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
Hauptverfasser: Lambert, Sylvie D., Girgis, Afaf, Lecathelinais, Christophe, Stacey, Fiona
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container_issue 1
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container_title Supportive care in cancer
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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
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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 &amp; 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. 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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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