Cuidado de pacientes oncológicosuna revisión sobre el impacto de la situación de estrés crónico y su relación con la personalidad del cuidador y otras variables moduladoras

  1. Patricia Mesa-Gresa 1
  2. Marta Ramos-Campos 1
  3. Rosa Redolat 1
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

Aldizkaria:
Psicooncología: investigación y clínica biopsicosocial en oncología

ISSN: 1696-7240

Argitalpen urtea: 2017

Alea: 14

Zenbakia: 1

Orrialdeak: 93-106

Mota: Artikulua

DOI: 10.5209/PSIC.55814 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Psicooncología: investigación y clínica biopsicosocial en oncología

Garapen Iraunkorreko Helburuak

Laburpena

Objective: The prevalence of long-term diseases such as cancer has increased in recent years. In this context, our aim will be to analyze the main consequences resulting from exposure to a chronic stress situation, such as the care of an oncologic patient. The effects of this situation on the psychosocial health and cognitive function of informal caregivers and their relationship with possible modulating variables will be revised. Method: A bibliographic review was performed in PubMed and PsycINFO databases about the consequences related to the caregiving of patients with chronic diseases. Results: Several studies suggest that the condition of caregiver of cancer patients could be considered as an and stressful situation. It has consequences on caregiver’s physical and psychosocial health, and can induce a decrease of cognitive functioning, although these changes may be modulated by different variables. Conclusion: These data suggest the need of implementing intervention programs in order to mitigate the deleterious consequences of the caregiving situation.

Finantzaketari buruzko informazioa

Este trabajo ha sido posible gracias a la financiaci?n recibida por la ?Conselleria d?Educaci? i Ci?ncia? de la Generalitat Valenciana (PROMETEOII/2015/019), por la Universitat de Val?ncia (UV-INV-AE15-350056) y por Ministerio de Industria, Econom?a y Competitividad (Ref. PSI2016-78763-P).

