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Published in: Supportive Care in Cancer 10/2013

01-10-2013 | Original Article

Prevalence and predictors of anxiety and depression among family caregivers of cancer patients: a nationwide survey of patient–family caregiver dyads in Korea

Authors: Boyoung Park, So Young Kim, Ji-Yeon Shin, Robert W. Sanson-Fisher, Dong Wook Shin, Juhee Cho, Jong-Hyock Park

Published in: Supportive Care in Cancer | Issue 10/2013

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Abstract

Purpose

This study aimed to identify the prevalence and predictors of anxiety and depression among family caregivers of patients with cancer in Korea.

Methods

A national, multicenter, cross-sectional survey was conducted with 897 family caregivers. The Hospital Anxiety and Depression Scale was used to assess anxiety and depression in patient–family caregiver dyads.

Results

The prevalence of anxiety in family caregivers was 38.1 %:20.3 % reported mild anxiety, 13.3 % reported moderate anxiety, and 4.6 % reported severe anxiety. The prevalence of depression was 82.2 %:40.4 % reported mild depression, 25.5 % reported moderate depression, and 16.3 % reported severe depression. Family caregivers who were younger, were caring for male patients, or had a low quality of life (QOL) in relation to three of the variables measured in the Korean Caregiver Quality of Life Index-Cancer (CQOLC-K): burden, disturbance, and financial concerns reported increased anxiety. Becoming unemployed during caregiving, being the spouse of a patient and having low QOL in relation to three of the variables measured by the CQOLC-K: burden, disturbance, and positive adaptation were associated with depression among family caregivers. The predictive validity of the selected variables were 0.861 (95 % CI: 0.844–0.892) for anxiety and 0.794 (95 % CI: 0.751–0.828) for depression.

