A mixed-method examination of emerging and young adult cancer caregivers’ experiences during the COVID-19 pandemic Journal Article


Authors: Kastrinos, A.; Bacharz, K.; Mroz, E. L.; Fisher, C. L.; Applebaum, A. J.
Article Title: A mixed-method examination of emerging and young adult cancer caregivers’ experiences during the COVID-19 pandemic
Abstract: Advanced cancer caregivers in emerging and young adulthood (EYACs; ages 18–35) are an understudied yet vulnerable caregiving population. The COVID-19 pandemic created new challenges for advanced cancer caregivers but also created unique contexts from which caregivers sometimes benefited. To understand how the pandemic may have positively and negatively impacted their caregiving and bereavement experiences, we examined EYACs’ experiences of caring for and losing a parent with advanced cancer during the pandemic in comparison to those of EYACs with a parent who died outside the context of the pandemic. Eligible EYACs completed an online survey and semi-structured interview. Quantitative analyses compared responses for pre-pandemic EYACS (n = 14) and pandemic EYACs (n = 26). A thematic analysis of the interview transcripts of pandemic EYACS (n = 14) was conducted. Pandemic EYACs experienced non-significant but higher communal coping, benefit finding, negative emotional experiences, and caregiver strain than pre-pandemic EYACs. Thematic analysis revealed that the pandemic negatively affected EYACs’ caregiving efficacy, personal well-being, interpersonal dynamics, and bereavement; shifts to remote work and schooling were reported as benefits. The findings can inform the design of resources to support EYACs whose parents died during the pandemic and who are navigating the healthcare system today. © 2023 by the authors.
Keywords: adolescent; adult; controlled study; young adult; advanced cancer; comparative study; neoplasm; neoplasms; psychology; retrospective study; questionnaire; death; quantitative analysis; bereavement; caregiver; coping behavior; personal experience; wellbeing; semi structured interview; epidemic; parent; school; caregivers; thematic analysis; pandemic; young adults; caregiving; cancer; humans; human; male; female; article; care behavior; pandemics; coronavirus disease 2019; covid-19; coping strategy; health worker; telecommuting
Journal Title: International Journal of Environmental Research and Public Health
Volume: 20
Issue: 8
ISSN: 1661-7827
Publisher: MDPI AG  
Date Published: 2023-04-02
Start Page: 5537
Language: English
DOI: 10.3390/ijerph20085537
PUBMED: 37107819
PROVIDER: scopus
PMCID: PMC10138842
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Amanda Kastrinos -- Source: Scopus
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  1. Allison Joyce Applebaum
    191 Applebaum