Finantzatzaile

Erreferentzia bibliografikoak

  • Almela M, van der Meij L, Hidalgo V, Villada C, Salvador A. The cortisol awakening response and memory performance in older men and women. Psychoneuroendocrinology 2012;37:1929-1940. Doi: 10.1016/j.psyneuen.2012.04.009.
  • Badía-Llach X, Lara-Suriñachb N, Roset-Gamisansb M. Calidad de vida, tiempo de dedicación y carga percibida por el cuidador principal informal del enfermo de Alzheimer. Aten Primaria 2004;34:170-7. Doi: 10.1016 / S0212-6567 (04) 78904-0.
  • Barreto M, Molero M, Pérez M. Evaluación e intervención psicológica en familias de enfermos oncológicos. Gil F, editor. Manual de Psico-Oncología. Barcelona: Nova Sidonia 2000.p.137-72.
  • Bennett JM, Fagundes CP, Kiecolt-Glaser JK. The chronic stress of caregiving accelerates the natural aging of the immune system. En: Bosch JA, Phillips AC, Lord JM, editors. Immunosenescence: Springer; 2013. p. 35-46. Doi: 10.1007/978-1-4614-4776-4_3
  • Blanco-Martínez LL, Simón-Álvarez AM, Sánchez-Fernández A. Caracterización biopsicosocial de los cuidadores informales de pacientes con enfermedad crónica o terminal. Rev Cubana Enferm 2016;32(3).
  • Bookwala J, Schulz R. The role of neuroticism and mastery in spouse caregivers’ assessment of and response to a contextual stressor. J Gerontol B Psychol Sci Soc Sci 1998;53:P155-64.
  • Brummett BH, Austin SB, Welsh-Bohmer KA, Williams RB, Siegler IC. Long-term Impact of caregiving and metabolic syndrome with perceived decline in cognitive function 8 years later: A pilot study suggesting important avenues for future research. Open J Med Psychol 2013;2:23. Doi: 10.4236/ojmp.2013.21005.
  • Carter PA, Acton GJ. Personality and coping: predictors of depression and sleep problems among caregivers of individuals who have cancer. J Gerontol Nurs 2006;32:45-53. Doi: 10.3928 / 009891342006020111.
  • Contador I, Fernandez-Calvo B, Palenzuela DL, Campos FR, Rivera-Navarro J, de Lucena VM. A control-based multidimensional approach to the role of optimism in the use of dementia day care services. Am J Alzheimers Dis Other Demen 2015;30:686-93. Doi: 10.1177 / 1533317513494439.
  • Contador I, Fernández-Calvo B, Palenzuela DL, Miguéis S, Ramos F. Prediction of burden in family caregivers of patients with dementia: A perspective of optimism based on generalized expectancies of control. Aging Mental Health 2012;16:675-82. Doi: 10.1080/13607863.2012.684666.
  • Díaz V, Ruiz M, Flórez C, Urrea Y, Córdoba V, Arbeláez C, et al. Impacto familiar del diagnóstico de muerte inminente. Revista de Psicología Universidad de Antioquia 2014;5(2).
  • Dos Santos Alves, Daniela Fernanda, de Brito Guirardello E, Kurashima AY. Estrés relacionado al cuidado: el impacto del cáncer infantil en la vida de los padres. Rev Latino-Am Enfermagem 2013;21: [07]
  • El Cáncer en España 2016. Madrid: 2016. [Acceso 1 de enero de 2107]. Disponible en: http://www.seom.org/es/prensa/el-cancer-en-espanyacom/105460-el-cancer-en-espana-2016?showall=1
  • Girgis A, Lambert S, Johnson C, Waller A, Currow D. Physical, psychosocial, relationship, and economic burden of caring for people with cancer: a review. J Oncol Pract 2013;9:197-202. Doi: 10.1200 / JOP.2012.000690.
  • Goldberg LR. The structure of phenotypic personality traits. Am Psychol 1993;48:26. Doi: 10.1037/0003-066X.48.1.26
  • Gómez-Soto M. Cuidar al cuidador informal. Nuberos Científica 2015;2:58-62.
  • González-Abraldes I, Millán-Calenti JC, Lorenzo-López L, Maseda A. The influence of neuroticism and extraversion on the perceived burden of dementia caregivers: An exploratory study. Arch Gerontol Geriatr 2013;56:91-5. Doi: 10.1016/j.archger.2012.07.011