Conclusions

Family caregivers of patients with cancer experienced high levels of anxiety and depression. Socio-demographic factors and QOL were predictors of anxiety and depression in family caregivers.
Literature
1.
go back to reference Jung KW, Park S, Kong HJ, Won YJ, Lee JY, Seo HG, Lee JS (2012) Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2009. Cancer research and treatment. Official Journal of Korean Cancer Association 44(1):11–24. doi:10.4143/crt.2012.44.1.11 CrossRef Jung KW, Park S, Kong HJ, Won YJ, Lee JY, Seo HG, Lee JS (2012) Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2009. Cancer research and treatment. Official Journal of Korean Cancer Association 44(1):11–24. doi:10.​4143/​crt.​2012.​44.​1.​11 CrossRef
2.
go back to reference Glajchen M (2004) The emerging role and needs of family caregivers in cancer care. J Support Oncol 2(2):145–155PubMed Glajchen M (2004) The emerging role and needs of family caregivers in cancer care. J Support Oncol 2(2):145–155PubMed
3.
go back to reference Given BA, Given CW, Kozachik S (2001) Family support in advanced cancer. CA: a cancer journal for clinicians 51(4):213–231CrossRef Given BA, Given CW, Kozachik S (2001) Family support in advanced cancer. CA: a cancer journal for clinicians 51(4):213–231CrossRef
6.
go back to reference Beach SR, Schulz R, Yee JL, Jackson S (2000) Negative and positive health effects of caring for a disabled spouse: longitudinal findings from the caregiver health effects study. Psychology and Aging 15(2):259–271CrossRefPubMed Beach SR, Schulz R, Yee JL, Jackson S (2000) Negative and positive health effects of caring for a disabled spouse: longitudinal findings from the caregiver health effects study. Psychology and Aging 15(2):259–271CrossRefPubMed
7.
go back to reference Lee S, Colditz GA, Berkman LF, Kawachi I (2003) Caregiving and risk of coronary heart disease in U.S. women: a prospective study. American Journal of Preventive Medicine 24(2):113–119CrossRefPubMed Lee S, Colditz GA, Berkman LF, Kawachi I (2003) Caregiving and risk of coronary heart disease in U.S. women: a prospective study. American Journal of Preventive Medicine 24(2):113–119CrossRefPubMed
8.
go back to reference Haley WE, Roth DL, Howard G, Safford MM (2010) Caregiving strain and estimated risk for stroke and coronary heart disease among spouse caregivers: differential effects by race and sex. Stroke; A Journal of cerebral circulation 41(2):331–336. doi:10.1161/strokeaha.109.568279 CrossRefPubMed Haley WE, Roth DL, Howard G, Safford MM (2010) Caregiving strain and estimated risk for stroke and coronary heart disease among spouse caregivers: differential effects by race and sex. Stroke; A Journal of cerebral circulation 41(2):331–336. doi:10.​1161/​strokeaha.​109.​568279 CrossRefPubMed
10.
go back to reference Edwards B, Clarke V (2004) The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients' illness characteristics on depression and anxiety. Psycho-Oncology 13(8):562–576. doi:10.1002/pon.773 CrossRefPubMed Edwards B, Clarke V (2004) The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients' illness characteristics on depression and anxiety. Psycho-Oncology 13(8):562–576. doi:10.​1002/​pon.​773 CrossRefPubMed
11.
go back to reference Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, Willan A, Viola R, Coristine M, Janz T, Glossop R (2004) Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ: Canadian Medical Association journal = journal de l'Association medicale Canadienne 170(12):1795–1801CrossRef Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, Willan A, Viola R, Coristine M, Janz T, Glossop R (2004) Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ: Canadian Medical Association journal = journal de l'Association medicale Canadienne 170(12):1795–1801CrossRef
12.
go back to reference Schulz R, Beach SR (1999) Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA: The Journal of the American Medical Association 282(23):2215–2219CrossRef Schulz R, Beach SR (1999) Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA: The Journal of the American Medical Association 282(23):2215–2219CrossRef
13.
go back to reference Grov EK, Dahl AA, Moum T, Fossa SD (2005) Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase. Annals of Oncology: Official Journal of the European Society for Medical Oncology / ESMO 16(7):1185–1191. doi:10.1093/annonc/mdi210 CrossRef Grov EK, Dahl AA, Moum T, Fossa SD (2005) Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase. Annals of Oncology: Official Journal of the European Society for Medical Oncology / ESMO 16(7):1185–1191. doi:10.​1093/​annonc/​mdi210 CrossRef
14.
15.
go back to reference Price MA, Butow PN, Costa DS, King MT, Aldridge LJ, Fardell JE, DeFazio A, Webb PM (2010) Prevalence and predictors of anxiety and depression in women with invasive ovarian cancer and their caregivers. The Medical Journal of Australia 193(5 Suppl):S52–S57PubMed Price MA, Butow PN, Costa DS, King MT, Aldridge LJ, Fardell JE, DeFazio A, Webb PM (2010) Prevalence and predictors of anxiety and depression in women with invasive ovarian cancer and their caregivers. The Medical Journal of Australia 193(5 Suppl):S52–S57PubMed
