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- W4311141794 abstract "Abstract Purpose: Financial strain and stressful life events predict poor family communication. A cancer diagnosis can bring heightened emotional stress and financial strain for most cancer patients and their families. We evaluated how level of comfort and willingness to discuss important but sensitive economic topics affected longitudinal assessments of family relationships, exploring both within-person and between partner effects over two years after a cancer diagnosis. Methods: A case series of hematological cancer patient-caregiver dyads (n=171) were recruited from oncology clinics in Virginia and Pennsylvania and followed for 2 years. Multi-level models were developed to examine the associations between comfort discussing economic aspects of cancer care and family functioning. Results: Broadly, caregivers and patients who were comfortable discussing economic topics reported higher family cohesion and lower family conflict. Dyads’ assessments of family functioning were influenced both by their own and their partners level of communication comfort. Overtime caregiver but not patients perceived a significant decrease in family cohesion. Conclusions: Communicating about potentially delicate topics such as cancer care costs are associated with family functioning long term. Discussing employment in particular appears to be challenging for both members of the dyad. Implications for Cancer Survivors : In this sample, cancer patients did not perceive the decline in family cohesion that was reported by their family caregiver. This is an important finding for future work that aims to identify the timing and nature to best intervene with caregiver supports to mitigate caregiver burden that may negatively impact long term patient care and QOL." @default.
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- W4311141794 date "2022-12-02" @default.
- W4311141794 modified "2023-10-18" @default.
- W4311141794 title "Cancer patient and Caregiver Communication about Economic Concerns and the Effect on Patient and Caregiver Partners’ Perceptions of Family Functioning" @default.
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- W4311141794 doi "https://doi.org/10.21203/rs.3.rs-2326436/v1" @default.
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