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Prevalence and Predictors of Distress, Anxiety, Depression, and Quality of Life in Bereaved Family Caregivers of Patients With Advanced Cancer
- Source :
- American Journal of Hospice and Palliative Medicine®. 37:201-213
- Publication Year :
- 2019
- Publisher :
- SAGE Publications, 2019.
-
Abstract
- Objective: To investigate prevalence and predictors of postloss distress, depressive and anxiety symptoms, and quality of life among bereaved family caregivers of patients with advanced cancer. Methods: Prospective multicenter study. Family caregivers (N = 160, mean age 56.8 years, 66% female) completed validated outcome measures (Distress Thermometer, Generalized Anxiety Disorder 7-item scale, Patient Health Questionnaire depression module 9-item scale, SF-8 Health Survey Questionnaire) 6 months after patient’s discharge or death at specialist inpatient palliative care ward. Results: Clinically relevant distress was observed in 82% with sadness (89%), exhaustion (74%), sleeping problems (68%), loneliness (53%), and sorrows (52%) being the most common distress-causing problems. Moderate/severe anxiety and depressive symptoms were observed in 27% and 35%, respectively. Compared to an adjusted norm sample, quality of life was significantly impaired with exception of “bodily pain” and physical component score. Preloss caregiving (odds ratio [OR] 2.195) and higher preloss distress (OR 1.345) predicted high postloss distress. Utilization of psychosocial support services (OR 2.936) and higher preloss anxiety symptoms (OR 1.292) predicted moderate/severe anxiety symptoms, lower preloss physical quality of life (OR 0.952), and higher preloss depressive symptoms (OR 1.115) predicted moderate/severe depressive symptoms. Conclusion: Preloss mental burden showed to be a consistent predictor for postloss burden and should be addressed during palliative care. Future research should examine specific caregiver-directed interventions during specialist palliative care.
- Subjects :
- Adult
Male
Palliative care
Anxiety depression
Bereaved family
Quality of life
Neoplasms
Surveys and Questionnaires
Prevalence
Humans
Medicine
Family
Prospective Studies
Depression (differential diagnoses)
Aged
Aged, 80 and over
Depressive Disorder
business.industry
General Medicine
Middle Aged
Anxiety Disorders
Advanced cancer
Distress
Caregivers
Quality of Life
Anxiety
Female
Grief
medicine.symptom
business
Stress, Psychological
Forecasting
Clinical psychology
Subjects
Details
- ISSN :
- 19382715 and 10499091
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- American Journal of Hospice and Palliative Medicine®
- Accession number :
- edsair.doi.dedup.....4ef40244095e953e2f8873ca8ab9820f