16.
go back to reference Yang X, Wang L, He J, Ge C, Chang Y, Fu J, Wei J, Pattaramongkolar E, Zhou Y (2011) Factors related to depressive symptoms among Chinese caregivers of cancer patients. Psycho-Oncology. doi:10.1002/pon.1999 Yang X, Wang L, He J, Ge C, Chang Y, Fu J, Wei J, Pattaramongkolar E, Zhou Y (2011) Factors related to depressive symptoms among Chinese caregivers of cancer patients. Psycho-Oncology. doi:10.​1002/​pon.​1999
17.
go back to reference Pitceathly C, Maguire P (2003) The psychological impact of cancer on patients' partners and other key relatives: a review. European Journal of Cancer (Oxford, England: 1990) 39(11):1517–1524CrossRef Pitceathly C, Maguire P (2003) The psychological impact of cancer on patients' partners and other key relatives: a review. European Journal of Cancer (Oxford, England: 1990) 39(11):1517–1524CrossRef
19.
go back to reference Rhee YS, Yun YH, Park S, Shin DO, Lee KM, Yoo HJ, Kim JH, Kim SO, Lee R, Lee YO, Kim NS (2008) Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. Journal of Clinical Oncology: Official journal of the American Society of Clinical Oncology 26(36):5890–5895. doi:10.1200/jco.2007.15.3957 CrossRef Rhee YS, Yun YH, Park S, Shin DO, Lee KM, Yoo HJ, Kim JH, Kim SO, Lee R, Lee YO, Kim NS (2008) Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. Journal of Clinical Oncology: Official journal of the American Society of Clinical Oncology 26(36):5890–5895. doi:10.​1200/​jco.​2007.​15.​3957 CrossRef
20.
go back to reference Gaston-Johansson F, Lachica EM, Fall-Dickson JM, Kennedy MJ (2004) Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum 31(6):1161–1169. doi:10.1188/04.onf.1161-1169 CrossRefPubMed Gaston-Johansson F, Lachica EM, Fall-Dickson JM, Kennedy MJ (2004) Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum 31(6):1161–1169. doi:10.​1188/​04.​onf.​1161-1169 CrossRefPubMed
21.
go back to reference Miaskowski C, Kragness L, Dibble S, Wallhagen M (1997) Differences in mood states, health status, and caregiver strain between family caregivers of oncology outpatients with and without cancer-related pain. J of Pain and Symptom Manage 13(3):138–147CrossRef Miaskowski C, Kragness L, Dibble S, Wallhagen M (1997) Differences in mood states, health status, and caregiver strain between family caregivers of oncology outpatients with and without cancer-related pain. J of Pain and Symptom Manage 13(3):138–147CrossRef
22.
go back to reference Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370CrossRefPubMed Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370CrossRefPubMed
23.
go back to reference Oh SM, Min KJ, Park DB (1999) A study on the standardization of the Hospital Anxiety and Depression Scale for Koreans: a comparison of normal, depressed and anxious groups. J Korean Neuropsychiatr Assoc 38(2):289–296 Oh SM, Min KJ, Park DB (1999) A study on the standardization of the Hospital Anxiety and Depression Scale for Koreans: a comparison of normal, depressed and anxious groups. J Korean Neuropsychiatr Assoc 38(2):289–296
24.
go back to reference Rhee YS, Shin DO, Lee KM, Yu HJ, Kim JW, Kim SO, Lee R, Lee YO, Kim NS, Yun YH (2005) Korean version of the caregiver quality of life index-cancer (CQOLC-K). Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 14(3):899–904CrossRef Rhee YS, Shin DO, Lee KM, Yu HJ, Kim JW, Kim SO, Lee R, Lee YO, Kim NS, Yun YH (2005) Korean version of the caregiver quality of life index-cancer (CQOLC-K). Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 14(3):899–904CrossRef
25.
go back to reference Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, You CH, West K (2004) Validation of the Korean version of the EORTC QLQ-C30. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 13(4):863–868CrossRef Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, You CH, West K (2004) Validation of the Korean version of the EORTC QLQ-C30. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 13(4):863–868CrossRef
29.
go back to reference Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G (2007) Hidden morbidity in cancer: spouse caregivers. Journal of clinical oncology: official journal of the American Society of Clinical Oncology 25(30):4829–4834. doi:10.1200/jco.2006.10.0909 CrossRef Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G (2007) Hidden morbidity in cancer: spouse caregivers. Journal of clinical oncology: official journal of the American Society of Clinical Oncology 25(30):4829–4834. doi:10.​1200/​jco.​2006.​10.​0909 CrossRef
30.
