Evidence map›Paper›PMID 42467380›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Which resilience-related factors are important for anxiety, depression, and stress in cancer caregivers?

Brian Matthew Ram, Peter Genter, Pernille Envold Bidstrup, Beverley Lim Høeg

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Brian Matthew RamDepartment of Biological Sciences & Department of Psychology, University of Notre Dame, Notre Dame, IN, USA.
Peter GenterDanish Cancer Society Counseling Center, Herlev, Denmark.
Pernille Envold BidstrupPsychological Aspects of Cancer, Cancer Survivorship, Danish Cancer Institute, Strandboulevarden 49, 2100, Copenhagen, Denmark.
Beverley Lim HøegPsychological Aspects of Cancer, Cancer Survivorship, Danish Cancer Institute, Strandboulevarden 49, 2100, Copenhagen, Denmark. bevlim@cancer.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpousal caregivers provide critical support for cancer patients but are at high risk for adverse psychological outcomes. We aimed to investigate the associations between resilience and factors related to resilience in partner caregivers with caregiver anxiety, depression, and perceived stress.

methodsThis cross-sectional study used baseline data from the "Resilient Caregivers" randomized trial testing a resilience-based group intervention in distressed spousal cancer caregivers. Participants were spouses of cancer patients undergoing treatment (regardless of stage and type) and scored ≥ 4 on the Distress Thermometer. All participants completed questionnaires assessing resilience, social support, valued living, rumination, attention to threat, coping behaviors, metacognitive beliefs, anxiety, depression, and perceived stress.

resultsSeventy-nine spouses of cancer patients undergoing treatment were included, with the majority being female (75%), over 50 years old (80%), and with at least an undergraduate education (86%). Obstruction to valued living, rumination, and attention to threat were significantly negatively correlated with resilience (p ≤ 0.05). Low resilience, obstruction to valued living, rumination, and attention to threat were significantly associated with anxiety, depression, and perceived stress (p ≤ 0.01), while maladaptive coping was significantly associated with depression and perceived stress (p ≤ 0.05) and maladaptive metacognitive beliefs were significantly associated with anxiety (p = 0.03).

conclusionsWe found that obstruction to valued living, rumination, and attention to threat were associated with lower resilience and higher levels of anxiety, depression, and stress. These factors may be potential targets in future interventions to strengthen caregiver resilience and improve psychological outcomes among spousal caregivers.

Indexed as

AnxietyCaregiversDepressionNeoplasmsResilience, PsychologicalSpousesStress, PsychologicalAdaptation, PsychologicalAdultAgedCoping SkillsCross-Sectional StudiesFemaleHumansMaleMiddle AgedCancer caregiverMetacognitive beliefsResilienceRuminationValued living

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.