Cancer changes everything—it’s not just about the diagnosis or the treatment; it’s about how life shifts for both the patient and the caregiver. It can feel like the ground beneath you is moving, and your relationship is being tested in ways you never imagined. But what if facing it together, as a team, could actually bring you closer?
Could fighting cancer side by side strengthen your bond and make the journey feel a little less heavy? Research on relationships and cancer offers surprising insights: using positive coping strategies together can increase relationship satisfaction and reduce stress for both of you during this journey. As some patients and caregivers have shared:
“ I also did see it (the cancer) in some way as guaranteed to be relationship building, we were bound to learn a lot, and have to deal with a lot and that’s another kind of gift in this—that to deal with crisis and build through it—is good for the relationship we want.”
“I think the stress level is tremendous. . . As a couple, being together, supporting each other, spending time together, trying to understand the illness, being involved in all aspects of the treatment, emotional and physical”
What Does Fighting Cancer Together Look Like?
It’s about supporting each other, working together, and finding ways to handle the stress and challenges of the illness as a team.
It’s like being a team rowing a boat through rough waters—both of you need to paddle together, support each other, and keep moving forward.
✔ Divide and Conquer Tasks and Share Decisions
There are many tasks involved in cancer care, such as researching reliable information about treatment, caregiving, symptom management, nutrition, and recovery. How should decisions be made, and who has the final say? Dividing tasks, discussing options together, and sharing decisions can reduce stress and even strengthen your relationship. As some couples shared:
“I think that’s one of the things that we handle the best is the information and synthesizing it -Caregiver.”
“Patient: You do that very well, you share it with me, but I can’t say I do it well. Caregiver: But we’re doing designated roles around it really well . . . you have all the books all lined up, and you’re using it on a just needed basis . . . and everything’s there, and all arranged and you pull it out when you need it.”
“We share decisions, we share the research. One of us isn’t running off saying “this is what I’m doing. I don’t care—it’s my disease.” It’s shared—it’s a we-disease.- Caregiver & Patient”
✔ Work Through Emotional Challenges Together
Fighting cancer is an emotional rollercoaster for both patients and caregivers. Some days bring hope, while others bring exhaustion or frustration. Facing these emotional challenges together can provide strength and support for both of you.As some patients and their caregivers shared:
“We make an effort to keep talking about everything, and make sure that you take time to be sad. Um, I tried to carve out time for that to happen, because there’s a tendency to do not much of that.”
What Does It Look Like When You’re NOT Fighting Cancer Together?
The opposite of "fighting cancer together" often involves avoidance, withdrawal, criticism, and hostility in the communication, which can increase stress for both the patient and the caregiver, reduce intimacy, and worsen relationship satisfaction.
- Sometimes, the avoidance or withdrawal come from the caregiver:
”Patient: He works very long hours and when he comes home he doesn’t want to hear again . . . I began to realize that he really wasn’t interested in and I don’t really blame him… “
“Caregiver: I think we need to be forced to talk. At some point during the summer between work and going home, I just said ‘I don’t feel like talking.’ I don’t know if she has turned to her mother, I don’t know. ”
“Patient: If I can’t talk to you, whom can I talk to?”
”Caregiver: You don’t need to be talking about it. I am sure I will go before you.”- Sometimes the avoidance and withdrawal came from the patients:
“He (the patient) actually won’t talk about it, and he sort of brushes it under the carpet a little bit and although we’re aware of it, we don’t talk about it…I find it very difficult - Caregiver”
“We never ever in that time, sat down and talked about it, or even mentioned it as cancer or anything. It was just, you know [patient] getting over this surgery and that was it really…I felt rather difficult about it really because I also…felt as if I was a bit excluded … I felt that I was the one who had to give the support, but I didn’t get too much of it back …- Caregiver”
Those negative communication behaviors only make it harder for both the patient and the caregiver.
How Can You Team Up and Fight Together Through This Journey?
There’s no one-size-fits-all answer because every family is unique.
Your communication style, the challenges you’ve faced in your relationship before cancer, and how each of you handles difficult times are all deeply personal and different from others. But here are some simple steps you can try to get started
- 👉 Have a mutual understanding of each other’s fears, concerns, and needs without judgment. When ready, have an open and constructive conversation about these topics.
- 👉 Responding with empathy and validation is key. If one person opens up and the other remains unresponsive or reacts with judgment or criticism, it can make things worse.
- 👉 Collaborate to address problems and set future goals together. This might involve researching treatment options, delegating housework, agreeing on times to take breaks from discussing cancer, planning moments to share feelings and connect, etc.
To help you get started, we’ve created a toolkit to facilitate meaningful conversations.
Check out this toolkit: 01. Heart-to-Heart: A Conversation Toolkit for Caregivers & Loved Ones from the Toolkits page
Reference
Zhou, J., Chen, X., Wang, Z., & Li, Q. (2023, January). Couple-based communication interventions for cancer patient–spousal caregiver Dyads’ Psychosocial Adaptation to Cancer: a systematic review. In Healthcare (Vol. 11, No. 2, p. 236). MDPI.
Thompson, T., Ketcher, D., Gray, T. F., & Kent, E. E. (2021). The Dyadic Cancer Outcomes Framework: A general framework of the effects of cancer on patients and informal caregivers. Social Science & Medicine, 287, 114357.
Jiang, T., Yakin, S., Crocker, J., & Way, B. M. (2022). Perceived social support-giving moderates the association between social relationships and interleukin-6 levels in blood. Brain, behavior, and immunity, 100, 25-28.
Coyne, E., Heynsbergh, N., & Dieperink, K. B. (2020). Acknowledging cancer as a family disease: A systematic review of family care in the cancer setting. European Journal of Oncology Nursing, 49, 101841.
Foster, C., Myall, M., Scott, I., Sayers, M., Brindle, L., Cotterell, P., ... & Robinson, J. (2015). ‘You can't say,“what about me?” I'm not the one with cancer’: information and support needs of relatives. Psycho‐Oncology, 24(6), 705-711.
Regan, T. W., Lambert, S. D., Kelly, B., Falconier, M., Kissane, D., & Levesque, J. V. (2015). Couples coping with cancer: exploration of theoretical frameworks from dyadic studies. Psycho‐oncology, 24(12), 1605-1617.
Traa, M. J., De Vries, J., Bodenmann, G., & Den Oudsten, B. L. (2014). Dyadic coping and relationship functioning in couples coping with cancer: A systematic review. British Journal of Health Psychology, 20(1), 85–114. https://doi.org/10.1111/bjhp.12094
Bevan, J. L., & Pecchioni, L. L. (2008). Understanding the impact of family caregiver cancer literacy on patient health outcomes. Patient Education and Counseling, 71(3), 356–364. https://doi.org/10.1016/j.pec.2008.02.022
Kayser, K., Watson, L. E., & Andrade, J. T. (2007). Cancer as a" we-disease": Examining the process of coping from a relational perspective. Families, Systems, & Health, 25(4), 404.
Zhang, A. Y., & Siminoff, L. A. (2003). Silence and cancer: why do families and patients fail to communicate?. Health communication, 15(4), 415-429.
