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dc.contributor.author | Guan, Ting![]() |
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dc.contributor.author | Chapman, Mimi V.![]() |
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dc.contributor.author | Zerden, Lisa de Saxe![]() |
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dc.contributor.author | Sharma, Anjalee![]() |
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dc.contributor.author | Chen, Ding-Geng (Din)![]() |
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dc.contributor.author | Song, Lixin![]() |
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dc.date.accessioned | 2024-07-17T12:20:47Z | |
dc.date.available | 2024-07-17T12:20:47Z | |
dc.date.issued | 2023-03 | |
dc.description.abstract | PURPOSE : Illness uncertainty is widely recognized as a psychosocial stressor for cancer survivors and their family caregivers. This systematic review and meta-analysis aimed to identify the sociodemographic, physical, and psychosocial correlates that are associated with illness uncertainty in adult cancer survivors and their family caregivers. METHODS : Six scholarly databases were searched. Data synthesis was based on Mishel’s Uncertainty in Illness Theory. Person’s r was used as the effect size metric in the meta-analysis. Risk of bias was assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. RESULTS : Of 1116 articles, 21 articles met the inclusion criteria. Of 21 reviewed studies, 18 focused on cancer survivors, one focused on family caregivers, and 2 included survivors and family caregivers. Findings identified distinct correlates for illness uncertainty in cancer survivors, including sociodemographic factors (e.g., age, gender, race), stimuli frame (e.g., symptom, family history of cancer), structure providers (e.g., education), coping, and adaptation. Notable effect sizes were observed in the correlations between illness uncertainty and social support, quality of life, depression, and anxiety. Caregivers’ illness uncertainty was associated with their race, general health, perception of influence, social support, quality of life, and survivors’ prostate-specific antigen levels. Insufficient data precluded examining effect size of correlates of illness uncertainty among family caregivers. CONCLUSION : This is the first systematic review and meta-analysis to summarize the literature on illness uncertainty among adult cancer survivors and family caregivers. Findings contribute to the growing literature on managing illness uncertainty among cancer survivors and family caregivers. | en_US |
dc.description.department | Statistics | en_US |
dc.description.librarian | hj2024 | en_US |
dc.description.sdg | SDG-03:Good heatlh and well-being | en_US |
dc.description.sponsorship | University of North Carolina at Chapel Hill Royster Dissertation Completion Fellowship. | en_US |
dc.description.uri | http://link.springer.com/journal/520 | en_US |
dc.identifier.citation | Guan, T., Chapman, M.V., de Saxe Zerden, L. et al. Correlates of illness uncertainty in cancer survivors and family caregivers: a systematic review and meta-analysis. Supportive Care in Cancer 31, 242 (2023). https://doi.org/10.1007/s00520-023-07705-7. | en_US |
dc.identifier.issn | 0941-4355 (print) | |
dc.identifier.issn | 1433-7339 (online) | |
dc.identifier.other | 10.1007/s00520-023-07705-7 | |
dc.identifier.uri | http://hdl.handle.net/2263/97076 | |
dc.language.iso | en | en_US |
dc.publisher | Springer | en_US |
dc.rights | © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. The original publication is available at : http://link.springer.com/journal/520. | en_US |
dc.subject | Illness uncertainty | en_US |
dc.subject | Cancer survivors | en_US |
dc.subject | Family caregiver | en_US |
dc.subject | Systematic review | en_US |
dc.subject | Meta-analysis | en_US |
dc.subject | Quality of life (QoL) | en_US |
dc.subject | SDG-03: Good health and well-being | en_US |
dc.title | Correlates of illness uncertainty in cancer survivors and family caregivers : a systematic review and meta-analysis | en_US |
dc.type | Postprint Article | en_US |