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Adjusting to pancreatic cancer: Perspectives from first-degree relatives

Published online by Cambridge University Press:  30 September 2009

Kerri Petrin ,
Deborah J. Bowen ,
Catherine M. Alfano  and
Robin Bennett
Kerri Petrin
Affiliation:
Puget Sound Health Alliance, Seattle, Washington
Deborah J. Bowen*
Affiliation:
Department of Social and Behavioral Sciences, Boston University, Boston, Massachusetts
Catherine M. Alfano
Affiliation:
Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland
Robin Bennett
Affiliation:
Department of Genetics, University of Washington, Seattle, Washington
*
Address correspondence and reprint requests to: Deborah Bowen, Department of Social and Behavioral Sciences, Boston University, 715 Albany Street T250W, Boston, MA 02118. E-mail: dbowen@bu.edu
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Abstract

Objective:

The combination of a difficult early diagnosis, few treatment options, and high mortality rate could make the experience of pancreatic cancer different from the experience of other cancers, both for patients and families. To design effective interventions for families with a diagnosis of pancreatic cancer, there is need for a model of family members' adjustment to cancer that is specific to these unique aspects of pancreatic cancer.

Method:

Trained clinical interviewers and a genetic counselor conducted phone interviews with 22 first-degree relatives—parents, siblings, and offspring—from a pool of participating family members. The interview transcripts were analyzed using qualitative coding methods.

Results:

Participants expressed both similar and different themes compared with other literature on adjustment to cancer. Relatives struggled through both the initial diagnosis and its aftermath, seeking to balance their own strong feelings with the needs of the ailing family member. Support systems were identified as very important, regardless of the source of the support, and those without them reported more intense difficulties. Many family members felt that everything was happening too fast to slow down and process what was going on.

Significance of results:

Pancreatic cancer families may be unable to cope by taking one day at a time and must find other ways of dealing with stress. Also, the compressed timeline between diagnosis and death may heighten certain coping behaviors, such as the reevaluation of one's priorities.

Keywords

CancerPancreasOncologyCopingFamily
Type
Original Articles
Information
Palliative & Supportive Care , Volume 7 , Issue 3 , September 2009 , pp. 281 - 288
Copyright
Copyright © Cambridge University Press 2009

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References

REFERENCES

Anton-Culver, H., Ziogas, A., Bowen, D., et al. (2003). The Cancer Genetics Network: Recruitment results and pilot studies. Community Genetics, 6, 171–177.Google ScholarPubMed
Edwards, B. & Clarke, V. (2005). The validity of the family relationships index as a screening tool for psychological risk in families of cancer patients. Psychooncology, 14, 546–554.CrossRefGoogle ScholarPubMed
Ferrel, B., Grant, M., Funk, B., et al. (1996). Quality of life in breast cancer. Cancer Practice, 4, 331–340.Google Scholar
Fitzsimmons, D., George, S., Payne, S., et al. (1999). Differences in perception of quality of life issues between health professionals and patients with pancreatic cancer. Psychooncology, 8, 135–143.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Hull, M.M. (1992). Coping strategies of family caregivers in hospice homecare. Oncology Nursing Forum, 19, 1179–1187.Google ScholarPubMed
James, N., Daniels, H., Rahman, R., et al. (2007). A study of information seeking by cancer patients and their carers. Clinical Oncology, 19, 356–362.CrossRefGoogle ScholarPubMed
Kronenwetter, C., Weidner, G., Pettengill, E., et al. (2005). A qualitative analysis of interviews of men with early stage prostate cancer: The Prostate Cancer Lifestyle Trial. Cancer Nursing, 28, 99–107.CrossRefGoogle ScholarPubMed
Lewis, F.M. (1990). Strengthening family supports. Cancer and the family. Cancer, 65(3 Suppl.), 752–759.3.0.CO;2-D>CrossRefGoogle ScholarPubMed
Lowenfels, A.B. & Maisonneuve, P. (2004). Epidemiology and prevention of pancreatic cancer. Japanese Journal of Clinical Oncology, 34, 238–244.CrossRefGoogle ScholarPubMed
Mallinger, J.B., Griggs, J.J. & Shields, C.G. (2006). Family communication and mental health after breast cancer. European Journal of Cancer Care, 15, 355–361.CrossRefGoogle ScholarPubMed
Matsuno, S., Egawa, S. & Arai, K. (2001). Trends in treatment for pancreatic cancer. Journal of Hepato-Biliary-Pancreatic Surgery, 8, 544–548.CrossRefGoogle ScholarPubMed
Mellon, S. & Northouse, L.L. (2001). Family survivorship and quality of life following a cancer diagnosis. Research in Nursing and Health, 24, 446–459.CrossRefGoogle ScholarPubMed
Michaud, D.S. (2004). Epidemiology of pancreatic cancer. Minerva Chirurgica, 59, 99–111.Google ScholarPubMed
Montgomery, G.H., Erblich, J., DiLorenzo, T., et al. (2003). Family and friends with disease: Their impact on perceived risk. Preventive Medicine, 37, 242–249.CrossRefGoogle ScholarPubMed
Northouse, L., Mellon, S., Harden, S., et al. (2008). Effects of cancer on families of adult cancer survivors. In Handbook of Behavior and Cancer, Miller, S., Bowen, D.F., Croyle, R., et al. (eds.). Washington, DC: American Psychological Association.Google Scholar
Northouse, L.L., Mood, D., Templin, T., et al. (2000). Couples' patterns of adjustment to colon cancer. Social Science and Medicine, 50, 271–284.CrossRefGoogle ScholarPubMed
Northouse, L.L., Templin, T., Mood, D., et al. (1998). Couples' adjustment to breast cancer and benign breast disease: A longitudinal analysis. Psychooncology, 7, 37–48.3.0.CO;2-#>CrossRefGoogle ScholarPubMed
Rabow, M.W., Hauser, J.M. & Adams, J. (2004). Supporting family caregivers at the end of life: “They don't know what they don't know.” JAMA, 291, 483–491.CrossRefGoogle Scholar
Sherwood, P., Given, B., Dorrenbos, A., et al. (2004). Forgotten voices: Lessons from bereaved caregivers of persons with a brain tumor. International Journal of Palliative Nursing, 10, 67–75.CrossRefGoogle Scholar
Turner-Cobb, J.M., Bloor, L.E., Whittemore, A.S., et al. (2006). Disengagement and social support moderate distress among women with a family history of breast cancer. Breast Journal, 12, 7–15.CrossRefGoogle ScholarPubMed
van der Molen, B. (2007). Providing patient information—Part 1: Assessing information needs of patients. European Journal of Cancer Care, 16, 312.CrossRefGoogle ScholarPubMed
Vimalachandran, D., Ghaneh, P., Costello, E., et al. (2004). Genetics and prevention of pancreatic cancer. Cancer Control, 11, 6–14.CrossRefGoogle ScholarPubMed
Yates, P. (1999). Family coping: Issues and challenges for cancer nursing. Cancer Nursing, 22, 63–71.CrossRefGoogle ScholarPubMed
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., et al. (2001). The prevalence of psychological distress by cancer site. Psychooncology, 10, 19–28.3.0.CO;2-6>CrossRefGoogle ScholarPubMed