Caregiving burden, depression, and anxiety among family caregivers of patients with cancer: An investigation of patient and caregiver factors

Frontiers in Psychology

Psychology

Omid Saed¹  Saeedeh Zenozian¹  Jahangir Mohammadi Bytamar¹  Alireza Zeraatchi²  Zhaleh Karimi Moghaddam³  Mina Rostami⁴ 

[1] Department of Clinical Psychology, Beheshti Hospital, Zanjan University of Medical Sciences, Zanjan, Iran;Department of Emergency Medicine, Valiasr-e-Asr Hospital, Ayatollah Mousavi Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran;Department of Radiation Oncology, Vali-e-Asr Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran;Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran;

关键词: burden;    anxiety;    depression;    family caregiver;    cancer patient;   

DOI  :  10.3389/fpsyg.2023.1059605

 received in 2022-10-01, accepted in 2023-02-27,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundCaring for patients with cancer can result in significant burden, anxiety, and depression among family caregivers, leading to alterations in their mental and physical wellbeing. Evidence on the level of cancer caregivers' burden, depression, anxiety, their role in assisting their patients, and other patient and caregiver factors that play in improving/worsening the outcomes, is limited. This study explored the prevalence of caregiving burden, depression, and anxiety with a focus on the patient and caregiver-related factors among cancer family caregivers.MethodsA cross-sectional study was conducted on the population of caregivers of adult patients with cancer in Zanjan, Iran between 2019 and 2020. The Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the Zarit Burden Inventory (ZBI) were used to measure outcome variables. Clinical and basic characteristics of the caregivers and patients were also collected. An independent samples t-test, analysis of variance, Pearson's correlation coefficient, and stepwise linear regression were performed using SPSS software version 26.ResultsMean ± standard deviation age of the caregivers (167 men and 133 women) was 40.77 ± 12.56. Of the caregivers, 46.3, 53, and 30.7% showed severe depression, anxiety, and burden, respectively. There was a significant positive correlation between ZBI with both BDI [r(298) = 0.19, p < 0.01] and BAI [r(298) = 0.20, p < 0.01]. Caregiving ≥24 months (B = 14.36, p < 0.001), outpatient care setting (B = −12.90, p < 0.001), being retired (B = −12.90, p < 0.001), depression (B = 0.28, p < 0.001), supplemental health insurance (B = −7.79, p < 0.001), being illiterate (B = 7.77, p < 0.01), surgery (B = 8.55, p < 0.01), ECOG1 (B = 4.88, p < 0.01), and patient's age (B = 0.11, p < 0.05) were found to be significant predictors of caregiving burden.ConclusionHigh levels of depression, anxiety, and burden were observed among the caregivers of patients with cancer. These findings underline the importance of paying close attention to the needs and psychological challenges of this population.

【 授权许可】

Unknown   
Copyright © 2023 Karimi Moghaddam, Rostami, Zeraatchi, Mohammadi Bytamar, Saed and Zenozian.