Anxiety, depression and related factors in family caregivers of newly diagnosed lung cancer patients before first treatment.

Abstract:

OBJECTIVE:This study aimed to (i) explore the prevalence and levels (severity) of anxiety and depression in family caregivers (FCs) of patients newly diagnosed with advanced lung cancer (stage IIIb or IV) before first treatment, and (ii) identify the factors related to FCs' anxiety and depression. METHODS:For this cross-sectional study, 106 patient-FC dyads were recruited from a medical center in northern Taiwan. FCs' anxiety and depression were measured using the self-report Hospital Anxiety and Depression Scale, and FCs' ability to manage patients' symptoms was assessed using the Self-Efficacy in Symptom Management Scale. FCs' risks for anxiety and depression were separately identified using two multivariate logistic regression models. RESULTS:This study found two major results. First, before patients' first treatment, 50.9% and 32.1% of FCs were at risk for anxiety and depression, respectively. FCs' overall mean anxiety and depression scores were 7.7 (SD = 4.7) and 6.1 (SD = 4.5), respectively. Second, both FCs' anxiety and depression were significantly related to four factors: caring for another sick family member, younger age, having pain problems, and lower self-efficacy in managing symptoms. CONCLUSION:Family caregivers of patients newly diagnosed with advanced lung cancer had anxiety and depression before the patients' first treatment. We strongly suggest developing and testing interventions to reduce FCs' psychological distress and enhance their quality of life, thus ensuring better quality of patient care.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Lee YH,Liao YC,Liao WY,Shun SC,Liu YC,Chan JC,Yu CJ,Yang PC,Lai YH

doi

10.1002/pon.3328

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

2617-23

issue

11

eissn

1057-9249

issn

1099-1611

journal_volume

22

pub_type

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