Department of Gastrointestinal Oncology, H. Lee Moffitt Cancer and Research Institute, Tampa, FL, USA.
Division of Surgical Oncology, St. Elizabeth Healthcare, Edgewood, KY, USA.
J Behav Med. 2022 Dec;45(6):935-946. doi: 10.1007/s10865-022-00354-x. Epub 2022 Aug 20.
We aimed to examine the psychosocial well-being in the pancreas cancer patient-caregiver dyad, and determine patient and caregiver characteristics that predict caregiver distress. This was a cross-sectional, observational study. Demographics and caregiving characteristics were gathered from patients and caregivers. Caregivers completed validated instruments investigating anxiety, depression, perceived stress and caregiver burden. Over a period of eleven months, 128 patient-caregiver dyads were enrolled. Patient and caregiver distress scores were not associated with patient clinical disease burden. Patient distress was a significant predictor of concurrent caregiver distress, anxiety, depression, and perceived burden. Younger caregivers were also associated with higher caregiver anxiety and perceived burden. Additionally, number of caregiving activities and caregiver overall health status were predictors of concurrent caregiver depression and perceived stress. Certain pancreatic cancer patient and caregiver variables may negatively impact the well-being of caregivers. Future efforts should focus on development and implementation of comprehensive caregiver support programs for those at risk for psychosocial distress.
我们旨在研究胰腺癌患者-照顾者二人组的社会心理福祉，并确定预测照顾者痛苦的患者和照顾者特征。这是一项横断面观察性研究。从患者和照顾者那里收集人口统计学和照顾特征。照顾者完成了经过验证的焦虑、抑郁、感知压力和照顾者负担的工具。在十一个月的时间里，共招募了 128 对患者-照顾者二人组。患者和照顾者的痛苦评分与患者的临床疾病负担无关。患者的痛苦是同时照顾者痛苦、焦虑、抑郁和感知负担的显著预测因素。年轻的照顾者也与更高的照顾者焦虑和感知负担有关。此外，照顾活动的数量和照顾者的整体健康状况是同时照顾者抑郁和感知压力的预测因素。某些胰腺癌患者和照顾者的变量可能会对照顾者的幸福感产生负面影响。未来的努力应集中于为那些有心理困扰风险的人制定和实施综合的照顾者支持计划。
