Attachment and caregivers' life course facing cancer

Introduction > Since the lost cancer plan 2014-2019, the assessment of the impact of the disease on caregivers become essential. The quality of coregiving represents on important port of the patient's quality of life. The main objective was to describe the evolution of caregivers attachment style during the first three years of the disease support. Methods > Caregivers hove been included through the ICE study (Informal Carers of Elderly). They were taking care for one near parent at least 60 years of age with a diagnosis of cancer (breast, prostate, colorectal). Caregivers were interviewed at home within three months of inclusion in the ICE study. This longitudinal research based on recorded semi-structured interviews and used one scale (RSQ) to evaluate the attachment style: secure attachment, detached-type insecure, preoccupied-type insecure or fearful-type insecure. Results > The evolution of attachment styles reflect different relational strategies among the 33 caregivers included. The three first times of the disease ore differently lived by the caregivers and are impacted by an insecurity form. The attachment style is different depending on the stage of the disease and the impact of the assistance provided shows that caregivers use more detachment relational strategy in the first year. Then, between 3 and 15 months, the attachment style is evolving towards more preoccupied style. Discussion > Detached-type insecure caregiver tend to minimize their signs of distress in the first time of disease. By contrast, preoccupied-type insecure adults tend to maximize distress signals. It's important to consider the specificity of each step of the process to better support caregivers.