A Mixed-Method Examination of Emerging and Young Adult Cancer Caregivers’ Experiences during the COVID-19 Pandemic

Amanda Kastrinos (), Kelsey Bacharz, Emily L. Mroz, Carla L. Fisher and Allison J. Applebaum
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Amanda Kastrinos: Memorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, New York, NY 10065, USA
Kelsey Bacharz: Department of Clinical & Health Psychology, University of Florida, Gainesville, FL 32601, USA
Emily L. Mroz: Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06520, USA
Carla L. Fisher: University of Florida Health Cancer Center, Gainesville, FL 32601, USA
Allison J. Applebaum: Memorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, New York, NY 10065, USA

IJERPH, 2023, vol. 20, issue 8, 1-14

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.

Keywords: caregiving; cancer; COVID-19; young adults (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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