Caregivers' information needs and their 'experiences of care' during treatment are associated with elevated anxiety and depression: a cross-sectional study of the caregivers of renal cancer survivors.
Purpose: This study aims to examine the unmet needs and psychological distress (anxiety and depression) in family caregivers of renal cell carcinoma survivors.Methods: A cross-sectional study design was used. Unmet needs were assessed with the Supportive Care Needs Survey-Partners and Caregivers (SC...
| Publicado en: | Supportive Care in Cancer Vol. 24; no. 10; pp. 4177 - 4187 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117605455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117605455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Oct2016 vid: 24 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 117605455 117605455 NLM27146491 117605455 10.1007/s00520-016-3245-8 NLM27146491 117605455 ppf: 4177 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Caregivers' information needs and their 'experiences of care' during treatment are associated with elevated anxiety and depression: a cross-sectional study of the caregivers of renal cancer survivors. aug: au: Oberoi, Devesh White, Vicki Jefford, Michael Giles, Graham Bolton, Damien Davis, Ian Winship, Ingrid Prince, H. Millar, Jeremy Harrison, Simon Kay, Anne Hill, David Oberoi, Devesh V Giles, Graham G Prince, H Miles affil: Centre for Behavioural Research in Cancer , Cancer Council Victoria , 615 St Kilda Road Melbourne 3004 Australia sug: subj: Anxiety Psychosocial Factors Depression Psychosocial Factors Kidney Neoplasms Rehabilitation Caregivers Psychosocial Factors Kidney Neoplasms Mortality Aged Survivors Psychosocial Factors Cross Sectional Studies Adult Middle Age Female Male Needs Assessment Psychological Tests Scales Human Questionnaires Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Purpose: This study aims to examine the unmet needs and psychological distress (anxiety and depression) in family caregivers of renal cell carcinoma survivors.Methods: A cross-sectional study design was used. Unmet needs were assessed with the Supportive Care Needs Survey-Partners and Caregivers (SCNS-P&C) questionnaire, and psychological distress was measured with the Hospital Anxiety and Depression Scale (HADS) in a telephone survey of 196 caregivers of renal cell carcinoma (RCC) survivors. Chi-square tests examined bivariate relationships, and multivariate logistic regression examined the associations between anxiety and depression and of unmet needs with caregivers' experience of patients' care, time spent caregiving, caregivers' demographic characteristics and patients' disease stage.Results: Sixty-four percent of caregivers had at least one low, moderate or high unmet need, with 53 % reporting at least three needs and 29 % reporting 10 or more unmet needs (median 2, range 0-38). Elevated anxiety (HADS-A > 8) and depression (HADS-D > 8) were found in 29 and 11 % of the sample, respectively. Psychological and emotional needs were associated with advanced cancer stage (stages 3 and 4) (OR 3.07, 95 % CI 1.35-6.76) and with experience of care during surgery (OR 0.87, 95 % CI 0.78-0.99). Healthcare service needs were associated with time spent caregiving, with caregivers spending >1 h/day in the past week having three times higher odds (OR 3.44, 95 % CI 1.52-7.72) than those not spending any time. Odds of experiencing information needs were lower in caregivers who were in a relationship (OR 0.20, 95 % CI 0.04-0.83). Elevated anxiety (OR 1.59, 95 % CI 1.09-2.33) and depression (OR 2.02, 95 % CI 1.08-3.79) were associated with unmet information needs. Depression was also associated with experiences of care during treatment (OR 0.69, 95 % CI 0.49-0.96).Conclusion: RCC caregivers' unmet information needs are associated with elevated anxiety and depression. Improved experiences of cancer care are associated with lower odds of unmet needs and elevated depression in RCC caregivers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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