  • Groves M, Muskin PR. Psychological responses to illness. En: Levenson JL, editor. The American Psychiatric Publishing Textbook of Psychosomatic Medicine: Psychiatric Care of the Medically Ill, Second edition, American Psychiatric Publishing, Inc, Washington 2011.p.45-67.
  • Herrera AP, Mendez-Luck CA, Crist JD, Smith ML, Warre R, Ory MG, et al. Psychosocial and cognitive health differences by caregiver status among older mexican americans. Community Ment Health J 2013;49:61-72. Doi: 10.1007/s10597-012-9494-1.
  • Hidalgo V, Villada C, Almela M, Espin L, Gomez-Amor J, Salvador A. Enhancing effects of acute psychosocial stress on priming of non-declarative memory in healthy young adults. Stress 2012;15:329-38. Doi: 10.3109/10253890.2011.624224.
  • Hidalgo V, Villada C, Pulopulos M, Almela M, Salvador A. Estrés y cambios cognitivos asociados al envejecimiento. Informacio Psicologica 2014:14-28. Doi: 10.14635/IPSIC.2014.105.1
  • Hoerger M, Coletta M, Sörensen S, Chapman BP, Kaukeinen K, Tu X, et al. Personality and perceived health in spousal caregivers of patients with lung cancer: The roles of neuroticism and extraversion. J Aging Res 2016;2016: 5.659.793. Doi: 10.1155/2016/5659793.
  • Instituto Nacional de Estadística (INE). Encuesta Nacional de Salud 2011-12. Madrid: 2013. [Acceso 1 de enero de 2017]. Disponible en: http://www.ine.es/metodologia/t15/t153041912.pdf.
  • Juster RP, McEwen BS, Lupien SJ. Allostatic load biomarkers of chronic stress and impact on health and cognition. Neurosci Biobehav Rev 2010;35:2-16. Doi: 10.1016/j.neubiorev.2009.10.002.
  • Karatoreos IN, McEwen BS. Annual Research Review: The neurobiology and physiology of resilience and adaptation across the life course. J Child Psychol Psychiatry 2013;54:337-47. Doi: 10.1111 / jcpp.12054.
  • Kim H, Kim S, Kim J, Kim S, Shin I, Shim H, et al. Influence of caregiver personality on the burden of family caregivers of terminally ill cancer patients. Palliat Support Care 2016;14:5-12. Doi: 10.1017 / S1478951515000073.
  • Kim Y, Kashy DA, Spillers RL, Evans TV. Needs assessment of family caregivers of cancer survivors: three cohorts comparison. Psychooncology 2010;19:573-82. Doi: 10.1002 / pon.1597.
  • Koerner SS, Kenyon DB, Shirai Y. Caregiving for elder relatives: Which caregivers experience personal benefits/gains? Arch Gerontol Geriatr 2009;48:238-45. Doi: 10.1016/j.archger.2008.01.015.
  • Lautenschlager NT, Kurz AF, Loi S, Cramer B. Personality of mental health caregivers. Curr Opin Psychiatry 2013;26:97-101. Doi: 10.1097/YCO.0b013e32835997b3.
  • Lavretsky H, Epel ES, Siddarth P, Nazarian N, Cyr NS, Khalsa DS, et al. A pilot study of yogic meditation for family dementia caregivers with depressive symptoms: effects on mental health, cognition, and telomerase activity. Int J Geriatr Psychiatry 2013;28:57-65. Doi: 10.1002 / gps.3790.
  • Lozoya-Delgado P, Ruiz-Sánchez de León J, Pedrero-Pérez EJ. Validación de un cuestionario de quejas cognitivas para adultos jóvenes: relación entre las quejas subjetivas de memoria, la sintomatología prefrontal y el estrés percibido. Rev Neurol 2012;54:137-50.
  • Maras PM, Baram TZ. Esculpir el hipocampo desde dentro: el estrés, las espinas, y la CRH. Trends Neurosci 2012;35:315-24.
  • Matus-Donoso V, Barra-Almagiá E. Personalidad resistente, estrés percibido y bienestar psicológico en cuidadoras familiares de pacientes con cáncer terminal. Psicol Salud 2013;23:153-60.
  • Mausbach BT, Chattillion E, Roepke SK, Ziegler MG, Milic M, von Känel R, et al. A longitudinal analysis of the relations among stress, depressive symptoms, leisure satisfaction, and endothelial function in caregivers. Health Psychol 2012;31:433. Doi: 10.1037 / a0027783.
