Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis
Purpose This study aims to examine the prevalence of psychosocial variables associated with anxiety and depression among partners and caregivers of cancer survivors, compare prevalence with community norms and report differences across cancer diagnosis. Methods A prospective survey of partners and c...
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Veröffentlicht in: | Supportive care in cancer 2013, Vol.21 (1), p.75-85 |
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creator | Lambert, Sylvie D. Girgis, Afaf Lecathelinais, Christophe Stacey, Fiona |
description | Purpose
This study aims to examine the prevalence of psychosocial variables associated with anxiety and depression among partners and caregivers of cancer survivors, compare prevalence with community norms and report differences across cancer diagnosis.
Methods
A prospective survey of partners and caregivers was undertaken to assess anxiety and depression and potential psychosocial variables associated with these outcomes at 6 and 12 months post-survivor diagnosis (
N
= 436).
Results
Although the proportion of anxious participants decreased over time (
p
= 0.01), the percentage of those depressed remained stable (
p
= 0.68). Most participants who were depressed were also anxious. To a certain extent, the prevalence of anxiety and depression exceeded community norms and varied across cancer types. Partners and caregivers particularly vulnerable included those of lung, haematological or head and neck survivors. High use of avoidant coping and interference in regular activities were associated with
both
anxiety and depression
across time points
. Of the different types of support measured, only lower emotional/informational support was associated with anxiety and depression at 6 months, whereas lower positive social interaction was associated with depression at 12 months. Additional variables associated with anxiety and depression at 12 months included higher unmet needs and involvement in personal and medical tasks, respectively.
Conclusions
Even at 12 months post-survivor diagnosis, almost a third of participants reported anxiety, a result partially predicted by high use of avoidant coping and interference in regular activities. Understanding variables associated with partners’ and caregivers’ anxiety and depression can lead to optimal referral to supportive care services and inform the tailoring of interventions to address those variables contributing to anxiety and depression at particular time points. |
doi_str_mv | 10.1007/s00520-012-1495-7 |
format | Article |
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This study aims to examine the prevalence of psychosocial variables associated with anxiety and depression among partners and caregivers of cancer survivors, compare prevalence with community norms and report differences across cancer diagnosis.
Methods
A prospective survey of partners and caregivers was undertaken to assess anxiety and depression and potential psychosocial variables associated with these outcomes at 6 and 12 months post-survivor diagnosis (
N
= 436).
Results
Although the proportion of anxious participants decreased over time (
p
= 0.01), the percentage of those depressed remained stable (
p
= 0.68). Most participants who were depressed were also anxious. To a certain extent, the prevalence of anxiety and depression exceeded community norms and varied across cancer types. Partners and caregivers particularly vulnerable included those of lung, haematological or head and neck survivors. High use of avoidant coping and interference in regular activities were associated with
both
anxiety and depression
across time points
. Of the different types of support measured, only lower emotional/informational support was associated with anxiety and depression at 6 months, whereas lower positive social interaction was associated with depression at 12 months. Additional variables associated with anxiety and depression at 12 months included higher unmet needs and involvement in personal and medical tasks, respectively.
Conclusions
Even at 12 months post-survivor diagnosis, almost a third of participants reported anxiety, a result partially predicted by high use of avoidant coping and interference in regular activities. Understanding variables associated with partners’ and caregivers’ anxiety and depression can lead to optimal referral to supportive care services and inform the tailoring of interventions to address those variables contributing to anxiety and depression at particular time points.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-012-1495-7</identifier><identifier>PMID: 22661096</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Aged, 80 and over ; Anxiety ; Anxiety Disorders - epidemiology ; Australia - epidemiology ; Cancer ; Cancer survivors ; Caregivers ; Caregivers - psychology ; Depression, Mental ; Depressive Disorder - epidemiology ; Domestic partners ; Female ; Humans ; Logistic Models ; Male ; Medicine ; Medicine & Public Health ; Mental depression ; Middle Aged ; Neoplasms ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Prevalence ; Prospective Studies ; Rehabilitation Medicine ; Social Support ; Spouses - psychology ; Surveys ; Survivor ; Survivors</subject><ispartof>Supportive care in cancer, 2013, Vol.21 (1), p.75-85</ispartof><rights>Springer-Verlag 2012</rights><rights>COPYRIGHT 2013 Springer</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c482t-62d190db84d2c02061b379fa30b922d277b6c8faffd1494070ac283b104e7ae23</citedby><cites>FETCH-LOGICAL-c482t-62d190db84d2c02061b379fa30b922d277b6c8faffd1494070ac283b104e7ae23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-012-1495-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-012-1495-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22661096$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lambert, Sylvie D.</creatorcontrib><creatorcontrib>Girgis, Afaf</creatorcontrib><creatorcontrib>Lecathelinais, Christophe</creatorcontrib><creatorcontrib>Stacey, Fiona</creatorcontrib><title>Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
This study aims to examine the prevalence of psychosocial variables associated with anxiety and depression among partners and caregivers of cancer survivors, compare prevalence with community norms and report differences across cancer diagnosis.
Methods
A prospective survey of partners and caregivers was undertaken to assess anxiety and depression and potential psychosocial variables associated with these outcomes at 6 and 12 months post-survivor diagnosis (
N
= 436).
Results
Although the proportion of anxious participants decreased over time (
p
= 0.01), the percentage of those depressed remained stable (
p
= 0.68). Most participants who were depressed were also anxious. To a certain extent, the prevalence of anxiety and depression exceeded community norms and varied across cancer types. Partners and caregivers particularly vulnerable included those of lung, haematological or head and neck survivors. High use of avoidant coping and interference in regular activities were associated with
both
anxiety and depression
across time points
. Of the different types of support measured, only lower emotional/informational support was associated with anxiety and depression at 6 months, whereas lower positive social interaction was associated with depression at 12 months. Additional variables associated with anxiety and depression at 12 months included higher unmet needs and involvement in personal and medical tasks, respectively.
