Ongoing concerns and problems facing cancer survivors and their families are important determinants of adjustment and quality of life.Families generally find themselves ill prepared to deal with cancer because

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Many caregivers and cancer survivors attempt to hide cancer-related thoughts and concerns from one another,which increases adverse psychological outcomes.Motivation for this behavior is often to protect one another from the distress that is experienced by each member of the family.Holding back emotions is sometimes a part of this effort to shield one another from true thoughts and feelings.If cancer survivors and their partners participated in an educational program to teach the importance of disclosing feelings and then actually disclosed them,relationships and intimacy were improved.Caregiving also involves psychological demands of communicating,problem solving,and decision making; social demands of remaining active in the community and work; and economic demands of meeting financial obligations.

Ongoing Concerns and Problems Facing Cancer Survivors and Their Families