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

Yun Hsiang Lee, Yu Chien Liao, Wei Yu Liao, Shiow Ching Shun, Yu Chun Liu, Jui Chun Chan, Chong Jen Yu, Pan Chyr Yang, Yeur Hur Lai*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

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.

Original languageEnglish
Pages (from-to)2617-2623
Number of pages7
JournalPsycho-Oncology
Volume22
Issue number11
DOIs
StatePublished - Nov 2013

Keywords

  • anxiety
  • depression
  • family caregiver
  • lung cancer
  • self-efficacy

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