title: Family caregivers and guilt in the context of cancer care.
abstract: BACKGROUND
  Guilt as a key emotional phenomenon in the cancer-caregiving experience is an understudied issue.
  
  
  OBJECTIVE
  The purpose of this study is to identify demographic characteristics of cancer caregivers and care-related stress factors that are associated with their feelings of caregiver guilt, as well as to explore the effect of caregiver guilt on their adjustment outcomes.
  
  
  METHODS
  A total of 739 caregivers of cancer survivors completed a survey (66.7% response rate), of which 635 provided complete data for the measures in this study.
  
  
  RESULTS
  Hierarchical regression analyses revealed that certain caregiver demographics (i.e., younger age, adult offspring, employed) and care-related stress factors (i.e., greater impact on schedule, less perceived caregiving competence, poorer overall health of the care-recipient) were significantly related to caregiver guilt. Higher levels of psychological distress and poorer mental, social, and physical functioning were significantly associated with caregiver guilt, above and beyond the variance accounted for by the covariates.
  
  
  CONCLUSIONS
  Results suggest that caregiver guilt compromises the psychosocial and somatic adjustment of cancer caregivers. Guilt may be a cardinal feature of the caregiving experience, and to fully understand the implications of this complex phenomenon, more research is needed.
authors.affiliation: Behavioral Research Center, American Cancer Society, 250 Williams St. NW, Atlanta, GA 30303-1002, USA. rachel.spillers@cancer.org
authors.forename: Rachel L
authors.initials: RL
authors.lastname: Spillers
authors.forename: David K
authors.initials: DK
authors.lastname: Wellisch
authors.forename: Youngmee
authors.initials: Y
authors.lastname: Kim
authors.forename: B Alex
authors.initials: BA
authors.lastname: Matthews
authors.forename: Frank
authors.initials: F
authors.lastname: Baker
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D015331:Cohort Studies; D005190:Family / Q000523:psychology*; D005260:Female; D006167:Guilt; D006801:Humans; D007398:Interpersonal Relations; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology*; D011788:Quality of Life; D012737:Sex Factors; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology; D014481:United States / Q000453:epidemiology; D055815:Young Adult