title: The impact of caregiving on the psychological well-being of family caregivers and cancer patients.
abstract: OBJECTIVE
  To provide an overview of patient and caregiver emotional distress; examine the sources of their distress, review evidence-based interventions that can reduce distress, and provide guidelines for assessment and intervention.
  
  
  METHODS
  Peer-reviewed publications.
  
  
  CONCLUSIONS
  There is a significant, reciprocal relationship between patient and caregiver emotional distress. Sources of distress vary by phase of illness. Evidence-based interventions can reduce distress and anxiety, but often are not implemented in practice.
  
  
  CONCLUSIONS
  Nurses need to assess patients and family caregivers for distress and intervene to reduce distress by fostering patient-caregiver teamwork, communication, and self-care; providing information; and referring to resources as needed.
authors.affiliation: University of Michigan School of Nursing, Ann Arbor, MI 48109, USA. lnortho@umich.edu
authors.forename: Laurel L
authors.initials: LL
authors.lastname: Northouse
authors.forename: Maria C
authors.initials: MC
authors.lastname: Katapodi
authors.forename: Ann M
authors.initials: AM
authors.lastname: Schafenacker
authors.forename: Denise
authors.initials: D
authors.lastname: Weiss
mesh_terms: D017028:Caregivers / Q000523:psychology*; D004644:Emotions; D005190:Family / Q000523:psychology*; D006801:Humans; D009369:Neoplasms / Q000451:nursing* / Q000523:psychology; D012008:Recurrence; D013315:Stress, Psychological; D017741:Survivors / Q000523:psychology