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The effects of a cancer diagnosis on the health of a patient's partner: a population-based registry study of cancer in Sweden
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Skåne University Hospital.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). (Ctr Collaborat Palliat Care)ORCID-id: 0000-0002-3155-575x
Lund University.
Lund University.
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2016 (Engelska)Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 25, nr 5, s. 744-752Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim of this population-based registry study was to explore how cancer influences the health of partners, by examining the onset of new diagnoses for partners, health care use and health care costs among partners living with patients with cancer. The sample consisted of partners of patients with cancer (N = 10 353) and partners of age- and sex-matched controls who did not have cancer (N = 74 592). Diagnoses, health care use and health care costs were studied for a continuous period starting 1 year before the date of cancer diagnosis and continued for 3 years. One year after cancer diagnosis, partners of patients with cancer had significantly more mood disorders, reactions to severe stress and ischaemic heart disease than they exhibited in the year before the diagnosis. Among partners of patients with cancer, the type of cancer was associated with the extent and form of increased health care use and costs; both health care use and costs increased among partners of patients with liver cancer, lung cancer, colon cancer and miscellaneous other cancers. The risk of poorer health varied according to the type of cancer diagnosed, and appeared related to the severity and prognosis of that diagnosis.

Ort, förlag, år, upplaga, sidor
2016. Vol. 25, nr 5, s. 744-752
Nyckelord [en]
cancer, health care costs, health care use, partner's health, population-based registry study
Nationell ämneskategori
Cancer och onkologi Allmänmedicin Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Forskningsämne
Naturvetenskap, Medicin; Hälsovetenskap
Identifikatorer
URN: urn:nbn:se:lnu:diva-56074DOI: 10.1111/ecc.12487ISI: 000383567800005PubMedID: 27028409Scopus ID: 2-s2.0-85027940632OAI: oai:DiVA.org:lnu-56074DiVA, id: diva2:971440
Tillgänglig från: 2016-09-16 Skapad: 2016-08-31 Senast uppdaterad: 2019-01-17Bibliografiskt granskad
Ingår i avhandling
1. Families' life situation when living with cancer: aspects of health and family sense of coherence
Öppna denna publikation i ny flik eller fönster >>Families' life situation when living with cancer: aspects of health and family sense of coherence
2017 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Aim: To investigate families’ perceived life situation when living with cancer, with a focus on health and family sense of coherence.

Methods: Study I is a population-based register study that explored how cancer influenced the health of cohabitating partners of persons with cancer in Sweden by examining the onset of new diagnoses, health care use, and health care costs among the partners. Study II focused on familial interaction patterns for families living with cancer in a palliative phase, based on family interviews, and analysed using Gadamerian hermeneutics. In study III, Family Sense of Coherence scale (S-FSOC-S) was culturally adapted and evaluated for reliability and validity, using psychometric analyses. Study IV explored associations between family sense of coherence and hope, anxiety, and symptoms of depression using descriptive statistics and nested linear regression.

Results: Study I showed that the partners of persons with cancer had significantly increased health care use and health care costs both one and two years after the cancer diagnosis, and that use patterns and costs varied according to the type of cancer that had been diagnosed. Study II revealed that the familial interaction patterns were adjusted in response to changes in family life - changes which encompassed three different, but interrelated, patterns: power dynamics in the family, the “secret game” in the family, and multifaceted closeness and distance in the family. Study III suggested that S-FSOC-S is useful for assessing familial coherence and shows satisfactory reliability and validity. Study IV showed that stronger family sense of coherence was associated with higher hope and lower anxiety and symptoms of depression levels in both persons with cancer and their family members.

Conclusions: Families’ life situation was affected by the cancer diagnosis, which had an impact on both individual family members and the family as a unit. The type of cancer may help to determine partners’ risk of ill health. The changed familial interaction patterns increased the families’ ability to deal with family life without hurting each other. The S-FSOC-S is a useful instrument for assessing family sense of coherence and can help identify families with weak family sense of coherence, who may need professional support.

Ort, förlag, år, upplaga, sidor
Växjö: Linnaeus University Press, 2017. s. 69
Serie
Linnaeus University Dissertations ; 299/2017
Nyckelord
Cancer, Family interviews, Family sense of coherence, Health, Palliative care, Psychometric evaluation
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-68768 (URN)978-91-88357-94-6 (ISBN)
Disputation
2017-12-08, v159, Stagneliusgatan 14b, Kalmar, 10:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2017-11-16 Skapad: 2017-11-16 Senast uppdaterad: 2017-11-16Bibliografiskt granskad

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Möllerberg, Marie-LouiseSandgren, Anna

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Möllerberg, Marie-LouiseSandgren, Anna
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Institutionen för hälso- och vårdvetenskap (HV)
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European Journal of Cancer Care
Cancer och onkologiAllmänmedicinFolkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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