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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 3/2019

Open Access 01-06-2019 | CABG | Brief Report

Pre-surgical Caregiver Burden and Anxiety Are Associated with Post-Surgery Cortisol over the Day in Caregivers of Coronary Artery Bypass Graft Surgery Patients

Authors: Claudio Singh Solorzano, Andrew Steptoe, Elizabeth Leigh, Tara Kidd, Marjan Jahangiri, Lydia Poole

Published in: International Journal of Behavioral Medicine | Issue 3/2019

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Abstract

Background

The relationship between pre-surgical distress and diurnal cortisol following surgery has not been investigated prospectively in caregivers of coronary artery bypass graft (CABG) patients before. We aimed to examine the relationship between pre-surgical anxiety and caregiver burden and diurnal cortisol measured 2 months after the surgery in the caregivers of CABG patients.

Method

We used a sample of 103 caregivers of elective CABG patients that were assessed 28.86 days before and 60.94 days after patients’ surgery. Anxiety and caregiver burden were assessed using the anxiety subscale of the Hospital Anxiety and Depression Scale and the Oberst Burden Scale respectively. Saliva samples were collected to measure cortisol area under the curve with respect to ground (AUCg) and diurnal cortisol slope. Anxiety and caregiver burden were entered into linear regression models simultaneously.

Results

While high levels of pre-surgical anxiety were positively associated with increased follow-up levels of AUCg (β = 0.30, p = 0.001), greater pre-surgery perceived burden score was associated with steeper cortisol slope (β = 0.27, p = 0.017) after controlling for a wide range of covariates.

Conclusion

These outcomes support the utility of psychological interventions aimed to increase the awareness of caregiving tasks and demands in informal caregivers.
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Metadata
Title
Pre-surgical Caregiver Burden and Anxiety Are Associated with Post-Surgery Cortisol over the Day in Caregivers of Coronary Artery Bypass Graft Surgery Patients
Authors
Claudio Singh Solorzano
Andrew Steptoe
Elizabeth Leigh
Tara Kidd
Marjan Jahangiri
Lydia Poole
Publication date
01-06-2019
Publisher
Springer US
Keywords
CABG
Anxiety
CABG
Published in
International Journal of Behavioral Medicine / Issue 3/2019
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-019-09775-6

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