Paul Christine, Hall Alix, Oldmeadow Christopher, Lynagh Marita, Campbell Sharon, Bradstock Ken, Williamson Anna, Carey Mariko, Sanson-Fisher Rob
School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia.
Priority Research Centre for Health Behaviour, Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Support Care Cancer. 2017 Nov;25(11):3339-3346. doi: 10.1007/s00520-017-3751-3. Epub 2017 May 26.
This study aimed to explore the dyadic relationships between unmet need, depression, and anxiety in people diagnosed with haematological cancer and their support persons.
Adult survivors (18 years+) who had been diagnosed with a haematological cancer were recruited to a cross-sectional mailed survey via five state cancer registries in Australia. Participating survivors invited a support person to also complete a survey. Structural equation modelling was used to explore the relationships among survivor and support person self-reported depression, anxiety, and unmet needs.
Of the 4299 eligible haematological cancer survivors contacted by the registries, 1511 (35%) returned a completed survey as did 1004 support persons. There were 787 dyads with complete data. After adjusting for age, gender, rurality, cancer type, and whether the support person was a relative, positive correlations were found between survivor and support person scores for depression (p = 0.0029) and unmet needs (p < 0.001), but not anxiety scores (p = 0.075). Survivor unmet needs were significantly related to support person depression (p = 0.0036). Support person unmet needs were significantly related to a higher depression score for survivors (p = 0.0067). Greater support person unmet needs were significantly related to a higher anxiety score for survivors (p = 0.0083). Survivor unmet needs did not have a significant relationship to support person anxiety (p = 0.78).
Unmet needs may mediate the interdependence of psychosocial experiences for survivors and support persons, although a longitudinal study is required to confirm causality. Addressing unmet needs may be a potential target for improving outcomes for both groups.
本研究旨在探讨被诊断为血液系统癌症的患者及其支持人员未满足的需求、抑郁和焦虑之间的二元关系。
通过澳大利亚五个州的癌症登记处招募被诊断患有血液系统癌症的成年幸存者（18岁及以上）参与一项横断面邮寄调查。参与调查的幸存者邀请一名支持人员也完成一份调查问卷。采用结构方程模型来探究幸存者及其支持人员自我报告的抑郁、焦虑和未满足需求之间的关系。
在登记处联系的4299名符合条件的血液系统癌症幸存者中，1511人（35%）返回了完整的调查问卷，1004名支持人员也是如此。有787对数据完整的二元组。在对年龄、性别、居住地区、癌症类型以及支持人员是否为亲属进行调整后，发现幸存者和支持人员在抑郁得分（p = 0.0029）和未满足需求得分（p < 0.001）之间存在正相关，但在焦虑得分方面不存在正相关（p = 0.075）。幸存者未满足的需求与支持人员的抑郁显著相关（p = 0.0036）。支持人员未满足的需求与幸存者更高的抑郁得分显著相关（p = 0.0067）。支持人员未满足的需求越大，与幸存者更高的焦虑得分显著相关（p = 0.0083）。幸存者未满足的需求与支持人员的焦虑没有显著关系（p = 0.78）。
未满足的需求可能介导了幸存者和支持人员心理社会经历的相互依存关系，尽管需要进行纵向研究来证实因果关系。满足未满足的需求可能是改善两组人群结局的一个潜在目标。
