title: A Dialogue of Depression and Hope: Elderly Patients Diagnosed with Cancer and Their Spousal Caregivers.
abstract: In the next few decades, a significant increase in the number of elderly survivors diagnosed with cancer is anticipated due to an increase in life expectancy and better medical treatments. The reality of being old and being diagnosed with cancer may limit considerably the future time perspective (time expected to live) of both the patient and his or her caregiver(s) and lead then to invest resources in emotionally meaningful goals and close social relationships. The goal of the current study was to describe the relationship among psychological distress, depression, social support, and hope in a cohort of oldest old patients diagnosed with cancer and their spousal caregivers living at home. We predicted that patients would rely mostly on their hope and less on social as a source of coping. Our cross-sectional sample consisted of 45 patients with cancer and 45 spouses; all individuals were at least 86 years old. The participants completed standardized self-report measures of depression, distress, hope, and social support. Patients presented extremely high levels of psychological distress compared with their spousal caregivers, who exhibited significantly lower levels of distress and depression. Among patients, hope but not social support was found to be negatively correlated to distress. In order to enhance the quality of life of oldest old cancer patients and their spouses, health care teams should understand and address the unique needs of each individual within the dyads of patients and spouses in this group.
authors.affiliation: School of Behavioral Sciences, The Academic College of Tel Aviv Yafo, 14 Rabenu yeruham St., Tel-Aviv, 6818211, Israel. giligold@mta.ac.il.
authors.forename: Gil
authors.initials: G
authors.lastname: Goldzweig
authors.affiliation: Assuta Medical Center, Oncology Institute, Tel-aviv, Israel.
authors.forename: Lea
authors.initials: L
authors.lastname: Baider
authors.affiliation: Division of Clinical Oncology, The Medical University of Graz, Graz, Austria.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Andritsch
authors.affiliation: Assuta Medical Center, Oncology Institute, Tel-aviv, Israel.
authors.forename: Raphael
authors.initials: R
authors.lastname: Pfeffer
authors.affiliation: Sharett Oncology Institute, Hadassah University Hospital, Jerusalem, Israel.
authors.forename: Yakir
authors.initials: Y
authors.lastname: Rottenberg
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D065026:Hope; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology*; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology*
keywords: Cancer; Caregivers; Distress; Hope; Oldest old; Spouses