most. Conclusions: Results suggest FCR is as often a problem for caregivers as it is for survivors. As in survivors, caregiver FCR is associated with more severe depression and anxiety. Caregiver FCR measurement has predominately relied on survivor conceptualisations and unvalidated measures. More caregiver‐specific research is urgently needed. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.6176
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        Text: English
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        PageCount: 19
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        Type: general
      – SubjectFull: Cancer relapse
        Type: general
      – SubjectFull: Psychometrics
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      – SubjectFull: Quantitative research
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      – SubjectFull: CINAHL database
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      – TitleFull: Caregiver fear of cancer recurrence: A systematic review and meta‐analysis of quantitative studies.
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              M: 08
              Text: Aug2023
              Type: published
              Y: 2023
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