  • McEwen BS, Eiland L, Hunter RG, Miller MM. Stress and anxiety: structural plasticity and epigenetic regulation as a consequence of stress. Neuropharmacol 2012;62:3-12. Doi: 10.1016 /j.neuropharm.2011.07.014.
  • McEwen BS. Brain on stress: how the social environment gets under the skin. Proc Natl Acad Sci U S A. 2012;109 Suppl 2:17180-17185. Doi: 0.1073/pnas.1121254109.
  • Mendonca MD, Alves L, Bugalho P. From subjective cognitive complaints to dementia: Who is at Risk? A systematic review. Am J Alzheimers Dis Other Demen 2015;31: 105-14. Doi: 10.1177/1533317515592331.
  • Moreno-Gaviño L, Bernabeu-Wittel M, Álvarez-Tello M, Rincón Gómez M, Bohórquez Colombo P, Cassani Garza M, et al. Sobrecarga sentida por la figura del cuidador principal en una cohorte de pacientes pluripatológicos. Aten Primaria 2008;40:193-8. Doi: 10.1157/13118062.
  • Nightingale CL, Lagorio L, Carnaby G. A prospective pilot study of psychosocial functioning in head and neck cancer patient–caregiver dyads. J Psychosoc Oncol 2014;32:477-92. Doi: 10.1080 / 07347332.2014.936649.
  • Northouse LL, Katapodi MC. Schafenacker AM, Weiss, D. The Impact of caregiving on the psychological well-being of family caregivers and cancer patients. Semin Oncol Nurs 2012;28:236-45. Doi: 10.1016 / j.soncn.2012.09.006.
  • Oken BS, Fonareva I, Wahbeh H. Stress-related cognitive dysfunction in dementia caregivers. J Geriatr Psychiatry Neurol 2011;24:191-8. Doi: 10.1177 / 0891988711422524.
  • Oliveira BS, Zunzunegui MV, Quinlan J, Fahmi H, Tu MT, Guerra RO. Systematic review of the association between chronic social stress and telomere length: a life course perspective. Ageing Res Rev 2016;26:37-52. Doi:10.1016/j.arr.2015.12.006.
  • Otero-Martínez H. La mujer, el estres y el cuidado de un familiar dependiente. Estudio de casos múltiples.. Revista Sexología y Sociedad [revista en Internet]. 2014 [Acceso 14 de abril de 2017];10. Disponible en: http://revsexologiaysociedad.sld.cu/index.php/sexologiaysociedad/article/view/271
  • Pilnik SD. El concepto de alostasis: un paso más allá del estrés y la homeostasis; Allostasis: A step beyond stress and homeostasis. Rev Hosp Ital B Aires 2010;30:7-12.
  • Pinquart M, Sorensen S. Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. J Gerontol B Psychol Sci Soc Sci 2003;58:P112-28. Doi: 10.1093/geronb / 58.2.P112.
  • Ramos-Campos M, Mesa-Gresa P, Moreno-Bas P, Escriche-Saura A, García-Hernández FJ, Samper-Ibáñez J, et al. Relación entre el nivel de estrés percibido y factores de personalidad en cuidadores de pacientes oncológicos. VII congreso de la sociedad española de psicooncología “El coste de cuidar en oncología: Apoyo a los equipos asistenciales”. Psicooncología. 2016a;13(Suppl 1) : 1-47. Doi:10.5209/rev_PSIC.2016.v13.n1.52192
  • Ramos-Campos M, Mesa-Gresa P, Moreno-Bas P, Escriche-Saura A, Redolat R. Relationship between personality traits and level of burden in caregivers of cancer patients. XI Congreso de la Sociedad Española para el Estudio de la Ansiedad y el Estrés (SEAS) 2016b; Valencia: 15-17 septiembre de 2016.
  • Redolat R, Mesa-Gresa P. Brain health as a key concept in the development of strategies for delaying agerelated cognitive decline and alzheimer’s disease. J Parkinsons Dis Alzheimer Dis 2015;2:1-4. Doi: 10.13188 / 2376-922X.1000014
  • Redolat R, Mesa-Gresa P. Potential benefits and limitations of enriched environments and cognitive activity on age-related behavioural decline. Curr Top Behav Neurosci 2012;10:293-316. Doi:10.1007/7854_2011_134.
