Quevedo-Blasco Raúl, Díaz-Román Amparo, Vega-García Alberto
Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18011 Granada, Spain.
Faculty of Psychology and Speech Therapy, University of Málaga, 29010 Málaga, Spain.
Healthcare (Basel). 2024 Jan 2;12(1):107. doi: 10.3390/healthcare12010107.
This study aimed to determine the extent to which caregivers of patients with chronic illnesses experience death anxiety, and which variables from caregivers and patients might potentially be related to their death anxiety. It also aimed to compare the levels of death anxiety between patients and caregivers. Web of Science, Scopus, PubMed, Psychology Database, Cochrane, and Google Scholar were searched for original studies available until December 2022 that quantitatively addressed death anxiety in family and informal caregivers of individuals with chronic illnesses. The methodological quality of the included studies was assessed, and a meta-analysis was conducted using Hedges' as the effect size index and the DerSimonian-Laird method to analyze differences between patients and caregivers in death anxiety. The results of the 11 included studies showed moderate levels of death anxiety in caregivers, and the meta-analysis ( = 7; 614 patients and 586 caregivers) revealed non-significant differences between the death anxiety experienced by patients and caregivers (pooled Hedges' = -0.03, 95% CI = -0.29 to 0.25, = 0.802). Some sociodemographic and psychological factors (e.g., gender, depression, and anxiety) might be related to the death anxiety experienced, but additional research is necessary to validate these findings.
本研究旨在确定慢性病患者的照顾者体验死亡焦虑的程度,以及照顾者和患者的哪些变量可能与他们的死亡焦虑相关。它还旨在比较患者和照顾者之间的死亡焦虑水平。检索了Web of Science、Scopus、PubMed、心理学数据库、Cochrane和谷歌学术,以查找截至2022年12月的原始研究,这些研究定量探讨了慢性病患者的家庭和非正式照顾者的死亡焦虑。评估了纳入研究的方法学质量,并使用Hedges' 作为效应量指标和DerSimonian-Laird方法进行荟萃分析,以分析患者和照顾者在死亡焦虑方面的差异。11项纳入研究的结果显示照顾者的死亡焦虑水平中等,荟萃分析(n = 7;614名患者和586名照顾者)显示患者和照顾者所体验的死亡焦虑之间无显著差异(合并Hedges' = -0.03,95%CI = -0.29至0.25,P = 0.802)。一些社会人口学和心理因素(如性别、抑郁和焦虑)可能与所体验的死亡焦虑有关,但需要更多研究来验证这些发现。