Prevalence, Severity, and Impact of Symptoms on Female Family Caregivers of Patients at the Initiation of Radiation Therapy for Prostate Cancer

Fletcher, Barbara Swore; Paul, Steven M.; Dodd, Marylin; Schumacher, Karen; West, Claudia; Cooper, Bruce A.; Lee, Kathryn; Aouizerat, Bradley E.; Swift, Patrick S.; Wara, William; Miaskowski, Christine

doi:10.1200/jco.2007.12.2838

Cited by 176 publications

(208 citation statements)

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“…The event may cause stress in the partner; might deprive the partner of emotional, social, and economic support; and can influence the daily life and behavior of the partner (House et al 1988;Berkman and Kawachi 2000). Caregivers, including partners or family members, of patients with chronic diseases experience increased fatigue (Fletcher et al 2008). Previous studies have reported that the partners of patients with chronic diseases can develop major psychosocial problems, including depression.…”

Section: Introductionmentioning

confidence: 99%

Partners’ Ongoing Treatment for Chronic Disease and the Risk of Psychological Distress after the Great East Japan Earthquake

Nakaya

Narita

Tsuchiya

et al. 2016

Tohoku J. Exp. Med.

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Several studies have reported that not only patients with chronic diseases but also their partners are likely to face major psychosocial problems. This study examined the association between a partner's ongoing treatment for chronic disease and the risk of psychological distress after the Great East Japan Earthquake (GEJE). In 2012, a questionnaire was distributed as part of a cross-sectional study of participants aged 20 years or older living in a municipality that had been severely inundated by the tsunami following the GEJE. We identified couples using the household numbers of the municipality and collected self-reported information on ongoing chronic disease treatment for stroke, cancer, myocardial infarction, and angina. Psychological distress was evaluated using the Kessler 6 scale (K6) and was defined as a score ≥ 5/24 points. Among 1,246 couples (2,492 participants) thus identified, 2,369 completed the K6. The number of participants whose partners were under treatment for chronic diseases was 209 (9%). Overall, participants with partners who were receiving treatment for chronic diseases (odds ratio [OR] = 1.3, 95% confidence interval [CI] = 0.95-1.8, P = 0.09) did not show a significantly higher risk of psychological distress using logistic regression analysis. Women, but not men, whose partners were receiving treatment for chronic diseases, had a higher risk of psychological distress (women: OR = 1.6, P = 0.02; men: OR = 1.0, P = 0.92). After the GEJE, only in women the presence of partners under treatment for chronic diseases appears to be a risk factor for psychological distress.

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Section: Introductionmentioning

confidence: 99%

Partners’ Ongoing Treatment for Chronic Disease and the Risk of Psychological Distress after the Great East Japan Earthquake

Nakaya

Narita

Tsuchiya

et al. 2016

Tohoku J. Exp. Med.

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“…Daytime minutes of sleep were calculated after excluding any time when the monitor was off the patient's wrist. 10 In addition to wearing the actigraph, the patients completed 2 preoperative sleep questionnaires: (1) General Sleep Disturbance Scale (GSDS), consisting of 21 items that query for information about a person's quality and quantity of sleep in the past week, daytime sleepiness and fatigue, and types of sleep medications 11 ; and (2) the Pittsburgh Sleep Quality Index (PSQI) before surgery and at 30 and 90 days after surgery. 12 The PSQI asks about perception of sleep quality during the past month and is a valid and reliable measure of habitual sleep patterns.…”

Section: Wrist Actigraphymentioning

confidence: 99%

Preoperative Sleep Disruption and Postoperative Delirium

Leung

Sands

Newman

et al. 2015

Journal of Clinical Sleep Medicine

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Study Objectives: To describe preoperative and postoperative sleep disruption and its relationship to postoperative delirium. Design: Prospective cohort study with 6 time points (3 nights pre-hospitalization and 3 nights post-surgery). Setting: University medical center. Patients: The sample consisted of 50 English-speaking patients ≥ 40 years of age scheduled for major non-cardiac surgery, with an anticipated hospital stay ≥ 3 days. Interventions: None. Measurements and results: Sleep was measured before and after surgery for a total of 6 days using a wrist actigraph to quantify movement in a continuous fashion. Postoperative delirium was measured by a structured interview using the Confusion Assessment Method. Sleep variables for patients with (n = 7) and without (n = 43) postoperative delirium were compared using the unpaired Student t-tests or χ 2 tests. Repeated measures analysis of variance for the 6 days was used to examine within-subject changes over time and between group differences. The mean age of the patients was 66 ± 11 years (range 43-91 years), and it was not associated with sleep variables or postoperative delirium. The incidence of postoperative delirium observed during any of the 3 postoperative days was 14%. For the 7 patients who subsequently developed postoperative delirium, wake after sleep onset (WASO) as a percentage of total sleep time was signifi cantly higher (44% ± 22%) during the night before surgery compared to the patients who did not subsequently developed delirium (21% ± 20%, p = 0.012). This sleep disruption continued postoperatively, and to a greater extent, for the fi rst 2 nights after surgery. Patients with WASO < 10% did not experience postoperative delirium. Self-reported sleep disturbance did not differ between patients with vs. without postoperative delirium. D elirium is a major challenge facing geriatric practice due to its prevalence, complex etiology, and potential severe impact on patients. Postoperative delirium is associated with longer hospital stays, worse functional outcomes, higher healthcare costs, and increased mortality.1 Delirium develops through a complex interaction between the patient's baseline vulnerability (predisposing risk factors before hospitalization) and precipitating factors or insults (events that occur during hospitalization). Some of the vulnerability factors identifi ed include advanced age, cognitive impairment or dementia, and preexisting comorbidities.2,3 Over the last two decades, a large body of literature has focused on the clinical manifestations, risk factors and outcomes of postoperative delirium. Sleep disruption, in particular, has frequently been cited as an important etiological factor associated with the development of delirium. 4 Sleep disturbance, especially sleep fragmentation, and poor sleep quality are commonly observed in older adults. In the hospital, environmental factors and health care practices further contribute to sleep disruption. BRIEF SUMMARYCurrent Knowledge/Study Rationale: Sleep disruption has frequently ...