  • Revenson TA, Griva K, Luszczynska A, Morrison V, Panagopoulou E, Vilchinsky N, et al. Personality and caregiving. In: Revenson TA, Griva K, Luszczynska A, Morrison V, Panagopoulou E, Vilchinsky N, et al. editors. Caregiving in the Illness Context Basingstoke: Palgrave Macmillan: Springer; 2016. p. 79-89.
  • Richardson AE, Morton RP, Broadbent EA. Illness perceptions and coping predict post-traumatic stress in caregivers of patients with head and neck cancer. Support Care Cancer 2016:1-8. Doi: 10.1007/s00520-016-3285-0.
  • Roca-Socarrás AC, Blanco-Torres K. Carga en familiares cuidadores de ancianos dementes. Correo Científico Médico de Holguín 2007;11(4 Suppl 1).
  • Roepke SK, Mausbach BT, Patterson TL, Von Kanel R, Ancoli-Israel S, Harmell AL, et al. Effects of Alzheimer caregiving on allostatic load. J Health Psychol 2011;16:58-69. Doi:10.1177/1359105310369188.
  • Rogero-García J. Distribución en España del cuidado formal e informal a las personas de 65 y más años en situación de dependencia. Rev Esp Salud Publica [Internet]. 2009 Jun [citado 14 de abril de 2017] ; 83: 393-405. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272009000300005&lng=es. Sociedad Española de Oncología Médica (SEOM).
  • Rutter M. Resilience as a dynamic concept. Dev Psychopathol 2012;24:335-44. Doi: 10.1017 / S0954579412000028.
  • Schrank B, Ebert-Vogel A, Amering M, Masel EK, Neubauer M, Watzke H, et al. Gender differences in caregiver burden and its determinants in family members of terminally ill cancer patients. Psychooncology 2016;25:808-14. Doi: 10.1002/pon.4005.
  • Secanilla E, Bonjoch M, Galindo M, Gros L. La atención al cuidador. Una visión interdisciplinaria. EJIHPE 2012;1:105-18. Doi: 10.1989/ejihpe.v1i3.9
  • Serrano-Parra MD, Garrido-Abejar M, Notario-Pacheco B, Bartolomé-Gutiérrez R, Solera-Martínez M, Martínez-Vizcaíno V. Validez de la escala de resiliencia de Connor-Davidson (10 ítems) en una población de mayores no institucionalizados. Enferm Clin 2013;23:14-21. Doi: 10.1016/j.enfcli.2012.11.006.
  • Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psychooncology 2010;19:1013-25. Doi: 10.1002 / pon.1670.
  • Tokem Y, Ozcelik H, Cicik A. Examination of the relationship between hopelessness levels and coping strategies among the family caregivers of patients with cancer. Cancer Nurs 2015;38:E28-34. Doi:10.1097/NCC.0000000000000189.
  • Tsai M, Hsu J, Chou W, Yang C, Jaing T, Hung I, et al. Psychosocial and emotional adjustment for children with pediatric cancer and their primary caregivers and the impact on their health-related quality of life during the first 6 months. Q Life Res 2013;22:625-34. Doi: 10.1007 / s11136-012-0176-9.
  • Vitaliano PP, Murphy M, Young HM, Echeverria D, Borson S. Does caring for a spouse with dementia promote cognitive decline? A hypothesis and proposed mechanisms. J Am Geriatr Soc 2011;59:900-8. Doi: 10.1097 / PSY.0b013e3182408c14.
  • von Kanel R, Mausbach BT, Dimsdale JE, Mills PJ, Patterson TL, Ancoli-Israel S, et al. Effect of chronic dementia caregiving and major transitions in the caregiving situation on kidney function: A longitudinal study. Psychosom Med 2012;74:214-20. Doi 10.1097/PSY.0b013e3182408c14
  • Windle G, Bennett KM. Caring Relationships: How to promote resilience in challenging times. En: Ungar M, editor. The social ecology of resilience: Springer; 2012. p.219-31.
  • Yoon S, Kim J, Jung J, Kim S, Kim S. Modifiable factors associated with caregiver burden among family caregivers of terminally ill Korean cancer patients. Support Care Cancer 2014;22:1243-50. Doi:10.1007 / s00520-013-2077-z.