Higginson I, Priest P
London School of Hygiene and Tropical Medicine, U.K.
Soc Sci Med. 1996 Dec;43(11):1621-5. doi: 10.1016/s0277-9536(96)00062-7.
There has been little research to date on the factor which predict high anxiety in family members or carers before bereavement. Our study used data on 302 patients for whom the family's anxiety had been recorded by cancer palliative care teams in the last weeks of the patient's life. Variables known at the time of the patient's referral to the teams were entered into a discriminant analysis. A predictive function with a sensitivity of 0.75 and a specificity of 0.51 identified those families whose anxiety was rated as severe (3-4 on a scale of 0-4) during the month before the patient's death. Important predictors were: whether the family member was a spouse, a diagnosis of breast cancer, young age, the time from diagnosis and low patient mobility. There was a small significant correlation between a longer time in palliative care and lower family anxiety. The predictive model could be used oncologists to identify cases where greater psychological support will be needed.
迄今为止，针对丧亲前家庭成员或照料者中预测高焦虑水平因素的研究甚少。我们的研究使用了302名患者的数据，这些患者家属的焦虑状况由癌症姑息治疗团队在患者生命的最后几周进行了记录。将患者转诊至这些团队时已知的变量纳入判别分析。一个敏感度为0.75、特异度为0.51的预测函数识别出了那些在患者死亡前一个月焦虑被评为严重（0至4级量表上为3至4级）的家庭。重要的预测因素包括：家庭成员是否为配偶、乳腺癌诊断、年龄小、从诊断到现在的时间以及患者活动能力低。姑息治疗时间较长与家庭焦虑程度较低之间存在微弱的显著相关性。该预测模型可供肿瘤学家用于识别那些需要更多心理支持的病例。
