Dyadic associations between cancer-related stress and fruit and vegetable consumption among colorectal cancer patients and their family caregivers.

Kelly M Shaffer, Youngmee Kim, Maria M Llabre, Charles S Carver
Author Information
  1. Kelly M Shaffer: Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA. k.shaffer3@umail.miami.edu.
  2. Youngmee Kim: Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA.
  3. Maria M Llabre: Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA.
  4. Charles S Carver: Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA.

Abstract

This study examined how stress from cancer affects fruit and vegetable consumption (FVC) in cancer patients and their family caregivers during the year following diagnosis. Colorectal cancer patients and their caregivers (92 dyads) completed questionnaires at two (T1), six (T2), and 12 months post-diagnosis (T3). Individuals reported perceived cancer-related stress (CRS) at T1 and days of adequate FVC at T1 through T3. Both patients and caregivers reported inadequate FVC during the first year post-diagnosis. Latent growth modeling with actor-partner interdependence modeling revealed that, at T1, one's own greater CRS was associated with one's partner having fewer concurrent days of adequate FVC (ps = .01). Patients' greater CRS predicted their own more pronounced rebound pattern in FVC (p = .01); both patients' and caregivers' CRS marginally predicted their partners' change in FVC (p = .09). Findings suggest that perceived stress from cancer hinders FVC around the diagnosis, but motivates positive dietary changes by the end of the first year.

Keywords

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Grants

  1. F31 CA189431/NCI NIH HHS
  2. T32 CA009461/NCI NIH HHS
  3. UL1 TR000460/NCATS NIH HHS
  4. F31 CA189431-01A1/NCI NIH HHS

MeSH Term

Adult
Aged
Caregivers
Colorectal Neoplasms
Diet
Feeding Behavior
Female
Fruit
Humans
Male
Middle Aged
Quality of Life
Stress, Psychological
Vegetables

Word Cloud

Created with Highcharts 10.0.0FVCstresscancerpatientscaregiversT1CRSvegetableconsumptionyearcancer-relatedfruitfamilydiagnosispost-diagnosisT3reportedperceiveddaysadequatefirstmodelingone'sgreater01predictedp = DyadicstudyexaminedaffectsfollowingColorectal92dyadscompletedquestionnairestwosixT212 monthsIndividualsinadequateLatentgrowthactor-partnerinterdependencerevealedassociatedpartnerfewerconcurrentps = Patients'pronouncedreboundpatternpatients'caregivers'marginallypartners'change09FindingssuggesthindersaroundmotivatespositivedietarychangesendassociationsamongcolorectalCancerdataanalysisFamilyFruitPerceived

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