Coping and its effects on cancer caregiving.
OBJECTIVE
Various studies have documented the emotional distress family members of persons with cancer experience, and descriptive research has identified those psychosocial factors that protect cancer caregivers from a range of negative outcomes. The objective of this study was to determine how different coping strategies were associated with multiple domains of stress and negative health outcomes among cancer family caregivers.


METHODS
A cross-sectional, correlational study design was used. One hundred forty-eight family caregivers of persons with cancer from the University of Minnesota Masonic Cancer Center and the University of Maryland Greenebaum Cancer Center were included.


RESULTS
Multiple regression models found that negative expectation coping strategies (worrying, expecting the worst, and getting nervous) and cancer caregivers' perceptions of not coping well were most significantly associated with emotional distress and negative psychological outcomes.


CONCLUSIONS
Coping strategies, and in particular negative coping styles, have a consistent and exacerbating influence on various stressors and negative psychological outcomes for cancer caregivers. Given their pervasive effects across multiple stress process domains, the alleviation or redirection of negative expectation coping strategies may enhance the delivery of clinical interventions to result in stronger, long-lasting benefits.
School of Nursing, Masonic Cancer Center, The University of Minnesota, 6-153 Weaver-Densford Hall 1331, Minneapolis, MN 55455, USA. gaug0015@umn.edu
Joseph E
JE
Gaugler
Alejandra
A
Eppinger
Jamie
J
King
Tracey
T
Sandberg
William F
WF
Regine
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D006801:Humans; D007407:Interviews as Topic; D008396:Maryland; D008910:Minnesota; D008960:Models, Psychological; D009369:Neoplasms / Q000523:psychology*; D012044:Regression Analysis; D013315:Stress, Psychological / Q000150:complications* / Q000209:etiology / Q000523:psychology