go back to reference Lee EE, Farran CJ (2004) Depression among Korean, Korean American, and Caucasian American family caregivers. Journal of transcultural nursing: official journal of the Transcultural Nursing Society / Transcultural Nursing Society 15(1):18–25. doi:10.1177/1043659603260010 CrossRef Lee EE, Farran CJ (2004) Depression among Korean, Korean American, and Caucasian American family caregivers. Journal of transcultural nursing: official journal of the Transcultural Nursing Society / Transcultural Nursing Society 15(1):18–25. doi:10.​1177/​1043659603260010​ CrossRef
31.
go back to reference Youn G, Knight BG, Jeong HS, Benton D (1999) Differences in familism values and caregiving outcomes among Korean, Korean American, and White American dementia caregivers. Psychol and Aging 14(3):355–364CrossRef Youn G, Knight BG, Jeong HS, Benton D (1999) Differences in familism values and caregiving outcomes among Korean, Korean American, and White American dementia caregivers. Psychol and Aging 14(3):355–364CrossRef
32.
go back to reference Kurtz ME, Kurtz JC, Given CW, Given BA (2004) Depression and physical health among family caregivers of geriatric patients with cancer—a longitudinal view. Medical science monitor: international medical journal of experimental and clinical research 10(8):CR447–CR456 Kurtz ME, Kurtz JC, Given CW, Given BA (2004) Depression and physical health among family caregivers of geriatric patients with cancer—a longitudinal view. Medical science monitor: international medical journal of experimental and clinical research 10(8):CR447–CR456
33.
go back to reference Iconomou G, Viha A, Kalofonos HP, Kardamakis D (2001) Impact of cancer on primary caregivers of patients receiving radiation therapy. Acta Oncologica (Stockholm, Sweden) 40(6):766–771CrossRef Iconomou G, Viha A, Kalofonos HP, Kardamakis D (2001) Impact of cancer on primary caregivers of patients receiving radiation therapy. Acta Oncologica (Stockholm, Sweden) 40(6):766–771CrossRef
34.
go back to reference Kurtz ME, Kurtz JC, Given CW, Given B (1982) Relationship of caregiver reactions and depression to cancer patients' symptoms, functional states and depression—a longitudinal view. Soc Sci & Med 40(6):837–846CrossRef Kurtz ME, Kurtz JC, Given CW, Given B (1982) Relationship of caregiver reactions and depression to cancer patients' symptoms, functional states and depression—a longitudinal view. Soc Sci & Med 40(6):837–846CrossRef
35.
go back to reference Shin JY, Kim SY, Lee KS, Lee SI, Ko Y, Choi YS, Seo HG, Lee JH, Park JH (2012) Costs during the first five years following cancer diagnosis in Korea. Asian Pacific journal of cancer prevention: APJCP 13(8):3767–3772CrossRefPubMed Shin JY, Kim SY, Lee KS, Lee SI, Ko Y, Choi YS, Seo HG, Lee JH, Park JH (2012) Costs during the first five years following cancer diagnosis in Korea. Asian Pacific journal of cancer prevention: APJCP 13(8):3767–3772CrossRefPubMed
39.
go back to reference Dumont S, Turgeon J, Allard P, Gagnon P, Charbonneau C, Vezina L (2006) Caring for a loved one with advanced cancer: determinants of psychological distress in family caregivers. J of Palliat Med 9(4):912–921. doi:10.1089/jpm.2006.9.912 CrossRef Dumont S, Turgeon J, Allard P, Gagnon P, Charbonneau C, Vezina L (2006) Caring for a loved one with advanced cancer: determinants of psychological distress in family caregivers. J of Palliat Med 9(4):912–921. doi:10.​1089/​jpm.​2006.​9.​912 CrossRef
40.
go back to reference Hillner BE, Smith TJ, Desch CE (2000) Hospital and physician volume or specialization and outcomes in cancer treatment: importance in quality of cancer care. J Clin Oncol 18(11):2327–2340PubMed Hillner BE, Smith TJ, Desch CE (2000) Hospital and physician volume or specialization and outcomes in cancer treatment: importance in quality of cancer care. J Clin Oncol 18(11):2327–2340PubMed
41.
go back to reference Swets JA (1988) Measuring the accuracy of diagnostic systems. Science (New York, NY) 240(4857):1285–1293CrossRef Swets JA (1988) Measuring the accuracy of diagnostic systems. Science (New York, NY) 240(4857):1285–1293CrossRef
42.
go back to reference Northouse L, Williams AL, Given B, McCorkle R (2012) Psychosocial care for family caregivers of patients with cancer. J of Clin Oncol: official journal of the American Society of Clinical Oncology 30(11):1227–1234. doi:10.1200/jco.2011.39.5798 CrossRef Northouse L, Williams AL, Given B, McCorkle R (2012) Psychosocial care for family caregivers of patients with cancer. J of Clin Oncol: official journal of the American Society of Clinical Oncology 30(11):1227–1234. doi:10.​1200/​jco.​2011.​39.​5798 CrossRef
Metadata
Title
Prevalence and predictors of anxiety and depression among family caregivers of cancer patients: a nationwide survey of patient–family caregiver dyads in Korea
Authors
Boyoung Park
So Young Kim
Ji-Yeon Shin
Robert W. Sanson-Fisher
Dong Wook Shin
Juhee Cho
Jong-Hyock Park
Publication date
01-10-2013
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 10/2013
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-013-1852-1

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