Traumatic stress in caregivers of adult patients with cancer: A scoping review

Objective: The goal of this review was to critically review the research literature on traumatic stress in caregivers of adult cancer patients. Objectives included identifying the prevalence of significant traumatic stress symptoms, themes within the literature, and factors that are associated with...

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Main Authors: Elizaveta Klekovkina, Maya A. Stern, Carmine Malfitano, Esme Fuller-Thomson
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Archives of Gerontology and Geriatrics Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950307825000232
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author Elizaveta Klekovkina
Maya A. Stern
Carmine Malfitano
Esme Fuller-Thomson
author_facet Elizaveta Klekovkina
Maya A. Stern
Carmine Malfitano
Esme Fuller-Thomson
author_sort Elizaveta Klekovkina
collection DOAJ
description Objective: The goal of this review was to critically review the research literature on traumatic stress in caregivers of adult cancer patients. Objectives included identifying the prevalence of significant traumatic stress symptoms, themes within the literature, and factors that are associated with traumatic stress in this population. Methods: A search was conducted of APA PsycInfo, MEDLINE, Embase, and CINAHL. Two authors screened abstracts and full-texts and extracted data from included articles. A total of 1,150 unique titles and abstracts were identified, with 2f articles selected for full-text screening after title and abstract screening. There were 23 studies which were included in the review. Results: Most studies reported a prevalence of PTSD of 15 % and above. The caregivers of newly diagnosed patients, those with recurrent cancer, and those on active treatment were the most distressed. Caregivers of patients who had completed treatment and those of longer-term survivors were less distressed. Significant associations were identified between caregiver traumatic stress and caregiver and patient psychological comorbidity, lower social support, higher caregiver burden, and patient's greater physical symptoms. Conclusion: This scoping review reveals that a substantial proportion of caregivers of adult patients with cancer experience traumatic stress. However, the majority of published studies are cross-sectional, with small sample sizes, and a lack of racial and gender diversity. There is an urgent need for further research, including on proactive and tailored interventions provided at the time of diagnosis or recurrence of the disease.
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spelling doaj-art-d7bc8714718d40c3955d199d5a63b98f2025-08-20T03:12:28ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-06-012210014110.1016/j.aggp.2025.100141Traumatic stress in caregivers of adult patients with cancer: A scoping reviewElizaveta Klekovkina0Maya A. Stern1Carmine Malfitano2Esme Fuller-Thomson3Factor-Inwentash Faculty of Social Work, University of Toronto, Canada; Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Canada; Corresponding author at: Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, 610 University Ave, Toronto, ON M5G 2C4, Canada.Factor-Inwentash Faculty of Social Work, University of Toronto, Canada; Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, CanadaCentre for Psychology and Emotional Health, Toronto, Canada; Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, CanadaFactor-Inwentash Faculty of Social Work, University of Toronto, Canada; Institute for Life Course & Aging, University of Toronto, CanadaObjective: The goal of this review was to critically review the research literature on traumatic stress in caregivers of adult cancer patients. Objectives included identifying the prevalence of significant traumatic stress symptoms, themes within the literature, and factors that are associated with traumatic stress in this population. Methods: A search was conducted of APA PsycInfo, MEDLINE, Embase, and CINAHL. Two authors screened abstracts and full-texts and extracted data from included articles. A total of 1,150 unique titles and abstracts were identified, with 2f articles selected for full-text screening after title and abstract screening. There were 23 studies which were included in the review. Results: Most studies reported a prevalence of PTSD of 15 % and above. The caregivers of newly diagnosed patients, those with recurrent cancer, and those on active treatment were the most distressed. Caregivers of patients who had completed treatment and those of longer-term survivors were less distressed. Significant associations were identified between caregiver traumatic stress and caregiver and patient psychological comorbidity, lower social support, higher caregiver burden, and patient's greater physical symptoms. Conclusion: This scoping review reveals that a substantial proportion of caregivers of adult patients with cancer experience traumatic stress. However, the majority of published studies are cross-sectional, with small sample sizes, and a lack of racial and gender diversity. There is an urgent need for further research, including on proactive and tailored interventions provided at the time of diagnosis or recurrence of the disease.http://www.sciencedirect.com/science/article/pii/S2950307825000232Traumatic stressCancerCaregiversPsycho-oncology
spellingShingle Elizaveta Klekovkina
Maya A. Stern
Carmine Malfitano
Esme Fuller-Thomson
Traumatic stress in caregivers of adult patients with cancer: A scoping review
Archives of Gerontology and Geriatrics Plus
Traumatic stress
Cancer
Caregivers
Psycho-oncology
title Traumatic stress in caregivers of adult patients with cancer: A scoping review
title_full Traumatic stress in caregivers of adult patients with cancer: A scoping review
title_fullStr Traumatic stress in caregivers of adult patients with cancer: A scoping review
title_full_unstemmed Traumatic stress in caregivers of adult patients with cancer: A scoping review
title_short Traumatic stress in caregivers of adult patients with cancer: A scoping review
title_sort traumatic stress in caregivers of adult patients with cancer a scoping review
topic Traumatic stress
Cancer
Caregivers
Psycho-oncology
url http://www.sciencedirect.com/science/article/pii/S2950307825000232
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