Conclusions
Even at 12 months post-survivor diagnosis, almost a third of participants reported anxiety, a result partially predicted by high use of avoidant coping and interference in regular activities. Understanding variables associated with partners’ and caregivers’ anxiety and depression can lead to optimal referral to supportive care services and inform the tailoring of interventions to address those variables contributing to anxiety and depression at particular time points.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Australia - epidemiology</subject><subject>Cancer</subject><subject>Cancer survivors</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Depression, Mental</subject><subject>Depressive Disorder - epidemiology</subject><subject>Domestic partners</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Neoplasms</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Rehabilitation Medicine</subject><subject>Social Support</subject><subject>Spouses - psychology</subject><subject>Surveys</subject><subject>Survivor</subject><subject>Survivors</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1u1TAQhS0EopfCA7BBltiwSfFf7IRdVfEnVWIDYmk59iTXJbEvdnLVvkKfos_Ck-H0FlQQyIvRaL5zNJ6D0HNKTigh6nUmpGakIpRVVLR1pR6gDRWcV4rz9iHakFbQSvC6PkJPcr4ghCpVs8foiDEpKWnlBl1_NeM3HwZs8ORHwD7geQs-4byNkN9gEy49zFelOuxglyBnHwM2UyyanUlzgJRvp9YkGPx-bWNfumChuCxp7_dxRWYsbznKftwU9bzNeBfzXDlvhhCzz0_Ro96MGZ7d1WP05d3bz2cfqvNP7z-enZ5XVjRsriRztCWua4RjljAiacdV2xtOupYxx5TqpG160_euHEUQRYxlDe8oEaAMMH6MXh18dyl-XyDPevLZwjiaAHHJmjJGm7qtJS3oy7_Qi7ikULYrlJRC1C29Rw1mBO1DH-dk7GqqTzmXjeCNEoU6-QdVnoPJ2xigL_f_U0APAptizgl6vUt-MulKU6LX_PUhf13y12v-WhXNi7uFl24C91vxK_ACsAOQyygMkO796L-uPwGEIro-</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Lambert, Sylvie D.</creator><creator>Girgis, Afaf</creator><creator>Lecathelinais, Christophe</creator><creator>Stacey, Fiona</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis</title><author>Lambert, Sylvie D. ; Girgis, Afaf ; Lecathelinais, Christophe ; Stacey, Fiona</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c482t-62d190db84d2c02061b379fa30b922d277b6c8faffd1494070ac283b104e7ae23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anxiety</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Australia - epidemiology</topic><topic>Cancer</topic><topic>Cancer survivors</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Depression, Mental</topic><topic>Depressive Disorder - epidemiology</topic><topic>Domestic partners</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Neoplasms</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Rehabilitation Medicine</topic><topic>Social Support</topic><topic>Spouses - psychology</topic><topic>Surveys</topic><topic>Survivor</topic><topic>Survivors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lambert, Sylvie D.</creatorcontrib><creatorcontrib>Girgis, Afaf</creatorcontrib><creatorcontrib>Lecathelinais, Christophe</creatorcontrib><creatorcontrib>Stacey, Fiona</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lambert, Sylvie D.</au><au>Girgis, Afaf</au><au>Lecathelinais, Christophe</au><au>Stacey, Fiona</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2013</date><risdate>2013</risdate><volume>21</volume><issue>1</issue><spage>75</spage><epage>85</epage><pages>75-85</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
This study aims to examine the prevalence of psychosocial variables associated with anxiety and depression among partners and caregivers of cancer survivors, compare prevalence with community norms and report differences across cancer diagnosis.
Methods
A prospective survey of partners and caregivers was undertaken to assess anxiety and depression and potential psychosocial variables associated with these outcomes at 6 and 12 months post-survivor diagnosis (
N
= 436).
Results
Although the proportion of anxious participants decreased over time (
p
= 0.01), the percentage of those depressed remained stable (
p
= 0.68). Most participants who were depressed were also anxious. To a certain extent, the prevalence of anxiety and depression exceeded community norms and varied across cancer types. Partners and caregivers particularly vulnerable included those of lung, haematological or head and neck survivors. High use of avoidant coping and interference in regular activities were associated with
both
anxiety and depression
across time points
. Of the different types of support measured, only lower emotional/informational support was associated with anxiety and depression at 6 months, whereas lower positive social interaction was associated with depression at 12 months. Additional variables associated with anxiety and depression at 12 months included higher unmet needs and involvement in personal and medical tasks, respectively.
Conclusions
Even at 12 months post-survivor diagnosis, almost a third of participants reported anxiety, a result partially predicted by high use of avoidant coping and interference in regular activities. Understanding variables associated with partners’ and caregivers’ anxiety and depression can lead to optimal referral to supportive care services and inform the tailoring of interventions to address those variables contributing to anxiety and depression at particular time points.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22661096</pmid><doi>10.1007/s00520-012-1495-7</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation, Psychological Adult Aged Aged, 80 and over Anxiety Anxiety Disorders - epidemiology Australia - epidemiology Cancer Cancer survivors Caregivers Caregivers - psychology Depression, Mental Depressive Disorder - epidemiology Domestic partners Female Humans Logistic Models Male Medicine Medicine & Public Health Mental depression Middle Aged Neoplasms Nursing Nursing Research Oncology Original Article Pain Medicine Prevalence Prospective Studies Rehabilitation Medicine Social Support Spouses - psychology Surveys Survivor Survivors |
title | Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis |
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