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“…[13] Bakım verenlerin %46'sında anksiyete riski ve %72'sinde depresyon riski tespit edildi (Tablo 2). Yapılan çalışmalarda kanser hastalarına bakım verenlerde anksiyete ve depresyonun sık görüldü-ğü [16][17][18][19][20] bununla birlikte bakım verenlerin çok azı-nın depresyon ve psikolojik problemleri ile ilgili mental sağlık servislerine başvurdukları saptandı. [26,27] Bu da bakım verenlerin uzun dönemde ortaya çıkabilecek sağlık problemleri riskini artırmakta-dır.…”

Section: Tablounclassified

“…Konuyla ilgili yapılan diğer çalışmalarda da anksiyete ve depresyon puanları ile uyku bozukluğu arasında pozitif yönde bir ilişki belirlenmiştir. [14,19,34] …”

Section: Tablounclassified

“…[16] Yapılan araştırmalar da kanser hastalarına bakım verenlerde depresyon ve anksiyete gibi psikolojik problemlerin sık yaşandığını gös-termektedir. [3,7,8,13,[17][18][19] Ayrıca teşhisin süresi, hastanın yaşı, fonksiyonel ihtiyaçları, sosyal destek ve bakım veren hasta arasındaki ilişkinin kalitesi, hastaların hastalık deneyimleri ve semptomları hakkındaki düşünce ve duygularını anlamadaki yetersizlik, evde hasta bakımını nasıl yapacakları ile ilgili korkuların bakım verenlerde depresyon ve anksiyete riskini artırdığı belirtilmektedir. [12,13,20] Anksiyete ve depresyonun yıkıcı etkileri bakım verenlerin hem kendi sağlığını hem de hastasına bakım verme yeteneğini etkileyebilir.…”

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Investigation of sleep quality and psychological problems in cancer caregivers

Karabulutlu¹

2013

TJ Oncol

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OBJECTIVESThis study was carried out to determine the sleep quality, anxiety and depression levels and affecting factors in cancer caregivers. METHODS150 of cancer caregiver were included in the study. Data were collected using the Pittsburgh Sleep Quality Index, demographic data form and Hospital Anxiety and Depression Scale. RESULTSAccounted 88.7% had poor sleep quality of caregivers and the average total sleep quality was determined as 9.87±3.95. It were identified in risk of anxiety 46% of caregivers and risk of depression in 72% of caregivers. A statistically significant positive correlation was found between sleep quality score and anxiety and depression levels. CONCLUSIONIt have been identified that cancer caregivers experienced poor quality of sleep psychological problems like anxiety and depression. Sleep disorders, anxiety and depression were influenced each other.Key words: Head and neck cancers; in-vivo diode dosimetry; radiotherapy. AMAÇBu araştırma kanser hastalarına bakım veren bireylerin uyku kalitesi, anksiyete ve depresyon düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapılmıştır. GEREÇ VE YÖNTEMAraştırmaya kanser hastalarına bakım veren 150 kişi alındı. Araştırmanın verilerinin toplanmasında soru formu, Pittsburgh Uyku Kalitesi İndeksi ve Hastane Anksiyete ve Depresyon Öl-çeği kullanıldı. BULGULARBakım verenlerin %88.7'sinin uyku kalitesinin kötü ve toplam uyku kalitesi ortalamasının da 9.87±3.95 olduğu tespit edildi. Bakım verenlerin %46'sında anksiyete ve %72'sinde depresyon riski tespit edildi. Bakım verenlerin anksiyete ve depresyon düzeyleri ile uyku kalitesi arasında pozitif yönde güçlü bir ilişki tespit edildi. SONUÇKanser hastalarına bakım verenlerin uyku kalitelerinin kötü olduğu ve anksiyete ve depresyon riskinin arttığı tespit edildi. Uyku bozuklukları, anksiyete ve depresyonun birbirlerini etkilediği belirlendi.Anahtar sözcükler: Anksiyete; bakım veren; depresyon; kanser; uyku.

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Prevalence, Severity, and Impact of Symptoms on Female Family Caregivers of Patients at the Initiation of Radiation Therapy for Prostate Cancer

Abstract: A high percentage of FCs experienced clinically meaningful levels of a variety of symptoms. These symptoms have a negative impact on the FCs' functional status and QOL.

Cited by 176 publications

References 46 publications

Partners’ Ongoing Treatment for Chronic Disease and the Risk of Psychological Distress after the Great East Japan Earthquake

Partners’ Ongoing Treatment for Chronic Disease and the Risk of Psychological Distress after the Great East Japan Earthquake

Preoperative Sleep Disruption and Postoperative Delirium

Investigation of sleep quality and psychological problems in cancer caregivers

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